|
|
|
|
Dr. Harish Pathak |
|
|
 |
|
|
|
|
|
 |
|
| Dr. Harish Pathak is a Consultant Ophthalmologist with a special interest in the subspeciality of Oculoplastics and Reconstructive Surgery, which includes disoders of eyelid, lacrimal system and orbit. He is a visiting Consultant at Bombay Hospital, Mumbai and has his private practice at Sekhar Eye Research Centre, Mumbai. |
|
| After finishing his MBBS from Medical College Calcutta, he was selected in the prestigious All India Institute Of Medical Sciences, New Delhi where he pursued his post graduation in the field of Ophthalmology. He did his superspeciality training in the same institute in the field of Oculoplastics and Reconstructive Surgery and Pediatric Ophthalmology for the next three years. He has undergone AIOS traveling Fellowship from Sankara Nethralaya and in the year 2005 he was selected as a Fellow of the Royal College of Surgeons of Glasgow (U.K) and subsequently underwent ICO fellowship training in periocular plastic surgery in UK. |
|
| Dr. Harish Pathak is one of the few Oculoplastic Surgeons in India and has a vast surgical experience (both cosmetic and corrective) whose services are sought not only in Mumbai but all over Maharashtra and other parts of the country. |
|
|
|
| During the same period he passed the National Board of Examinations and became a member of the National Academy of Medical Sciences, New Delhi. He is also a life member of the International Medical Sciences Academy, European Society of Oculoplasty and Reconstructive Surgery, European Society of Cataract & Refractive Surgeons, All India Ophthalmological Society, Bombay Ophthalmologists’ Association , Delhi Ophthalmological Society, Maharashtra Ophthalmologists Association & Oculoplasty Association of India. |
|
| Treated Conditions |
|
| Lid Tumors |
|
| Before |
|
After |
|
|
 |
|
 |
|
Lid Tumors may be benign or malignant. Cysts, Naevi, capillary hemangioma and neurofibromatosis are some of the benign variety. Among the malignant one sebaceous cell carcinoma,basal cell carcinoma and squamous cell carcinoma are most common. Tumors of the lid are managed by complete surgical removal followed by lid reconstruction. |
|
| |
| Lid Position Abnormalities |
|
 Ptosis |
|
| Before |
|
After |
|
|
 |
|
 |
|
Ptosis refers to drooping of upper eyelid below its normal position. It may be congenital or acquired and is generally due to the weakness of the lid muscles. Surgical correction can allievate the problems in most of the cases. |
|
|
| Entropion, ectropion and misdirected eyelashe |
|
| Inturning of the the upper or lower lid margin is called entropion and the outturning of the same is termed as ectropion. These conditions may result in watering and irritable and red eyes. Surgery is the only cure for these conditions. |
|
| Eye Lid Bags |
|
| Before |
|
After |
|
|
 |
|
 |
|
Aging process affects the face which results in loosening of skin and puffiness around the eyes. This is referred to as dermatochalasis and blepharoplasty surgery helps to get rid of this condition and the face gets back its young look . |
|
| |
|
| |
| Wrinkles facial lines with botox / fillers |
|
| Movement of brow muscles causes the skin to crease.Skin becomes less elastic over time; repeated frowning creates lines and wrinkles between the brows (the clinical term is glabellar lines/Frown lines). Similar lines can appear in other parts of the face which are commonly referred as crows feet, bunny lines and forehead lines. |
|
