Inside
 
Awards & Accolades
Special Events
Courses and Workshops at Aravind Eye Hospitals
LAICO Happenings
Conferences Attended Elsewhere
Visits Abroad
Follow-up Visits
Externship Posting Experiences of Fellows
Training Programmes
Aurolab News
Publications
Visitors & Volunteers
Case Study
Monthly Patient Statistics
Archives

Dear Readers,

In recognition of its magnificent eye care services, Aravind has been chosen for the Antonio Champalimaud Vision Award that carries a cash prize of one million Euro which is equivalent to about Rs. 5.5 Crores. The award ceremony will be held in Lisbon in September this year. This issue happily carries a report on this signal honour.
        The first Vision Centre in Puducherry state linked to Aravind-Puducherry was inaugurated on June 18 by Dr. R.D. Ravindran, CMO. On the first day itself 64 outpatients were registered. A Fitness centre for the benefit of the staff and employees was declared open at Aravind-Pondicherry by Dr. Alan Robin of Wilmer Eye Institute, Johns Hopkins, USA. The 1000th prosthetic eye was delivered by the ocular prosthetics centre at Aravind-Madurai.
        In the month of June, a training course and two workshops were held at LAICO. The course on Community Outreach and Social Marketing of Eye Care Services was attended by 11 candidates from Tanzania, Nepal, Indonesia, Bangladesh and India. A workshop on News reporting and case study was conducted for Aravind staff involved in reporting to Aravind News and patient story writing by Mr. David Hirshman, Web Journalist volunteer from USA. Another workshop on Curriculum Development in which five held to design a leadership Programme for ophthalmologists.
        The first Instruments Maintenance Course conducted in French language for the benefit of technicians from Franchophone Countries concluded with a valedictory function on June 11 at Aravind-Puducherry.
        Aravind doctors and LAICO staff visited various places in India and abroad either to attend conferences and meetings or for providing consultation. One team went to Sadguru Netra Chikitsalaya, Chitrakoot for Needs Assessment and the other visited Amrita University, Coimbatore to have a better understanding with regard to establishing e-learning connectivity between Amrita Campus and Aravind-Madurai.
        The third team visited China to offer consultancy to Peking University’s Diabetic eye disease centre for the purpose of promoting diabetic retinopathy services in China. A fourth team carried out a follow-up visit to Sight First Hospital, Hendala and Lions Gift of Sight Hospital.
        Aurolab’s operation has commenced on June 25, 2007 in the newly constructed building at Veerapanchan. And Aurolab has obtained CE mark for more products newly developed by it.
        On June 2, 2007 Melody Friday gave its second musical performance in which MLOP trainees from Bangladesh, a Retina Fellow from Nigeria as well as Aravind staff exposed their singing talents.
        This issue also contains articles written by the Fellows of Aravind who are now working in various centre of Aravind Eye Care System as managers of different sections. These articles are about their experiences during their outside posting in externship training.
        Reports about these events and other regular features find place in this issue.

- Aravind News Team

 
Awards & Accolades
 

ANTONIO CHAMPALIMAUD VISION AWARD
Aravind Eye Care System has been awarded the Antonio Champalimaud Vision Award The Aravind Eye Care System is the first recipient of the prestigious Antonio Champalimaud Vision Award instituted by the Champalimaud Foundation a Portuguese organization. The award comes with a cash prize of 1 million Euros.
      The award will be presented at a ceremony on September 7th in Lisbon, Portugal.

Video of the announcement

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   Special Events
 

A MUSICAL EVENING WITH RUSTIC FLAVOUR
A Musical Program at LAICO The Aurokarma team was back with a bang, this time taking the audience packed in the LAICO Auditorium on a journey to the rustic country with its cool pastures, green fields, the grazing cow and all the fun and frolic that we associate with life on the green.
      The second edition of Melody Saturday on June 2nd presented a Folk Song Galore, an evening with a rustic flavour. The participants included a group of MLOP trainees from the Grameen eye Hospital Bangladesh. Dr. Oluleye Tunji (Retina Fellow from Nigeria), Mr. Murugesan (DR Section, Co-ordinator), Mr. Lakshmankumar (Audio-Visual Department), Ms. Rajeshwari Prince (MLOP Training Manager), Ms. Sreeja Devi (Executive Assistant, LAICO), Ms. Bharathi, LAICO Secretary, OPD sisters (Sangeetha, Durga and Mariammal) and Mr. Sanil Joseph, Faculty, LAICO, Dr. Vaishnavi, M.S. resident anchored the program.
      A variety of folk songs from Bangladesh and Nigeria along with Indian numbers from Tamilnadu and Kerala gave a taste of life in these parts of the world, the people, their culture and their zest for living and celebrating everyday.
      The next month’s session will be on July 20, Friday and the theme will be “Classical Songs”. Employees from all over Aravind and the trainees from India and beyond are invited to take part.

