Activity Report 2009_10

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Activity Report 2009 - 2010 (From April 1, 2009 to March 31, 2010) Contents Highlights 2009-10 07 Performance 13 Community Outreach 15 Education and Training Programmes 19 Lions Aravind Institute of Community Ophthalmology 29 Information Technology and Systems 40 Aravind Communications 42 Human Resources 42 Rotary Aravind International Eye Bank 45 Dr. G. Venkataswamy Eye Research Institute- 47 Aravind Medical Research Foundation Aurolab 53 Awards and Recognitions 56 Partners in Service 58 Trustees and Staff 59 Photo Credits: 'HYL .D\DOYL]KL $UDYLQG7LUXQHOYHOL *RNXOQDWK $UDYLQG&RLPEDWRUH -DFTXHV 9HNHPDQV )UDQFH Magnus Rew, UK Mike Myers, USA 5DMNXPDU $UDYLQG0DGXUDL 6XNXPDU $UDYLQG3RQGLFKHUU\ 6HQWKLO .XPDU $UDYLQG&RLPEDWRUH 9LYHNDQDQGDQ $UDYLQG0DGXUDL4

Aravind Eye Care SystemMission:To eliminate needless blindness . . .. . . by providing compassionate and high quality eye care for all ARAVIND EYE HOSPITALS. . . through teaching, training, capacity building, advocacy, research and publications LIONS ARAVIND INSTITUTE OF COMMUNITY OPHTHALMOLOGY (LAICO). . . by providing evidence through research and evolving methods to translate existing evidence and knowledge into effective action DR. G. VENKATASWAMY EYE RESEARCH INSTITUTE, ARAVIND MEDICAL RESEARCH FOUNDATION. . . by making high quality ophthalmic products affordable and accessible worldwide AUROLAB. . . by reducing corneal blindness through eye banking activities, training, research and public awareness programmes ARAVIND EYE BANKS 5

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Highlights 2009-10A Model with Global RelevanceAt the core of the Aravind Model is adesign sense rooted in compassion thatcreates a win-win proposition for allstakeholders-its patients, the broadercommunity, its employees, its supportersand the hospital system. It is a non-exploitative model built on a set ofstrong values, ensuring all participantsH[SHULHQFH GLVWLQFW EHQHÀW DQG Dmeaningful return on their investmentand involvement. This approach hasensured that the Aravind Eye HospitalsFRQWLQXH WR EH ÀQDQFLDOO\ YLDEOH SXUHO\through internal income generation inspite of the fact that close to 60% of itspatient services are provided either 'U 3 1DPSHUXPDOVDP\ &KDLUPDQ  $(&6 ZLWK 'U :LOOLDP + )RHJH 6HQLRU )HOORZfree or at a steeply subsidised rate. DW WKH *DWHV )RXQGDWLRQ DQG 0U 6WHYHQ 0 +LOWRQ 3UHVLGHQW DQG &(2&RQUDG 1 +LOWRQAravind’s work has caught the attention )RXQGDWLRQRI LQÁXHQWLDO EXVLQHVV FRPPXQLWLHV DQGdiverse health systems in different countries, all of whom possible. They help reinforce the path that Aravind mustDUH VWULYLQJ WR ÀQG LQQRYDWLYH PHWKRGV WR VHUYH WKRVH DW continue to tread in the years to come.the base of the pyramid, in a viable manner. Today Aravindis featured in case studies at most leading business schools A Progressive Approach to Community Outreacharound the world. The increasing global relevance and Over the years Aravind’s outreach activities haverecognition of its model was again evidenced last year continued to advance, adopting new processes andwhen the organisation received ‘The Gates Award for technologies as they become available, in an endeavourGlobal Health’. This year, the Aravind Eye Care System to reach the unreached and provide comprehensive eyewas chosen as the recipient of the prestigious ‘Conrad N. screening for all. Today its outreach services have evolvedHilton Humanitarian Prize’, an acknowledgement that to routinely provide specialised diagnostic servicestranscends health care boundaries and demonstrates WR VSHFLÀF WDUJHW JURXSV VXFK DV FKLOGUHQ GLDEHWLFVthe bearing this approach has on a wider stage. ‘Fast and industrial workers. In recent years, Aravind hasCompany’, the notable business magazine that tracks placed emphasis on establishing permanent primarycutting-edge advancements globally, listed Aravind eye examination centres in small towns that serve asprominently in their 2010 listing of “Innovation All-Stars”, KXEV IRU VXUURXQGLQJ UXUDO DUHDV 7KLV LV UHÁHFWHG LQa tribute to the most innovative companies in the world. the establishment of 32 Aravind Vision Centres, eachThese recognitions not only honour our past work, but linked to one of Aravind’s base hospital’s using low costalso serve as a strong reminder of what made this all telemedicine technology to provide real time patient 7

