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Activity Report 2010_11

Published by dtpinfo, 2014-12-06 07:30:49

Description: Activity Report 2010_11

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ARAVIND EYE CARE SYSTEM 07 15ACTIVITY REPORT 2010 - 2011 21 25Content 41 51Highlights 2010 - 11 53Clinical Performance 59Community Outreach 63Education and Training Programmes 67Lions Aravind Institute of Community Ophthalmology 72Aravind Eye Banks 73Dr. G. Venkataswamy Eye Research InstituteAurolabCentral FunctionsAwards and AccoladesPartners in ServiceTrustees and Staff Photo Credits: Devi Kayalvizhi, Aravind-Tirunelveli Jacques Vekemans, France Mike Myers, USA Rajkumar, Aravind-Madurai Senthil Kumar, Aravind-Coimbatore Sukumar, Aravind-Pondicherry Vijayakumar, Aurolab Willie Davis, USA2

In a contrary balance to earth’s truth of thingsThe gross weighs less, the subtle counts for more;On inner values hangs the outer plan.As quivers with the thought the expressive word,As yearns the act with passion of the soulThis world’s apparent sensible designLooks vibrant back to some interior might.‘Savitri’ by Sri AurobindoBook II: The Book of The Traveller of the Worlds,Canto VI: The Kingdoms and Godheads of the Greater Life 3

Aravind Eye Care System Mission: To eliminate needless blindness . . . Aravind Eye Hospitals . . . by providing compassionate and high quality eye care for all Lions Aravind Institute of Community Ophthalmology (LAICO) . . . through teaching, training, capacity building, advocacy, research and publications Dr. G. Venkataswamy Eye Research Institute, Aravind Medical Research Foundation . . . by providing evidence through research and evolving methods to translate existing evidence and knowledge into effective action Aravind Eye Banks . . . by reducing corneal blindness through eye banking activities, training, research and public awareness programmes Aurolab . . . by making high quality ophthalmic products affordable and accessible worldwide4

To some of us realisation of Divineand bringing Divine Consciousness,Power and Knowledge to our dailyactivities is the goal. The hospitalwork gives an opportunity for thisspiritual growth.In your growth you widen yourconsciousness and you feel the sufferingof others in you. You learn to overcomemental and physical obstacles in yourwork. - Dr. G. Venkataswamy 5

The founding team in 2001: L-R : Dr. Natchiar, Mr. Thulasiraj, Dr. Vijayalakshmi, Dr. M. Srinivasan, Dr. P. Namperumalsamy and Mr. G. Srinivasan with Dr. V seated at the centre6

Highlights 2010-11Dr. R.D. Ravindran with Dr. V at Rimini, Italy in July 2002Aravind Coming of Age Dr. R. D. Ravindran was named the new Chairman of Aravind Eye Care System. The mantle was passed to himAll organisations have milestones. Some are planned from Dr. P. Namperumalsamy, who stepped down on 12th far ahead of time and achieved only through July 2010. The erstwhile chairman brought many laurels to strategic goals and objectives, and careful resource the organisation, including a spot on Time Magazine’s listallotment. But there are also milestones that are crossed RI WKH  PRVW LQÁXHQWLDO SHRSOH LQ WKH ZRUOGmore organically – and are a cause for special celebration.The transition in executive leadership that happened at Dr. G. Natchiar, who served as the Director of HR, literallyAravind this year falls into the latter category. Aravind’s handpicking the 3000 strong workforce of Aravind,founding team that built a revolutionary organisation from handed over her responsibilities to Dr. S. R. Krishnadas.scratch, made the momentous decision to pass the reins on Dr. R. Kim took over the role of Director of IT fromto the next generation of leadership. Mr. R.D. Thulasiraj, who kept Aravind at the cutting 7

Dr. R.D. Ravindran on the occasion of ‘taking over the charge as the Chairman’ with the senior leaders on July 12, 2010edge of technology. Meanwhile Dr. N.V. Prajna has been to all facets of the organisation. The strategic decisionLGHQWLÀHG WR RYHUVHH WKH RUJDQLVDWLRQ·V ÀQDQFHV WKH UROH making that was unerringly guided by the instincts of theMr. G. Srinivasan has so ably managed to-date. The latter founding team, is now transforming into a more multi-KDV HQVXUHG $UDYLQG·V ÀQDQFLDO YLDELOLW\ WKURXJK WKH stakeholder, evidence-based, decision-making process.decades, even with 60% of its patients receiving free orsteeply subsidised care. An anticipated milestone this year was the “Silver Jubilee Celebrations of Aravind Eye Hospital, Theni,” on 10thAravind’s founding members continue to serve as October 2010. The event brought together the communityinvaluable mentors, enriching the transition process VHUYHG E\ WKH KRVSLWDO DQG JRYHUQPHQW RIÀFLDOV ZKRwith their insights and hard-won expertise. With appreciated Aravind’s sustained contributions to thethe leadership transition, a new governance system is people of Theni district. A four day exhibition on eye careemerging, that is increasingly inclusive and gives voice was arranged for the public as part of the celebrations.Dr. Datta addresing the gathering at the Silver Jubilee celebrations of Aravind-Theni8

Aravind Continues to Grow Aravind Eye Hospital at TirupurAs the awareness and need for eye care increase, so doesthe demand. In order to meet these expanding needs andimprove access, Aravind is creating a series of smaller eyehospitals in areas of high demand, based on current trendsin patient load. As part of this new initiative, Aravindopened two secondary eye care centres at Dindigul andTirupur in September and October, respectively.The newly built inpatient building at Aravind – Maduraiis getting ready for occupation. It will house superbly-designed operating rooms, offer an elegant ambience forinpatients, and provide ample basement parking. Oncethis building is ready for occupation in April 2011, it willin turn release much needed space for the expansion ofAravind’s outpatient services.The new Inpatient Building at Aravind-Madurai 9

Continuing with the strategy to deepen the reach throughprimary eye care, new Vision Centres were opened atSingampunari, Kariyapatti, Peraiyur and Kalayarkovil,increasing the total number of vision centres to 36.New Initiatives historian. His enlightening tour of the Jain caves in the area was a highlight of the programme.$UDYLQG·V UHVHDUFK DFWLYLWLHV FRQWLQXH WR PDNH VLJQLÀFDQWcontributions in understanding the basic biological In keeping with the organisation’s ethos of continuousmechanisms of eye diseases. A one-week workshop on innovation, Aurolab introduced a range of new productsStem Cells for Vision was organised by Aravind Medical in 2010: Voriconazole, a ready-to-use anti-fungal eyeResearch Foundation to provide hands-on experience GURS $XURÁH[ ƒ 6TXDUH (GJHG ,2/V WKDW KHOS SUHYHQWto young scientists. This training course, sponsored by 3RVWHULRU &DSVXODU 2SDFLÀFDWLRQ )OXUHV D S\URJHQ DQGIndian Council of Medical Research and Defense Research preservative free sodium dye for Fundus FluoresceinDQG 'HYHORSPHQW 2UJDQLVDWLRQ 1HZ 'HOKL ZDV WKH ÀUVW $QJLRJUDSK\ $XURFKDUW D /&' YLVLRQ FKDUW LQFRUSRUDWLQJof its kind in India. several optotypes and diagnostic charts; Auro K Pro licensed by Boston Keratoprosthesis that offers a ray ofThe multidimensional growth of Aravind has been made hope for patients with multiple corneal graft failure, andpossible by its constituents diversifying their activities Aurosharp, round stock blades.rapidly – with everyone fully involved in the growthprocess. This and the geographical distances between eachAravind facility deterred opportunities for Aravind staffto meet informally. In order for the staff to stay connectedAARANYA (An ARAvind New Year Aggregation), aninformal get together of the senior staff of Aravind andWKHLU IDPLOLHV ZDV KRVWHG IRU WKH ÀUVW WLPH E\ $UDYLQGMadurai during the New Year. The events organised forthe staff and their families were enriching, informative andfull of laughter. They included the “Helen Keller’ danceperformance by Mrs. Chitra Krishnamoorthy and herteam, as well as an early morning hike at Keelakuyilkudiled by Professor Venkatraman, Madurai’s very ownProf. Venkatraman with AARANYA participants at Keelakuyilkudi10

‘Helen Keller’ Dance Drama Innovating a Learning PlatformMs. Mahalakshmi and Ms. Sarala with the District Collector of Sharing expertise freely and widely is an integral partMadurai at the Melamadai clean up programme of Aravind’s organisational ethos. Current mechanisms for this include publications, ongoing skill development courses and structured capacity building activities by /LRQV $UDYLQG ,QVWLWXWH RI &RPPXQLW\ 2SKWKDOPRORJ\ This year’s innovation on this front was the launch of “Aurosiksha,” a web-based, hybrid learning platform. With built-in pedagogical methods that promote effective adult learning, Aurosiksha aspires to make time-tested lessons available to individuals and teachers. Several hundred lessons are already online, with more being added continually. Trainers can use these lessons, designed by experts, and enhance them with their own nuanced understanding, as well as local context. Over time, $XURVLNVKD DLPV WR ERRVW WKH GHYHORSPHQW RI KLJKTXDOLW\ human resources in eye care, especially in areas with a GHDUWK RI TXDOLW\ WUDLQLQJ RSWLRQV Integration with the Community When serving the community is the core purpose of an organisation, it takes special efforts to preserve key supporting values: compassion, concern and continuous engagement. $UDYLQG FKDQFHG XSRQ D XQLTXH RSSRUWXQLW\ LQ WKH cultural arts realm when Dr. Chitra Krishnamoorthy, the Director of Nrityalaya School of Indian Classical Odissi Dance in Washington DC, USA, offered to have her troupe perform a multicultural dance drama honoring the life and work of Helen Keller as a fundraiser for Aravind. Instead the organisation chose to have the performance offered as a free-of-cost programme to the people of Madurai and played a key role in hosting the event. The Sathguru Sangeetha Samajam at Madurai came forward to schedule it as the inaugural event of their annual music and dance festival on January 1, 2011 and the citizens of Madurai enjoyed a spectacularly moving dance performance by the Nrityalaya team. Aravind staff participate in cleaning temples in and around cities where Aravind Eye Hospitals are located, volunteer with other developmental organisations, host the “Madurai Readers Club” and address groups of students on career goals. Along these lines, a major activity taken up last year was a joint clean up initiative organized by EXNORA in co-operation with Aravind Eye Hospital, Soroptimist International and Indian Red Cross Society, in two neighbourhoods of the hospital – Melamadai and Gomathipuram. The clean-up programme included clearing garbage, creating alternatives for safe, residential garbage disposal, and public hygiene awareness campaigns. 11

TATA Jagriti Yatris at Aravind MaduraiFor the third consecutive year, Aravind hosted the responsibility to keep thevisit of TATA Jagriti Yatris, a highly motivated group community up-to-date.of Indian youth and professionals who visit exemplary To this end, a grand eyesocial initiatives all across India as part of an annual care awareness exhibitioneighteen day national odyssey. This year over 400 was organised by Aravindmembers participated, all of them eager to understand the Eye Hospitals at Madurai, Pondicherry, Theni and“business” of scalable, sustainable service. These young Tirunelveli, which was visited by thousands of communityindividuals are the true shapers of India’s future and members and students.Aravind considers it a rare privilege to share its insightsDQG H[SHULHQFHV IURP WKH ÀHOG ZLWK WKLV G\QDPLF DQG In Memory of the Founderdeeply sincere group. Vizhi Vaelvi, the biography of Dr. G. Venkataswamy(\H FDUH OLNH PDQ\ RWKHU ÀHOGV LV HYROYLQJ UDSLGO\ ZLWK written by Mr. Sivalingam, was released by Dr. APJ Abdulseveral technological advancements. Aravind feels the Kalam, former President of India, who readily accepted theDr. Venkatesh with Mr. R. Chandramohan, Chief Secretary, and Dr. R. Ramakrishnan and Mr. T. Varadharaju, Policeother dignitaries at the ‘Kannae Nalama’ exhibition at Aravind- Commissioner, Tirunelveli District at the ‘Kannae Nalama’Pondicherry inauguration at Aravind-Tirunelveli12

Dr. G. Natchiar, Dr. G. Nallakrishnan, Dr. Mayilvaganan, former President Dr. APJ. Abdul Kalam, Dr. P. Namperumalsamy,Mr. G. Srinivasan and Mr. Sivalingam at the launch of Vizhi Vaelviinvitation, and believes in the importance of sharing the award. In his speech, the Honourable Judge stressedDr. V’s work with the greater community. that the medical profession stemmed out of the traits of humanity – compassion, kindness and benevolence.The Dr. G. Venkataswamy Endowment Oration Award, Dr. Whitcher in his oration mentioned about learninginstituted in memory of Aravind’s Founder Chairman, from Aravind’s founder that whatever one gave away inwas bestowed on Dr. Jack P. Whitcher of Francis I the spirit of service always found its way back tenfold.Proctor Foundation, USA, for his outstanding andJURXQGEUHDNLQJ ZRUN LQ WKH ÀHOG RI FRUQHDO GLVRUGHUV The October Summit, a series of workshops held eachAt a stellar ceremony held at Dr. G. Venkataswamy Eye year as a meaningful way of paying tribute to theResearch Institute on January 8, 2011, Honourable Justice Founder Chairman on his birth anniversary, receivedP. Sathasivam, Judge, Supreme Court of India, presented wide appreciation from participants. The workshopsDr. Srinivasan, Dr. Jack P. Whitcher, Mr. Srinivasan, Justice Sathasivam, Dr. Namperumalsamy and Dr. Ravindran at the Oration awardceremony 13

in this series included Research for Global BlindnessPrevention, Private Practice in Ophthalmology, EvidenceBased Management Practices, and Stem Cells for Vision.Keeping Dr. V’s Vision Alive and Green The combination of building, landscaped garden and pond together incorporate the Mother’s symbol at the Memorial for Dr. V7KH LGHD RI EXLOGLQJ D PHPRULDO FHQWUH ÀUVW VXUIDFHG ZKHQWKH OHDGHUVKLS DW $UDYLQG UHÁHFWHG RQ ZD\V WR KRQRU symbol through a stunning combination of building,Dr. V’s vision and keep his spirit alive within the landscaped garden and ponds. As serendipity would haveorganisation. The initial thought was to have it house it, the entrance of the building lines up directly with aDr. V’s writing, memorabilia, his library collection and the beautiful banyan tree Dr. V himself planted. The centreOLNH %XW RQ IXUWKHU UHÁHFWLRQ LW ZDV FOHDU WR WKH IRXQGLQJ is currently under construction on the same grounds asteam and others that Dr. V would have shied away from Aurolab and Aurofarm. Its completion, slated for Octoberthe idea of creating a static “shrine” in his memory. He 2011 will offer up a serene and inspirational space forwould wish for the building to serve a living and dynamic internal practice as well as external dialogue and creativepurpose. The idea for creating a space for contemplative thinking.practice as well as collective strategic planning andorganisational retreats soon evolved. As variousarchitectural options were considered it was agreed thatWKH EXLOGLQJ VKRXOG UHÁHFW 'U 9·V SDVVLRQ IRU VRODU SRZHUand green building. Over the period of two years severalarchitectural plans were drawn up and each one dismissedIRU YDULRXV UHDVRQV EHIRUH WKH ÀQDO RQH ZDV VHOHFWHG 7KHarchitect Mr. Gnanaraj, had hit upon the perfect design.7KH EULOOLDQW ÁRRU SODQ HYHQ LQFRUSRUDWHG WKH 0RWKHU·V14

