Editorial

The prestigious Padma Shri Award bestowed upon Dr. G. Natchiar, a founding member of the Aravind Eye Care System, has sparked a wave of immense joy, resonating not only with the dedicated staff across Aravind’s 135 centres, but also with the countless patients whose lives have been transformed by her exceptional care. This marks the third time an Aravind member receiving the Padma Shri, following Dr. V, and Dr. PN, a symbol of trust and affection the community has placed in the organisation. It signifies not just Aravind’s physical expansion across the country, but a deeper, intangible growth, securing a place in the hearts of people. Dr. Natchiar’s award ceremony at Rashtrapati Bhavan on 9th May 2024, receiving the honour from the Honourable President of India, Droupadi Murmu, stands as a validation that Aravind remains committed in upholding the visionary legacy of its founding father, Dr. V.

Aravind’s involvement extends far beyond clinical excellence. It actively partners with governments and non-profit organisations to conduct eye care initiatives, including campaigns and surveys. A recent example is the RAAB7 prevalence survey, conducted in the Sivaganga district. For the first time, the upgraded RAAB7 tool was being tested among the Indian population, particularly in Tamil Nadu. As of today, there is no near vision screening tool/method available for community screening. Hence, the near-vision validation study has been combined with the current RAAB7. The results showed a comparable level of agreement with the near vision tool of the Peek Acuity App against the gold standard EDTRS near vision screening. Eventually, the near-vision screening module was incorporated into the current RAAB7. This is a significant milestone in generating evidence relating to the near vision burden globally for effective planning of service delivery.

News about these and much more occurred between 15th April and 15th May are featured in this edition.

Accolades

Padma Shri Award

Delhi, 9th May 2024

Dr. G. Natchiar, Director Emeritus, Aravind Eye Care System received the prestigious Padma Shri Award from the honourable President of India, Droupadi Murmu, at the second Civil Investiture Ceremony held at Rashtrapati Bhavan, Delhi

Dr. G. Natchiar, receiving the Padma Shri Award from the honourable President of India, Droupadi Murmu

DNB Gold Medal Award

New Delhi, 10th May 2024

Dr. B. Harinikrishna, Medical Consultant, Aravind-Kovilpatti, and Dr. A. Saranya, Paediatric Medical Consultant, Aravind-Salem were awarded with the Dr. G. Venkataswamy Gold Medal in ophthalmology for achieving the highest marks in the Diplomate of National Board (DNB) in Ophthalmology, conducted by the National Board of Examinations in medical sciences.

They were presented with the award by the honourable President of India, Droupadi Murmu, at a special ceremony held in New Delhi.

Dr. G. Venkataswamy Gold Medal Award to Dr. B. Harinikrishna
Dr. G. Venkataswamy Gold Medal Award to Dr. A. Saranya

Dr. KGR Nair Oration Award

Thiruvananthapuram, 5th May

Dr. S.R. Rathinam, Chief, Uvea Services, Aravind – Madurai, was honoured with the Dr. KGR Nair Oration Award at the annual conference of Trivandrum Ophthalmic club, Reflection 2024, held at Hotel Residency Towers, Thiruvananthapuram, under the aegis of the Kerala Society of Ophthalmic Surgeons (KSOS).

Dr. S.R. Rathinam being honoured with the Dr. KGR Nair Oration Award

12th International Congress on Glaucoma Surgery

Abu Dhabi, 18-20 April

Dr. R. Sharmila, Medical Consultant, Glaucoma Service, Aravind-Madurai, won the best video award at the  International Congress held at Hilton Hotel, Yas Island, Abu Dhabi, for her video titled, When things go bleak, there is always a silver lining: Quadruple procedure in microspherophakia.

Dr. R. Sharmila in the centre, receiving the best video award

Best Nurse Award

Aravind Community Eye Clinic, Sankarankovil, 12th May

G.G. Sangeetha, MLOP- OP, Aravind Community Eye Clinic, Sankarankovil was honoured with the Best Nurse Award by Red Cross Society on the occasion of International Nurses Day.