,QDXJXUDWLRQ RI WKH DZDUHQHVV UDOO\ RQ :RUOG 'LDEHWHV 'D\ RUJDQLVHG E\ $UDYLQG 7LUXQHOYHOLconsultations. As a new venture, Aravind with support FDPHUD %DVLF UHVHDUFK LQ WKH ÀHOG LV DOVR XQGHUZD\ DQG LQfrom Essilor India launched a Mobile Refraction Unit in addition Aravind is helping other centres set up effectiveTheni thus making it possible for villagers to undergo programmes for managing Diabetic Retinopathy. Thisbasic eye examinations and refraction tests at their work has now transcended the borders of India withdoorstep. These sustained and diverse initiatives have technical support being provided to organisations incollectively heralded a positive change in the health Bangladesh and China for the establishment of communityseeking behaviour of the community and have been oriented Diabetic Retinopathy services.UHVSRQVLEOH IRU D VLJQLÀFDQW LQFUHDVH LQ WKH QXPEHU RIdirect walk in patients-both paying and free. This has Breaking Records, Going Beyond Numbersensured uninterrupted growth in Aravind’s patientvolume even when there were issues in conducting Aravind Eye Care System’s core purpose is to provideoutreach camps due to government restrictions etc. eye care to the community and to do so proactively. Thus a simple measure of achievement of this purpose is theRecognising that the incidence of diabetes would increase number of patients served and growth in volume. Duringexponentially, Aravind made this a focal area of its work the course of this year, as in past years, communicationsalmost a decade ago. Over time the emphasis has grown from each of Aravind’s hospitals and from departmentsbeyond effective service delivery to bold initiatives within them stated that their previous records for patientfor remote diagnostic services, as well as developing volumes had been broken. This typically happens severalaffordable diagnostic and treatment devices for Diabetic times during the course of the year as new records getRetinopathy, including a low-cost laser and fundus set. Of far more importance than the mere numbers, is'U 0DQRKDU %DEX ZLWK WKH ORFDO VFKRRO VWXGHQWV DW WKH VHFRQG 0U 3 0XWKXYHHUDQ 'LVWULFW &ROOHFWRU7KHQL ODXQFKLQJ WKH 0RELOHDQQLYHUVDU\ FHOHEUDWLRQV RI .LQDWKXNNDGDYX 9LVLRQ &HQWUH Refraction Unit8

WKH VHQVH RI IXOÀOPHQW DQG MR\ DPRQJ WKH VWDII ZKHQ “Dr.G.Venkataswamy Eye Research Institute” withsuch milestones are crossed. This is a true testimony to additional space and enhanced research facilities hasthe continued spirit of service at Aravind. It is this spirit VLJQLÀFDQWO\ LQFUHDVHG $UDYLQG·V UHVHDUFK SRWHQWLDO DQGand the compassion that stems from it, that has helped will no doubt contribute to bettering eye care in the localthe hospital network, its outreach services and its two context.managed hospitals handle 2,539,615 outpatient visits andperform 302,180 surgeries and laser procedures during the In order to cater to the growing demands of the patients,current year. staff and volunteers, various infrastructural developmental activities were undertaken at AECS during the yearIn addition to direct patient care, Aravind is committed 2009–2010. Aravind Library and Information Centre,WR VKDULQJ WKH EHQHÀWV RI LWV H[SHULHQFH ZLWK RWKHUV DV moved to the spacious premises of Dr. G. Venkataswamywell as to contributing to the body of existing knowledge Eye Research Institute on August 17, 2009. The newlyLQ WKH ÀHOG RI H\H FDUH 7RZDUGV WKHVH HQGV WKH VWDII built PG hostel and staff quarters were opened atcontinues to make hundreds of presentations at a host Aravind–Coimbatore and in Madurai the internationalof workshops and conferences both in India and other hostel “Inspiration” which can house close to 80 peoplecountries. The number of Aravind publications this is getting ready for occupation. Besides the inauguration\HDU LQ SHHU UHYLHZHG MRXUQDOV DORQH ZDV  PDNLQJ of a Zyoptix LASIK Centre with an Orbscan at Aravind–it the highest in number and in impact factor from an Tirunelveli, extensive renovations were done to double theinstitution in India. The commissioning of the new outpatient area and provide better patient amenities.*HQHWLFV ODE LQ WKH QHZ SUHPLVHV RI 'U * 9HQNDWDVZDP\ (\H 5HVHDUFK ,QVWLWXWH 9