Clinical PerformanceDr. Usha Kim examining a young patientTKH \HDU  ²  ZDV RQH RI VLJQLÀ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² 0DGXUDL LV EHLQJ UHDGLHG IRU 7KH 3DHGLDWULF 2SKWKDOPRORJ\ &OLQLF DW $UDYLQG ²RFFXSDWLRQ DQG ZLOO EHFRPH IXOO\ RSHUDWLRQDO LQ $SULO 0DGXUDL VWDUWHG D JHQHWLF FRXQVHOLQJ GHSDUWPHQW LQ 6SUDZOHG RYHU URXJKO\  VTXDUH IHHW WKH QHZ 1RYHPEHU  WR VFUHHQ SDWLHQWV ZLWK JHQHWLF H\HIDFLOLW\ ZLOO RIIHU DQ DPELHQFH ZHOO VXLWHG WR SURYLGLQJ GLVRUGHUV DQG WR SURYLGH WKHP JHQHWLF FRXQVHOLQJ 3DWLHQWVFRPSDVVLRQDWH DQG KROLVWLF H\H FDUH ZLWK H[FHOOHQFH DUH LQIRUPHG RI WKH JHQHWLF FRQGLWLRQ RI WKH UHOHYDQW 15

Inauguration of Anterior segment Kidzone - at Aravind-CoimbatoreOCT at Aravind-TirunelveliGLVHDVH LWV LQKHULWDQFH SDWWHUQ DQG DQ\ SRWHQWLDO ULVN $W $UDYLQG  7LUXQHOYHOL DQG 3RQGLFKHUU\ WKH *ODXFRPDWR RWKHU IDPLO\ PHPEHUV DV ZHOO DV WKH EHQHÀWV DQG FOLQLFV DGGHG WR WKHLU HTXLSPHQW LQYHQWRULHV $QWHULRUOLPLWDWLRQV RI JHQHWLF WHVWLQJ 7KH GHSDUWPHQW FXUUHQWO\ VHJPHQW 2&7 IRU EHWWHU GLDJQRVLV RI DQWHULRU VHJPHQWFRQFHQWUDWHV RQ H\H GLVHDVHV OLNH DQLULGLD DOELQLVP GLVRUGHUV ,W DOVR RSHQHG D QHZ OLEUDU\ IRU 0LG /HYHO/HEHU·V KHUHGLWDU\ RSWLF QHXURSDWK\ /HEHU·V FRQJHQLWDO 2SKWKDOPLF 3HUVRQQHODPDXURVLV )(95 FRQJHQLWDO FDWDUDFW FRQJHQLWDOJODXFRPD DQG ;OLQNHG UHWLQRVFKLVLV 'U 3DXO +RPHU DQ RSKWKDOPRORJLVW DQG ORZ YLVLRQ VSHFLDOLVW IURP &DOLIRUQLD YLVLWHG WKH $UDYLQG 9LVLRQ 5HKDELOLWDWLRQ,Q WKH 5HWLQD FOLQLFV WKH VFUHHQLQJ SURFHGXUH IRU FHQWUH DW 0DGXUDL +H GRQDWHG VHYHUDO ORZ YLVLRQ DLGV WR WKH5HWLQRSDWK\ RI 3UHPDWXULW\ ZDV VWDQGDUGL]HG $ QHZ FOLQLF DQG VKDUHG KLV LQVLJKWV DQG H[SHUWLVH ZLWK WKH ORZPDFKLQH IRU SHUIRUPLQJ YLWUHFWRP\ DQG D QHZ \HOORZ YLVLRQ WHDP +H DOVR GHOLYHUHG VSHFLDO OHFWXUHV IRU $UDYLQG·VODVHU PDFKLQH KDYH EHHQ LQVWDOOHG DW WKH $UDYLQG0DGXUDL SRVWJUDGXDWH VWXGHQWV DQG IRU LWV GRFWRUV LQ WKH 5HWLQD DQGFHQWUH 7R PLQLPLVH FURZGLQJ LQVLGH WKH 5HWLQD &OLQLF 3DHGLDWULF RSKWKDOPRORJ\ GHSDUWPHQWVDW $UDYLQG0DGXUDL WKH GHSDUWPHQW KDV QRZ IRUPHG DVHSDUDWH LQYHVWLJDWLRQ DUHD ZKHUH H[DPLQDWLRQV OLNH ))$ Quality Management Initiatives2&7 HWF DUH FRQGXFWHG $UDYLQG KDV GHYHORSHG SDUDPHWHUV WR EHQFKPDUN WKH.LG]RQH ² DQ RSWLFDO VKRS H[FOXVLYHO\ IRU NLGV ZDV RSHQHG SHUIRUPDQFH RI HDFK GHSDUWPHQW KROLVWLFDOO\² FRQVLGHULQJDW WKH 3DHGLDWULF 2SKWKDOPRORJ\ &OLQLF DW $UDYLQG  TXDOLW\ VHUYLFH FRVWV VWDII UHWHQWLRQ DQG DFDGHPLF DFWLYLWLHV&RLPEDWRUH RQ $SULO  ZLWK IDFLOLW\ IRU LPPHGLDWH 7KHVH SDUDPHWHUV DUH GHYHORSHG IRU UHJXODU PRQLWRULQJ DQGGHOLYHU\ RI JODVVHV 7KH KRVSLWDO DOVR RSHQHG D QHZ WR VWDQGDUGLVH WKH V\VWHP DQG PDQSRZHU DFURVV WKH YDULRXVH[FOXVLYH OLEUDU\ IRU WUDLQHHV RQ $XJXVW  FOLQLFDO DQG QRQFOLQLFDO GHSDUWPHQWV 7KH GHSDUWPHQWV SUHVHQW WKH SDUDPHWHU UHSRUW LQ WKHLU ZHHNO\ DQG PRQWKO\Dr. Krishnadas and Dr. Venkatesh and the parameter audit at PHHWLQJV DQG GHFLGH WKH DFWLRQDEOH LWHPV $ TXDUWHUO\ UHYLHZAravind - Pondicherry PHHWLQJ LV FRQGXFWHG LQ WKH SUHVHQFH RI HDFK KRVSLWDO·V &KLHI 0HGLFDO 2IÀ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¶+DUPRQL]DWLRQ ² *RRG &OLQLFDO 3UDFWLFH· *&3 IURP $OOHUJDQ IDFXOW\ RQ -XO\ 16

Out-Patient VisitsApril 2010 - March 2011 Madurai Theni Tiruneveli Coimbatore Pondy Dindigul Tirupur TotalOUT PATIENT VISITS 472,407 72,458 245,967 323,587 207,315 24,867 31,549 1,378,150Paying (new+review)Free (new+review) 148,433 21,075 65,513 104,941 65,215 - - 405,177OUTREACH 100,315 22,309 44,447 83,893 61,043 - 122 312,129FREE EYE CAMPS 6,453 3,447 2,288 43,825 4,322 - - 60,335Comprehensive ϮϬ͕ϵϭϳ ϰ͕ϳϮϯ ϴ͕ϲϴϬ ϭϮ͕ϵϳϱ ϳ͕ϳϴϴ Ͳ ϭϵϯ ϱϱ͕ϮϳϲDiab. Ret. screeningZĞĨƌĂĐƟŽŶ 7,524 932 17,482 7,629 20,722 - - 54,289School Children 2,404 1,270 522 2,165 466 - - 6,827 - through base hospitals 2,786 326 11,694 1,797 12,529 - - 29,132School Children Ͳ Ͳ ϲ͕ϰϬϱ Ͳ ϲ͕ϰϬϱ Ͳ Ͳ Ͳ - - 201,512 - through vision centres 74,441 44,776 37,083 25,666 19,546 - - 136,897 Children below 16 years 73,724 18,560 44,613 DŽďŝůĞ ǀĂŶ ƌĞĨƌĂĐƟŽŶVISION CENTRES 909,404 196,281 478,289 606,478 398,946 24,867 31,864 2,646,129COMMUNITY EYE CLINICSTOTAL OUTPATIENT VISITS In the year ending March 2011, over 2.6 million out- patient visits were handled and over 315,000 ophthalmic surgeries and laser procedures were performed across all Aravind Eye Hospitals 17

Out Patient Visits Surgeries Vision Centres / Free Camp 24%Community Eye Clinics 13% Free Camps Paying (Base Paying (Base (Others) 8% Hospitals) 52% Hospitals) 49% Free Camps(Comprehensive) 12% Free Direct 15% Free Direct 27%18

Surgeries and Laser ProceduresApril 2010 - March 2011 Madurai Theni Tiruneveli Coimbatore Pondy Dindigul Tirupur TotalSURGERIES 64,957 6,057 24,583 38,231 19,856 992 413 155,089Paying 36,563 2,881 11,095 24,193 9,487 - - 84,219Free Hospital Direct(Free and Subsidised) 29,460 2,710 11,029 18,886 14,085 - 5 76,175Free camp 130,980 11,648 46,707 81,310 43,428 992 418 315,483TOTAL SURGERIESSURGERIES IN DETAIL 86,156 9,252 31,346 51,284 28,792 719 325 207,874Cataract surgeries 2,403 163 1,161 2,089 544 - 6 6,366Trab and comb. procedures ϯ͕ϰϰϴ ϭϬ Ϯ͕ϴϵϴ Ͳ Ͳ ϴ͕ϬϵϭZĞƟŶĂ ĂŶĚ ǀŝƚƌĞŽƵƐ ƐƵƌŐĞƌLJ Ͳ ϱϵϰ ϭ͕ϭϰϭ Ͳ Ͳ ϭ͕ϴϴϳ^ƋƵŝŶƚ ĐŽƌƌĞĐƟŽŶ ϵϭϴ - ϮϮϴ ϲϬϭ ϭϰϬ - - 2,067Keratoplasty 1,027 126 162 685 193 - 3,547Pterygium 1,457 23 290 1,043 620 11 - 1,274Ocular injuries 94 97 397 374 - - 5,886Lacrimal surgeries 383 900 943 893 - 74 60,661Laser procedures 3,056 1,626 9,607 16,679Other orbit and oculoplasty 24, 546 7,893 236 - 7,129surgeries 213 843 1,778 13 6,081Others 3,300 141 590 2,082 977 18> ^/< ƌĞĨƌĂĐƟǀĞ ƐƵƌŐĞƌLJ 2,129 ϴϴϵ 1,120 8 Ͳ ϰ͕ϲϮϬTOTAL SURGERIES Ϯ͕ϭϱϳ Ͳ 46,707 ϴϯϭ Ͳ 418 315,483 130,980 11,648 81,310 ϳϰϭ 992 43,428 19

NEW VISION CENTRESApril 2010 - March 2011 Kalaiyarkoil Singampunari Kandamanur Ulunthurpet Singampunari Kandamanur Kalaiyarkoil Kariyapatti Peraiyur Ulunthurpet Kariyapatti Peraiyur20

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Outreach Performance April 2010 - March 2011 Madurai Theni Tirunelveli Coimbatore Pondicherry Tirupur AECS Total1. Regular comprehensive eye camps Camps 359 108 272 385 256 1 1,381 Patients examined 100,315 22,309 44,447 83,893 61,043 122 312,129 18,272 14,995 Glass advised 19,331 6,090 9,739 14,921 13,019 20 68,447 5,286 8,307 13,686 18 58,644 Glass ordered 17,093 3,271 6,486 9,672 10 46,345 62% 78% 92% 74% 56% 79% On the spot deliveries 13,220 % 77%2. Diabetic retinopathy screening camps Camps 42 24 22 208 23 - 319 3,447 2,288 43,825 4,322 - 60,335 Patients screened 6,453 1,449 1,170 11,203 1,480 - 18,653 Diabetics identified 3,351 - 3,264 230 255 2,086 159 DR Patients Identified 5343. Refractive error camps Camps 92 20 48 59 35 1 255 Patients examined 20,917 4,723 8,680 12,975 7,788 193 55,276 Glasses prescribed 1,322 2,398 3,024 16,673 Glasses ordered 6,012 1,141 2,041 3,867 2,517 50 14,243 On the spot deliveries 5,304 1,634 3,207 33 % 3,387 639 80% 2,027 859 26 8,572 64% 56% 63% 34% 79% 60%4. Eye screening of school children- BH* 56 5 120 20 152 - 353 Schools 275 44 461 135 468 - 1,383 Teachers trained 81,074 11,036 115,547 40,843 139,035 - 387,535 Total Strength 7,524 932 17,482 7,629 20,722 - 54,289 Children screened 3,491 605 7,680 3,643 6,645 - 22,064 Children with eye defects 105. Eye screening of school children - VC* 20 76 2 47 7 - 115 Schools 64 - 18 8,065 10 - 139 Teachers trained 22,284 2,500 2,165 5,116 - 68,088 Total Strength 2,404 30,123 522 888 466 - 6,827 Children screened 983 1,270 390 198 - 3,608 Children with eye defects 1,1496. Paediatric camps Camps 19 3 44 21 45 - 132 Children Examined 2,786 326 11,694 1,797 12,529 - 29,132 Refractive Error - 1,339 Glasses prescribed 471 21 340 71 436 - 502 Glasses ordered 370 13 10 11 98 - 569 Other defects identified 364 12 39 11 - 845 213 100 143 3 115 4147. Mobile van refraction camps Camps - 84 - - -- 84 Patients screened - 6,405 - - Glasses prescribed - 2,182 - - - - 6,405 Glasses ordered - 1,550 - - - - 2,182 - - 1,5508. Vision centres Centres 13 8 5 5 5 - 36 New + Review 74,441 44,776 37,083 25,666 19,546 - 201,512 Outpatients / day - 18 20 18 24 17 139. Community eye clinics Centres 2 1 1 - -- 4 New + Review 41,247 18,560 13,235 - Outpatients / day - - - 73,042 67 60 43 -- 5910. City centre Centres 1 -1 - -- 2 New + Review 32,477 - 31,378 - Outpatients / day - 101 - - - 63,855 105* BH - Base Hospitals; VC - Vision Centres - - 10324