Best Nurse Award to G.G. Sangeetha

Aravind Events

RAAB7 Prevalence Survey in Sivaganga District

Aravind-Madurai, March-April 2024

The survey conducted by Aravind-Madurai in Sivaganga district focused on the prevalence of cataracts, refractive errors, and service uptake. The main objectives were to test the Rapid Assessment of Avoidable Blindness (RAAB7) method in the Indian population, specifically in Tamil Nadu, and to validate the feasibility of incorporating near-vision screening into RAAB7. Developed at the International Centre for Eye Health (ICEH), London, UK, the RAAB is a rapid survey methodology designed to assess blindness and visual impairment in people aged 50 and above. The new component of the current RAAB7 included near-vision screening and an assessment of enablers and barriers to the use of near-vision eyeglasses. RAAB7 employs digital data collection along with the use of an integrated Peek Acuity Mobile Application for visual acuity measure.

Prior to starting the survey, a three-day training programme was provided to the survey team by Dr. Sandeep Buttan, a certified RAAB Trainer from Dr. Shroff Charity Eye Hospital, New Delhi. During the programme, Dr. Chandrakumar, Project Director, Tamil Nadu State Blindness Control Society, delivered a keynote address and shared insights on conducting the RAAB6 survey.

During the survey, the team examined 3,582 people aged 50 years and above from 77 different locations. The findings suggest that one-fourth of the surveyed population required some form of eye care and were referred to eye care facilities. If proven, the near vision screening could be integrated into the existing RAAB method, thereby enhancing its benefits for a broader global population.

Aravind doctors and MLOPs conducting the RAAB7 survey in Sivaganga District
Aravind doctor examining a villager’s eye during the RAAB7 survey
Distance vision screening
Near vision screening

Symposium on Molecular Genetics in Ophthalmology 2024: Genetics in Ophthalmology; The Future

Aravind-Madurai, 25th April

Organised by Aravind-Madurai, the CME focused on the basics of Genetics in Ophthalmology, specifically on Glaucoma, Retinoblastoma, and Pediatric Eye diseases. Additionally, there were discussions on emerging potential applications of genetic research in glaucoma, with special emphasis on gene therapy and genetic counselling for eye diseases. The panel of external faculty members, including Dr. Arif O. Khan, Cleveland Clinic, Abu Dhabi, and Dr. A.S. Karthikeyan, Dennis Lam Eye Hospital, China, along with faculty from LV Prasad Eye Institute, Narayana Nethralaya, and AIIMS, Delhi, actively participated in the discussions. The CME was awarded 2 credit hours by the Tamil Nadu Medical Council (TNMC). A total of 74 delegates, including 15 faculty members, 34 research scholars, and 25 doctors, attended this programme

Dr. R. Ramakrishnan lighting the ceremonial lamp in the presence of Dr. P. Namperumalsamy, Dr. R.D. Ravindran, Dr. P. Vijayalakshmi, Prof. K. Dharmalingam
Prof. K. Dharmalingam delivering the key note address on “Genome Analysis in Clinical Practice”
Dr. P. Namperumalsamy delivering the inaugural address
Participants’ interaction during the CME

AT TENSION 2024: A Surgical CME on Refractive Glaucoma

Aravind-Madurai, 26-28 April

The CME aimed to explore newer horizons in the management of glaucoma, highlighting the continuing relevance of Trabeculectomy and its complications with management, Glaucoma Drainage Devices (GDD) and their surgical techniques and complications with management, and the potential role of minimally invasive glaucoma surgeries (MIGS), and non-penetrating deep sclerectomy (NPDS). Delegates from all over India, representing various institutions, attended the CME and provided valuable inputs. The programme was authorised for 3 credit hours by TNMC. A total of 137 delegates, including 40 faculty members, attended this programme. Additionally, wet lab training practices were conducted on Trabeculectomy, GDD, NPDS, and MIGS for the registered candidates and all internal Glaucoma consultants. They also earned an additional 3 credit hours from TNMC for the wet lab session.