$UDYLQG /LEUDU\ DQG ,QIRUPDWLRQ &HQWUH LQ WKH QHZ SUHPLVHVHelping Others Help Others other stakeholders to develop national consensus on theLAICO continues to provide “organisation development” training and development of Ophthalmic Techniciansservices to other eye hospitals and during the year, nine eye who will work in hospital and community settings. Ahospitals enrolled. Each such enrolment entails individual common curriculum and assessment methodology hassite visits to understand the eye hospital’s particular needs been developed and submitted to the government withand opportunities; helping their staff set visionary targets recommendation for adoption nationwide.WKDW UHÁHFW WKH QHHGV RI WKH FRPPXQLW\ DVVLVWLQJ WKHP LQ As an early adoptor of Information Technology since 1983,the creation of actionable strategic plans, providing them Aravind continues to innovate in the deployment of thistechnical and training support for implementation and rapidly developing resource. Today Aravind implementsÀQDOO\ RQVLWH VXSSRUW WKURXJK D IROORZ XS YLVLW IT solutions in very unconventional ways to enhanceIn recent years, recognising the need for strong evidence- patient reach, improve quality, manage waiting time andbased practices and human resources, LAICO has much more. Such developments are also widely sharedexpanded its activities to promote research as well as help with other eye programs in India and other countries.organisations engaged in training to achieve excellence. Its approach to technology has helped Aravind continueEach year, LAICO pays homage to the innovative spirit ofDr. G. Venkataswamy through a unique event in Octoberthat coincides with Dr. V’s birth anniversary. Dubbed theOctober Summit, this series of workshops 0U 5' 7KXODVLUDM DQG 0U *DQHVK %DEX DW WKH 1$66&20&1%& ,7 8VHU $ZDUGand consultations focuses on neglected ceremonyareas fundamental to improving eye carewith an aim to develop better insightsand brainstorm possible solutions. The2009 October Summit encompassedÀYH PDLQ DUHDV+RZ WR FUHDWH HQDEOLQJenvironments for the delivery of eye care,,QÁXHQFLQJ VXVWDLQDEOH FKDQJH 3DWLHQWempowerment, Knowledge managementand Identifying the real bottlenecks andconstraints in the implementation of theNational Plans to ensure that the revisednational plans incorporate solutions toaddress them.Recognising that the availability ofwell-trained mid-level ophthalmicpersonnel is a bottleneck, SightsaversInternational and LAICO worked with10