Education and Training ProgrammesDr. Kowsalya handling a session for the postgraduate studentsEducation and training of eye care personnel is a Paediatric Ophthalmology Clinic at Aravind – Madurai major focus at Aravind, and seen as an integral developed an Audio-visual guide ‘Step by Step Strabismus part of its service delivery at scale. Over the Surgery’ as a teaching aid for ophthalmologists aspiring toyears, like its patient volume, the number of education perfect this procedure.programmes offered at Aravind has risen considerably.Today, it offers about 45 long-term and short-term courses Ophthalmology residents from various institutions aroundfor ophthalmologists, eye care management personnel, the world choose a rotation at Aravind as part of theirophthalmic assistants and technicians. These courses residency programmes. Last year, ten residents from Massare offered across all Aravind Eye Hospitals and through (\H DQG (DU ,QÀUPDU\ &DOLIRUQLD 3DFLÀF 0HGLFDO &HQWHULAICO. and Wilmer Eye Institute in USA spent two to three weeks at Aravind.Last year the Retina clinic at Madurai launched an annual,15-day virtual vitreo retinal training programme for retinal The organisation continues to build on its continuingsurgeons. education efforts and enhance the capabilities of its staff at all levels. 25

CANDIDATES TRAINED 2010-11 DURATION CANDIDATESPOSTGRADUATE COURSES 2 years 4Diploma in Ophthalmology (D.O) 3 years 6Master of Surgery in Ophthalmology (M.S) ϯ LJĞĂƌƐ ϭϯŝƉůŽŵĂƚĞ ŽĨ ƚŚĞ EĂƟŽŶĂů ŽĂƌĚ ;ŝƉ͘E͘Ϳ Ϯ LJĞĂƌƐ ϭϯWŽƐƚ K ELONG TERM - OPHTHALMOLOGY FELLOWSHIP Ϯ LJĞĂƌƐ ϭϯ ŶƚĞƌŝŽƌ ^ĞŐŵĞŶƚ ͬ /ŶƚƌĂŽĐƵůĂƌ >ĞŶƐ DŝĐƌŽƐƵƌŐĞƌLJ ϭϴ ŵŽŶƚŚƐ ϯ ϭϴ ŵŽŶƚŚƐKƌďŝƚ Θ KĐƵůŽƉůĂƐƚLJ Ϯ LJĞĂƌƐ ϭϬWĂĞĚŝĂƚƌŝĐ KƉŚƚŚĂůŵŽůŽŐLJ Θ ^ƚƌĂďŝƐŵƵƐ Ϯ LJĞĂƌƐ ϭϭ'ůĂƵĐŽŵĂ ϭϴ ŵŽŶƚŚƐ ϭϰZĞƟŶĂ sŝƚƌĞŽƵƐ ϭϴ ŵŽŶƚŚƐ ϭϬŽƌŶĞĂ ϭϴ ŵŽŶƚŚƐhǀĞĂ 2 years ϭ'ĞŶĞƌĂů KƉŚƚŚĂůŵŽůŽŐLJ ϭComprehensive Ophthalmology 2^,KZd dZD ͳ &>>Kt^,/W ΈKE>z &KZ /EdZE d/KE >  E/ d^ΉOrbit & Oculoplasty 6 months 2^,KZd dZD ͳ >/E/ > KhZ^^ ϭ ŵŽŶƚŚ Ϯϳ/K> DŝĐƌŽƐƵƌŐĞƌLJ ϭ ŵŽŶƚŚ ϰϳ^ŵĂůů /ŶĐŝƐŝŽŶ ĂƚĂƌĂĐƚ ^ƵƌŐĞƌLJ ϭ ŵŽŶƚŚ ϰϱWŚĂĐŽĞŵƵůƐŝĮĐĂƟŽŶ ϭ ŵŽŶƚŚ ϯϰŝĂŐŶŽƐŝƐ ĂŶĚ DĂŶĂŐĞŵĞŶƚ ŽĨ 'ůĂƵĐŽŵĂ Ϯ ŵŽŶƚŚƐ ϰϳ>ĂƐĞƌƐ ŝŶ ŝĂďĞƟĐ ZĞƟŶŽƉĂƚŚLJ Ϯ ǁĞĞŬƐ ϭϳ^ŚŽƌƚ dĞƌŵ dƌĂŝŶŝŶŐ ŝŶ sŝƚƌĞĐƚŽŵLJ ;sŝƌƚƵĂůͿDĂŶĂŐĞŵĞŶƚ ŽĨ ZĞƟŶŽƉĂƚŚLJ ŽĨ WƌĞŵĂƚƵƌŝƚLJ ϭ ŵŽŶƚŚ ϭΘ WĂĞĚŝĂƚƌŝĐ ZĞƟŶĂů ŝƐŽƌĚĞƌƐ ϭ ŵŽŶƚŚ ϯKƌŝĞŶƚĂƟŽŶ ƚŽ WĂĞĚ͘ KĐƵůĂƌ ŶĞƐƚŚĞƐŝĂ ĨŽƌ ŶĂĞƐƚŚĞƟƐƚ^,KZd dZD ͳ W Z D/ > KhZ^^ ϯ ŵŽŶƚŚƐ ϭϬKƉƟĐĂů ŝƐƉĞŶƐŝŶŐ Ϯ ŵŽŶƚŚƐ ϱKd dĞĐŚŶŝƋƵĞƐ Ϯ ŵŽŶƚŚƐZĞĨƌĂĐƟŽŶ dĞĐŚŶŝƋƵĞƐ ϲ ŵŽŶƚŚƐ ϭϰKƌƚŚŽƉƟƐƚ ϯ ŵŽŶƚŚƐ ϰWĂĞĚŝĂƚƌŝĐ EƵƌƐĞ Ϯ ŵŽŶƚŚƐ ϳWĂĞĚŝĂƚƌŝĐ ŽƵŶƐĞůůŽƌƐ ϯ ǁĞĞŬƐ ϯKĐƵůĂƌŝƐƚ Ϯ ŵŽŶƚŚƐ ϲ&ƵŶĚƵƐ &ůƵŽƌĞƐĐĞŝŶ ŶŐŝŽŐƌĂƉŚLJ ĂŶĚ hůƚƌĂƐŽŶŽŐƌĂƉŚLJ ϱMANAGEMENT COURSES OFFERED AT LAICODŐƚ͘ WƌŝŽƌŝƟĞƐ ŝŶ LJĞ ĂƌĞ ĞůŝǀĞƌLJ ϭ ǁĞĞŬ ϮϬ ϯϬDŐƚ͘ dƌĂŝŶŝŶŐ ĨŽƌ LJĞ ĂƌĞ WƌŽŐƌĂŵŵĞ DĂŶĂŐĞƌƐ Ϯ ǁĞĞŬƐ ϭϯDŐƚ͘ dƌĂŝŶŝŶŐ ĂŶĚ ^LJƐƚĞŵƐ ĞǀĞůŽƉŵĞŶƚ ĨŽƌ ϰ,ŽƐƉŝƚĂů ĚŵŝŶŝƐƚƌĂƚŽƌƐ ͬ DĂŶĂŐĞƌƐ ϲ ǁĞĞŬƐ ϯϬ ϯϰWƌŽũĞĐƚ DĂŶĂŐĞŵĞŶƚ ĨŽƌ LJĞ ĂƌĞ ϰ ǁĞĞŬƐ ϭϱLJĞdžĐĞů ʹ džƉĂŶĚŝŶŐ 'ůŽďĂů LJĞ ĂƌĞ tŽƌŬĨŽƌĐĞ ƚŚƌŽƵŐŚ ϭ ϮϯdžĐĞůůĞŶĐĞ ŝŶ dƌĂŝŶŝŶŐ ϰ ĚĂLJƐ 548ZĞƐĞĂƌĐŚ DĞƚŚŽĚŽůŽŐLJ ϱ ĚĂLJƐŽŵŵƵŶŝƚLJ KƵƚƌĞĂĐŚ ĂŶĚ ^ŽĐŝĂů DĂƌŬĞƟŶŐ ŽĨ LJĞ ĂƌĞ ^ĞƌǀŝĐĞƐ ϭ ŵŽŶƚŚ/ŶƐƚƌƵŵĞŶƚƐ DĂŝŶƚĞŶĂŶĐĞ Ͳ &Žƌ KƉŚƚŚĂůŵŽůŽŐŝƐƚƐ ϱ ĚĂLJƐ/ŶƐƚƌƵŵĞŶƚƐ DĂŝŶƚĞŶĂŶĐĞ Ͳ &Žƌ dĞĐŚŶŝĐŝĂŶƐ ϲ ǁĞĞŬƐTOTAL26

MAJOR CONTINUING MEDICAL EDUCATIONPROGRAMMES ORGANISED AT ARAVINDApart from organising several guest lectures, awarenessexhibitions, seminars and grand rounds for the staff anddoctors, Aravind Hospitals conduct CME programmes onvaried topics to maintain competence and further developWKHLU VNLOOV LQ WKHLU UHVSHFWLYH ÀHOGV /LVWHG EHORZ DUH WKHmajor CME programmes conducted at Aravind:Update in Ophthalmology for Medical Practitioners Dr. Dheeraj Kewlani with the participants at the CME on Update in ophthalmology, Aravind-TirunelveliAravind – Tirunelveli, October 24 Neuro Ophthalmology Update 2010This one day CME was conducted for general medicalpractitioners of Tirunelveli, Tuticorin and Kanyakumari. Aravind – Pondicherry, October 30 – 31The purpose is to share the knowledge and create A wide variety of topics discussed during the CMEawareness about especially diabetic retinopathy, focused on evaluation of patients with oculomotorretinopathy of prematurity and paediatric refractive cranial nerve palsy, pupillary abnormalities, Opticerror among medical practitioners. A total 55 medical neuritis management and disc edema management andprofessionals attended the CME. Eminent team of faculty covered different radio imaging techniques. A total ofhandled different sessions. Hands - on fundus examination 280 delegates attended the programme. Dr. Neil Miller,and interactive sessions were arranged as part of the Prof. of Neuro ophthalmology, Wilmer Eye Institute,programme. Baltimore, USA, Dr. Jayakumar, neurologist, JK Institute of Neurology, Madurai, Dr. Palani, neurologist, Chennai,Update in Ophthalmology for Postgraduates Dr. K.G. Srinivasan, radiologist, KGS Advanced Scan Centre, Madurai, Dr. Santhosh Joseph, interventionalAravind – Pondicherry, October 25 – 29 neuro radiologist, Sri Ramachandra Medical College,The update focused on a wide range of discussionson various eye disorders, their pathological andmicrobiological mechanisms. A total of 30 delegatesattended the CME. Eminent faculty members from variousinstitutions handled the sessions. A mock examinationand Objective Structured Clinical Examination (OSCE)were also conducted.Participants of the 21st Update in ophthalmology for postgraduates with Dr. Venkatesh at Aravind-Pondicherry 27

Dr. Neil Miller lighting the lamp to inaugurate the Neuro Dr. Vijayalakshmi with participants at the paediatric ophthalmologyophthalmology Update 2010 at Aravind-Pondicherry symposiumChennai were the experts who handled the sessions apart Symposium on Prevention of Blindness in Neonates,from Aravind faculty. Infants and ChildrenPHACOEXCEL Aravind – Madurai, December 3Aravind – Coimbatore, November 19 – 21 This one day symposium was organised by the paediatric department in association with Madurai Obstetrics and7KH WKUHH  GD\ FRQIHUHQFH RQ 3KDFRHPXOVLÀFDWLRQ DLPHG Gynecological Society. It focused primarily on the role ofat the twin objectives of reinforcing the basics of cataract obstetricians and gynecologists in early recognition of eyesurgery and to offer a forum for the experienced surgeons problem in children.to interact with peers. A total of 153 participants fromTamilnadu, Kerala, Andhra Pradesh, Karnataka and OPTOCONtrainees from Philippines, China, Argentina, Zambia andAlbania attended the conference. Eminent faculty who Aravind – Coimbatore, December 4 – 5joined alongside the Aravind team included, Dr. RonaldYeoh from Singapore, Dr. Charith Fonseka from Sri Lanka, The conference mainly intended for optometrists, postDr. Sriganesh from Bangalore and Dr. Purendra Bhasin graduates and practitioners in ophthalmology aimed tofrom Gwalior. refresh the participants on the essentials of optometry. Around 75 participants attended the CME.PHACOEXCEL at Aravind-Coimbatore28

Cornea Connect 2011 at Aravind-MaduraiElectroretinography (ERG) Workshop (\H DQG (DU ,QÀUPDU\ 86$ 'U -RKQ 'DUW 0RRUÀHOGV (\H +RVSLWDO /RQGRQ 'U 0DJKL]K $QDQGDQ 1XIÀHOG +HDOWKAravind – Coimbatore, December 13 – 15 Derby Hospital, London and Dr. Sathish Srinivasan, Ayr Hospital, Scotland, UK. Around 200 participants attendedAravind’s Retina department at Coimbatore organised the symposium. The symposium discussed on currentan Electroretinography (ERG) Workshop in which 18 trends in the diagnostic and treatment procedures in theparticipants from ophthalmic institutes across India ÀHOG RI FRUQHDO GLVHDVHVparticipated. Dr. Eric Sutter, President and ClinicalScientist - EDI Inc. Redwood City, San Fransisco, USA CME on Molecular Diagnosis - Polymerase chainwas the chief instructor. reactionCME on Childhood Eye Disorders for Private Aravind – Tirunelveli, February 12 – 13Practitioners 7KH ÀHOG RI 0ROHFXODU ELRORJ\ DQG 0LFURELRORJ\ KDVAravind – Madurai, December 30 undergone revolutionary changes and the main purpose of the CME was to familiarise the participants withOrbit and Oculoplasty department conducted a half day these changes and update their knowledge. Renowned&0( IRU WKH PHGLFDO RIÀFHUV RI WKH SULPDU\ KHDOWK FHQWUHV DQG H[SHULHQFHG IDFXOW\ LQ WKH ÀHOG RI PROHFXODU ELRORJ\of Madurai district. The CME aimed at increasing their and microbiology discussed the recent advances andawareness on retinoblastoma and its management. A total developments at length. Experts from various states ofof 44 delegates participated and the discussions included the country, postgraduates and students from variousretinoblastoma manifestations and treatment. colleges attended the CME.Cornea Connect 2011 ARAVIND STAFF IN PREMIER EDUCATIONAL FORAAravind – Madurai, January 8 – 9 1XPHURXV $UDYLQG VWDII PHPEHUV KROG VLJQLÀFDQW positions in national and international educationalThe Cornea department of Aravind – Madurai organised councils and fora. In these capacities, they attend variousan international symposium on corneal disorders graced high-level policy and strategic planning meetings bothby ten renowned and eminent international faculty within India and abroad.members in addition to the Aravind team. These globalÀJXUHV LQFOXGHG 'U -DFN :KLWFKHU 'U 7RP /LHWPDQ Dr. N. Venkatesh Prajna, advisory council member – ICODr. Jeremy Keenan from Proctor Foundation, attended the marking / question setting and advancedSan Francisco, USA, Dr. Antony Aldave, UCLA Laser examination meeting at the International Council ofRefractive Centre, Jules Stein Eye Institute, Los Angeles, Ophthalmology, London from May 11 - 17.USA, Dr. Sudeep Pramanik, Dr. Edwin Chen, SpectrumEye Physicians, San Jose, CA, Dr. Roberto Pineda, Mass 29

