Editorial

Of Late, there has been a surge in the number of continuing medical education programmes conducted at Aravind, This has become more or less like a monthly activity, with each centre taking up responsibility of organising the event. Of all the CMEs conducted so far, Cutting Edge ‘2019 held at Aravind-Pondicherry stands outGoing green, thinking green and acting green was the mantra from the start to finish making the CME an exemplar for zero waste and it turned out to be a huge success.

As part of capacity building of ophthalmologists, Cornea Services at Aravind-Madurai organised a workshop on Descemet’s Membrane Endothelial Keratoplasty in collaboration with SightLife.

LAICO regularly organise review meetings to assess the performance of partner hospital towards achieving the set targets, benchmark their performance with their peers, and suggest necessary recommendations to improve the services. Meeting of LAICO’s partner hospitals under SCALE project was held at HV Desai Eye Hosptial.
News about these and many more feature in this issue.

Accolades

Awards at Paediatric Retina Summit 2019

Chennai  July 11-13

Dr. Harshal Gondhale, Medical Officer, Retina Services, Aravind-Madurai won the award for the best  photograph, Combined hamartoma of retina and RPE at the Paediatric Retina Summit 2019.

Dr. Prerana Shah won second prize for the video, Raising the barrier for pars plana vitrectomy for retinopathy of prematurity.

Vocational Excellence Award for Dr. Usha Kim

Madurai  July 30

Dr. Usha Kim received the award from Rotary Club in appreciation of her exemplary contribution in the field of medicine and her commitment and dedication to high moral and ethical values.

Legends in Ophthalmology Award for Dr. P. Namperumalsamy

Madurai  July 28

On the eve of Doctors’ Day celebration, Dr. P. Namperumalsamy, Chairman Emeritus – AECS  was honored with the award  by Indian Medical Association, Madurai in appreciation of his meritorious medical services rendered to the society.

Aurolab

Graduation day for Production Staff

Aurolab  July 27

Dr. G. Natchiar, Director-Emeritus was invited as chief guest for the graduation day. The programme started with prayer song followed by the newly graduated production staff taking oath holding candles. Best performers were awarded by Dr.G. Natchiar. Trainees shared their experiences about Aurolab. Dr. G. Natchiar gave an inspiring speech. Mrs. Mahalakshmi explained the roles and responsibilities of newly graduated staff.

Conferences attended

Pandora’s Box – Uvea 2019

Dr. Rathinam

– West Nile Virus retinitis and Leptospiral uveitis

– Serous RD in uveitis-VKH and others

– Ocular TB- active infection or immune mediated inflammation

26th ARVO-India | IERG 2019

Prof. K. Dharmalingam chaired Dr. Venkat Reddy oration lecture. Prof. VR. Muthukkaruppan, Dr. P.Sundaresan, Dr. C. Gowri Priya and Dr. Senthil Kumari gave invited talks on their recent research findings.

Dr. A.Vanniarajan, Dr. D. Bharanidharan and Dr. J. Jeya Maheswari participated in the meeting and interacted with the delegates. Ms. O.Ruthra got the best poster presentation award. Travel awards were given to Durga, Irene Daniel and Sriee Viswarubhiny.

Invited Talks:

Dr. Senthilkumari Srinivasan – –Dexamethasone-induced Ocular Hypertension (DEX-OHT) in Indian Donor Eyes underPerfusion Culture 

Dr. P.Sundaresan – POAGome: Genes associated with Primary Open Angle Glaucoma

Prof. VR.Muthukkaruppan – –Biology of the Adult Human Ocular Stem Cells and Their Importance in Health and Disease of the Eye

Dr. C. Gowri Priya –miRNA regulating Limbal epithelial stem cells

Oral Presentations:

A. Divya – Proteomic analysis of Aspergillus flavus infected Human Corneal Epithelial cell phagosomes

C. Prakash – Investigation of nuclear gene involvement in LHON pathogenesis

 Poster presentations:

 O. Ruthra –Surface Proteome and Surface Morphology of Melanised and Non-melanised Conidiospores of Aspergillus flavus

KRP. Niranjana – Quantitative profiling of tear proteome reveals down regulation of Zinc alpha-2 glycoprotein in Aspergillus flavus keratitis patients

D. Irene – Molecular mimicry between leptospiral antigen and human lens proteins: A possible trigger for cataract formation in leptospiral uveitis patients

P. Saranya – Characterization of adult tissue resident stem cells in the human anterior lens epithelium

K. Saraswathi  Clinical and genetic analysis of ocular adnexal lymphoma

K. Jeyaprakash – Investigation of Human papillomavirus in non-familial retinoblastoma patients

P. Gowri  Molecular Genetics of Mitochondrial Genes Associated with Leber’s Hereditary Optic Neuropathy (LHON)

Anindita Rao  Meta-analysis of Microarray Data Reveals Dysregulated Cancer Pathways in Retinoblastoma

A. S. Sriee Viswarubhiny  Whole Exome Sequencing in Two family trios with Leber’s Congenital Amaurosis

M. Durga – Immunophenotypes of Macular corneal dystrophy in Indian population

R. Sivaganesa Karthikeyan  Genotyping and Phylogenetic analysis of Ribosomal nuclear subunit (Rns) in Acanthamoeba spp. Causing keratitis

A. Selva Pandian  Evaluation of Direct polymerase chain reaction, conventional PCR and q-PCR methods with that of gold standard culture method for the diagnosis of infectious endophthalmitis

G. Ramesh Kumar –  Epidemiology and molecular identification of Nocardia spp. causing Endophthalmitis by multi locus sequence analysis (MLSA)

Paediatric Retina Summit 2019

Chennai  July 11-13

Dr. Renu P Rajan

– Intravitreal melphalan regressed retinoblastoma but with an unexpected fall up

 Dr. Aditya Maitry

– Intravitreal Bevacizumab in APROP : factors predictive of outcome

Cutting Edge 2019

L.V.Prasad Eye Institute, Visakhapatnam  July 07

Dr. Usha Kim

– Key note address: Ptosis evaluation & management

– Orbital tumors

Telangana Opthalmological Society- Satavahana iCon 2019

Karimnager  July 14

Dr. Usha Kim

– Key note address: Difficult situations in Ptosis

– Chair Person for the session Oculoplasty, Aesthetics and Oncology 

– Genetics of Retinoblastoma

Events

Cutting Edge CME

Aravind - Pondicherry  July 13-14

The CME was inaugurated by Dr. G. Natchiar, Director-Emeritus, Aravind Eye Care System, Apart from Aravind team, the faculty included Dr. Davinder S. Grover, Glaucoma Associates of Texas, Dallas;  Dr. Pradeep Y Ramulu, Wilmer Eye Institute, Baltimore; Dr. Jayant Venkatramani Iyer, Singapore National Eye Centre, Singapore; Dr. Suneeta Dubey, Shroff Charity Eye Hospital, Delhi; Dr. Vanita Pathak Ray, Centre For Sight, Hyderabad; Dr. Sirisha Senthil, LV Prasad Eye Institute, Hyderabad and Dr. Sabyasachi Sengupta.

The CME highlighted various Minimally Invasive Glaucoma Surgeries (MIGS) and Aurolab Aqueous Drainage Implantation (AADI) with didactic lectures from eminent faculty and interactive sessions. There were 4 live surgeries on MIGS and one on AADI which were highly appreciated by all. Interactive Kahoot quiz was organised and 5 top scorers were given exciting prizes. At the Innovative session named Shark Tank, the idea generators of two best innovations were awarded.

Another major highlight of the CME was the fact that it was organized in the ‘go –green way’ ensuring that the materials used could either be re-used or recycled, causing little harm to the environment.