OCULAR PROSTHETIC CENTRE DELIVERS ITS 1000th “EYE”
Prosthetic Eye June 4, 2007 will remain as a red letter day in the event-calendar of Aravind’s Ocular Prosthetic Centre. It was on that day the centre delivered its 1000th prosthetic eye to a patient whose natural eye had to be substituted.
      The Ocular Prosthetic Centre was started in September 2004. Since then it is fabricating customized synthetic eyes to suit the need of individual patients. These eyes more or less restore the original look of a patient’s face whose eyes got damaged in accident or enucleated due to incurable eye diseases, like retinoblastoma.


INAUGURATION OF FITNESS CENTRE
Aravind-Coimbatore, June 11
Inauguration of Fitness Centre, Coimbatore Fitness Centre was inaugurated at Aravind-Coimbatore on June 11 by Dr. Alan L. Robin, Professor, Wilmer Eye Institute, Johns Hopkins, Baltimore, USA, in the staff quarters. Dr. Ramakrishnan, Chief Medical Officer, Tirunelveli, Dr. Krishnadass, Chief Medical Officer, Madurai, Dr. Sathyan, Glaucoma Chief, Coimbatore, Dr. R.D. Ravindran, chief Medical Officer, Dr. Venkatesh, Deputy Chief Medical Officer, Prof. V. Srinivasan and all the doctors attended the function. Motorized Treadmill, AB king, Single twister etc are some of the equipments available in the fitness centre.



INAUGURATION OF THIRUKKANUR VISION CENTRE
Aravind-Puducherry, June 18
Inauguration of Thirukkanur Vision Centre Inauguration of a new vision centre at Thirukkanur took place on June 18. The function was facilitated by Mr. Marshal Antony, General Manager, BSNL and Mr. T.S.A. Kannan, Lions club President. The Programme started with welcome address by Mr. Palaniraj. The inaugural speech was given by Dr. R.D. Ravindran, Chief Medical Officer of Aravind-Puducherry. On the first day of vision centre 64 out patients were registered, 23 were advised for glasses, 19 were delivered spectacles and 10 were referred to the base hospital for speciality services. The second vision centre of Aravind-Puducherry at Marakkanam was inaugurated July 14, 2007.

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   Courses and Workshops at Aravind Eye Hospitals
 

COURSE ON COMMUNITY OUTREACH AND SOCIAL MARKETING
LAICO, June 15-July 14
Course on Community Outreach and Social Marketing of Eye Care Services at LAICO The course on Community Outreach and Social Marketing of Eye Care Services was held at LAICO from June 15 to July 14. A total of 11 candidates participated in this course. The participants were from
  - KCMC School of Advanced Ophthalmic Nursing, Moshi, Tanzania.
  - King Mahendra Memorial Hospital, Chitwan, Nepal
  - Cicendo Eye Hospital, Bandung, Indonesia
  - Grameen Eye Hospital, Dhaka, Bangladesh
  - Tura Civil Hospital, Meghalaya, India
  - Ahalia Foundation Eye Hospital, Kerala, India
  - Aravind Eye Hospital, Coimbatore, India
  - Aravind Eye Hospital, Tirunelveli, India.

WORKSHOP ON NEWS REPORTING AND CASE STUDY WRITING
LAICO, June 15
Workshop on News reporting and case study writing was conducted at LAICO All the co-ordinators and counselors in charge of sending news and patient stories to Aravind News got together for the first time at this workshop. Mr. David Hirschman, Web Journalist volunteer from USA introduced to them the various news reporting styles, about effective ways to tell patient stories etc. A total of 28 staff from various departments and Aravind Eye Hospitals participated in the workshop. It was a very useful workshop, since this was the first exposure the staff has had on writing skills. Mr. Hirschman is guiding the group in preparing the forthcoming issues of Aravind News and patient stories.




