Dr. Rajesh D. (India)

As a practicing eye surgeon, I have always believed in comprehensive ophthalmic practice.

One area of my practice has been cornea. Although I have also been formally trained in LASIK surgery and I have performed it in my patients quite successfully it has mainly been on “normal” patients requiring cosmetic corrections.

At Gulani Vision Institute when I observed the wide spectrum of corneal pathologies successfully rehabilitated and that also with minimal invasive procedures I had an eye opening experience.

Dr Gulani has coined the term “Corneoplastique” to emphasize the importance of the cornea and rightly so.

The point is that it is not necessary that all seemingly bad cases have to undergo a keratoplasty.

Now Technically speaking, The Surgical advances that I observed at Gulani Vision Institute were:

–Amniotic membrane transplantation (for recurrent pterygium, conjunctivochalasis, symblepharon). At a zero percent recurrence rate the technique of Amniotic membrane transplant is definitely a promising one besides being cosmetically pleasing to the patient. Patients with recurrent pterygia are miserable but after the procedure they were very grateful to Dr. Gulani.

–Keratoamnioplasty (for band keratopathy-ocular surface reconstruction)

–Lamellar surgeries(Anterior, deep, peripheral, posterior – DSAEK and Epikeratophakia reversal). The DSAEK procedure involving descemets stripping is a very exciting and promising procedure performed at the Gulani Vision Institute.

–Synthetic Implants – Corneal ring segments for Keratoconus.
Intacs surgery is a short procedure which has no major issues like rejection and the central portion of the cornea remains clear.

–Excimer laser contour surgeries for corneal scars-(LASIK complications/infection) and for previous Refractive Surgeries. Scars treated with the excimer can bring the greatest joy both to the surgeons and the patients. It is nothing short of a miracle.

–Excimer and advanced surface ablation for previous RK/HK/AK procedures.

I must thank Dr Gulani for allowing me to witness and grasp all the latest advanced procedures that he performs which I believe are the frontier of refractive surgery that all and one should try to achieve.

“I hope my patients hug me the same way when I promise them these alternatives as the patients I have seen hugging Dr Gulani.”

Dr Rajesh D MS,DNB,FMRF
University of Mumbai
India