Inauguration of Sathankulam Vision Centre

Aravind - Tirunelveli  July 15

Aravind’s Vision Centre at Sattankulam was inaugurated by Dr T Asirvatham Manoharan, a leading physician at Sattankulam in the presence of Dr R Ramakrishnan, Advisor, and Dr R Meenakshi, Chief Medical Officer, Aravind Eye Hospital, Tirunelveli.  Several prominent persons in the community graced the occasion with their presence. From Aravind-Tirunelveli,, Dr Dideeyali  Incharge – Sathankulam VC, Mr Thiruvengadam, IT Manager, Sr Arumugam, Deputy Nursing Superintendent, Sr Shanmuga Sundari, VC Co-ordinator, Mr Balakrishnan, Free Hospital Co-ordinator, Sr Sivasankari, Opticals Incharge and Sr Pavithra, Housekeeper managed the event.

The inaugural day was so encouraging that 88 patients were examined.

Descemet’s Membrane Endothelial Keratoplasty (DMEK) workshop

Aravind - Madurai  July 4-5

Cornea services at Aravind-Madurai organised the workshop in partnership with Sight Life. Apart from Aravind team, the faculty included Dr. Marjan Farid from The Gavin Herbert Eye Institute at The University of California, Irvine, USA;  Dr. Praveen Vadavalli Krishna, Director, Tej Kohli Cornea Institute, Consultant, Refractive Surgery, Cataract, Contact Lens service L V Prasad Eye Institute, Hyderabad; Mr. Samara Andrade, Senior Director of Clinical Programs at  Sight Life, Delhi; Mrs. Mridula Chettri Singh, Manager, National Distribution (India), Sight Life, Delhi and Mr. Indrajit De, Partner Accounts Manager, Sight Life, Delhi.

Research Methodology Workshop

Aravind - Madurai  July 27

A team from Aravind Eye Hospital, Madurai consisting of Dr. Venkatesh Prajna, Director-Academics, Mr. Sanil Joseph, Senior Faculty, Ms. Kumarugurpari, Senior Librarian and Ms. Iswarya, Manager-Biostatics participated in a one day Research Methodology Workshop organised at Preethi Institute of Medical Science, Madurai.

Eye Donation Awareness Programme

Peraiyur  July 24

Mr. Saravanan, Manager, Rotary Aravind International Eye Bank, Aravind Eye Hospital, Madurai handled an awareness session on eye donation, hospital cornea retrieval programme and importance of health care professionals in eye donation to the staff of Government Hospital, Peraiyur. A total of 20 persons including doctors and nurses attended the session.

Awareness Programme on Paediatric Eye Diseases

Aravind - Madurai  June 21

Upon request from KVT school, Madurai, Aravind-Madurai organised an awareness session on eye diseases for the children of classes nine and ten. Dr. Janani spoke about the anatomy of eye. Ms. Muthulakshmi handled a session on common paediatric eye diseases. Quiz programmes and fun games related to ophthalmology were conducted to make the session lively and informative.

Excursion for Staff

Aravind - Tirunelveli  July 21

A total of 15 male staff went on a one day tour to Black thunder, Coimbatore.  The team had a wonderful time and the excursion provided the much-needed relief  from the routine work schedule.

Motivational Talk

Aravind - Coimbatore  July 13

A motivational talk was organised on the theme “Yathumaahi Nirpaval Penn” for  the newly recruited MLOPs.   Ms. Suseela Moorthy, Assistant Professor, Karpagam Academy of Higher Education, Coimbatore addressed  the gathering,. Staff from other Aravind centres were connected through teleconference.

 On July 27, Prof (Mrs). Jayanthashree Balakrishnan gave a motivational talk to the junior MLOPs on the topic, Ethics in daily life. MLOPs from Madurai, Pondicherry, Tirunelveli and Theni joined through tele-conferencing. The session was highly interactive and the resource person cheerfully answered the questions from audience.

Observing Mission Day

Aravind  July 06

13th memorial day of Aravind’s legendary founder, Dr.V was observed in all centres and Aurolab.  Prayer meeting was organised where seniors shared their experiences of working with Dr. V. A video on Dr. V was screened which received wide acclaim and response from the audience.

LAICO

Eyexcel – Global

LAICO  July 29 – August 02

LAICO organised “Eyexcel Global which was attended by 36 participant teams from 11 hospitals.