MAJOR CONFERENCES ATTENDED BYARAVIND STAFF ELSEWHEREAravind’s large patient base affords its doctors B. HEMADEVIconsiderable experience dealing with both complex  3URWHLQ SURÀOH RI DXWRVRPDO UHFHVVLYH FRQJHQLWDO KHUHGLWDU\as well as routine disorders. As such, Aravindophthalmologists are both highly competent, and highly endothelial dystrophy (CHED2) and Fuchs endothelial cornealregarded, and are often invited to important conferences dystrophy (FECD)to share their experiences and observations. Participation S. ANANTHIin these conferences also gives Aravind staff an - Proteomic analysis of tear and cornea in patients with fungalopportunity to gain in depth information about the latest keratitisdevelopments in diagnosis and treatment modalities. M. VALARNILA - Evaluation of haptoglobin and its isoforms as plasma/serumIn the year ending March 2011, Aravind doctors made biomarker for diabetic retinopathyover forty presentations at the Tamil Nadu Ophthalmic R. SIVA GANESHA KARTHIKEYANAssociation Conference (TNOA), Salem and over 50 - Innate immunity in Aspergillus and Fusarium keratitis inpresentations at the All India Ophthalmological Society Tamilnadu, IndiaConference (AIOS), Ahmedabad. The staff also made their ASHWINI SHANKERmark at the various international fora and clinical society - EPHA2 polymorphisms and age related cataract in India-meetings as chief instructors for sessions and also by Findings from the INDEYE Genetics studyperforming live surgeries at instructional courses. Drug Trial MeetingListed below are the main conferences attended by the Frankfurt, Germany, May 21 – 22staff during the year ending March 2011: Dr. S.R. Rathinam, Dr. Manohar Babu and Dr. V. R.World Cornea Congress Saravanan attended investigators meet for drug trial inBoston, USA, April 7 – 9 Uveitis named Interleukin antagonist in treatment of posteriorDR. K. THIRUVENKADAKRISHNAN uveitis at Frankfurt, Germany.- Poster Presentation: Unusual case series of postoperative World Ophthalmology Congress (WOC) endophthalmitis due to Mycobacterium Tuberculosis Berlin, Germany, June 2 – 11He also participated as chief instructor for the course on DR. N. VENKATESH PRAJNAManual SICS. - Challenges and solutions from India - The need for and approach to teaching manual cataract surgeryAmerican Society of Cataract and Refractive Surgery DR. V. NARENDRANBoston, USA, April 9 – 13 - Risk factors and screening of retinopathy of prematurityDR. R. VENKATESH- Safe and effective technique to tackle lens induced glaucoma in He was also the chief instructor for the course on Current trends in management of ROP. developing world (Best Video Award) DR. PARAG .K. SHAHDR. HARIPRIYA ARAVIND  3DWKRJHQHVLV DQG FODVVLÀFDWLRQ RI UHWLQRSDWK\ RI SUHPDWXULW\ 1HZ WHFKQLTXHV LQ LULV À[DWLRQ RI ULJLG ,2/V (Best Video Ms. Valarnila, Ms. Ashwini Shanker, Ms. Murugeswari, Award) Dr. Sundaresan, Mr. Siva Ganesha Karthikeyan, Ms. Ananthi, andDR. K. THIRUVENKATAKRISHNAN Ms. Hemadevi at ARVO- Poster presentation: 'HPDWLDFHRXV YHUVXV ÀODPHQWRXV IXQJDO keratitis at a tertiary eye care center in south India: Incidence and outcomesAssociation for Research in Vision and OphthalmologyFlorida, USA, May 2 – 6DR. P. SUNDARESAN- Spectrum of candidate genes mutation associated with Indian familial oculocutaneous Albinism patientsP. MURUGESWARI- Angiogenesis induced by proliferative diabetic retinopathy and Eales’ disease vitreous is mediated by a common pro- LQÁDPPDWRU\ PHFKDQLVP30

N. Vishnu Prasad, Dr. Balakrishnan, Mr. Thulasiraj, 'U +DULSUL\D SHUIRUPLQJ OLYH VXUJHU\ DW &KLWWDJRQJ (\H ,QÀUPDU\Dr. Namperumalsamy, Dr. Vijayalakshmi at Berlin, Germany 7UDLQLQJ &RPSOH[ %DQJODGHVKDR. KALPANA NARENDRAN Paediatric Ophthalmology Symposium- Rehabilitation of Retinopathy of Prematurity Salalah, Oman, July 19 – 25DR. RODNEY J MORRIS DR. P. VIJAYALAKSHMI- Tele-ophthalmology as a screening tool for diabetic retinopathy - Dissociated vertical deviation - Basics of strabismus surgery in rural population - Optimising visual outcome in childhood cataractPoster presentation: - Visual acuity assessment in children- Anatomical and visual outcome following posterior segment DR. M. SRINIVASAN - Infective keratitis intra ocular foreign body removal - Paediatric keratoplastyDR. P. NAMPERUMALSAMY - Secondary bacterial keratitis- The Aravind telemedicine system for detecting and treating DR ICMR Registry MeetingsHe also chaired the session on New challenges to Vision 2020: New Delhi, July 27Glaucoma and Diabetic Retinopathy. The Indian Council of Medical Research has instituted aDR. P. VIJAYALAKSHMI programme to develop a national retinoblastoma registry- Optimising the visual outcome in paediatric cataract surgery - where retinoblastoma cases from various centers will be systematically recorded. Dr. P.M. Aravind attended a Clinical aspects training programme in this regard at New Delhi on July- Paediatric infectious eye diseases - prevention and management 27. Along with Dr. Usha Kim, he attended the PrincipalMR. R.D. THULASIRAJ Investigators (PI) meeting for the same on November 24.- Role of large NGOs- Neglected areas in research Dr. Vijayalakshmi and Dr. Srinivasan at the symposium at Salalah, OmanHe also chaired the session on Changing realities in eye care.Visit to Chittagong Eye Infirmary and Training Centre(CEITC)Chittagong, Bangladesh, June 15 – 18Dr. Haripriya Aravind formally inaugurated the phacotraining centre at CEITC, Chittagong. She worked withsome of their phaco surgeons and performed live surgeryas part of teaching. She gave lectures on phacodynamicsand recent advancements in phaco technology.Intraocular Implant and Refractive Society of IndiaChennai, July 10 – 11DR. HARIPRIYA ARAVIND ,ULV )L[DWLRQ RI ULJLG ,2/V- Travails of a surgeon- Cionni ring in SpherophakiaDR. R. VENKATESH- Laser Assisted Deep Sclerectomy 31

Dr. Venkatesh at African Glaucoma Summit, Accra, Ghana ASRS (American Society of Retina Specialists) Conference Vancouver, Canada, August 24 – 2819th Annual Scientific Session of the College of Dr. R. Kim and his team consisting of Dr. Naresh Babu,Ophthalmologists of Srilanka Dr. Rajiv, Mr. Muneeshwaran, Mr. Palanikumar andColombo, Sri Lanka, August 2 – 4 Mr. Raj Arjunan won the Rhett Buckler Award for theDR. KALPANA NARENDRAN EHVW YLGHR VFUHHQHG DW $656 ÀOP IHVWLYDO- Challenges in the paediatric cataract surgery- Muscle transposition in Strabismus Surgery Euretina 2010- Recent trends in the management of Amblyopia Paris, France, September 2 – 5 DR. RODNEY .J. MORRISAfrican Glaucoma Summit - Anti VEGF treatment for retinal vascular disordersAccra, Ghana, August 6 – 7 )URP 6HSWHPEHU    KH YLVLWHG 0RRUÀHOGV (\H +RVSLWDODr. R. Venkatesh participated in the African Glaucoma London, United Kingdom for an observership on ElectroSummit organised by World Glaucoma Association and Retino Gram (ERG) under Dr. Graham Holder.contributed to the following panel discussions:- How to enhance glaucoma management in African hospitals? Global Forum on Medical Devices- How to enhance awareness of glaucoma in public, government, Bangkok, Thailand, September 9 – 11 Prof. V. Srinivasan and Dr. P. Balakrishnan attended the and among health care professionals? First Global Forum on Medical Devices organised by World Health Organization. Prof. Srinivasan presentedAsia Cornea Society Infectious Keratitis Study (ACSIKS) a poster on the Instruments Maintenance CoursesInvestigators Meeting conducted at Aravind hospital. Dr. P. BalakrishnanSingapore National Eye Centre, Singapore, August 7 participated in the discussions related to affordability andDr. N. Venkatesh Prajna participated in the ACSIKS local production of medical devices.Investigators Meeting held at Singapore National EyeCentre. International Strabismological Association (ISA) conferenceProf. Srinivasan and Dr. Balakrishnan at the Global forum on Istanbul, Turkey, September 11 – 26medical devices, Bangkok, Thailand Dr. Shashikant Shetty participated in the ISA meeting held at Istanbul and also underwent observation training under Dr. Birsen Gokyigit at Dr. R.N. Belger Eye Institute, Istanbul from September 13 – 22. The 25th APAO congress – A Joint Meeting of APAO/AAO Held in conjunction with the 15th congress of the Chinese Ophthalmological Society Beijing, China, September 15 – 18 DR. P. SUNDARESAN, - Molecular genetics of ocular anomalies in Indian population Dr. Usha Kim, Dr. P.M. Aravind, Dr. Ravindran with some of the participants of APAO-AAO Congress, Beijing, China32

He visited Beijing Genome Institute (BGI) at Shenzhen Dr. Dhananjay Shukla at St. Eriks Hospital in Stockholm, Swedenand Department of Ophthalmology and Visual Sciences, with the Director Prof Stefan Seregard and other ophthalmologistsThe Chinese University of Hong Kong. from IndiaDR. R. KIM DR. RAJESH PRABHU- How to set up CME programs in developing countries? - Dissociated vertical deviation and its management- E-Grand Rounds in Asia - Vision assessment in paediatric age groupDR. R.D. RAVINDRAN DR. RAMAKRISHNAN- Rock hard lens – Phaco vs ECCE? - Surgical options for oblique muscles DR. SANDRA C. GANESH+H FKDLUHG WKH VFLHQWLÀF SURJUDPPH RQ Manual Small - Controversies in paediatric cataract surgery and our approachIncision cataract surgery and participated in the panel - To treat or not to treat- Tips on amblyopia management usingdiscussion on Rock hard cataract. FDVH H[DPSOHVDr. V. Narendran, Dr. Thomas C. Lee, Dr. Mahesh P.Shanmugam, Dr. Parag K. Shah and Dr. V.R. Saravanan International Advanced Vitreoretinal Surgery Courseparticipated in the instruction courses on Retinopathy of Stockholm, Sweden, September 18 – 19prematurity and paediatric retinal disorders. DR. DHANANJAY SHUKLA - Macular hole in an RRD: To peel or not to peel inDr. Usha Kim was the senior instructor for the instruction - Optic disc cavitations: surgical caveatscourse on Lid reconstruction: An overview.DR. P.M. ARAVIND- Poster presentation: Hemodynamic response to routine SKDFRHPXOVLÀFDWLRQ DPRQJ QRUPDO KHDOWK\ RSKWKDOPLF VXUJHRQV during high volume cataract surgeryHe was also the senior instructor for the following courses- The ophthalmologist’s role in managing facial palsy- High volume, high quality cost-effective surgery for the developing worldDR. KALPANA NARENDRAN- Double elevator palsy: How to tackle? 0DQDJHPHQW RI SDHGLDWULF FDWDUDFW LQ QRUPDO DQG VXEOX[DWHG OHQVShe was also the chair for the following instruction courses- Management of vertical and restrictive strabismus- Pediatric cataract- An approach to effective surgical PDQDJHPHQW LQFOXGLQJ GLIÀFXOW RSHUDWLYH VLWXDWLRQV- Visual assessment in children and effective amblyopia management-Issues and recent advancesDr. Balakrishnan, Dr. Shivakumar, Mr. Venketasa Kannan, Dr. Naresh Babu, Dr. Rathinam, Dr. Haripriya and Dr. Kim at AAO ,Chicago, USA 33

