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Raman Malhotra is a British ophthalmologist and oculoplastic surgeon. He is a consultant ophthalmic surgeon and head of the Corneoplastic unit, Queen Victoria Hospital, East Grinstead.
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Raman Malhotra is a British ophthalmologist and oculoplastic surgeon. He is a consultant ophthalmic surgeon and head of the Corneoplastic unit, Queen Victoria Hospital, East Grinstead.
Born on 13 September 1968 at Isleworth, Middlesex, UK, Malhotra attended Hazelwick School, Crawley. He graduated in medicine and surgery from the University of Bristol in 1993 and was a demonstrator in anatomy at the University from 1994 to 1995. Having finished his basic surgical ophthalmic training at The Western Eye Hospital, London, he went on to complete his higher surgical training in Oxford. He was a Fellow in oculoplastic, orbital and lacrimal surgery at the Royal Adelaide Hospital and Women and Children's Hospital, Adelaide, Australia from 2002 to 2003. In 2003 he was appointed as consultant ophthalmic and oculoplastic surgeon at the Queen Victoria Hospital, East Grinstead.
Malhotra has developed two instruments used in endoscopic dacryocystorhinostomy (DCR):
The nibbler reduces the need for powered instruments such as drills and burrs during endonasal DCR and is estimated therefore to save £100 in costs for each procedure.
In 2005, Malhotra was heavily involved in a case that was given considerable international coverage. Sundeep Hunjan, then 23, was attacked with acid on her way home in Nairobi. She suffered extensive burns, including loss of her eyelids. She was operated on at the specialist McIndoe Surgical Centre in East Grinstead, where Malhotra rebuilt her upper and lower eyelids. There is a happy ending. After some two years of treatment, she made a full recovery and in 2007 married Amritpal Singh Rupra. In May 2010, she gave birth to a boy. [1] [2] [3] [4] [5] [6] [7]
In 2007, Malhotra received the American Academy of Ophthalmology Achievement Award. [8]
In 2008, Malhotra created a method of treating Blepharospasm using filters. [9] [10]
In 2008, 2009 and 2010, Malhotra was cited in the Tatler Beauty & Cosmetic Surgery Guides as one of Britain's top cosmetic surgeons [11] [12] [13] [14]
In 2010, Malhotra helped evolve the technique of ptosis (droopy eyelid) surgery and reported a technique (a less disruptive modification of previously described techniques) in the British Journal of Ophthalmology and The Open Ophthalmology Journal. [15] [16]
Malhotra sits on the editorial board of Orbit , the international journal of the European Society of Ophthalmic, Plastic and Reconstructive Surgery. [17] In August 2011, he was appointed a section editor of the British Journal of Ophthalmology. [18]
In September 2011, Malhotra received a Bronze National Clinical Excellence Award. [19]
In 2013, Malhotra developed the Malhotra platinum segment chain for improving eyelid closure in facial palsy. [20]
In 2014, Malhotra developed the CADS Ophthalmic Grading score for facial palsy. This is a method to standardise grading of severity of ophthalmic involvement in facial palsy. [21]
In February 2015, Malhotra received The Koornneef Award from the Dutch Orbital Society. [22]
Also in 2015, Malhotra reported on the post-levator aponeurosis fat pad, a layer of fat in the eyelid not previously recognised by anatomy textbooks. [23]
In late 2015, Malhotra was awarded a Silver National Clinical Excellence Award by the Advisory Committee on Clinical Excellence Awards at the Department of Health. [24]
Malhotra has written two textbooks:
He has authored numerous book chapters and 105 refereed articles in international medical and scientific journals. [25]
Ophthalmology is a surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders. A former term is oculism.
Eye surgery, also known as ophthalmic surgery or ocular surgery, is surgery performed on the eye or its adnexa. Eye surgery is part of ophthalmology and is performed by an ophthalmologist or eye surgeon. The eye is a fragile organ, and requires due care before, during, and after a surgical procedure to minimize or prevent further damage. An eye surgeon is responsible for selecting the appropriate surgical procedure for the patient, and for taking the necessary safety precautions. Mentions of eye surgery can be found in several ancient texts dating back as early as 1800 BC, with cataract treatment starting in the fifth century BC. It continues to be a widely practiced class of surgery, with various techniques having been developed for treating eye problems.
Phacoemulsification is a cataract surgery method in which the internal lens of the eye which has developed a cataract is emulsified with the tip of an ultrasonic handpiece and aspirated from the eye. Aspirated fluids are replaced with irrigation of balanced salt solution to maintain the volume of the anterior chamber during the procedure. This procedure minimises the incision size and reduces the recovery time and risk of surgery induced astigmatism.