WR EH KLJKO\ HIÀFLHQW DQG KDV EURXJKW LW VHYHUDOrecognitions as well, the most recent being the“NASSCOM-CNBC IT User Award – 2009”.New InitiativesAravind instituted a lecture in memory of itsfounder Dr. G. Venkataswamy who pioneereda unique, self-sustaining model of eye caredelivery and left an enduring legacy to the worldof ophthalmology. The honour of deliveringthe inaugural Dr. G. Venkataswamy MemorialOration was conferred on Dr. Morton F.Goldberg, in recognition of his outstandingFRQWULEXWLRQV WR YLVLRQ VFLHQFHV DQG KLV VHOÁHVVefforts towards the goal of eliminating needlessblindness.When Mr. Manohar Devadoss (a long-timefriend of Aravind) approached Aravind with agenerous contribution in memory of his wifeMahema, a spontaneous decision was made 'U 3 1DPSHUXPDOVDP\ DQG 0U * 6ULQLYDVDQ SUHVHQWLQJto use it to establish the Mahema Devadoss 'U * 9HQNDWDVZDP\ 0HPRULDO 2UDWLRQ $ZDUG WR 'U 0RUWRQ ) *ROGEHUJEndowment Fund to honour this deeply inspiringFRXSOH 7KH IXQG ZLOO VSHFLÀFDOO\ VXSSRUW DQG SURPRWH (superior technology blades) and Auroprost (eye dropslow vision services. for glaucoma treatment). The latter has the distinctionYears of efforts came to fruition with the release of Atlas of being the only affordably priced product of its kindof imaging in Neuro-Ophthalmology and Orbit, which available today. Audits that awarded CE and ISOprovides valuable insight to ophthalmologists and FHUWLÀFDWLRQ WR D ZLGH UDQJH RI $XURODE SURGXFWV ZHUHradiologists, and is geared at enhancing their competence conducted, and the organisation’s presence at leadingand skill in interpreting CT and MRI images with relation ophthalmology conferences across the world helpedto Neuro-ophthalmic and Orbital disorders. strengthen its international reach.Recognising the global need and demand for developing The Road Aheadskills in instruments maintenance, the DVD on thisVXEMHFW KDV QRZ EHHQ PDGH DYDLODEOH LQ PXOWLSOH Building an institution that lasts far beyond anlanguages-English, Spanish & French. Efforts are individual’s lifetime is an important aspiration harbouredcurrently underway to make it available in Chinese as by founders of all service-minded organisations andwell. Aravind Eye Care System is no exception. In the last decade, including the four years since the passing away ofIn continuation of Aravind’s focus on quality maintenance, its remarkable founder Dr. G. Venkataswamy, Aravind hasa new initiative Total Quality Management (TQM) continued to grow and to make impressive progress undermethod has been adopted in IOL clinic, operation theatre, the leadership of the other members of its founding team,wards and medical records department since December. headed by Dr. P. Namperumalsamy. As the organisation now charts its course into a rapidly changing future it willManufacturing for a Mission be called upon countless times to push its boundaries, reinvent itself and respond to the evolving needs of theIn the year 2009-2010 Aurolab continued to forge ahead in communities it serves. Stepping into this New Yearits contributions to Aravind’s mission of affordable, high Aravind will strive as always, to navigate the road aheadquality eye care for all. Its various divisions launched a with a renewed commitment to the unchanging values atseries of new ophthalmic products and pharmaceuticals, its core.including Aurolac (a lacrimal intubation set), Nanocut 11