| BOTOX® Cosmetic is a purified protein that smoothes the muscles by blocking nerve impulses. With a few tiny injections, BOTOX® Cosmetic blocks the release of acetylcholine, the chemical that causes muscles to contract.With less movement, the skin surface gradually smoothes out, and the lines begin to fade. |
|
| BOTOX® offers sustained relief, dose after dose. The effect of the first treatment lasts up to 4 months. The treatment can be continued as long as the treatment symptoms respond to BOTOX® therapy. Usually, BOTOX® treatment is required approximately 3 times a year. Since symptoms can change over time, the amount and duration of relief can vary. Also the dosage may change based on the severity of the condition and the indication for which it has to be administered. |
|
| Watery Eyes |
|
| Reflex secretion due to irritation as in case of eye allergies, infections or blockage of the tear passage may result in excessive watering. Depending on the location of the blockage various surgical procedures are available to relieve the obstruction. These include dacrocystorhinostomy which may be external or endoscopic and with or without intubation, Conjunctival dacrocystorhinostomy with Lister Jones Tube and puctoplasty. |
|
| Facial Nerve Palsy |
|
| Bells Palsy is the commonest cause of 7th nerve dysfunction. Acute Facial nerve palsy can lead to incomplete closure of eyes causing exposure of cornea and thus lead to dryness and infection (exposure keratitis). Tarsorapphy is performed at this stage to protect the eyes. Long standing Facial Nerve palsy can result in lower lid ectropion, lagopthalmos and brow ptosis which apart from being a cosmetic blemish can result in constant epiphora which is quite disturbing for the patient. Gold weight implants along with ectropion surgery gives satisfactory results. |
|
| Thyroid Eye Disease |
|
| Dysfunction of the thyroid gland affects the whole body including eyes. Protrusion of the eyes(proptosis), lid retraction and double vision are the common ocular side effects. Treatment may be medical in the form of steroids administration or surgical. Orbital decompression surgery is carried out when optic nerve function is compromised or in cases when the proptosis is cosmetically unacceptable to the patient. This may be followed by lid retraction surgery to place the lid in its normal position. |
|
|
|
| Orbital Fractures |
|
| Before |
|
After |
|
|
 |
|
 |
|
Trauma in and around the eye can cause fracture of the floor of the orbit leading to enopthalmos (sunken eye), and diplopia (double vision). Surgery to repair the floor has to be carried out as early as possible to prevent permanent damage. Medpore sheets are used to support the floor. |
|
| |
| Enucleation / Evisceration |
|
| Surgical removal of the eye either completely (enucleation) or partially (evisceration) is carried out in cases of tumors involving the eye, after severe trauma or in a painful non seeing eye. After removal an artificial implant such as medpore is inserted to keep the volume of the socket. After 4-6 weeks a custom msde artificial eye is fitted to give a natural and normal look. |
| |
| Socket Anomalies |
|
| Socket anomalies may be congenital like anopthalmos / micropthalmos / cryptophthalmos or acquired in the form of contracted socket. These complex situations require high expertise and experience to provide satisfactory functional and cosmetic resulys. |
| |
| Orbital Tumors |
|
| Before |
|
After |
|
|
 |
|
 |
|