An eyelid is a thin fold of skin that covers and protects an eye. The levator palpebrae superioris muscle retracts the eyelid, exposing the cornea to the outside, giving vision. This can be either voluntarily or involuntarily. "Palpebral" means relating to the eyelids. Its key function is to regularly spread the tears and other secretions on the eye surface to keep it moist, since the cornea must be continuously moist. They keep the eyes from drying out when asleep. Moreover, the blink reflex protects the eye from foreign bodies. A set of specialized hairs known as lashes grow from the upper and lower eyelid margins to further protect the eye from dust and debris.
East Asian blepharoplasty, also known as double eyelid surgery, is a type of cosmetic surgery where the skin around the eye is reshaped (blepharoplasty). The purpose of the procedure is to create an upper eyelid with a crease from an eyelid that is naturally without a crease.
Blepharoplasty is the plastic surgery operation for correcting defects, deformities, and disfigurations of the eyelids; and for aesthetically modifying the eye region of the face. With the excision and the removal, or the repositioning of excess tissues, such as skin and adipocyte fat, and the reinforcement of the corresponding muscle and tendon tissues, the blepharoplasty procedure resolves functional and cosmetic problems of the periorbita, which is the area from the eyebrow to the upper portion of the cheek. The procedure is more common among women, who accounted for approximately 85% of blepharoplasty procedures in 2014 in the US and 88% of such procedures in the UK.
The Queen Victoria Hospital (QVH), located in East Grinstead, West Sussex, England is the specialist reconstructive surgery centre for the south east of England, and also provides services at clinics across the region. It has become world-famous for its pioneering burns and plastic surgery. The hospital was named after Queen Victoria. It is managed by the Queen Victoria Hospital NHS Foundation Trust.
The anterior lacrimal crest is a bony projection on the frontal process of the maxilla. It creates the lateral margin of the lacrimal sac fossa and is continuous with the orbital margin. The medial palpebral ligament is attached to anterior lacrimal crest. It is an important structure to avoid damaging during rhinoplasty.
The medial palpebral ligament is a ligament of the face. It attaches to the frontal process of the maxilla, the lacrimal groove, and the tarsus of each eyelid. It has a superficial (anterior) and a deep (posterior) layer, with many surrounding attachments. It connects the medial canthus of each eyelid to the medial part of the orbit. It is a useful point of fixation during eyelid reconstructive surgery.
The superior tarsal muscle is a smooth muscle adjoining the levator palpebrae superioris muscle that helps to raise the upper eyelid.
Ptosis, also known as blepharoptosis, is a drooping or falling of the upper eyelid. This condition is sometimes called "lazy eye," but that term normally refers to the condition amblyopia. If severe enough and left untreated, the drooping eyelid can cause other conditions, such as amblyopia or astigmatism, so it is especially important to treat the disorder in children before it can interfere with vision development.
Oculoplastics, or oculoplastic surgery, includes a wide variety of surgical procedures that deal with the orbit, eyelids, tear ducts, and the face. It also deals with the reconstruction of the eye and associated structures.
In medicine, an avulsion is an injury in which a body structure is torn off by either trauma or surgery. The term most commonly refers to a surface trauma where all layers of the skin have been torn away, exposing the underlying structures. This is similar to an abrasion but more severe, as body parts such as an eyelid or an ear can be partially or fully detached from the body.
Babak Azizzadeh, MD, FACS is the founder and president of the FPBPF, a non-profit organization committed to the treatment of individuals with facial nerve paralysis and Bell's palsy.
Sheraz Daya is a British ophthalmologist. Daya founded the Centre for Sight in 1996, and works in stem-cell research and sight recovery surgery.
The Children's Surgical Centre (CSC) is a non-profit, non-governmental, and non-religious surgical hospital in Phnom Penh, Cambodia and registered as a 501(c)(3) in the United States. Founded in 1998, the centre aims to improve the quality of life for disabled children and adults by providing free rehabilitative surgery.
Gerd Geerling is a German consultant ophthalmic surgeon, Professor of Ophthalmology and since 2011 head of the Universitäts-Augenklinik Düsseldorf of the University of Düsseldorf, Germany.
Santosh Gajanan Honavar is an Indian ophthalmologist and is currently the editor of the Indian Journal of Ophthalmology and Indian Journal of Ophthalmology - Case Reports, the official journals of the All India Ophthalmological Society; Director, Medical Services ; Director, Department of Ocular Oncology and Oculoplasty at Centre for Sight, Hyderabad; and Director, National Retinoblastoma Foundation.
Exposure keratopathy is medical condition affecting the cornea of eyes. It can lead to corneal ulceration and permanent loss of vision due to corneal opacity.
Akshay Nair is an Indian ophthalmologist based in Mumbai, India. He specializes in oculoplastics, orbital surgery and ocular oncology. Currently, Dr. Nair is the Director of Ophthalmic plastic surgery and ocular oncology services at the Mumbai units of Dr. Agarwal's Eye Hospital: Advanced Eye Hospital and Institute and Aditya Jyot Eye Hospital.
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