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Performance: April 2009 - March 2010Aravind Eye Hospitals (Includes Aravind Managed Eye Hospitals (AMEH)*) Madurai Theni Tirunelveli Coimbatore Pondicherry AMEH TotalOUT PATIENTS 447,908 71,406 224,331 302,555 204,064 91,318 1,341,582Paying (new + review) 138,918 19,811 65,148 100,652 62,994 - 387,523Free (new + review)OUTREACH 107,957 24,186 47,248 83,997 58,167 49,451 371,006Comprehensive free eye camps 4,037 4,419 2,069 22,011 4,756 271 37,563Diabetic retinopathy screening camps 23,589 3,650 7,225 14,023 7,645 5,242 61,374Refraction camps 8,234 527 4,343 3,708 5,098 2,375 24,285School eye screening - base hospitals 1,178 4,468 1,146 1,507 700 - 8,999School eye screening - vision centres 2,317 1,187 1,534 1,229 - 6,948Paediatric eye screening 301 681 - 2,542Mobile van DR screening camps 46,446 41,619 33,932 2,241 19,224 - 159,634Vision centres 62,126 16,414 30,797 18,413 - - 138,159Community eye clinics 842,710 187,687 418,074 28,822 2,539,615TOTAL OUTPATIENT VISITS 578,610 363,877 148,657SURGERIESPaying 58,620 5,107 20,312 33,175 18,011 5,805 141,030Free (direct + camp) 60,635 5,596 20,797 40,959 22,755 10,408 161,150TOTAL SURGERIES 119,255 10,703 41,109 74,134 40,766 16,213 302,180SURGERIES IN DETAILCataract surgeries 77,831 8,525 28,541 47,028 27,536 13,020 202,481Trab & combined procedures 2,528 149 1042 2,067 667 347 6,800Retina & vitreous surgery 3,114 12 397 2,401 866 708 7,498Squint correction 884 245 641 110 4 1,884Keratoplasty 922 0 122 577 187 1,34 1,942Pterygium 1,437 0 205 905 587 300 3,544Ocular injuries 367 110 375 375 0 1,222Lacrimal surgeries 2,956 11 94 960 757 32 5,677Other orbit and oculoplasty surgeries 3150 100 872 1,873 791 371 7,171OTHER SURGERIES 1,552 196 790 1,588 1,145 627 5,540Laser procedures 22,518 1,30 498 14,895 7,166 670 54,444LASIK refractive surgery 1,996 1,470 7,725 824 579 0 3,977TOTAL SURGERIES 119,255 0 578 74,134 10,703 41,109 40,766 16,213 302,180* AMEH - Priyamvada Birla Aravind Eye Hospital, Kolkatta,West Bengal and Sudharshan Nethralaya, Amreli, Gujarat, India 13

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Community OutreachCommunity outreach contributes to about 40% of Eye Care Education through Vision Centresthe total cataract volume and 27% of total ophthalmicsurgeries performed at Aravind Eye Hospitals. Over the Community outreach department sets goals for all kindsyears, outreach at Aravind has extended its activities to of outreach activities annually. Since vision centres areestablishing vision centres apart from conducting eye established for every 50,000 or slightly larger population,camps, to further reach all sections of the community the enhanced level of penetration helps achieve theincluding all age groups. objectives of eliminating needless blindness. Apart from screening patients, the vision centres and community eyeVision Centres clinics conduct periodical eye health awareness campaignsTwo new vision centres were established this year one at and speciality eye screening programes on the occasion ofAlandurai and the other at Sattur. World Glaucoma Day, World Diabetes Day etc. The key objective is the comprehensive coverage of eye problems7KH ÀUVW YLVLRQ FHQWUH XQGHU WKH URRI RI FRPPXQLW\ like cataract–curable, glaucoma and diabeticoutreach was started in 2004 in Theni district of retinopathy–preventable and rehabilitation services forTamilnadu. Since then the outreach department has the low vision patients and the incurably blind.scaled up its activities and until March 2010, 32 visioncentres have been established to cater to the ophthalmic Launch of Mobile Refraction Servicesneeds of rural Tamil Nadu and six community eye clinicsthat target a semi urban population. Aravind Eye screening camps in Theni district contributes to over 75% of the district cataract surgeries annually.Dr. K. Rangarajan and Dr. S. Selva Sundari at the inauguration of Blindness due to Refractive Errors is rapidly increasingthe Vision Centre at Sattur and in Theni it is estimated that 286,000 people have refractive errors and only about 10 to 15% of them use eye glasses. Realising the magnitude of the problem and to address the same, Aravind – Theni with support from Essilor India launched Aravind Essilor Mobile Refraction Unit–a van with all the necessary equipment and spectacles preparation machinery on March 26. World Glaucoma Day at Aravind-Tirunelveli 15