Dr. Shivakumar Chandrashekharan with Dr. Bradford Shingleton Fifth International Congress on Glaucoma Surgery New Delhi, November 11 – 1340th Annual Meeting of Institute of Medicine of National DR. R. RAMAKRISHNANAcademies - High volume surgery for demanding regionsWashington, USA, October 11 - Glaucoma surgery in the developing worldDr. R. Kim was the invited speaker and also participatedas a panelist in the panel discussion on Innovative Designs for He also chaired a plenary session and participated in theProviding Health Care: Systems Approaches. instruction course, Trabeculectomy in challenging situations.Annual meeting of the American Academy of DR. MOHIDEEN ABDUL KHADAROphthalmology  (IIHFW RI 3KDFRHPXOVLÀFDWLRQ ZLWK ,2/ LPSODQWDWLRQ LQ H\HV ZLWKChicago, USA, October 16 – 19Dr. Haripriya Aravind performed live surgery, -2.2 mm phaco FDWDUDFW DQG SUHH[LVWLQJ 7UDEHFXOHFWRP\with Aspheric implant. She was also the faculty at the skill DR. R. VENKATESHtransfer workshop on SICS and ECCE. - Laser assisted deep sclerectomy - Glaucoma in pseudophakiaDr. Shivakumar Chandrashekharan participated as - Implant tube obstructioninstructor at the skills transfer course on ([WUDFDSVXODUFDWDUDFW H[WUDFWLRQ 1RQSKDFRHPXOVLÀFDWLRQ ODUJH DQG VPDOO Speaker for the session on Learn from the old hands and alsoIncision approach and also attended various instruction led the basic course session, Step by Step: NPGS.courses. He also held discussions with prominentcataract surgeons - Dr. Bradford Shingleton (Ophthalmic DR. P. SATHYANConsultants of Boston), Dr. David Lubeck (ArborCenters for Eye Care, Chicago) and Dr. David Chang (San - SICS trabeculectomy in glaucoma managementFrancisco) and upgraded his skills. - Surgical management of lens induced glaucoma DR. GEORGE V. PUTHURANDr. S.R. Rathinam participated in the Panel discussion - What can I do before and during surgery to improve outcomes?on Filling the gap: Upcoming potential treatments for Uveitis and DR. S.R. KRISHNADASRFXODU LQÁDPPDWRU\ GLVHDVHV - Ahmad glaucoma valves: An Indian perspectiveDR. NARESH BABU DR. SHARMILA– Enhancing outcomes of Aravind – Focus on compliance &  5ROH RI RORJHQ LPSODQW LQ JODXFRPD ÀOWHULQJ VXUJHU\ DR. MANJU R. PILLAI Clinical Practice - Subtenon anaesthesia in glaucoma surgeryUveitis Society Meet She won Best Poster Award for Health literacy and barriers toChandigarh, October 30 – 31 follow-up after initial diagnosis of glaucoma in a south Indian population.DR. S.R. RATHINAM- Epidemiology of Uveitis in India GSI (Glaucoma Society of India) Meeting- Algorithm for managing a patient with granulomatous anterior Scientific Programme New Delhi, November 14 uveitis DR. R. RAMAKRISHNAN- Leptospirosis and uveitis - Trabeculectomy: Why it is my surgery of choice? He participated in the panel discussion on Surgical management of glaucoma. DR. MONA KHURANA - ‘Tele’ Vision and Glaucoma: The role of vision centres in diagnosis and management of glaucoma - Paper presentation. - Single site versus Two site Phacotrabeculectomy: A comparative VWXG\ RI HIÀFDF\ FRPSOLFDWLRQV DQG FKDQJH LQ FRUQHDO WRSRJUDSK\ 5DSLG ÀUH SUHVHQWDWLRQ  DR. MANJU R PILLAI - Bilateral and simultaneous angle closure glaucoma following spinal anesthesia (case presentation). DR. R. VENKATESH - Implant tube obstruction DR. SHARMILA  6DIHU PRGLÀFDWLRQ RI VXEWHQRQ·V DQDHVWKHVLD LQ *ODXFRPD ÀOWHULQJ VXUJHULHV YLGHR 6th International Conference of Telemedicine Society of India Bhuvaneshwar, Orissa, November 14 – 16 DR. R. KIM - Creating access through telemedicine34

Dr. Abhishek, Dr. Thomas, Dr. Dhananjay Shukla and Dr. Anand DR. V.R. SARAVANAN5DMHQGUDQ DW WKH $VLD 3DFLÀF 9LWUHR5HWLQDO 6RFLHW\ &RQJUHVV - Micro incision vitrectomy surgery instrumentation - Macular hole surgery in RRD and high myopia5th Congress of the Asia Pacific Vitreo-Retinal Society 'U5.LP ZDV WKH FKDLUPDQ IRU WKH VFLHQWLÀF VHVVLRQBayfront Avenue, Singapore, November 18 – 20 named Dr. J.M. Pahwa Medal Award Session.DR. DHANANJAY SHUKLA DR. NARESH BABU, DR. RAJIV SHAH, DR. ADITI PATWARDHAN- Retinal vascular diseases – Macular Telangiectesia - Removal of an unusual giant intraocular foreign bodyDR. ANAND RAJENDRAN - FdNd YAG Laser Hyaloidotomy combined with pneumatic 7KH 0DFXODU KROH FRHIÀFLHQW ² $Q 2&7 SUHGLFWRU RI PDFXODU KROH displacement: An alternative to vitrectomy for premacular closure (Best paper of the session) haemorrhageDR. THOMAS CHACKO DR. ANAND RAJENDRAN- Plaque Brachytherapy using indegenous I-125 seeds for choroidal  7KH PDFXODU KROH FRHIÀFLHQW ² $ QRYHO RSWLFDO FRKHUHQFH tomographic predictive factor for macular hole closure melanoma - Age – related degeneration or dystrophy – A diagnostic dilemmaDR. ABHISHEK KOTHARI DR. T.P. VIGNESH- OCT in peripheral degenerative lesions of retina - A case of IJT with serous retinal detachment and a RAP like lesion DR. JAY KALLIATH21st Annual Conference of Oculoplasty Association of - Embolic septic retinitis masquerading as viral retinitisIndia - A comparative study of Trypan Blue and Brilliant Blue G inMumbai, November 19 – 21 macular hole surgeryDR. USHA KIM DR. POONAM LIMBAD 7DUVRIURQWDO 6OLQJ 6LPSOLÀHG - Retinal imaging using Optical Coherence Tomography and quantitative analysis of foveal anatomy in nanophthalmic eyesShe performed a live surgery at the surgical workshop and DR. PRAVEEN MURALYalso chaired the Video Assisted Skill Transfer session. - A comparative study of single session versus multiple session ofDR. SUBHASHIS MUKHERJEE, DR.SRIDEVI, DR. KAMALPREET panretinal photocoagulation in proliferative diabetic retinopathyLIKHARI, DR. USHA KIM - Traumatic macular hole – observation versus surgical- Outcome of dacryocystorhinostomy in paediatric population in a management: A comparative study DR. UMESH CHANDRA BEHERA tertiary eye care centre  (SLUHWLQDO H[XGDWHV LQ HQGRSKWKDOPLWLV 'UXJ YV GLVHDVHDR. SHILPATANEJA, DR. SUBHASHIS MUKHERJEE,DR. P. M. ARAVIND, DR. KAMALPREET LIKHARI, DR. USHA KIM Asia – Pacific Joint Glaucoma Congress 3URÀOH RI ODFULPDO JODQG PDVVHV LQ D WHUWLDU\ FDUH FHQWUH LQ VRXWK Taipei, Taiwan, December 3 – 5 DR. R. RAMAKRISHNAN India: - How to manage complications of TrabeculectomyDR. SUBHASHIS MUKHERJEE, DR. HARIKRISHNA, DR. USHA KIM DR. P. SATHYAN $ SURVSHFWLYH VWXG\ RI LGLRSDWKLF RUELWDO LQÁDPPDWRU\ GLVHDVHV - Video presentation: Manual SICS Trabeculectomy in a tertiary eye care hospital Dr. Ganesh Raman, Dr. Sathyan, Dr. Ramakrishnan andDR. ARAVIND P. MURUGESAN, DR. USHA KIM, DR. VIDYA 'U 6KDUPLOD DW $VLD3DFLÀF -RLQW *ODXFRPD &RQJUHVV 7DLSHL 6XUJLFDO RXWFRPH RI RUELWDO ÁRRU IUDFWXUH UHSDLU TaiwanAnnual Conference of Vitreo Retinal Society of IndiaMysore, December 2 – 4DR. PARAG K. SHAH- Outcome of Group C/D Retinoblastoma after subtenon carboplatin I injections (free paper) 35

DR. GANESH RAMAN Annual Meeting of Asia - ARVO- Poster presentation: To study the accessibility and ability Singapore, January 20 – 22 DR. S.R. KRISHNADAS to use mobile phone for follow-up and medication reminders in - The burden of glaucoma in India patients attending glaucoma clinic DR.VENKATESH PRAJNADR. SHARMILA - Is Voriconazole better than Natamycin in treating fungal- Poster presentation: Trabeculectomy with subconjunctival biodegradable implant (Ologen) for the treatment of glaucoma keratitis?  ,QQDWH LPPXQLW\ LQ ÀODPHQWDU\ IXQJDO NHUDWLWLVStrabismus Society of India Conference DR. P. SUNDARESANJaipur, Rajasthan, December 17 – 19 - Genome and proteome wide approach towards cornealDR. MURALIDHAR- Strabismus surgical dosage and outcomes endothelial dystrophiesDR. RENUKA RAJAGOPAL DR. C. GOWRI PRIYA- Results of unilateral medial rectal recession in small and  $ VSHFLÀF PDUNHU IRU FRUQHDO HSLWKHOLDO VWHP FHOOV DQG D VLPSOH moderate angle esotropia. PHWKRG IRU WKHLU H[YLYR H[SDQVLRQ XQGHU ;HQRELRWLFIUHH- Lateral rectus deactivation in synergistic divergence (video) ConditionDR. ALOKA MS. K. RENUGADEVI 6XUJLFDO RXWFRPH RI ,QWHUPLWWHQW ([RWURSLD - Poster presentation: Molecular genetic analysis of Tyrosinase 6LOLFRQ H[SDQGHU LQ %URZQ V\QGURPH (video) (TYR) Gene with oculocutaneous albinism (OCA) patients inDR. KALPANA NARENDRAN AND DR. ARUNA Indian population- Current trends in treatment of Amblyopia MR. SUSHILKUMAR DUBEY- Advanced strabismus techniques - Poster presentation: (YDOXDWLRQ RI /\V\O 2[LGDVH- Duanes refraction syndrome type II with synergistic divergence like 1 and Clusterin genes polymorphisms in south ,QGLDQ SRSXODWLRQ ZLWK SVHXGRH[IROLDWLRQ V\QGURPH DQG (Case report) SVHXGRH[IROLDWLRQ JODXFRPD MR. G. GOWTHAMInternational Society for Genetic Eye Diseases and - Poster presentation: Screening of Aldose Reductase GeneRetinoblastoma (ISGEDR) meeting promoter region with Type-2 diabetic retinopathy in southNarayana Nethralaya, Bengaluru, January 14 – 16 Indian population DR. M. JAYAHAR BHARATHIDr.Usha Kim chaired the session on advanced retinoblastoma, - Topical Nepafenac in the treatment of center involving diabeticretinoblastoma chemotherapy and retinoblastoma pathology macular edema: Current perspectives on ocular mycoses in India DR. PARTHASARATHI SATHYANDR. P. SUNDARESAN - Predictors of and barriers associated with poor follow-up in- Genomic and proteomic analysis of corneal endothelial dystrophy patients with glaucoma in south IndiaMs. C. Jayashree and Ms. P. Mohanapriya presented theirworks on Leber’s Hereditary Optic Neuropathy (LHON)and keratoconus respectively.Mr. Gowtham, Mr. Sushilkumar Dubey, Dr. Padma Sathyan, Dr. Jayahar Bharathi, Dr. Venkatesh Prajna, Dr. Krishnadas, Dr. Sathyan,Dr. Gowri Priya, Dr. Sundaresan, Ms. Renugadevi at Asia - ARVO meeting, Singapore36

DR. PADMA SATHYAN ARTICLES PUBLISHED IN PEER REVIEWED JOURNALS- Long term follow up of medical Vs surgical treatment in primary In the year ending March 2011, Aravind staff published Glaucomas in a tertiary eye care centre in south India 54 articles in various national and international peerDR. T.P. VIGNESH reviewed journals.- Poster presentation: Topical nepafenac in the treatment of INTERNATIONAL JOURNALS center involving diabetic macular edema ARCH OPHTHALMOLAsia Pacific Academy of Ophthalmology Conference VOL: 128 (6) 2010 JUN. P.672-678Sydney, Australia, March 20 – 24 PRAJNA, N VENKATESH; JEENA MASCARENHAS; THIRUVENGATADR. P. NAMPERUMALSAMY KRISHNAN; RAVINDRANATH REDDY, P; LALITHA, PRAJNA;- Challenges in management of diabetic retinopathy programmes SRINIVASAN, M; VAITILINGAM, C M; HONG, KEVIN C; LEE, LEE,DR. R.D. RAVINDRAN SALENA M; MCLEOD, STEPHEN D; ZEGANS, MICHAEL E; PORCO,- SICS: A model of cost effective early rehabilitation of cataract TRAVIS C; LIETMAN, THOMAS M ACHARYA, NISHA R - Comparison of natamycin and voriconazole for the treatment of surgery- Driving growth and development through comprehensive fungal keratitis performance monitoring ASIAN J OPHTHALMOLDR. KOWSALYA VOL: 11 2010 P.50-52- Ophthalmic manifestations of intracranial tumours MOHIDEEN ABDUL KADER; RAMAKRISHNAN, R; CHANDRASHEKARAN- Traumatic optic neuropathy -A clinical spectrum - Granulomatous anterior uveitis and follicular conjunctivitis dueDR. KALPANA NARENDRAN- Does pseudophakia protect glaucoma after congenital cataract to brimonidine tartrate surgery? BIOINFORMATIONDR. V. NARENDRAN AND DR. RODNEY MORRIS 5 (9) 2011 P.398-399- Visual rehabilitation at the session on pearls and pitfalls in RANGACHARI K; DHIVYA M; ESWARI PANDARANAYAKA PJ; PRASANTHI N; SUNDARESAN P; KRISHNADAS SR; KRISHNASWAMY S diagnosis and management of Retinopathy of Prematurity - Glaucoma databaseDR. ANAND RAJENDRAN- Poster presentations: 0DFXODU KROH FRHIÀFLHQW  $ QRYHO 2&7 BMC MED GENET. VOL: 11 (1) 2010 NOV. 10 P.158. [EPUB] predictive parameter for macular hole closure type SUGANTHALAKSHMI, BALASUBBU; SUNDARESAN, P; ANAND )OH[LEOH GRVLQJ VWUDWHJLHV ZLWK LQWUDYLWUHDOEHYDFL]XPDE IRU QRQ RAJENDRAN, KIM, R; GOVINDARAJAN G, NAMPERUMALSAMY, P; HEJTMANCIK JF AMD CNVMs - Association analysis of nine candidate gene polymorphisms inDR. RODNEY J. MORRIS- Teleophthalmology as a tool for DR Screening Indian patients with type 2 diabetic retinopathy- Strategies for DR awareness creation in the community BR J OPHTHALMOL.American Society of Cataract and Refractive Surgeons 2010 AUG. 7 [EPUB]San Diego, USA, March 25 – 29 RATHINAM, SIVAKUMAR R; KRISHNADAS, R; RAMAKRISHNAN, R;DR. PRAVEEN SUBUDHI THULASIRAJ, R D; TIELSCH, J M; KATZ, J; ROBIN, A L; KEMPEN, J- Combination of mobile van camps and vision centre for reaching H; for the Aravind comprehensive eye survey research group - Population-based prevalence of uveitis in Southern India the unreached in rural India.DR. SHARMILA COMMUNITY EYE HEALTH 6DIHU PRGLÀFDWLRQ RI VXEWHQRQ·V DQDHVWKHVLD LQ *ODXFRPD VOL: 23 (73) 2010 SEP. P.30-31 SRINIVASAN, V ÀOWHULQJ VXUJHULHV YLGHR - Training for equipment maintenance and repairShe also attended the American Glaucoma Society meetingat Danapoint, California from March 2 - 6.DR. R.VENKATESH- Non-penetrating glaucoma surgery made simple by laser assisted deep sclerectomy (video)He conducted instruction course on Small Incision CataractSurgery - 5 minutes 15 $ cure for cataract surgery.American Association for Paediatric Ophthalmology andStrabismusSan Diego, USA, March 30 – April 3DR. KALPANA NARENDRAN, DR. SANDRA, DR. RAJESH PRABHU,DR. RAMAKRISHNAN, DR. AJAY- Visual outcomes and complications following intraocular lens H[FKDQJH LQ SDHGLDWULF SRSXODWLRQ 37