Dr. R.D. Ravindran lighting the lamp in the presence of Dr. R. Ramakrishnan, Dr. R.Kim, and Dr. George Varghese Puthuran
Dr. Krishnadas delivering the inaugural address
Dr. R. Venkatesh handling a session on “Can one size fit all: Tailoring Glaucome surgery”
Dr. Ganesh V. Raman, handling a session on “Abexterno suture assisted canaloplasty When? Why? & How?”
Dr. Manju R. Pillai addressing the audience
Participants’ interaction during the CME
Wet lab - Hands on training by Dr. Indira Durai
Wet lab - Hands on training by Dr. Swati P Upathyaya

GenZ Symposium

Aravind-Pondicherry, 21 April

Aravind-Pondicherry organised the Symposium, a first of its kind with the aim of delving deep into the psyche of GenZ. It explored how GenZ differ and what new strategies can be incorporated to engage them in learning. The session started with a welcome address by Dr. R. Venkatesh, Chief Medical Officer, Aravind-Pondicherry. The programme featured insightful sessions by Dr. Naveen Radhakrishnan, Dr. Annapurna Kumar, Dr. Pranesh Balasubramaniam, Prof. N. Ananthakrishnan, Dr. Sudha, Dr. Deepak Megur, Dr. Pavan Kumar, Dr. Mahalakshmi, and Dr. Prasanna Venkatesh. The session concluded with a few skill transfer courses on surgical video editing, effective PowerPoint presentations, and how to use social media for the advantage.

Dr. R. Venkatesh, delivering the welcome address
Group activities during the skill transfer session
Participants of the GenZ Symposium

LAICO

Gap Assessment Visits

Maharashtra, 12-18 May

As part of LEAP- Closing the Loop Collaborative series, Dr. G. Anitha, Chief Medical Officer, Aravind Eye Hospital, Tuticorin, and Mohammed Gowth, Senior Faculty, LAICO, made a Gap assessment visit to Nandadeep Eye Hospital, Sangli, and its branch hospital at Kolapur, Maharashtra between12th and 16th May. Similarly, Dr. B. Harinikrishna, Medical Consultant, Aravind-Kovilpatti, and Udayakumar, Senior Faculty, LAICO, visited M.N. Eye Hospital, Chennai, between 16th and18th May. The main objective of these visits were to gain a deep understanding of the hospital’s activities and identify potential focus areas for improvement on enhancing the acceptance rate for cataract surgery and spectacles. During the visit, they have identified and discussed the key areas of improvement and facilitated the hospital’s team for action plan to achieve completing the service loop.

Dr. G. Anitha and Mohammed Gowth seated in the middle, with Nandadeep Eye Hospital team
Dr. B. Harini Krishna and B. Udayakumar, during the gap assessment visit to M.N. Eye Hospital

Management and Systems Development for Eye Hospital Administrators and Managers

LAICO, 4th April – 2nd May

The one-month course held at LAICO aimed to equip hospital administrators with the knowledge and skills necessary to effectively manage an eye hospital, both in its day-to-day operations and in developing the hospital according to the needs of the community it serves. Seven participants from Lusaka Eye Hospital, Lusaka, Zambia, Africa Eye Foundation, Magrabi – ICO Cameroon Eye Institute, Yaounde, Cameroon, Nepal Eye Hospital, Kathmandu, Nepal, Arasan Eye Hospital, Erode, Tamil Nadu, Nayana Eye Care, Andhra Pradesh, NBJK – Nav Bharat Jagriti Kendra, Hazaribag, Jharkhand, and Mahanadi Netra Chikitsalaya- LEPRA Society, Odisha, attended the course.

Ceremonial lamp lighting at the inaugural day of the one-month course conducted by LAICO
Dr. Usha Kim delivering the keynote address
B.S. Ganesh Babu delivering the welcome address
Dr. S.R. Krishnadas, delivering the valedictory address

Conference Attended

Annual Meeting of the Association for Research in Vision and Ophthalmology (ARVO) 2024

Washington, 5-9 May

Scientists and Research Students from Aravind Medical Research Foundation (AMRF) including Prof. K. Dharmalingam, Director, Research, AMRF, Scientists Dr. P. Sundaresan, and Dr. C. Gowri Priya Chidambaranathan, and research students R. Sethu Nagarajan, and Shreya Dinesh, attended and presented papers and posters at the annual meeting held in Seattle, Washington. Sethu Nagarajan and Shreya Dinesh received the ICMR Travel Grant, and the SERB Travel Grant, respectively. Additionally, Shreya Dinesh’s poster was selected as a Hot Topic during one of a session.