CURRICULUM DEVELOPMENT WORKSHOP
LAICO, June 29-30
Curriculum Development Workshop at LAICO A Curriculum Development Workshop was held at LAICO from June 29-30, to design a leadership program for ophthalmologists. Five external faculty were invited to participate along with 6 of our own faculty. On the first day meeting with several department heads to understand the range of responsibilities and the challenges they face was held. Following this, the brainstorm session was conducted on the various competencies required for a clinical department head. During the second day, the group discussed the structure of the workshop and created a framework for the program.
      The workshop ended with a session on “Creating an Enabling Environment”. This session was facilitated by Prof. Prasad from Indian Institute of Management Bangalore (IIMB). All the Senior Leadership Team members attended this session and participated in the discussion that followed.

FRESHER’S DAY
LAICO, June 21
Fresher’s day was celebrated for newly joined DO, MS, and DNB Doctors at LAICO Fresher’s day was celebrated for newly joined Post graduate students in ophthalmology doctors at LAICO Auditorium on June 21, 2007. Dr. Archana and Dr. Rathni anchored the whole Programme. Then prayer song was sung by Dr. Aishwarya and Dr. Prateeba. The introduction was given by Dr. Sathya, Dr. Prabu, Dr. Nalini and Dr. Raksha. Then key board was played by Dr. Sowmya shree. Few of them shared their experiences and problems faced as being the doctor. Dr. Vedanayaki narrated ‘Bodhi Maram’ which is about a poet who realizes the beauty of vision.



VALEDICTORY FUNCTION FOR FIRST INSTRUMENTS MAINTENANCE COURSE
Aravind-Puducherry, June 11
Valedictory Function for the First Instruments Maintenance Course for technicians from Francophone Countries Valedictory Function for the First Instruments Maintenance Course for technicians from Francophone Countries was held on June 11. Dr. Alan L. Robin, Professor, Wilmer Eye Institute, Johns Hopkins, Baltimore, USA, presided over the function and distributed the certificates to the participants.

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   LAICO Happenings
 
NEEDS ASSESSMENT VISIT
Sadguru Netra Chikitsalaya, Chitirakoot, Madhya Pradesh, June 4-5
Dr Kalpana Narendran, Senior Medical Officer, Aravind-Coimbatore, Ms. Sasipriya KM, Faculty and Mr. Venkatesh SP, Faculty made a Needs Assessment visit to SNC, Chitrakoot Dr Kalpana Narendran, Senior Medical Officer, Aravind-Coimbatore, Ms. Sasipriya KM, Faculty and Mr. Venkatesh SP, Faculty made a Needs Assessment visit to SNC, Chitrakoot as part of Aravind ORBIS POLTC Project II. The key objective of this visit was to assess the current set up, resources, facilities etc. That would enable SNC to run quality training programmes to develop Paediatric ophthalmology team (excluding long term fellowship for doctors) thus become a regional POLTC with the support of ORBIS International. Aravind along with ORBIS India would provide adequate support based on the recommendations given by the visiting team.



VISIT TO AMIRTA UNIVERSITY
Aravind-Coimbatore, Ettimadai, June 23
Ms. Sasipriya KM – Faculty, Mr. Rajan, Sr. Network Administrator, Ms. Santha, Programmer, Mr. Rajadurai – Faculty and Mr. Sanil Joesph, Faculty from LAICO made a one day visit to Amrita University, Ettimadai, Coimbatore to develop better understanding with regard to establishing e-learning connectivity between Amrita Campus and Aravind-Madurai and also understand scope of the software Train Net which would be supplied by ISRO as part of setting up Virtual Academy. They met with Mr. Sreevalsan, Head – IT & Systems and his team to discuss on the technical issues. Additionally the visiting team also had discussions with Mr. Ajay, Vidya - Information Centre to understand Amrita’s digital library – current resources available, software platform, systems and process etc.