The orbit protects the eyes and allows for passage of the optic nerve, the nerves and the vessels required for proper function of the eye. Tumors may arise from the bone (Osteomas, Fibromas, Fibrous Dysplasias) or from the nerves (neurofibroma, optic nerve glioma, optic nerve sheath meningioma. They may be vascular (capillary and cavernous hemangiomas, lymphangioma, hemangiopericytoma) or |
|
|
| mesenchymal in origin (Rhabdomyosarcoma). Benign tumors like dermoids are common and have good prognosis. Management of such tumors in most of the cases is surgical however a few also respond to medical therapy (Chemotherapy and Radiotherapy). |
|
|
| Publications |
|
|
Sharma V, Kashyap S, Betharia SM, Gupta S, Pathak H. Lipoid Proteinosis : A rare disorder with pathognomonic lid lesions. Clinical and Experimental Ophthalmology 2004; 32(1):110-112 |
|
|
|
Betharia SM, Wagh Vijay B, Pathak H.,Sharma Vidushi. Rhino-orbital-cerebral Mucormycosis. A retrospective analysis and treatment option .Indian J Ophthalmol 2004; 52:82 |
|
|
|
Raj Anand, Harish Pathak , Vijay B Wagh, Milind Naik . Myoconjunctival Enucleation for Enhanced Implant Motility. Result of a Randomised Prospective Study. Indian J Ophthalmol 2005; 53 |
|
|
|
Wagh Vijay B, Bajaj MS, Kashyap S, Pathak H., Glial Heterotopia of the Orbit and Extranasal Region: An Unusual Entity. Clinical and Experimental Ophthalmology 2005 Oct; 33(5) : 513-5 |
|
|
|
Saxena R, Sinha A, Sharma P, Pathak H., Menon V, Sethi H. “Precaruncular periosteal anchor of medial rectus”, a new technique in the management of complete external third nerve palsy. Orbit.2006 Sep; 25(3 : 205-208 |
|
|
|
Wagh VB, Kabra SK, Kashyap S, Avyact A, Pathak H., Sharma V, Kai S, Betharia SM. “Rare presentation of fungal orbital cellulitis in an immunocompetent infant. J Pediatr Ophthalmol Strabismus. 2007 Mar-Apr; 44(2):127-9 |
|
|
|
|
|
|
| Published Abstracts |
|
|
|
Tandon R, Pathak H., Vajpayee R, Titiyal J, Verma L, Kumar A. Vitreoretinal changes following cataract surgery: Phacoemulsification versus Conventional ECCE. P187 Poster presented at XXIX International Congress of Ophthalmology, April 2002, Sydney, Australia. |
|
|
|
Betharia SM, Sharma V, Kashyap S, Pathak H., Wagh VB. Basal cell adenocarcinoma of lacrimal gland- A newly recognized rare tumour. Oral presentation at XI International Congress of Ocular Oncology, January 2004, Hyderabad, India. |
|
|
|
Pathak H., Betharia SM, Wagh VB, Sharma V, Sen S, Kashyap S. Primary ductal adenocarcinoma of the lacrimal gland: A rare entity. Oral presentation at XI International Congress of Ocular Oncology, January 2004, Hyderabad, India. |
|
|
|
Sharma V, Betharia S, Kashyap S, Sen S, Pathak H., Wagh VB. Hemangiopericytoma of the orbit: Report of 3 cases and a brief review. Poster presented at XI International Congress of Ocular Oncology, January 2004, Hyderabad, India. |
|
|
|
Wagh VB, Sen S, Betharia SM, Pathak H., Sharma V. Ocular adnexal lymphoid tumors- A clinicopathological analysis. Poster presented at XI International Congress of Ocular Oncology, January 2004, Hyderabad, India |
|
|
|
Anita Panda, H Das, Vijay B Wagh, Harish Pathak, Paragati Madhavi, A Kumar, Geeta B. Role of Autologous serum in dry eyes. FP0074 Poster presented at 62nd All India Ophthalmological Society, January 2004, Varanasi, India |
|
|
|
Vijay B Wagh, H Das, Harish Pathak., Paragati Madhavi, GVN Ramakumar, Anita Panda.Our experience in management of persistent epithelial defect after keratoplasty. FP0066 Free paper presentation at 62nd All India Ophthalmological Society, January 2004, Varanasi, India |
|
|
|
Vijay B Wagh, S Raju, Harpreet Singh, Rajiv Sudan, Harish Pathak, Anita Panda. Evaluation of the results of Amniotic Membrane Transplantation in Alkali burn patients. FP0064 Free paper presentation at 62nd All India Ophthalmological Society, January 2004, Varanasi, India |
