The QVH eye unit (corneoplastics and ophthalmology) and eye bank is a specialist and tertiary referral centre for complex corneal problems and oculoplastics. It is a high-profile and technologically advanced department that delivers high quality care in its sub-specialties and sets standards for care in the UK and internationally.
We provide:
Cataract surgery: we perform modern small incision cataract surgery with availability for advanced toric correction of astigmatism with value-added toric lenses. The unit takes referrals for expert opinion from all over the UK for complex cataract surgery and anterior segment reconstruction.
Glaucoma services: including Minimally Invasive Glaucoma Surgery (MIGS), SLT laser, trabeculectomy and glaucoma drainage devices.
Our specialist cornea services include: high risk corneal transplantation; stem cell transplantation for ocular surface rehabilitation; innovative partial thickness transplants (lamellar grafts); and vision correction surgery.
The team also offer specialist techniques in oculoplastic surgery including Mohs micrographic excision for eyelid tumour management; facial palsy rehabilitation; endoscopic DCR and modern orbital decompression techniques for thyroid eye disease.
We also welcome referrals for refractive problems; ocuplastic, orbital and lacrimal disorders but do not provide retinal services.
Dry eye service
QVH has also developed a dry eye service for local people. Our specialist nurse led clinic is for people with severe dry eye conditions including Sjorgrens syndrome and Blepharitis. Referrals are welcomed from GPs or eye specialists for this service which is based here in East Grinstead.
Clinical effectiveness
Departmental audit shows that cases of post-operative eye infection after cataract surgery are extremely rare and well below national average rates. We also perform cataract surgery on a large cohort of patients with complex anterior segment conditions as part of our specialist surgery service which is not comparable to other units.
Full details of our patient safety, patient experience and clinical effectiveness measures are published in our annual Quality Report. Find the latest version here.
What is glaucoma and how common is it? Watch our short film
Mr Samer Hamada
Consultant Ophthalmic Surgeon
Specialist interests: Management of adult and children’s corneal disease, corneal transplantation (graft) in adults and children, complex corneal and anterior segment surgery; stem cells transplantation; cataract surgery; glaucoma surgery; primary and secondary intraocular lenses implantation including special intraocular lenses, and laser eye surgery.
Mr Samer Hamada is a highly trained and experienced corneal surgeon with 18 years’ experience in ophthalmology both in the UK and internationally. He has completed cornea and anterior segment fellowships at the Birmingham and Midland Eye Centre, Wolverhampton Eye Infirmary, and QVH’s Corneoplastic Unit and Eye Bank. He also completed a fellowship in paediatric ophthalmology at Great Ormond Street Hospital for Children in London.
Mr Hamada devotes a lot of time to developing new innovations for managing patients with cornea and ocular surface diseases. He has special interest in managing corneal problems in children including corneal transplantation for babies born with congenital eye diseases and looked after babies and children with complex cornea and ocular surface diseases at Great Ormond Street before joining QVH.
Mr Hamada regularly lectures at international conferences and teaches new techniques in corneal transplant surgery to international colleagues. His articles have been published in many peer-reviewed journals and he has written many book chapters on cornea and cataract. He has chosen as a reviewer for several renowned ophthalmology journals including the American Journal of Ophthalmology and British Journal of Ophthalmology.
Mr Hamada is respected and liked by his patients and colleagues who praise him for his professionalism, expertise, and kindness.
Mr Andre Litwin
Consultant Ophthalmic and Oculoplastic Surgeon
Specialist interests: Eyelid, lacrimal and orbital disease. Teaching, training and assessment of surgical skill; including cataract surgery.
Mr Andre Litwin is a full-time Consultant Ophthalmic and Oculoplastic Surgeon at QVH. With over 15 years of experience in ophthalmology he specialises in the management of eyelid, lacrimal and orbital disorders. He has lectured at national conferences covering his research interests and has multiple peer-reviewed publications and book chapters.
Mr Litwin graduated from the University of Southampton and trained in ophthalmology in the UK. He started his surgical training in the South Thames region before completing higher training at Addenbrooke’s Hospital, Cambridge. He undertook two Fellowships in oculoplastic and orbital disease before joining the consultant staff at QVH in 2014.
He is a Fellow of the Royal College of Ophthalmologists and a full Member of the British Oculoplastic Surgery Society (BOPSS) and European Society of Ophthalmic Plastic and Reconstructive Surgery (ESOPRS). . Valued for his straightforward explanations, gentle manner and professionalism, he ensures every person receives individualised care.