CONSULTANCY VISIT
Peking University Eye Center (PUEC) – Eli Lilly Diabetic Eye Disease Center (ELDEDC), Beijing, China, June 20-26
Dr. K. Naresh Babu, Aravind-Madurai, Mr. V. Vijayakumar, Diabetic Retinopathy and Mr. S.P. Venkatesh, Faculty from LAICO visited China Dr. K. Naresh Babu, Aravind-Madurai, Mr. V. Vijayakumar, Diabetic Retinopathy and Mr. S.P. Venkatesh, Faculty from LAICO visited International Council of Ophthalmology (ICO) with generous support from the Eli Lilly and Company Foundation The “Peking University Eli Lilly Diabetic Eye Disease Center” was established on March 20, 2007 at PUEC, Beijing, China to decrease avoidable visual impairment and blindness due to diabetes. Recognizing the challenge of diabetic eye disease, multiyear consultation with Lions Aravind Institute of Community Ophthalmology (LAICO) was planned. The purpose of the consultancy visit was to provide consultation to achieve the specific goals for which ELDEDC is being set up in order to promote Diabetic Retinopathy services in China.

Objectives of the visit:
  - Help in the development of a detailed strategic plan for setting up of effective diabetic retinopathy services
  - Assist in designing academic training for DR
  - Develop performance metrics and a system to facilitate easy monitoring of the program
  - Provide technical inputs on a continuous basis against requests from PUEC.

The team made a Needs Assessment Visit to PUEC-ELDEDC on June 20-21, to understand the working systems and procedures at ELDEDC both in clinical and management areas and to understand and analyze the existing resources available at ELDEDC.
      Based on the observations during the needs assessment visit, the team made some recommendations to the PUEC-ELDEDC team.
      After the initial assessment, the team organized the internal strategic planning meeting with the ELDEDC team (Retina specialists and paramedical staff) on June 25-26. The PUEC-ELDECD team prepared the strategies and action plan to achieve their project objectives.

Dr. K. Naresh Babu presented the following topics
  - Diabetic Retinopathy initiatives at Aravind
  - ADRES 3.0 (Aravind Diabetic Retinopathy Evaluation Software)
  - Optical Coherence Tomography (OCT) in Diabetic Macular Edema

Mr. V. Vijayakumar made a presentation on
  - Patient educational programs in Diabetic retinopathy
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   Conferences Attended Elsewhere
 
DR. P.N. ATTENDS THE III PACIFIC HEALTH SUMMIT
National Bureau of Asia Research, Washington, USA, June 12-14
Dr. P. Namperumalsamy attended the 3rd Pacific Health Summit was invited by the National Bureau of Asia Research Dr. P. Namperumalsamy attended the 3rd Pacific Health Summit was invited by the National Bureau of Asia Research (NBR).
      The main purpose of this meeting was to create a link between the health care providers and the service organizations and to provide a platform for brainstorming policies, medical practices, research and public health in the various developing countries. This is also aimed at finding realistic policy solutions that will impact on how diseases are detected and treated worldwide.
      This meeting was attended by leading industrialists, technologists, heads of health departments in various countries, WHO, Senators, CEO of Universities like Duke University and Washington University, representatives from Global Health care, General Electrical health care, Bill & Melinda Gates Foundation etc. The objective of the meeting was promoting health services in the developing world.
      Dr. P. Namperumalsamy met Dr. Dunbar Hopkins, Executive Vice President of the American Academy of Ophthalmology and discussed with him the possibilities of working together of American Academy and Aravind Virtual Academy by utilizing the teaching and training materials, digital library developed by AAO for the benefit of the residents and the faculty in India. He participated in the Seva Staff Meeting which was arranged to felicitate Dr. PN for his Padmashree Award.
      He visited the University of Iowa on June 19, 20 for a meeting with Drs. Wallace Alward, John Fingert, Edwin Stone, Val Sheffield to discuss about the ongoing research projects with the research team in genetics of albinism and glaucoma and the forthcoming research projects in diabetic retinopathy and other developments.
      Dr. P. Namperumalsamy also had interactions with the leaders of research and development at Alcon at its headquarters in Dallas, Texas on June 21.
      He also met Dr. Lloyd Paul Aiello of Joslin Diabetic Center, Boston, Dr. Bradford Shingleton of Ophthalmic Consultants of Boston and Dr. Joan Miller, the Chairman of Mass Eye and Ear infirmary and discussed with them about future collaborations.

INDIAN INSTITUTE OF MANAGEMENT
Indian Institute of Management, Ahmadabad, June 26-27
Mr. R.D.Thulasiraj, and Dr. S. Aravind at Indian Institute of Management, Ahmadabad Mr. R.D.Thulasiraj, and Dr. S. Aravind were at Indian Institute of Management to take a session on AECS’s Management Consultation on Health Care in India on June 26-28.