Outreach Performance Madurai Theni Tirunelveli Coimbatore Pondicherry Total1. Regular Comprehensive Eye Camps 362 109 266 365 237 1,339 Camps 107,957 24,186 47,248 83,997 58,167 321,555 Patients examined 10,083 15,707 13,676 Glasses advised 20,671 6,826 12,206 10,418 66,963 Glasses ordered 17,779 6,119 8,166 54,688 On the spot deliveries 13,255 3,815 6,475 9,787 7,318 40,650 Percentage 62% 79% 80% 70% 75% 74%2. Diabetic Retinopathy Screening Camps 21 15 143 24 Camps 27 4,419 2,069 22,011 4,756 230 Patients screened 4,037 1,845 1,526 37,292 Diabetics identified 2,237 773 4,746 11,127 DR Patients Identified 301 132 1,016 321 309 2,0793. Refractive Error Camps 18 43 31 38 Camps 91 3,650 7,225 14,023 7,645 221 Patients examined 23,589 56,132 Glasses prescribed 923 2,507 3,680 3,123 17,446 Glasses ordered 7,213 847 2,094 2,701 2,690 14,728 On the spot deliveries 6,396 511 1,621 1,569 Percentage 3,895 800 8,396 61% 60 77 30 58 574. Eye Screening of School Children - Base Hospital Schools 59 5 29 18 29 140 Teachers trained 356 73 137 62 78 706 Children screened 8,234 527 4,343 3,708 5,098 21,910 Children with eye defects 3,918 316 1,991 629 1,958 8,8125. Eye Screening of School Children - Vision Centre 9 132 11 6 6 164 Schools 51 10 28 42 7 138 Teachers trained 1,178 1,146 1,507 700 8,999 Children screened 494 4,468 545 320 313 3,857 Children with eye defects 2,185 11 436. Paediatric Camps 2,317 88 9 7 6,948 Camps 1,130 Children examined 385 1,187 1,534 681 1,229 Refractive error 349 547 Glasses prescribed 349 107 64 127 447 477 Glasses ordered 111 476 Other defects identified 67 45 44 42 - 117. Mobile Van DR Screening Camps - 60 17 24 27 2,542 Camps - Patients screened - - 92 93 180 491 Diabetics identified 172 DR patients identified 8 -3 8 - 46,446 - 318. Vision Centres - 301 2,241 - 159,634 Centres 18 - New + review - 153 338 17 Outpatients / day / vision centre 2 37,409 - 115 57 49. Community Eye Clinics 56,283 Centres 60 8 5 5 5 New + review 41,619 33,932 18,413 19,224 57 Outpatients / day / community eye clinics 1 24,717 17 22 12 12 310. City Centre 81,876 No. of centres 80 1 1 - - New + review 16,414 2,460 - - 88 Outpatients / day/ City Centre - - 53 39 1 - - 1 28,822 - - 28,337 - 93 9716

DIABETIC RETINOPATHY INITIATIVESDuring the camp organised in Lakshmipuram at the launch of the Diabetic Retinopathy has been evolving as a leading causemobile refraction van of blindness amongst the middle aged population globally. The emerging scenario in the developing world suggestsSightFirst Seminars for Eye Care Awareness that diabetes and blindness secondary to Diabetic Retinopathy may soon be a major problem in this part ofTo create awareness about eye problems among the team the world as well. Aravind developed a working model inof President, Secretary and Treasurer of Lions Clubs, 2004 for awareness creation, service delivery and tertiaryseminars are conducted annually. The seminar focuses on care in Diabetic Retinopathy, to promote early diagnosiscommon eye problems, service opportunities and the role and thus reduce its burden in future.of Lions clubs in serving the poor blind community underSightFirst Programme– a global Lions Initiative. Three TIFAC-CORE Phase IIsuch seminars were conducted during the last year atMadurai, Tirunelveli and Theni. The TIFAC-CORE Phase II was completed in March 2010. The main objectives were to enhance research in DiabeticOutreach for Persons with Low Vision and for the Retinopathy through basic research – Molecular geneticsIncurably Blind and immunology, and Proteomics and early diagnosis of Diabetic Retinopathy and to develop human resource)RU WKH ÀUVW WLPH D FDPS IRU WKH EOLQG DQG SHUVRQV through various training programmes.with low vision was conducted at Tirupuvanam. List Under the Phase II of TIFAC-CORE, in addition to theof irreversibly blind and low vision persons in the area regular training courses, the following three new courseswas gathered through key informant method and all the were introduced:LGHQWLÀHG ZHUH LQIRUPHG DKHDG $ WRWDO RI  SDWLHQWV - Short term training in vitrectomy (Virtual).DWWHQGHG WKH FDPS 'U ,ODQJR 0HGLFDO 2IÀFHU /RZ - Molecular genetic methods in diabetic retinopathyVision Clinic examined the patients. Patients with - Flow cytometry and its applications in ophthalmicincurable blindness were referred to the Sivagangai'LVWULFW 5HKDELOLWDWLRQ &HQWUH IRU GLVDELOLW\ EHQHÀWV research0DJQLÀHUV ZHUH SURYLGHG WR SDWLHQWV ZKR KDG VFRSH IRUvision improvement. Patients who had residual vision Product Developmentwith curable blindness were referred to the base hospitalfor further intervention. As one of the industrial partners of TIFAC-CORE in Diabetic Retinopathy, Aurolab has developed AurolaseAt the Tirupuvanam camp for the blind and persons with low vision 532 Green Laser Photocoagulator for using in Diabetic Retinopathy treatment. For the promotion and marketing of this Green Laser Photocoagulator, the Aurolab laser marketing team visited various eye hospitals and ophthalmic conferences. Based on the input from PDQ\ RSKWKDOPRORJLVWV WKH WHDP LGHQWLÀHG WKH QHHG WR Dr. VR. Muthukkaruppan, Dr. R. Kim, Dr. P. Sundaresan with the TIFAC team at the TIFAC-CORE Phase II meet 17