CURR OPIN OPHTHALMOL VOL: 50 (2) 2010 SPRING P.99-111 RATHINAM, SIVAKUMAR RVOL: 21 (6) 2010 NOV. P.478-484 - Leprosy uveitis in the developing worldRATHINAM, SIVAKUMAR R; ASHOK, K A- Ocular manifestations of systemic disease: ocular parasitosis VOL: 50 (2) 2010 SPRING P.201-218 LONDON, NIKOLAS J S; SHUKLA, DHANANJAY; HEIDEN, DAVID;CURR EYE RES. RATHINAM, SIVAKUMAR R; AREVALO, J FERNANDO; CUNNINGHAM JR., EMMETT TVOL: 35 (11) NOV. 2010 P.953-960 - HIV/AIDS in the developing worldSENTHILKUMARI, S; LALITHA, PRAJNA; PRAJNA, N VENKATESH;HARIPRIYA, ARAVIND; NIRMAL, J; GUPTA, P; VELPANDIAN, T VOL: 50 (2) 2010 SPRING P.219-228- Single and multidose ocular kinetics and stability analysis of RATHINAM, SIVAKUMAR R - Treating uveitis in the developing world setting H[WHPSRUDQHRXV IRUPXODWLRQ RI WRSLFDO YRULFRQD]ROH LQ KXPDQV VOL: 50 (2) 2010 SPRING P.113-124EXPERT REVIEW OPHTHAL SHUKLA, DHANANJAY; RATHINAM, SIVAKUMAR R AND CUNNINGHAM JR., EMMETT TVOL: 5 (2) 2010 APR. P.113-114 - Leptospiral uveitis in the developing worldCUNNINGHAM, EMMETT T; LONDON, NIKOLAS J S; RATHINAM,SIVAKUMAR R J AAPOS- Uveitis: a global view VOL: 14 (4) 2010 AUG. P.345-348EXP EYE RES ANAND KUMAR; JITENDRA JETHANI; SHASHIKANT SHETTY; VIJAYALAKSHMI, P2011 MAR 8 [EPUB] - Bilateral persistent fetal vasculature: A study of 11 casesANANTHI, S; SANTHOSH, R S; NILA, M V; PRAJNA, NVENKATESH; LALITHA PRAJNA; DHARMALINGAM K J BIOL CHEM- Comparative proteomics of human male and female tears by 2010 DEC. Two-dimensional electrophoresis ZHANG, K HARADA, Y; WEI, X; SHUKLA, DHANANJAY; ANAND RAJENDRAN; TAWANSY, K; BEDELL, M; LIM, S; SHAW, P X; HE,EYE X; YANG, Z - An essential role of the cysteine-rich domain of FZD4 in Norrin,VOL: 24 (5) 2010 MAY P.933-934ANAND RAJENDRAN; GUPTA, S; BRAHADEESH, S; KIM, R :17 VLJQDOLQJ DQG IDPLOLDO H[XGDWLYH YLWUHRUHWLQRSDWK\- Intravitreal bevacizumab for choroidal neovascularization J CATARACT REFRACT SURG associated with a retinochoroidal coloboma VOL: 36 (11) 2010 NOV. P.1849-18542010 JUL. 30 [EPUB] VENKATESH, R; TAN, COLIN S H; SENGUPTA, SABAYASACHI;RATHINAM, SIVAKUMAR R; CUNNINGHAM JR., EMMETT T RAVINDRAN, R D; THIRUVENGADA KRISHNAN; CHANG, DAVID F- Spontaneous hyphaema and acute ocular hypertension associated  3KDFRHPXOVLÀFDWLRQ YHUVXV PDQXDO VPDOOLQFLVLRQ FDWDUDFW with severe lens-induced uveitis surgery for white cataractVOL: 24 (10) 2010 OCT. P.1621-1631 J NUTR SCIENCE AND VITAMINOLRATHINAM, SIVAKUMAR R; CUNNINGHAM JR., EMMETT T 9LWLOLJR LULGLV LQ SDWLHQWV ZLWK D KLVWRU\ RI VPDOOSR[ LQIHFWLRQ VOL: 56 (6) 2010 DEC. VELPANDIAN, T ARORA, B; SENTHILKUMARI, S; RAVI, A K;VOL: 25 (4) 2011 APR. P.532-3 GAYATHRI, C; AZAD, R; GHOSE, SSHUKLA, DHANANJAY [LETTER]  5HJLRQDO YDULDWLRQ LQ WKH OHYHOV RI PDFXODU [DQWKRSK\OOV DQG- Evolution and management of macular hole secondary to type 2 carotenoids in dietary components: comparing north and south idiopathic macular telangiectasia IndiaINT OPHTHALMOL. JIMSAVOL: 31 (2) APR. 2011 P.141-3 VOL: 23 (3) 2010 JUL.-SEP. P. 192-194SAINANI, MP; MURALIDHAR, R; PARTHIBAN, K; VIJAYALAKSHMI,P THULASIRAJ, R D- Lipoid proteinosis of urbach and weithe: case report and a brief - Tackling Blindness in India: have we done enough? review of the literature LANCETINT OPHTHALMOL CLIN VOL: 377 (9763) JAN. P. 413-428 2011 PATEL, V; CHATTERJI, S; CHISHOLM, D; EBRAHIM, S;VOL: 50 (2) 2010 SPRING P.1-17 GOPALAKRISHNA, G; MATHERS, C; MOHAN, V; PRABHAKARAN,LONDON, NIKOLAS J S; RATHINAM, SIVAKUMAR R; CUNNINGHAM, D; RAVINDRAN, R D; REDDY, K SEMMETT T - Chronic diseases and injuries in India- The epidemiology of uveitis in developing countries38

MICROBIOLOGY OPHTHALMIC SURG LASERS IMAGING2010 NOV. 16 [EPUB] VOL: 41 (3) 2010 MAY-JUN. P.337-341CADY, K C; WHITE, A S; HAMMOND, J H; ABENDROTH, M D; SATHYAN, P; VENKATESH, R; MURALIKRISHNA, R; EONG, KAH-KARTHIKEYAN, RS, LALITHA, PRAJNA, ZEGANS, ME; O’TOOLE, GA GUAN AU- Prevalence, conservation and functional analysis of Yersinia and  9LVXDO H[SHULHQFH GXULQJ SKDFRHPXOVLÀFDWLRQWUDEHFXOHFWRP\ Escherichia CRISPR regions in clinical pseudomonas aeruginosa under peribulbar anesthesia isolates OPHTHALMOLOGYMOL. VIS. 2010 AUG.VOL: 16 2010 AUG. 9 P.1514-1524 PRAVEEN VASHIST; BADRINATH TALWAR; MADHURJYA GOGOI;RENUGADEVI, K; ASIM KUMAR SIL; VIJAYALAKSHMI, P; GIOVANNI MARAINI; MONICA CAMPARINI; RAVINDRAN, R D;SUNDARESAN, P MURTHY, GUDLAVALLETI V; FITZPATRICK, KATHRYN E; NEENA- Spectrum of candidate gene mutations associated with Indian JOHN; USHA CHAKRAVARTHY; THULASIRAJ, R D; FLETCHER, ASTRID E familial oculocutaneous and ocular albinism - Prevalence of cataract in an older population in India: The IndiaVOL: 16 2010 P. 2891-2902 study of age-related eye diseaseESWARI PANDARANAYAKA, P J; PRASANTHI, N; KANNABIRAN, N;RANGACHARI, K; DHIVYA, M; KRISHNADAS, R; SUNDARESAN, P; RETINAKRISHNASWAMY, S- Polymorphisms in an intronic region of the myocilin gene VOL: 30 (6) 2010 JUN. P.971-974 NARESH, KANNAN B; PRAVEEN MURALY AND KIM, R associated with primary open-angle glaucoma - a possible role - Twenty-three-gauge two-port pars plana lensectomy for the for alternate splicing management of ectopia lentis in childrenNIGER J CLIN PRACT. VOL: 30 (7) 2010 JUL.-AUG. P.1113-11212011 JAN-MAR; 14 (1):70-73 769 MARTIN, T D; RATHINAM, SIVAKUMAR R; CUNNINGHAM JR.,AGHAJI AE, NATCHIAR G EMMETT T 6WUXFWXUHG H[WUDFDSVXODU FDWDUDFW H[WUDFWLRQLQWUDRFXODU OHQV - Prevalence, clinical characteristics, and causes of vision loss in PLFURVXUJLFDO WUDLQLQJ 5HSRUW RI D WUDLQHH·V H[SHULHQFH children with vogt-koyanagi-harada disease in South IndiaOPHTHALMIC GENET. 2011 MAR. 17 PRAVEEN MURALY, POONAM LIMBAD, KARTHICK SRINIVASAN,VOL: 31 (4) 2010 DEC. P.196-199 KIM, RSUNDARESAN, P; KUMAR, S M; THOMPSON, S; FINGERT, J H - Single session of pascal versus multiple sessions of conventional- Reduced frequency of known mutations in a cohort of LHON laser for panretinal photocoagulation in proliferative diabetic patients from India retinopathy: A comparative study2011 MAR 15 [EPUB] RETINAL CASES & BRIEF REPORTSARYA LK, KUMAR AB, SHETTY S, PERUMALSAMY V, SUNDARESAN P- Analysis of the SALL4 Gene in patients with duane retraction VOL: 4 2010 P.332–335 SHUKLA, DHANANJAY; RAJKUMAR MAHESHWARI; BHARAT syndrome in a south Indian population RAMCHANDANI; SANGHAMITRA KANUNGO - Purtscher-like retinopathy with serous retinal detachment inOPHTHAL PLAST RECONSTR SURG preeclampsia of pregnancy: Complications and management2010 JUN 17. [EPUB]USHA, KIM R; AKASH, D SHAH; SHANTI, R; VIPUL ARORA X:1–3, 2011- Primary T cell / histiocyte-rich large B-cell lymphoma of the orbit DHANANJAY SHUKLA, SHASHANK RAI GUPTA - Evolution and management of macular tractional detachmentVOL: 26 (4) 2010 JUL.-AUG. P.291-293USHA, KIM R; AKASH, D SHAH; VIPUL ARORA; URVASHI SOLANKI with a macular hole in the presence of nonperfused hemiretinal ,VRODWHG RSWLF QHUYH LQÀOWUDWLRQ LQ V\VWHPLF O\PSKRPD$ FDVH vein occlusion report and review of literatureVOL: 26 (5) 2010 SEP.-OCT. P.315-22USHA, KIM R, HADI KHAZAEI, STEWART, BILL W, AKASH, DSHAH- Spectrum of orbital disease in South India: An Aravind study of 6,328 consecutive patients 39

NATIONAL JOURNALS 2011 JAN-FEB;59 (1):55-8 USHA, KIM R, VIPUL ARORA, AKASH, D SHAH, URVASHI SOLANKIINDIAN J OPHTHALMOL - Clinical features and management of posttraumaticVOL: 58 (4) 2010 JUL.-AUG. P.323-325 subperiosteal hematoma of the orbitANAND KUMAR; ANUPAM SAHU; SHASHIKANT SHETTY;VIJAYALAKSHMI, P 2011 JAN-FEB;59 (1):73-4- Wildervanck syndrome associated with cleft palate and short PARAG, K SHAH, RODNEY MORRIS, J, NARENDRAN, V, KALPANA, NARENDRAN stature  9LVXDO DFXLW\ DQG HOHFWURUHWLQRJUDSK\ ÀQGLQJV  ó \HDUV DIWHUVOL: 58 (4) 2010 JUL.-AUG. P.303 WKH ÀUVW LQWUDYLWUHDO LQMHFWLRQ RI EHYDFL]XPDE $YDVWLQ LQRAMAKRISHANAN, R; DEVENDRA MAHESHWARI; MOHIDEEN aggressive posterior retinopathy of prematurityABDUL KADER; RITA SINGH; NEELAM PAWAR; JAYAHAR, MBHARATHI 2011 JAN; 59 SUPPL: S118-22- Visual prognosis, intraocular pressure control and complications RAMAKRISHNAN, R; KHURANA. M - Surgical management of glaucoma: an Indian perspective in phacomorphic glaucoma following manual small incision cataract surgery VOL: 51 (1) MAR.-APR. 2011 P.155-157 PARAG, K SHAH; NARENDRAN, V; KALPANA NARENDRANVOL: 58 (4) 2010 JUL.-AUG. P.338 - Large spot transpupillary thermotherapy: A quicker laser forVIPUL ARORA; USHA, KIM R; SHASHIKANT SHETTY; AKASH, D SHAH- Atypical presentation of an unusual foreign body treatment of high risk prethreshold retinopathy of prematurity - A randomised studyVOL: 58 (4) 2010 JUL.-AUG. P.275KUMARAGURUPARI, R; PAMELA, C SIEVING; LALITHA, PRAJNA VOL: 51 (1) MAR.-APR. 2011 P.162-164- A bibliometric study of publications by Indian ophthalmologists NITIN R JAIN, JITENDRA JETHANI, KALPANA NARENDRAN, L KANTH - Synergistic convergence and split pons in horizontal gaze palsy and vision researchers, 2001-06 and progressive scoliosis in two sisters2010 SEP-OCT 58 (5) P. 421-423PARAG, K SHAH; NARENDRAN, V; KALPANA, NARENDRAN INDIAN J PATHOL MICROBIOL- In vivo growth of retinoblastoma in a newborn infant VOL: 53 (2) 2010 APR.–JUN. P.276-280VOL: 58 (6) NOV. - DEC. 2010 P.540-543 RAMAKRISHNAN, R; RAMESH, S; JAYAHAR, M BHARATHI;SENGUPTA, SABAYASACHI; RAVINDRANATH REDDY, P; GYATSHO, J; AMUTHAN, M; VISWANATHAN, SRAVINDRAN, R D; THIRUVENGADAKRISHNAN; VIKRAM VAIDEE  &RPSDUDWLYH LQYLWUR HIÀFDF\ RI ÁXRURTXLQRORQHV DJDLQVW- Risk factors for intraocular penetration of caterpillar hair in Streptococcus pneumoniae recovered from bacterial keratitis as ophthalmia nodosa: a retrospective analysis determined by E-test2011 JAN-FEB; 59 (1):49-51 VOL: 53 (2) 2010 APR.–JUN. P.281-286PARAG, K SHAH; KALPANA, NARENDRAN; NARENDRAN, V; RAMAKRISHNAN, R; RAMESH, S; JAYAHAR, M BHARATHI;RAMAKRISHNAN, M AMUTHAN, M; VISWANATHAN, S- Severe aseptic orbital cellulitis with subtenon carboplatin for - Prevalence of bacterial pathogens causing ocular infections in intraocular retinoblastoma south India40