TRAINING AT NATIONAL EYE INSTITUTE, USA
Ms.B.Suganthalakshmi, Senior Research Fellow, Department of Genetics, Aravind Medical Research Foundation has been awarded the predoctoral fellowship in the NIH visiting program under the guidance of Dr.J.Fielding Hejtmancik, Chief of Ophthalmic Genetics & Visual Function Branch, NEI, Bethesda, USA for a period of one year (1st June 2007-31st May2008). During this period she will be working on the project “Genomewide association studies on Diabetic retinopathy”.

TECHNIQUES & TECHNOLOGY IN OPHTHALOMOLOGY
The Eye Foundation Hospital, Coimbatore, June 16-17
Dr.Usha Kim
  - Options for DCR
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Visits Abroad
 

Dr. P.Sundaresan went to Molecular Ophthalmic Research Laboratory, University of Iowa Dr. P.Sundaresan, Senior Scientist, Department of Genetics, Dr. G. Venkataswamy Eye Research Institute, Aravind Medical Research Foundation was selected by Ministry of Science and Technology, Department of Biotechnology, Government of India for the overseas associate ship award (2005-2006). He went to Molecular Ophthalmic Research Laboratory, University of Iowa, Iowacity, Iowa, USA for three months (April to June 2007) and worked with Dr. Edwin Stone on Molecular genetics on Leber Congenital Amaurosis. He visited several institutes, attended ARVO 2007 meeting and met several eminent senior researchers and ophthalmologists.
      At ARVO 2007 Annual meet at Fort Lauderdale, Florida, he presented a poster on “In vitro and in vivo study on the secretion of Gly367Arg mutant myocilin protein”.
      Dr. P. Sundaresan attended the INDO-US Workshop and presented a project on Indian Diabetic Retinopathy Network on behalf of Dr. P. Namperumalsamy, Chairman, Aravind Eye Care System.
      Dr. P.Sundaresan had discussion with Dr. Edwin Stone, Dr. Wallace Alward , Dr. Val C. Sheffield and Dr. John Fingert to develop collaborative projects.
      Dr. P.Sundaresan visited University of Alberta, Edmonton, Canada and presented at the Department of Ophthalmology and Medical Genetics a Lecture on” Molecular genetics on ophthalmic eye diseases in Indian population”. He discussed with Dr. Ordan J Lehmaan Dr. Joe Casey and Dr. Michael A Walter on the molecular genetics on eye diseases.

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Follow-up Visits
 

To Charmakki Narayan Shetty Memorial Lions Eye Hospital, Kota, Udupi District, Mangalore, Karnataka, May 29
Mr. Venkatesh, Faculty, LAICO along with Dr.Chandrasekhar Shetty, Technical Advisor, Sight First visited Charmakki Narayan Shetty Memorial Lions Eye Hospital Mr. Venkatesh, Faculty, LAICO along with Dr.Chandrasekhar Shetty, Technical Advisor, Sight First visited Charmakki Narayan Shetty Memorial Lions Eye Hospital as the part of Follow-up Visit.









To Sight First Hospital, Hendala and Lions Gift of Sight Hospital, June 4-5
Dr. Chandrasekhar Shetty,  Mr. R.D. Thulasiraj, Dr. N. Venkatesh Prajna, visited to Sight First Hospital, Hendala and Lions Gift of Sight Hospital As next step of the Manpower and Management Development workshop held at LAICO during October 23-28, 2006 as part of the MMDP for Lions Eye Hospitals, Dr. Chandrasekhar Shetty, Sight First Technical Advisor, Mr. R.D. Thulasiraj, Executive Director, LAICO, Dr. N. Venkatesh Prajna, Consultant Ophthalmologist carried out a Follow-up visit to Sight First Hospital, Hendala on June 4, 2007 and to Lions Gift of Sight Hospital on June 5, 2007.

The broad objectives of the visit:
  - To review the performance of the hospital after the Manpower and Management Development Workshop
  - To review the status of the specific strategies and action plans developed during the MMDP workshop
  - To assist in finding solutions to the problems faced in the implementation of the above strategies
  - To study the changes made and its effect on the total performance of the organization
  - To assist in thinking through new strategies for the ongoing development of the hospital
  - To identify the training needs of the hospital.