Onsite Review Meeting

HV Desai Eye Hosptial  July 5-6

Onsite review of LAICO’s partner hospitals under SCALE project was held at HV Desai Eye Hosptial.  A total 25 participants from 9 hospitals attended the meet.

Publications

Publications – July 2019

  1. Madanagopalan VG, Karan Shah, Nagesha CK, Prabu B. Peripheral retinal avascularity and capillary leakage in central serous chorioretinopathy. J Curr Ophthalmol. 2019 Jun 30;31(2):220-224.  Article View
  2. Devendra Maheshwari, Dabke S, Sindhushree R, Mohideen Abdul Kadar, Ramakrishnan R. Clinical outcome of a nonvalved Aurolab aqueous drainage implant in posterior segment versus anterior chamber. Indian J Ophthalmol. 2019 Aug;67(8):1303-1308.  Article View 
  3. Ashwin Segi, Siva Prasanna T, Premanand C. Inert angle foreign body with late manifestation. Indian J Ophthalmol. 2019 Aug;67(8):1340.  Article View
  4. Chitaranjan Mishra, Naresh Babu K, Piyush Kohli, Kim R. Ultra-wide field imaging of nucleus drop in vitreous. Indian J Ophthalmol. 2019 Aug;67(8):1343.  Article View
  5. Balamurugan S. Commentary: Tubercular posterior scleritis – Nuances in practice!. Indian J Ophthalmol. 2019 Aug;67(8):1366-1367.  Article View
  6. Kirandeep Kaur, Bharat Gurnani, Prasanth Gireesh. Hearing Loss and Decreasing Visual Acuity. J Pediatric Ophthalmol Strabismus. 2019;56(4):212.  Article View
  7. Shait Mohammed MR, Balamurgan MK, Amrathlal RS, Kannan P, Jayapal JM, Namperumalsamy VP, Prajna L, Dharmalingam K. Dataset for the spore surface proteome and hydrophobin A/RodA proteoforms of A. flavus. Data Brief. 2019 Mar 15;23:103817.  Article View
  8. Priya S, Rajesh V, Veena K, Annamalai O, Venkatesh R, Pankaja D, Fredrick M, Shivananda N. Barriers in utilisation of low vision assistive products. 2019 Aug 6. [Epub]  Article View
  9. Mano Ranjan Das, Begum Shaik M, Naveen R, Prajna NV. Descemet Membrane Suturing for Large Descemet Membrane Detachment after Cataract Surgery. 2019 Aug 12. [Epub]  Article View
  10. Kumar JS, Rathinam S, Karothia D, Parida M. Cloning, expression & evaluation of potential immunogenic recombinant capsid premembrane protein of West Nile virus. Indian J Med Res. 2019 May;149(5):656-661.  Article View
  11. Sharma A, Goyal A, Bilong Y, Parag K Shah, Banker A, Kumar N, Sharma R, Kuppermann BD, Bandello F. Comparison of a Smartphone-Based Photography Method with Indirect Ophthalmoscopic Assessment in Referable Retinopathy of Prematurity: A Smart Retinopathy of Prematurity Model Pilot Study. Ophthalmol Retina. 2019 Jun 22.  Article View
  12. Lakshey Dudeja, Anuja J, Ishani Dudeja, Kaustubh Sane, Manohar Babu. Observer‑masked trial comparing the efficacy of topical olopatadine (0.1%), bepotastine (1.5%), and alcaftadine (0.25%) in mild to moderate allergic conjunctivitis. Indian J Ophthalmol. 2019 Sep;67(9):1400-1404.  Article View
  13. Naresh Babu K, Jayant Kumar, Piyush Kohli, Kim R. Perfluoro‑n‑octane‑assisted mega Weiss‑ring technique for posterior vitreous detachment induction in retinal detachment. Indian J Ophthalmol. 2019 Sep;67(9):1463-1465.  Article View
  14. Renu P Rajan, Soumya Jena, Obuli Ramachandran, Piyush Kohli. Rare cause of floaters: A motile live worm in vitreous cavity. Indian J Ophthalmol. 2019 Sep;67(9):1490-1492.  Article View
  15. Chitaranjan Mishra. Commentary: Role of PASCAL and optical coherence tomography angiograpgy in the treatment of diffuse unilateral subacute neuroretinitis caused by large live motile worm. Indian J Ophthalmol. 2019 Sep;67(9):1496-7.  Article View
  16. Rameshkumar G, Sikha M, Ponlakshmi M, Selva Pandiyan A, Lalitha P. A rare case of Myrothecium species causing mycotic keratitis: Diagnosis and management. Med Mycol Case Rep. 2019 Jul;25:53-55.  Article View