design, and implementation of multicenter clinical research initiatives focused on diabetes-induced retinal disorders. This network which was limited to U.S centres RQO\ KDV QRZ EHHQ H[WHQGHG RXWVLGH 86 IRU WKH ÀUVW WLPH and, Aravind Eye Hospital is included in the set up. The RIÀFLDO DQQRXQFHPHQW UHJDUGLQJ WKLV FDPH RQ 2FWREHU 5, 2009. The Department of Biotechnology, Government of India has given approval for the DRCR Network at Aravind. Observation Visit A team from Orbis Bangladesh partner organisations visited Aravind from 14-18th August to get orientation on Diabetic Retinopathy projects.Demonstration of Aurolase 532 Green Laser Photocoagulator Follow-up visit to Eli Lilly Diabetic Eye Disease Centreprovide Laser Indirect Ophthalmoscope (LIO) and LaserEndoprobes as accessories along with the laser unit. Beijing, China, December 20 – 24Aurolab initiated a development program to add the LIOand Endoprobes to the laser product range. The objective of the visit was to provide consultation WR DFKLHYH WKH VSHFLÀF JRDOV IRU ZKLFK (/'('& LV VHWInternational Symposium on Diabetic Retinopathy and up in order to promote Diabetic Retinopathy servicesRetinal Vascular Diseases in China. The Aravind team consisting of Dr. K. NareshJanuary 9 – 10 Babu, Retina Consultant, Aravind - Madurai andTIFAC-CORE in Diabetic Retinopathy organised an Mr. V. Vijayakumar (Faculty, LAICO) assessed theInternational Symposium on Diabetic Retinopathy and performance of the ELDEDC, extent to which theVascular Diseases at Aravind Eye Hospital, Madurai strategies/recommendations and action plans have beenin collaboration with Beetham Eye Institute and Joslin implemented, challenges faced and the impact.Diabetes Centre, Boston,USA. World Diabetes Day ObservationDiabetic Retinopathy Clinical Research Network (DRCR.net)The Diabetic Retinopathy Clinical Research Network World Diabetes Day was observed at all Aravind(DRCR.net) established in September 2002 is a Hospitals on November 14 to create awareness among thecollaborative network dedicated to facilitating multi- public about diabetes and its complications. The theme ofcentric clinical trials in the management of Diabetic this year’s World Diabetes Day campaign was “Diabetes5HWLQRSDWK\ 7KH '5&5QHW VXSSRUWV WKH LGHQWLÀFDWLRQ education and prevention”. Various camps, seminars and lectures were organised as part of the programme.Awareness and Diabetic Retinopathy screening camp by Aravind-Madurai - part of World Diabetes Day observations18