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Externship Posting Experiences of Fellows
 

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   Training Programmes
 
TRAINING PROGRAMMES AT ARAVIND
 
Course title
Venue
Started Year
Total number trained
Current month enrollments
PG Courses in Ophthalmology
Diplomate of the National Board (DNB)
Madurai
1981
126
5
Coimbatore
2000
15
6
Puducherry
2006
0
4
Short Term - Clinical Courses
IOL Micro surgery
Madurai,Coimbatore,Tirunelveli
1993
1050
3
Small incision cataract surgery
Madurai,Coimbatore,Tirunelveli
2003
229
8
Phacoemulsification
Madurai
2005
102
8
Diagnosis and Management of Glaucoma
Madurai,Coimbatore,Tirunelveli
1998
166
5
Lasers in Diabetic Retinopathy Management
Madurai,Coimbatore
2000
299
5
Training in Low vision
Madurai
2004
19
1

Paramedical Courses - Short Term

Certificate Course for Clinical & Supervisory Skills Development in Ophthalmic Paramedical Personnel
Madurai
2002
30
2
Certificate Course on Optical Dispensing
Madurai
2002
103
1
Training Course for Paediatric Nurse
Madurai
2003
30
3
 
   Aurolab News
 
AUROLAB’S OPERATIONS COMMENCE IN THE NEW BUILDING
Aurolab’s operations commence in the new building June 25, 2007 was another remarkable day for Aurolab. This day marks the first phase of shifting of Aurolab’s operations in the new building. The new building on 110,000 sq. ft area is rapidly progressing towards completion. A section of the IOL and Suture Needle divisions were shifted to the new building. On the auspicious day of June 25th, 2007, the ceremony began with a pooja. It was followed by prayer and worship of the divine. After this, the production commenced in the IOL and SND.
      The other operations will to move in phases to the new building. The Inauguration Ceremony of the new building will be on October 1, 2007.

AUROLAB GETS CE MARK FOR MORE PRODUCTS LIKE POLYESTER, POLYPROPYLENE SUTURES AND CTR
CE, an abbreviation of Conformité Européenne, is a mandatory European marking for certain product groups to indicate conformity with the essential health and safety requirements set out in European Directives.
      Aurolab is the first Indian Ophthalmic products manufacturer to get CE mark for intraocular lenses in as early as 1999. Apart from the major products from IOL, Sutures and Pharma that are already CE certified a list of new and important products have also been added recently. Aurolab’s Auroring - Modified Capsular tension Rings, Aurobond - Polyester Suture needles, Aurolene - Polypropylene Suture needles and Capsular tension Segment have been approved for CE mark. A few models of hydrophilic Foldable lenses have also been CE marked.
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   Publications
 

Rajaraman Revathy , Lalitha P, Raghavan A, Palanisamy M, Prajna NV
Traumatic Lenticular Abscess: Clinical Description and Outcome, Pages 144-146.

Click to view the Original article in PDF format

Ramakrishnan, V Maneksha, C Shivakumar, V Nithya and S Mittal
Comparative Bacteriology of Acute and Chronic Dacryocystitis' by M J Bharathi, R Eye. June 29 2007.

Click to view the Original article in PDF format

Namperumalsamy Perumalsamy, Noela M. Prasad, , Shankar Sathya, Kim Ramasamy
Software for reading and grading Diabetic Retinopathy: ADRES 3.
Diabetes Eye Care E Pub.2007.

Click to view the Original article in PDF format
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   Visitors & Volunteers
 
- Mr. Pasupathy, CEO, Shalina Labarotories was at Aravind-Madurai on June 6, to discuss about Congo Project.
- Mr. Daye Larson, Volunteer, USA, was at Aravind-Madurai from June 19-20, to have an overview on Aravind Eye Care System.
- Mr. Simon Hampel, CEO and Ms. Sandrine Jackson, Project Executive, Right to Sight, Ireland was at Aravind-Madurai from June 25 to July 6, to discuss on various projects Aravind and RTS are going to work on and also will reflect upon the Nkhoma plan and Congo plan with budget.
- Ms. Maria Leonor Beleza, President, Mr. Joao Silveira Botelho, Executive Committee, Champalimaud Foundation, Portugal was at Aravind-Madurai on June 25, for discussion on the Award.
- Mr. Simon Kraus, Haindlstrasse was at Aravind-Madurai from June 30-July 6, to visit Aravind Eye Hospital and key members for his doctoral dissertation.
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   Case Study
 

UNNI'S INFANTILE DIABETES

When Unni Maya was born last year in the rural outskirts of Keezhukkunu, her parents were overjoyed, their first baby had been born premature, and died but Unni had been born after a full term weighing 2.5kg. Her postnatal period was uneventful, but after six months she started vomiting and developed a low-grade fever.