Mr Raman Malhotra
Consultant Ophthalmic Surgeon
Specialist interest: Ophthalmology
Mr Raman Malhotra – Consultant ophthalmologist and Oculoplastic Surgeon, Corneo Plastic Unit, Queen Victoria Hospital NHS Trust, East Grinstead
Sub-specialties:
Orbitofacial surgery
Lacrimal disorders
Oculoplastic surgery
Eyelid skin cancer
Special clinical interests:
Eyelid disorders
Orbital disease
Lacrimal (water eye) surgery
Cataract surgery
Research interests:
Reconstructive surgery in the orbitofacial region
Eyelid skin cancer
Thyroid eye disease and modern techniques of orbital decompression
Lacrimal disorders and endoscopic DCR techniques
Facial palsy
Year of first medical qualification: 1993
Current membership(s) of professional, national and regional bodies:
European Society of Ophthalmic Plastic and Reconstructive Surgeons (ESOPRS)
Founder member British Oculoplastic Surgeons Society (BOPSS)
The Royal College of Ophthalmologists
American Academy of Ophthalmology
American Society of Ophthalmic Plastic and Reconstructive Surgeons (ASOPRS)
Professional profile
Having finished his basic surgical ophthalmic training at the Western Eye Hospital, London, Mr Raman Malhotra went on to complete his higher surgical training experience in Oxford.
He then completed a fellowship in oculoplastic, orbital and lacrimal surgery (watery eye disorders) at the Royal Adelaide Hospital and Women and Children’s Hospital, Adelaide, Australia.
Whilst in Australia, Mr Malhotra learnt innovative surgical techniques in eyelid reconstruction after tumour excision, endoscopic lacrimal surgery and browlift surgery.
He has had much experience in teaching trainees as well as personally performing a range of eye operations and treatments. He actively participates in organising regional courses and has published a range of papers on many aspects of eye surgery and procedures related to facial plastic surgery around the eyelids.
Sub-specialty interests: Corneal Transplantation, Anterior Segment Disease and Glaucoma
Qualifications: MBBS BSc (Hons) FRCOphth
Miss Rampat joined our department in August 2021. Prior to this she completed a competitive 2 year Cornea fellowship at Moorfields Eye Hospital, London as well as a 1 year research fellowship at the Rothschild Foundation in Paris with Dr Damien Gatinel.
Having authored over 20 publications, Miss Rampat is active in research and on the international circuit. She has a keen interest in Artificial Intelligence in Ophthalmology as part of digital trends in healthcare.
Some examples below:
– Teaching on the Telemedicine for Ophthalmology PGCert Course at the Institute of Opthalmology
– Developed Cornea guidelines for the Moorfields Emergency Guidelines App (MEGA) on the MicroGuide App
– Authored several articles in artificial intelligence in corneal disease
– Editing consultant for www.defeatkeratoconus.com
– Her voice can be heard on a video that has gone viral, advising against eye rubbing. https://www.youtube.com/watch?v=9Cnd251v6yo
Miss Rampat is a member of the European Society of Cataract and Refractive Surgery (ESCRS), International Society of Refractive Surgery (ISRS) as well as an invited member of the American-European Congress of Ophthalmic Surgery (AECOS) and a contributing member of the Refractive Surgery Alliance (RSA).
Reviewer for journals:
British Journal of Ophthalmology (BJO) as well as Eye.
Miss Rampat is also an Associate Staff member at the Institute of Ophthalmology, London.
Mr Gokulan Ratnarajan
Consultant Ophthalmic and Glaucoma Surgeon
Specialist interests:
– Specialist cataract surgery for patients with glaucoma: cataract surgery combined with minimally invasive glaucoma surgery (MIGS) to prevent glaucoma progression and reduce the dependence on glaucoma drops. MIGS includes endoscopic cyclophotocoagulation (ECP laser); I stents; Xen gel implants; Innfocus microshunt; goniotomy; and visco-expansion.
– Comprehensive glaucoma care: glaucoma diagnosis; laser treatment including Selective Laser Trabeculoplasty (SLT laser to reduce dependence on drops); glaucoma surgery including trabeculectomy and aqueous shunt implantation/tube surgery and the full range of MIGS.
Research interests: Innovations in glaucoma surgery; innovations in cataract surgery; optimising patient pathways for glaucoma and cataract care.
Mr Gokulan Ratnarajan is a full-time Consultant Ophthalmic and Glaucoma Surgeon at Queen Victoria NHS Foundation Trust. He is a keen teacher and is actively involved in clinical research. He publishes regularly in peer-reviewed journals and his research has won numerous awards at national and international level. He is regularly invited to review for international peer-reviewed journals.
Mr Ratnarajan graduated from University College London and completed his Ophthalmology training in Oxford. He undertook a MD research degree in Patient Pathway Optimisation at The Institute of Ophthalmology and Moorfields Eye Hospital, London.
He has completed three specialist fellowships in glaucoma and anterior segment at The Oxford Eye Hospital, The Western Eye Hospital in London and the world renowned fellowship at the University of Toronto, Canada, where he has learnt and developed many new glaucoma surgeries, many of which are not available in the UK at present. Mr Ratnarajan brings innovation in glaucoma care to the UK to help treat glaucoma patients with safer and more effective treatments.
Glaucoma is a chronic condition requiring long-term treatment and follow-up. Patients appreciate Mr Ratnarajan’s gentle and empathetic approach. He takes the time to explain the diagnosis to his patients so they understand their condition and why they need to take their treatment.
Want to know more about glaucoma or updates in treatments? Why not come along to one of our glaucoma support group meetings? You don’t have to be a QVH patient to attend and it’s a chance to meet others with the condition and hear from experts.
Read more about our minor injuries unit, open 8am - 8pm every day.
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