Paper Presentation

Sethu Nagarajan, Dr. Gowri Priya Chidambaranathan, Dr. R. Kim, Dr. Usha Kim, Prof. K. Dharmalingam, and Dr. A. Vanniarajan

  • Inhibition of KIF14 supresses the retinoblastoma tumor progression with favourable outcome. 

Poster Presentations

Dr. P. Sundaresan, Prakash Chermakani, Shanmugam Maheshkumar

  • Unravelling Nuclear and Mitochondrial Contributions in Leber’s Hereditary Optic Neuropathy 

Dr. Gowri Priya Chidambaranathan, Sneha Nair, Dr. R. Krishnadas, Dr. V. Muthukkaruppan, Dr. A. Vanniarajan, Dr. D. Bharanidharan

  • MicroRNAs regulating human trabecular meshwork stem cells 

Shreya Dinesh, Prof. K. Dharmalingam, Dr. Lalitha Prajna, Dr. N.V. Prajna, Dr. D. Bharanidharan

  • Dysregulated miRNAs and their role in Fusarium Keratitis
Dr. P. Sundaresan explaining the poster
Dr. Gowri Priya showcasing her research poster
R. Sethu Nagarajan presenting his paper
Shreya Dinesh discussing the details of her research poster

Visit to Tilganga Institute of Ophthalmology and Nepal Eye hospital

Nepal, 8-10 April

Dr. Anu Paul, IOL Fellow, Aravind-Madurai was a resource person for the workshops held at the Tilganga Institute of Ophthalmology, and Nepal Eye Hospital, Kathmandu, Nepal, to train the hospitals’ staff in Aubtenon Anesthesia.

Dr. Anu Paul with Dr Sanduk Ruit, Founder and Executive Director of Tilganga Institute of Ophthalmology
Dr. Anu Paul at the workshop on Sub-Tenon Anesthesia

12th International Congress on Glaucoma Surgery

Abu Dhabi, 18-20 April

Dr. R. Sharmila participated in the Congress held at Hilton Hotel, Yas Island, Abu Dhabi, and presented a video titled, Sailing through shallow seas: Managing post op hypotony following tube surgery. She further delivered a talk at the conference on Nanophthalmos (Bad eyes).

Publications

  1. Kannan NB, Goswami A, Vallinayagam M, Sarkar AD. Couching of cataractous lens in microphthalmic eyes with irido-fundal coloboma: revisiting the historical technique. Int Ophthalmol. 2024 Apr 25;44(1):198. View More
  2. Govindaraj I, Mahalingam M, Maheswari U, Kumar HSY, Suganya BS, Subramanian V, Rajendran A. Quantification of vascular changes in macular telangiectasia type 2 with AngioTool software. Graefes Arch Clin Exp Ophthalmol. 2024 Apr 27. [Epub] View More
  3. Manapakkam M, Ramamoorthy D, Mohan N. Posterior Capsular Pigment Deposition in a Case of Pigmentary Glaucoma. Ophthalmol Glaucoma. 2024 Apr 28. [Epub] View More Dsouza P, Mohan M, Mohanakumar M, ShivaSwamy M, Kanakath A, Vr S. Pits of Fire: Post Scleral Graft Vasculitis in Patients With Optic Disc Pit Maculopathy. Ophthalmic Surg Lasers Imaging Retina. 2024 Mar;55(3):172-175. View More
  4. Kannan NB, Dey Sarkar A, Vallinayagam M. A retrospective analysis of surgical outcome in sutureless glueless scleral fixation of foldable intraocular lens. Indian J Ophthalmol. 2024 Mar 8. [Epub] View More
  5. Chandran P, Bhanuman R, Raman GV. Candy-Stripe Hyphema after Laser Peripheral Iridotomy. Ophthalmol Glaucoma. 2024 May 13. [Epub] View More
  6. Kalita IR, Kannusamy V, Mouttapa F, Singh HV. Primary eyecare in paediatrics population (PREPP) – II study: Study of satisfaction of services and barrier for not reporting to the base hospital on referral among pediatric patients treated in six major vision centers of a tertiary eye care facility in Southern India. Indian J Ophthalmol. 2024 May 20. [Epub] View More
  7. Nath M, Odayappan A, Tripathy K, Nachiappan S. Air bubble guide for adequacy of ophthalmic viscosurgical device during phacoemulsification. Indian J Ophthalmol. 2024 Jun;72(6):916-918. View More
  8. Ganesan N, Narayana S, Gubert J, Bhosale NK, Sundar B. Clinical, microbiologic, and treatment outcomes of dematiaceous fungal keratitis – A retrospective study. Indian J Ophthalmol. 2024 May 20. [Epub] View More