|
|
|
Harish Pathak, V.B.Wagh, S. Sen, S. Kashyap, M.S.Bajaj, Vidushi Sharma. Primary Primitive Neuroectodermal Tumor of the Orbit. Free paper presentation at XV Oculoplasty Association of India, August 2004, Guwahati, India |
|
|
|
Vijay B. Wagh, S. Sen, Harish Pathak., S.M. Betharia, Vishal Jhanji. Angiolymphoid Hyperplasia of the Ocular Adnexa-A rare Case Series From Northern India. Free paper presentation at XV Oculoplasty Association of India, August 2004, Guwahati, India |
|
|
|
Harminder Rai, C.Das, V. B. Wagh, Harish Pathak, Mahesh Chandra, Vidushi Sharma. Diagnosis of Orbital Varix by Imaging in Prone Position. Poster presented at XV Oculoplasty Association of India, August 2004, Guwahati, India |
|
|
|
Supriyo Ghose, Raju S, Harish Pathak, Vidushi Sharma, Amrita Chaturvedi, Vasantha Thavaraj, Seema Sen. Globe Rupture in Retinoblastoma. Poster presentation at 63rd All India Ophthalmological Society, January 2004, Bhubaneshwar, India |
|
|
|
Mandeep S Bajaj, Neelam Pushker, Seema Sen,Seema Kashyap, Sanjiv Gupta, Harish Pathak, Mridula Mehta. Sino nasal Tumors-A rare cause of Nasolacrimal Obstruction in Adults. Oral presentation at 63rd All India Ophthalmological Society, January 2004, Bhubaneshwar, India |
|
|
|
Mridula Mehta, Vijay B. Wagh, Harish Pathak., Sanjiv Gupta, Seema Kashyap, Mahesh Chandra, Supriyo Ghose. Orbital Pseudocellulitis.A Masquerade presentation for various ocular tumors in diverse age groups. Oral presentation at 63rd All India Ophthalmological Society, January 2004, Bhubaneshwar, India |
|
|
|
V. B. Wagh, H K Rai, M S Bajaj, Neelam P, Harish Pathak, H S Sethi. Phacoemulsification with intraocular lens implantation in a patient of Alport’s syndrome with bilateral anterior and posterior lenticonus. Poster presentation at XXII Congress of the ESCRS, Rome 2005 |
|
|
|
H.Pathak, A.Kumar, RTandon. Clinical Characteristics of Pseudophakic Retinal Detachments. Poster presentation at XXIII Congress of ESCRS, Lisbon, September 2005. |
|
|
|
Pathak H., Chandra M, Bajaj MS, Sen S, Kashyap S, Mehta M. Secondary Orbital Melanomas : A case series. Poster presentation at XXIII meeting of ESOPRS, Crete Island, Greece, September 2005. |
|
|
|
Ghose S, Anurag, Bajaj MS, Pushker N, Kashyap S, Pathak H., Evaluation of Mitomycin-C application in Conjunctival Mucosal Graft bed in the Reconstruction of Contracted Socket. Poster presentation at XXIII meeting of ESOPRS, Crete Island, Greece, September 2005. |
|
|
|
Harish Pathak, Precarancular Dacrocystorhinostomy: A Novel Approach. Free paper presentation at the XVI Annual Meet of the Oculoplastic Association Of India, October 2005, Chandigarh, India |
|
|
|
H Pathak, MS Bajaj, S Sen. Secondary Orbital Melanomas: A Case Series. Poster presentation at 3rd SNEC Orbital Symposium on Orbital Disease and Surgery, November 2005, Singapore |
|
|
|
H. Pathak, M Mehta, MS Bajaj,S Gupta, M Chandra, S Ghose. Management of Nasoorbital injuries: Cosmetic and Functional Outcome. Poster presentation at 64th All India Ophthalmological Society, February 2004, Bhopal, India |
|
|
|
Ankur Sinha, Rohit Saxena, Pradeep Sharma, Harish Pathak, Vimla Menon, Harinder Sethi. Precarancular approach for periosteal anchor of medial rectus in cases of complete Third nerve paralysis. Free paper presentation at the Annual Conference of Delhi Ophthalmological Society, April 2006, New Delhi, India.(Awarded the first prize in the competitive section) |
|
| |
|
| |
|
|
|
|