After Unni was hospitalized, doctors informed her parents that she had Insulin-Dependent Diabetes Mellitus (IDDM) with Diabetic Ketoacidosis (DKA), and she was put on insulin therapy. Unfortunately, she was also found to have Bilateral Congenital Cataracts, so she was referred to the Aravind Eye Hospital in Madurai by her paediatrician for further management.

When they arrived at Aravind, doctor in the paediatric clinic determined that the baby was able to follow light with both eyes open, but a look at the anterior segment of her eye revealed dense cataracts that made Fundus examinations impossible Based on the history of IDDM, dense total cataract and negative blood investigation, a diagnosis of congenital metabolic cataract due to infantile diabetes was considered.

Congenital Diabetes Cataracts are a relatively rare occurance; Cataracts due to Diabetes can be either due to senility or what are called "true" Diabetes Cataracts. These types of Cataracts (also known as Snowflake Cataracts) tend to occur in parents who have severe Diabetes (yet who are relatively healthy, and in whom water balance is maintaining well). These may appear at an earlier age in cases of IDDM. In adolescents between the ages of 7 and 16 years of age they become more common, but the condition is rare in adults.

Doctor in the Paediatric Clinic decided that the baby needed and Extracapsular Cataract Extraction with Posterior Polar (PPC) with AV in both eyes after a month. The surgery was successful.

The operative treatment of Cataracts in patients with Diabetes can be more difficult than those in most patients; still, the presence of Diabetes is not in itself contraindicated for dealing with a patient's Cataracts as the doctor would normally.

Two difficult complications that doctors need to watch out for are the possiblity of haemorrhage and subsequent development of the kinds of infections which often results from uncontrolled Diabetes. The patient's blood sugar needs to be kept under control with adequate dosage of Insulin, but the doctor needs to be careful not to push insulin in large doses immediately before the operation since there is evidence that this increases the liability to haemorrhage. Fortunately in the case of Unni, intraoperative and postoperative period was uneventful.

While Unni will have to be on Insulin for the rest of her life (and face other challenges due to her Diabetes), fortunately her treatment at Aravind has preserved her sight. We wish she well!

Source : Ms. Sunytha, Paediatric Secretary

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   Aravind Eye Hospitals Monthly Patient Statistics


JUNE 2007
Hospitals
Madurai
Theni
Tirunelveli
Coimbatore
Puducherry
Managed Eye Hospitals
Total
HOSPITAL OUT-PATIENT VISITS
Paying (New-Review)
35,237
5,107
15,727
23,600
15,537
8,615
103,823
Free (Direct walk-in)
21,834
3,632
8,938
15,259
9,840
-
59,503
OUTREACH OUT PATIENTS
Regular Eye Camps
8,997
1,878
3,277
6,802
4,973
3,377
29,304
Diabetic Retinopathy Camps
615
-
864
2,723
452
-
4,654
Refractive Camps
326
623
615
 
365
724
2,653
School Eye Screening
-
-
140
-
-
1,424
1,564
Vision Centres
1,003
1,235
655
-
307
-
3,200
Community Eye Clinics
2,740
-
2,017
1,958
-
-
6,715
Total OP Examinations
70,752
12,475
32,233
50,342
31,474
14,140
211,416
BREAK UP OF TOTAL SURGERIES
Paying
4,575
303
1,603
2,477
1,241
322
10,521
Free (including the subsidized camp surgeries)
2,661
254
812
1,640
715
315
6,397
Camp
2,372
292
1,215
1,690
1,106
378
7,053
Total Surgeries
9,608
849
3,630
5,807
3,062
1,015
23,971

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Archives

"We ourselves feel that what we are doing is just a drop in the ocean. But the ocean would be less because of that missing drop"
- Mother Teresa


Aravind News Team,
No-1, Anna Nagar
Madurai-20
    T: (91)-452-537580    F: (91)-452-2530984

www.aravind.org

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