Training

Enrolments for May 2024

Course title
Training Centre
No. of enrolments
Long Term Fellowship Programmes – For Ophthalmologists
Fellowship in Cornea Pondicherry 1
Coimbatore 1
Fellowship in Anterior Segment / Intraocular Lens Surgery Coimbatore 1
Fellowship in Medical Retina Coimbatore 1
Fellowship in Retina and Vitreous Tirunelveli 1
Short-Term Fellowship Programmes – For Ophthalmologists
Short-term Fellowship in Glaucoma Pondicherry 1
Short-Term Training Programmes – For Ophthalmologists
HelpMeSee Simulation-based Training in MSICS Madurai 1
Clinical Observership Programme in Diagnosis and Management Of Glaucoma Coimbatore 1
Phacoemulsification Coimbatore 1
Madurai 1
Pondicherry 1
Tirunelveli 2
Small Incision Cataract Surgery Tirunelveli 2
Coimbatore 1
Chennai 1
Pondicherry 1
Short Term Training Programme – For Paramedicals
Traning for FFA & USG Madurai 1

Statistics

Patient Statistics – April 2024

Hospitals
Total
Madurai
Tirunelveli
Theni
Coimbatore
Pondicherry
Tirupur
Dindigul
Salem
Tuticorin
Udumalpet
CbeCC
Chennai
Tirupati
Kovilpatti
Hospital Out-patient visits
Paying
(New & Review)
2,44,740 54,848 30,165  8,311  31,909  25,842 4,161  8,815  11,667 5,724  4,245  4,407  38,479 13,106  3,061
Free: Direct walk-in
(New & Review)
 97,674  22,336 8,135  2,791 12,262 9,728 2,104 2,413 6,581 1,591 2,759 12,540 13,197 1,237
Outreach Out-patients
Comprehensive Eye Camps  14,005 3,105  1,275  234  2,730  2,934 323  – 1,019 27 2,233  125
Diabetic Retinopathy Camps 999 114  – 296 422  –  111  –  56
Glaucoma Camps  –  –  –  –  –  –
Refraction Camp 6,022  961 707 787 737 418 105 1,008  –  762 336  201
Mobile Refraction Unit 363 328 35
School Screening 6,614 5,897 24 693  –  –
Paediatric Eye screening camps
RoP Screening 1,492  199  179 93 770  40 197 14
Vision Centres  77,227  26,385 14,078  5,298 5,579 15,422 1,589 3,815  1,982 3,079
Community / City Centres  16,653 8,264 2,147  2,624  2,657 904  57
Total OP Examinations 4,65,789  1,22,109  57,163  19,981  55,430  57,041  8,282  11,228  24,236  7,315  9,013  4,407  58,194  26,766  4,624
Total number of camps 82 16 9  2  18 14  2  7  1  –  12  –  1
Surgeries
Cataract 35,512 7,987  3,395  1,077  4,712 4,398 616 987  2,671 616 1,069  233 4,712 2,641 398
*Other Surgeries 23,212 5,950 2,852 482 4,854 2,643 90 211 780 117 103 170 3,411 1,491 58
Total Surgeries 58,724 13,937 6,247 1,559 9,566 7,041 706 1,198 3,451 733 1,172 403 8,123 4,132 456
*Other surgeries include major surgeries, minor surgeries, intra-vitreal & other injections and laser procedures.