Lions Aravind Institute of Community OphthalmologyMr. Meenakshisundaram at the 16th ASEF University Conference at Lodz, PolandThe past year at LAICO was utilised to strengthen Consulting and Capacity Building the foundation for its future work. Several proposals, seeking to increase the capacity building Last year LAICO’s consulting division ran capacityof eye hospitals located in different parts of the world, building programmes for 12 eye hospitals in India,received grant funding. LAICO continued to share the Bangladesh, China, South Africa, Nigeria and ParaguayAravind model with a wide spectrum of visitors from eye with support from IAPB Capacity Building Grant Fund.care institutions, academic visitors, and from other health /$,&2 LV LGHQWLÀHG E\ ,$3% WKH ,QWHUQDWLRQDO $JHQF\care settings through a range of workshops, projects and for the Prevention of Blindness) as one of nine resourcetraining programmes. To date, LAICO has engaged with centres in the world.273 eye hospitals in India and other developing countries.Its structured capacity building process is geared toward LAICO hosted the Global Sight Network Initiativesustainable organisational development. Mentoring Programme from February 26 – 28 organised by Seva Foundation. This included members from the HLJKW PHQWRU LQVWLWXWHV DOVR WKH &HQWUHV IRU &RPPXQLW\ Ophthalmology) engaged in IAPB Capacity Building 41

Mr. Colin Williams facilitating the workshop on Mentoring*UDQW )XQG &%*) SURJUDPPH 2YHU D WZR\HDU SHULRG +RVSLWDOV LQ ,QGLD WKDW KDYH XQGHUJRQH 0DQSRZHUthese mentor institutes including LAICO are working Management Development Programme prior to 2007.with 35 hospitals from various countries and supporting 7KLV WZR\HDU SURMHFW DLPV DW KHOSLQJ WKH VHOHFWHGthem through a capacity building process.This particular hospitals develop a roadmap that will take them fromworkshop was designed to strengthen the impact of EHLQJ FDWDUDFWFHQWULF KRVSLWDOV WR FRPSUHKHQVLYH H\H FDUHthe mentoring and to create a clear documentation and service centers.reporting process for achieving results. Mr.Colin WilliamsDQG 9LNNL 2VERUQH IURP :HVWFRWW :LOOLDPV SUHYLRXVO\ As part of LAICO’s consulting activities, needs assessmentW2) facilitated the meeting. YLVLWV ZHUH PDGH WR DURXQG WHQ KRVSLWDOV DQG WKUHH YLVLRQ building workshops were conducted. In connection withAlong with the Eye Fund team, LAICO conducted the IAPB capacity building programme, follow up visitsquarterly performance assessments of the three Eye Fund were made to various Catholic hospitals in Nigeria toORDQ EHQHÀFLDU\ KRVSLWDOV ²+H (\H +RVSLWDO &KLQD (\H gauge progress. As part of the Leapfrog Fund technologyFoundation in Lagos, Nigeria and Fundacion Vision in transfer capacity building process, there was a closeParaguay. monitoring of the progress made by Fundacion Vision and Fundacion Paraguayan, Paraguay with regard to theLCIF approved a grant for enhancing eye care delivery implementation of strategic plans and the discussionsWKURXJK 6)   (QKDQFLQJ (\H &DUH 6HUYLFHV DW /LRQV revolved around strengthening leadership at strategic(\H +RVSLWDOV LQ ,QGLD SURMHFW DPRQJVW  /LRQV (\H and operational level, pricing and outreach strategies, standardisation of protocols and processes etc.Needs assessment visit to Eerste River Eye Hospital, South Africa LAICO has been closely associated with the Grameen +RVSLWDOV VLQFH 1RYHPEHU  DQG ODVW \HDU IURP -XQH    WKH $UDYLQG WHDP KHOG GLVFXVVLRQV ZLWK WKH VHQLRU leadership team at Bogra and Barisal regarding future projects and planning. Developing Eye Care Resource Centres Shenyang, China, November 1 – 5 LAICO, supported by International Agency for Prevention RI %OLQGQHVV ,$3% LV XQGHU D PDQGDWH WR DVVLVW WZR H\H hospitals in becoming resource centres for their respective regions. The hospitals that have been selected for this process DUH +H (\H +RVSLWDO 6KHQ\DQJ &KLQD DQG $O ²1RRU Foundation, Cairo, Egypt. The LAICO team made an42

Mr. R.D. Thulasiraj, Dr. Manoranjan Das, and Ms. KM Sasipriya at Mr. Sanil Joseph and Dr. M. Frederick in discussion with staff of+H (\H +RVSLWDO Shenyang, China Oudomxay Provincial Eye Unit, Lao PDRDVVHVVPHQW YLVLW WR +H (\H +RVSLWDO 6KHQ\DQJ &KLQD LQ making necessary updates to existing software for betterorder to better understand how well the hospital is poised management of the clinic.to strengthen eye care services for the country. LAICOZLOO VRRQ PDNH D VLPLODU YLVLW WR WKH $O1RRU )RXQGDWLRQ The consultancy visit to Oudomxay Provincial Eye Unit, /$2 3'5 -XO\  ²  IDFLOLWDWHG D SDUWLFLSDWRU\ SURFHVV WROnsite support assess the Oudomxay provincial eye unit’s potential as a regional resource center, identify the key areas that needLAICO offers onsite support to other eye hospitals on to be addressed for it to be a more sustainable model, andUHTXHVW ,WV FRQVXOWLQJ VHUYLFHV ZHUH H[WHQGHG WR ÀYH outline a business model for it.county hospitals and two private hospitals in GuanzhouSURYLQFH &KLQD GXULQJ YLVLWV WR WKHVH KRVSLWDOV IURP -XQH Aravind team facilitated a vision building workshop   $UDYLQG VWDII PHPEHUV ZHUH LQYLWHG DV UHVRXUFH organised by Netra Niramay Niketan, West Bengal aspersons for the capacity building workshop conducted part of Centres for Community Ophthalmology activity.E\ =KRQJVKDQ 2SKWKDOPLF &HQWHU =2&  *XDQ]KRX 7KH ZRUNVKRS ZDV DWWHQGHG E\ SDUWLFLSDQWV IURP ÀYHThis workshop included visits to three different county hospitals in India and Bangladesh.hospitals and handling a session on Sustainable OutreachProgrammes. Programme EvaluationLAICO posted an eye care management professional at The Evaluation of Pilot County Eye Care SystemFundacion Vision, Asuncion, Paraguay for a period of 6WUHQJWKHQLQJ 3URMHFW -LDQJ[L 3URYLQFH &KLQD ZDVthree months from February to provide guidance and carried out during November 22 – 26, 2010. This involvedsupport in areas like pricing policy and implementation, assessing the effectiveness of the primary level andstreamlining of the Medical Records Department and secondary level service delivery mechanism to provide affordable and sustainable eye care services to ruralDr. Thiruvenkatakrishnan and Mr. Suresh Kumar at Guanzhou, Mr. Suresh Kumar during the facilitating visit to Netra NiramayChina Niketan, West Bengal 43

Mr. R. Meenakshi Sundaram during the evaluation visit at Jiangxi Evidence Based Management PracticesProvince, ChinaSRSXODWLRQV 7KH SURMHFW ZDV VXSSRUWHG E\ )UHG +ROORZV Workshop for Global Blindness Prevention (supported byFoundation, China. In Oman, during a December ICO and IAPB), September 27 – 29 YLVLW /$,&2 DVVHVVHG WKH FXUUHQW VWDWH RI WKH The purpose of this workshop was to develop planscountry’s diabetic retinopathy programme and offered IRU WKH LGHQWLÀFDWLRQ DQG LPSOHPHQWDWLRQ RI UHVHDUFKrecommendations to strengthen it. This was carried out in SULRULWLHV IRU WKH QH[W WHQ \HDUV 7KLUW\IRXU GHOHJDWHVFRQVXOWDWLRQ ZLWK WKH :+2 RIÀFH LQ 2PDQ from Australia, Austria, Brazil, China, Ethiopia, Ghana, India, Saudi Arabia, South Africa, Tanzania, UK, and USAOctober Summit participated.The October Summit is an annual series of workshopsand consultations held in honour of the birth anniversary Private Practice in Ophthalmology, October 2 – 3of the Aravind Eye Care System’s founder chairman, The workshop aimed to bring together privateDr. G. Venkataswamy. These events are held to discuss practitioners to provide a platform for discussing variousimportant issues related to eye care service delivery and to issues relating to private practice in eye care. A total of 37ÀQG LQQRYDWLYH VROXWLRQV WKURXJK VKDULQJ H[SHULHQFHV DQG participants attended.mutual consultation. Evidence Based Management Practices, October 4-5Listed below are the workshops conducted under October The workshop was designed to enhance managementSummit 2010: practices in eye care institutions and to promote theParticipants at the Workshop on Private Practice in Ophthalmology44

and its impact on the base hospital for providing primary eye care services. These various best practices will be released as a manual. LAICO Services Extend to Developed World Aravind team assessed the current systems at Tampere 8QLYHUVLW\ +RVSLWDO 7DPSHUH )LQODQG DQG GLVFXVVLRQV ZHUH KHOG WR LPSURYH WKH RSHUDWLRQDO HIÀFLHQF\ OHDGLQJ to increased surgical volume. A surgical management team from Aravind will visit the hospital at a later date to demonstrate a process for clearing the backlog and help WKH )LQQLVK WHDP LQWHJUDWH WKH HIÀFLHQF\ SURFHVVHV LQWR their regular routine.Dr. Kalpana Narendran at Tampere University, Finland Teaching and Trainingculture of evidence – based decision making. A total of 43 /$,&2 RIIHUV D WRWDO RI QLQH ORQJ DQG VKRUWWHUP FRXUVHVparticipants from India, Nepal, Cameroon, Uganda and LQ H\H KRVSLWDO PDQDJHPHQW DV ZHOO DV VKRUWWHUP%DQJODGHVK EHQHÀWWHG IURP WKH ZRUNVKRS skill development courses in the areas of instrument maintenance, community outreach and social marketing.Workshop on Preferred Practices for Sustainable Primary Apart from these structured courses, various customEye Care Services designed courses are also offered. Around 140 eye careApril 8 – 9 professionals from 20 countries were trained through theThe objective of the workshop held at LAICO was to different courses conducted during the last year. Details ofstudy different models of primary eye care services these programmes are listed on page 26. YLVLRQ FHQWUHV DQG GLVWLO SUHIHUUHG SUDFWLFHVRepresentatives from eight implementing agencies of Eye Care Training Goes Onlinevision centres participated and presented their models. Aravind Eye Care System launched Aurosiksha, an onlineThe representatives from INGOs and the eye hospitals eye care training platform on April 6, 2010. Leveraginginterested in setting up such services also attended Aravind’s 30 years of experience in training eye carethis workshop. The outcome of the two day workshop personnel, Aurosiksha seeks to provide world classwas the distillation of preferred practices in terms of continuing education for ophthalmic professionalscomprehensiveness of the services provided, demand WKURXJK DQ HOHDUQLQJ SRUWDO 7KH FRXUVHV RIIHUHG LQFOXGHgeneration strategies, infrastructure planning, human orientation to eye care, common eye conditions, refractionUHVRXUFHV SURJUDPPH VXVWDLQDELOLW\ ÀQDQFLDO YLDELOLW\ techniques, medical records management, counseling for Paediatric eye care, basics in care and maintenance of eye care instruments etc.Management Training for Eye Care Programme Managers 45

Lighting the lamp at Prism 2011 in 4 modules focused on the latest developments in the ÀHOG RI KHDOWKFDUH DQG KRVSLWDO PDQDJHPHQW $URXQG Training on Quality Assurance in Eye Hospitals participants attended the conference.February 10 – 207KLV WHQ GD\ FXVWRPGHVLJQHG FRXUVH ZDV RUJDQLVHG Onsite TrainingZLWK VXSSRUW IURP 25%,66RXWK (DVW $VLD 7KH Apart from the courses and workshops conducted at theparticipants consisted of a team of two ophthalmologists headquarters in Madurai, LAICO also conducted trainingand a programme manager from Vietnam and an programmes at other eye care centres on request. In theOphthalmologist from Lao PDR. year ending March 2011, three such training programmes were conducted:Strengthening Eye Care Management7KH VL[WK EDWFK RI )HOORZVKLS LQ (\H +RVSLWDO – Workshop on Eye Care Programme Management forManagement, consisting of six members joined Aravind the District Managers of the Eastern Cape Province,Eye Care System on August 16. On completion of the 6RXWK $IULFD VXSSRUWHG E\ )UHG +ROORZV )RXQGDWLRQstructured training programme, they will be employed as South Africa from December 6 – 10managers at the different centres of the organisation orpartner institutions. – Instruments Maintenance Courses  (LJKWHHQ RSKWKDOPLF WHFKQLFLDQV ZHUH WUDLQHG DWPRISM 2011-National conference on hospital and Asmara, and Keran, Eritrea, North Eastern Africahealthcare management ZLWK VXSSRUW IURP )UHG +ROORZV )RXQGDWLRQFebruary 19 – 20 Australia during March 22 – April 16.35,60 WKH DQQXDO FRQIHUHQFH ZDV RUJDQLVHG E\ WKH  $ WRWDO RI  WHFKQLFLDQV ZHUH WUDLQHG DW WKH FRXUVHVIHOORZV LQ (\H +RVSLWDO 0DQDJHPHQW (PLQHQW UHVRXUFH RUJDQLVHG E\ WKH 25%,6 )O\LQJ (\H +RVSLWDO )(+ persons from different parts of the country handled DW WKH 8QLYHUVLW\ RI ,ORULQ 7HDFKLQJ +RVSLWDO ,ORULQdifferent sessions. The deliberations were organised Nigeria during February 28 – March 18.Mr. Poornachandran and Ms. Merlin Meena during the instruments – Workshop on Introduction to Biostatistics and STATAmaintenance course at Eritrea at African Vision Research Institute Durban, South Africa, August 16 – 20 Projects Development and Management :LWK WKH VXFFHVVIXO FRPSOHWLRQ RI WKH 7,)$&&25( LQ 'LDEHWLF 5HWLQRSDWK\ $UDYLQG  :') 'LDEHWLF Retinopathy Management projects and Vision Centre projects, the division is geared up for promoting the right approaches to project development with the main focus on paediatric eye care and low vision management, its implementation and evaluation. The developments in the year ending March 2011 in the major current projects are discussed here: Primary Eye Care through Vision Centres Aravind has established 36 Vision Centres till date with support from  /DYHOOH )XQG 86$  9LVLRQ &HQWUHV LQ WKH VHUYLFH DUHDV RI $UDYLQG (\H +RVSLWDO 0DGXUDL 7LUXQHOYHOL Coimbatore and Pondicherry)  6WDQGDUG &KDUWHG %DQN·V 6HHLQJ LV %HOLHYLQJ 9LVLRQ Centre project supported by International Agency IRU WKH 3UHYHQWLRQ RI %OLQGQHVV  YLVLRQ FHQWUHV LQ WKH VHUYLFH DUHD RI $UDYLQG (\H +RVSLWDOV 7KHQL DQG Madurai)  )ULHQGV RI $UDYLQG WZR 9LVLRQ &HQWUHV DQG SURSRVHG to establish one each in the service of Aravind Eye +RVSLWDOV 7LUXQHOYHOL DQG &RLPEDWRUH 46

