Army Performs India’s First 3D Flex Aqueous Angiography

In a major advancement for ophthalmic care in the country, the Indian Army has successfully carried out India’s first 3D Flex Aqueous Angiography with iStent. The pioneering glaucoma procedure was performed at the Army Hospital (Research & Referral), Delhi Cantt, marking a significant leap in the precision diagnosis and treatment of a leading cause of irreversible blindness.

Breakthrough Procedure at Army Hospital

The surgery was led by Brigadier Dr Sanjay Mishra, Head of Ophthalmology at the Army Hospital (Research & Referral). The procedure uses advanced three-dimensional imaging to visualise the eye’s aqueous humour drainage pathways in real time. Based on this mapping, surgeons implant an iStent, a microscopic device that improves fluid outflow and lowers intraocular pressure, which is critical in glaucoma management.

Role of Advanced Imaging Technology

The breakthrough was enabled by a newly introduced movable, stand-mounted Spectralis imaging system paired with a 3D operating microscope. This combination provides surgeons with a high-definition, zoomed-in, real-time view of the eye’s drainage channels during surgery. The enhanced visualisation allows highly targeted placement of the iStent, improving surgical accuracy and patient outcomes.

Significance for Glaucoma Care in India

Glaucoma is among the leading causes of irreversible blindness in India and is often diagnosed late due to the absence of early symptoms. The introduction of 3D Flex Aqueous Angiography enables earlier detection of blocked drainage channels and more precise intervention. This technology is expected to significantly improve long-term visual outcomes and reduce disease progression in glaucoma patients.

Imporatnt Facts for Exams

• Glaucoma is a leading cause of irreversible blindness in India.
• 3D Flex Aqueous Angiography provides real-time mapping of eye fluid drainage.
• iStent is a micro-implant used to reduce intraocular pressure.
• The first such procedure in India was performed by the Indian Army.

Expansion to Command Hospital Lucknow

Following the success of the procedure, the Armed Forces Medical Services will procure the same advanced system for Command Hospital, Lucknow. The hospital caters to nearly 3.5 lakh patients across six states and Nepal. The addition of this technology is expected to substantially enhance advanced glaucoma care capabilities, benefiting a large population of defence personnel, veterans, and civilians dependent on military medical services.