Statistics

Patient Monthly Statistics

July – 2019

Hospitals
Madurai
Theni
Tirunelveli
Coimbatore
Pondicherry
Dindigul
Tirupur
Salem
Udumalpet
Tuticorin
CbeCC
Chennai
Tirupati
Total
HOSPITAL OUT-PATIENT VISITS
Paying (New & Review) 63822 9163 30524 35274 28474 7314 4591 13132 3986 5530 3765 17399 8120 231094
Free:Direct walk-in (New & Review) 20721 2534 8407 12553 11692 1428 2311 2420 1191 4317 3218 70792
OUTREACH OUT PATIENT
Comprehensive Eye Camps 9748 1336 4850 9996 7889 374 1144 320 269 2222 908 39056
Diabetic Retinopathy camps 1350 244 272 865 488 3219
Glaucoma Camps
Refraction Camps 588 574 780 528 318 739 80 3607
Mobile Refraction Unit 219 1223 1442
School Screening camps 6497 247 556 135 4608 383 362 195 12983
Paediatric Camps 150 758 908
RoP 185 153 138 484 57 7 1024
Vision Centres 26689 6253 13994 4835 8908 1289 61969
Community Centres / City Centres 9561 2093 2876 2921 17451
Total OP Examinations 139161 22392 62191 66145 66323 7314 8065 17267 7465 7070 3765 24140 12246 443544
Total Number of Camps 36 8 26 34 29 2 7 2 2 10 4 160
SURGERIES
Service Proportion of Cataract Surgeries
Paying 4061 518 1451 1750 1722 387 264 701 253 220 171 923 711 13132
Free (Direct) 4161 348 977 1786 1247 164 199 328 426 210 402 415 10663
Camp 3656 268 1580 3122 2928 63 397 104 17 412 178 12725
Total Cataract Surgeries 11878 1134 4008 6658 5897 551 526 1426 783 447 171 1737 1304 36520
Note: NA – Not Applicable

Training

Enrolments for July 2019

July – 2019

Course title
Training Centre
No. of enrolments
LONG TERM FELLOWSHIP PROGRAMMES – FOR OPHTHALMOLOGISTS
Fellowship in Anterior Segment / Intraocular Lens Surgery
Coimbatore 1
Tirupati 2
Fellowship in Cornea
Coimbatore 1
Pondicherry 1
Madurai 1
Tirunelveli 1
Fellowship in General Ophthalmology
Coimbatore 1
Madurai 1
Pondicherry 1
Fellowship in Glaucoma
Coimbatore 1
Tirunelveli 1
Fellowship in Paediatric Ophthalmology
Madurai 1
Fellowship in Retina Vitreous
Tirunelveli 2
SHORT TERM CLINICAL COURSES – FOR OPHTHALMOLOGISTS
Clinical Observership Program In Diagnosis and Management Of Glaucoma
Madurai 2
Tirunelveli 2
Management of Retinopathy of Prematurity and Paediatric Retinal Disorders
Madurai 1
Coimbatore 1
Lasers in Diabetic Retinopathy
Madurai 3
Small incision cataract surgery
Madurai 1
Coimbatore 1
PARAMEDICAL COURSES
Training for Ocularist
Madurai 1
COMMUNITY OUTREACH COURSE
Community Outreach and Social Marketing of Eye Care Services
LAICO 9
INSTRUMENT MAINTENANCE COURSE
Instrument Maintenance – For Technicians
LAICO 5