School screening camp - A2Z project at MaduraiORBIS – Aravind Paediatric Ophthalmology Learning and   VFKRRO WHDFKHUV ZHUH WUDLQHG WR VFUHHQTraining Centre (POLTC) preliminary vision of the students at schools.The centre has been conducting long term fellowship for   VWXGHQWV ZHUH VFUHHQHG E\ WKH WHDFKHUV IRURSKWKDOPRORJLVWV DQG VKRUW WHUP FHUWLÀFDWH FRXUVHV IRU refractive errors and other paediatric eye diseasesSDHGLDWULF DQHVWKHWLVWV PLGOHYHO RSKWKDOPLF SHUVRQQHOinstruments maintenance and community outreach   VFKRRO VFUHHQLQJ FDPSV ZHUH FRQGXFWHG FRYHULQJZRUNHUV 7KH WKUHH \HDU SURMHFW 25%,632/7& ,, ZDV 206 schools. 8,197 pairs of spectacles were distributed.concluded in December 2010, with a total of 119 candidatestrained under it.   FKLOGUHQ ZHUH H[DPLQHG LQ  SDHGLDWULF H\H camps and 797 spectacles were distributed.A2Z Child Blindness and Eye Health Project  7RWDOO\  FKLOGUHQ JRW VXSSRUW IRU FDWDUDFW VXUJHU\7KLV SURMHFW ZDV VXSSRUWHG E\ 86$,'  $= out of which 590 were provided with Acrysoft foldableMicronutrients and Child Blindness Project through lens.Academy for Educational Development, USA. The projectwas concluded on February 28, 2011. The following are   QHZERUQ EDELHV ZHUH VFUHHQHG IRU 523 DQG the main services rendered to the community during the laser procedures were performed at base hospital.project period:   523 SRVWHUV ZHUH SULQWHG DQG GLVWULEXWHG  $ GRFXPHQWDU\ ZDV GHYHORSHG IRU FUHDWLQJ DZDUHQHVV on paediatric eye diseases.Paediatric awareness exhibition conducted under Lavelle project at School teachers receiving training in vision screening at Aravind -Aravind-Pondicherry Tirunelveli 47

$VVHVVPHQW RI WKH SUHYDOHQFH DQG VRFLRHFRQRPLF burden of near vision impairment caused by XQFRUUHFWHG SUHVE\RSLD IXQGHG E\ :RUOG +HDOWK Organization)  +5 SUDFWLFHV WKDW LQÁXHQFH SDWLHQW VDWLVIDFWLRQ DQG HPSOR\HH VDWLVIDFWLRQ UHVHDUFK VWXG\ LQ SDUW IXOÀOOPHQW RI 3K' DW ,,7 0DGUDV Major Meetings/Conferences AttendedParticipants at workshop on research methodology Near Vision Impairment and Presbyopia Study Data Review, Analysis and Follow up Protocol DevelopmentNew Projects Meeting :+2 *HQHYD 6ZLW]HUODQG $SULO  ² Eye Care for a Million Children - Lavelle Paediatric Eye Care Mr. R.D Thulasiraj as advisor and Mr. Ganesh BabuProject participated in the meeting to review the prevalence and VRFLRHFRQRPLF EXUGHQ RI QHDU YLVLRQ LPSDLUPHQW DQG(Strengthening Paediatric Services at Aravind Eye Hospitals, conduct comparative data analyses. The meeting alsoTirunelveli and Pondicherry) DLPHG WR GUDIW D ORQJLWXGLQDO IROORZXS VWXG\ SURWRFROLavelle Fund for the Blind, a US based organisation Mr. R.D. Thulasiraj participated in the Sixth Meeting ofsupports this project which is being implemented in WKH ,&2 ,QWHUQDWLRQDO &RXQFLO RI 2SKWKDOPRORJ\ 7DVNthe districts of Tirunelveli, Kanyakumari, Tuticorin, Force on Uncorrected Refractive Errors held at Berlin,Cuddalore, Villupuram and Pondicherry State. The project *HUPDQ\ RQ -XQH goal is to build capacity and processes to effectivelyaddress the problem of visual impairment and blindness +H DOVR DWWHQGHG WKH PHHWLQJ RQ UHVHDUFK LQSXWV LQ VFKRROamong children in the age group of 0 – 17 years in the VFUHHQLQJ DQG WKH ,$3%+5 &RPPLWWHH PHHWLQJVHUYLFH DUHD RI $UDYLQG (\H +RVSLWDOV DW 7LUXQHOYHOL DQG3RQGLFKHUU\ $UDYLQG (\H +RVSLWDOV DUH SURSRVHG WR 16th Asia Europe Foundation (ASEF) Universityreach one million children in the age group of 0 – 17 years Conference on Public Health and Vulnerable Groups:starting from September 2010, through comprehensive Access to Quality Health Care Serviceseye screening and providing medical intervention. The /RG] 3RODQG -XQH  ² -XO\ major activities include awareness creation, eye screening MR. R. MEENAKSHI SUNDARAMfor children including screening for ROP and providing - Nongovernmental initiatives towards public healthsupport for sight restoring cataract surgeries, schoolteachers training programmes for screening children etc. Vision 2020 Global Meeting Geneva, Switzerland, October 12Research at LAICO Mr. R.D. Thulasiraj participated in the Vision 2020The primary objective of the Research Division at LAICO global meeting convened by Department of Chronicis to develop health systems and operational research in 'LVHDVHV DQG +HDOWK 3URPRWLRQ  3UHYHQWLRQ RI %OLQGQHVVorder to contribute to eye care service delivery globally. DQG 'HDIQHVV :+2 7KH SXUSRVH RI WKH PHHWLQJ ZDVMore concrete plans are being laid out to strengthen theresearch capacity at LAICO. Mr. Thulasiraj at Near vision impairment and presbyopia data review, analysis and follow up protocol meeting, GenevaThe major operations research studies undertaken byLAICO in the year ending March 2011 are: ,QYHVWLJDWLQJ JHQGHU DVVRFLDWLRQV DPRQJVW WKH XVHUV RI FDWDUDFW VXUJLFDO VHUYLFHV LQ VRXWK ,QGLD IXQGHG E\ Seva Canada) $ FOXVWHU UDQGRPLVHG WULDO RI VSHFWDFOH XSWDNH IRU Refractive Errors across Multiple Delivery Systems LQ 6RXWK ,QGLD IXQGHG E\ &KDPSDOLPDXG 5HVHDUFK Grant).48

National Conference on Quality in Health Care Chennai, September 24 – 25 MS. PREETHI PRADHAN  $UDYLQG (\H +RVSLWDO $ PRGHO LQ RSHUDWLRQDO HIÀFLHQF\ Annual Meeting of IAPB (International Agency for Prevention of Blindness) Mr. R.D. Thulasiraj participated in the board meeting at Geneva, Switzerland from October 10 – 14.Mr. Thulasiraj at Connect 2010, Chennai First Global Symposium on Health Systems Research Montreux, Switzerland, November 16 – 19to take stock of Vision 2020’s progress till date and to Mr. R.D. Thulasiraj delivered a lecture on technologicalreview the challenges and lessons learnt at global and advances in eye health at the symposium.regional levels. Emerge 2010 Mr. R.D .Thulasiraj handled a session on improving access to health care at the event organised by Skoll Centre for Social Entrepreneurship at Oxford, UK from November 27 – 28.Access Telemedicine Meeting Confluence 20102UJDQLVHG E\ $FFHVV +HDOWK ,QWHUQDWLRQDO +\GHUDEDG Organised by IIM, Ahmedabad, November 26October 26 Dr. P. Namperumalsamy was invited as a distinguished VSHDNHU IRU &RQÁXHQFH   DQQXDO EXVLQHVV VXPPLWMr. R.D. Thulasiraj participated in the meeting where towards the theme Inspiring Innovations, ExpandingVWUDWHJLHV  WR LPSURYH DFFHVV WR LQIRUPDWLRQ DQG FDSDFLW\ +RUL]RQVIRU HIÀFLHQW KHDOWK FDUH DQG WR LPSURYH OLQN EHWZHHQGLIIHUHQW VRXUFHV RI FDSLWDO DQG KHDOWK FDUH SURYLGHUV  Wavelength 2011 Leadership Workshopwere developed. London, United Kingdom, March 7 Ms. Preethi Pradhan, presented Aravind as an exampleConnect 2010 of social innovation to a group of social innovators and2UJDQLVHG E\ &RQIHGHUDWLRQ RI ,QGLDQ ,QGXVWULHV &,,  leaders from corporates at the workshop.Chennai, September 8 – 9 Innovations in Health Care Management and InformaticsMr. R.D. Thulasiraj participated in Connect 2010, Kuala Lumpur, Malaysia, March 16 – 17organised to create a vision and strategy for the next ten MR. R.D. THULASIRAJyears of the ICT sector. - Extending the health care network to underserved populations:0U 5' 7KXODVLUDM WRRN SDUW LQ WKH ÀUVW *OREDO Case studies from India6WDNHKROGHUV· PHHWLQJ RUJDQLVHG DW :RUOG +HDOWKOrganisation, Geneva, Switzerland on September 14. Ms. Preethi Pradhan at Leadership workshop wavelength 2011,Mr. Thulasiraj attending the ICO board meeting at Berlin, Germany London, UK 49

Mr. Thulasiraj with HRH Princess Alexandria and Dr. Manohar Babu and Ms. Preethi Pradhan with the students atMs. Caroline Harper, President of Sightsavers ICEH, LondonSkoll World Forum on Social Entrepreneurship  'U 0DQRKDU %DEX DQG 0V 3UHHWKL 3UDGKDQ KDQGOHGUniversity of Oxford, UK, March 30 – April 1, 2011 the management module for the M.Sc Community EyeMr. R.D. Thulasiraj participated in the Forum at the Saïd +HDOWK VWXGHQWV DW ,QWHUQDWLRQDO &HQWUH IRU (\H +HDOWKBusiness School, University of Oxford. London, UK from March 7 – 9.Other Events Vision 2020 Workshop New Delhi, May 13 – 14Guest Lectures Mr. R.D.Thulasirajand Ms. Preethi Pradhan participated 0U 6DQLO -RVHSK GHOLYHUHG D OHFWXUH RQ &RUH FRQFHSWV inthe workshop on Creating an Actionable Advocacy 5RDGPDS IRU (\H +HDOWK LQ ,QGLD LQ H\H FDUH PDQDJHPHQW IRU WKH VWXGHQWV RI 06F  &RPPXQLW\ (\H +HDOWK DW /9 3UDVDG (\H ,QVWLWXWH Sightsavers 60th Anniversary Celebrations +\GHUDEDG RQ $SULO  /RQGRQ 8QLWHG .LQJGRP -XQH  0U 5' 7KXODVLUDM GHOLYHUHG D OHFWXUH WR WKH VWXGHQWV Mr. R.D. Thulasiraj participated in the social gathering of Stanford Business School, San Francisco, USA in KRVWHG E\ +5+ 3ULQFHVV $OH[DQGUD DW %XFNLQJKDP 3DODFH April. in commemoration of the 60th anniversary celebrations of +H KDQGOHG D VHVVLRQ IRU WKH VWXGHQWV RI 06F SSI. &RPPXQLW\ (\H +HDOWK DW ,&(+ ,QWHUQDWLRQDO &HQWUH IRU (\H +HDOWK  /RQGRQ RQ 0D\  Third National Workshop on Application of Biostatistics 0U 5' 7KXODVLUDM GHOLYHUHG D JXHVW OHFWXUH RQ in Nursing Research Aravind’s unique service model during the Lean Madurai, October 29 V\PSRVLXP RUJDQLVHG E\ :LSUR *( +HDOWK FDUH RQ Miss T.B. Soubhya was invited as a resource person for -XO\  the statistical package practical session at the Workshop 0V 6DVLSUL\D .0 KDQGOHG D GLVFXVVLRQ RQ WKH FRQGXFWHG DW 8OWUD 0LVVLRQ +RVSLWDO 5HVHDUFK &HQWUH +DUYDUG FDVH VWXG\ RQ $UDYLQG IRU WKH VWXGHQWV RI 3RVW Madurai. Graduate Programme in Public Policy Management at ,QGLDQ ,QVWLWXWH RI PDQDJHPHQW ² %HQJDOXUX RQ -XO\  LIBA Beacon ‘11 0U . -H\DUDP ,OOLD\DUDMD ELRVWDWLVWLFLDQ GHOLYHUHG Loyola College, Chennai, February 5 D OHFWXUH RQ $SSOLFDWLRQV RI ELRVWDWLVWLFDO PHWKRGV Ms. Preethi Pradhan delivered a special address on the in medical research at Manonmaniam Sundharanar importance of social innovation and the contributions of University, Tirunelveli on November 11. Aravind Eye Care System at Loyola Institute of Business $GPLQLVWUDWLRQ /,%$ 50


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