Education and Training ProgrammesAravind offers various courses, long and short term, Dr. Anand Rajendran, Retina Consultant,designed for ophthalmologists and paramedics as well as Aravind – Madurai underwent training on new generationadministrators and technicians. Participants from across Optical Coherence Tomography (OCT) and Age-relatedthe world attend the programmes here and take home Macular Degeneration (ARMD) management at Dohenythe principles to replicate the success of Aravind in their Eye Institute, Los Angeles from October – December. Herespective areas. had interactions with experts on ocular oncology and DUWLÀFLDO YLVLRQ SURVWKHWLF GHYLFHV +H JRW KLPVHOI XSGDWHGINTERNAL CAPACITY BUILDING on macular diseases and had discussions with someMs. Nithya Neelakantan, Biostatistician, LAICO attended renowned ophthalmologists on various topics ata short term training program on ‘Data Management Bascom – Palmer Eye Institute, Miami.Techniques and Statistical Analytic Methods’ at theDepartment of Biostatistics-Collaborative Studies MAJOR CONTINUING MEDICAL EDUCATIONCoordinating Center (CSCC), School of Public Health, PROGRAMMES ORGANISED AT ARAVINDUniversity of North Carolina, USA from March 15 toApril 30. Glaucoma Surgical Symposium'U . 1LUPDOD 'HY\ 0HGLFDO 2IÀFHU 1HXUR Aravind-Pondicherry, July 18 – 19Ophthalmology Clinic, Aravind – Pondicherry underwentobservership on Neuro ophthalmology under the guidance A total of 110 delegates from outside and 40 delegatesof Dr. Edward Margolin from October 30 – November 21 at from Aravind attended the CME Programme. The guestMount Sinai Hospital. She had an observership on vision faculty included Dr. Scharioth Gabor, Germany, Dr. Amyrehabilitation at Toronto Western Hospital and under Hennessy, Baltimore, USA, Dr. Tanuj Dada andthe guidance of Dr. Samuel Marcowitz at the Canadian Dr. Devender Sood from New Delhi, Dr. Sridhar Rao, andNational Institute of Blindness, Toronto. Dr. Murali Ariga from Chennai. A wide variety of topics focused on surgical management were covered, whichDr. K. Nirmala Devy with Dr. Samuel Marcowitz and his team included optimising trabeculectomy success, minimising FRPSOLFDWLRQV ZLWK WUDEHFXOHFWRP\ RYHU ÀOWHULQJ EOHE PDQDJLQJ D IDLOLQJ ÀOWHU PDQDJLQJ FDWDUDFW DQG JODXFRPD managing paediatric glaucoma and angle closure glaucoma. Sessions were also held on Non Penetrating Filtering surgeries, Valves and Tubes in glaucoma. At the session on live surgery Trabeculectomy, Phaco/ Trab (single site and Twin site) and Canaloplasty were demonstrated. Optocon 2009 Aravind-Madurai, September 12 – 13, 2009 A CME was organised by Aravind School of Optometry on optometry, contact lens and low vision aids from September 12-13. The key note address was given by Prof Jay. M. Enoch from University of California, Berkeley. 19

20

CANDIDATES TRAINED 2009-2010Name of the Course Duration TotalPOST GRADUATE COURSES 2 years 8Diploma in Ophthalmology (D.O) 3 years 6Master of Surgery in Ophthalmology (M.S) 3 years 11Diplomate of the National Board (Dip.N.B) 2 years 11Post DO DNBLONG TERM - OPHTHALMOLOGY FELLOWSHIP 2 years 11 Prof Jay M. Enoch, University of California addressing the audienceRetina - Vitreous 2 years 11 at Optocon 2009 through videoconferencingAnterior Segment / Intraocular Lens Microsurgery 2 years 13Glaucoma 18 months 10 7KH LQDXJXUDWLRQ ZDV IROORZHG E\ D GD\ ORQJ VFLHQWLÀFCornea 18 months 8 programme with four sessions on general refraction,Paediatric Ophthalmology and Strabismus 18 months 3 optical dispensing, contact lens and low vision aids.Orbit and Oculoplasty 18 months 1 Hands on training sessions were also a part of theUvea 2 years 1 programme. More than 200 delegates participated in theComprehensive General Ophthalmology CME.SHORT TERM - FELLOWSHIP (ONLY FOR INTERNATIONAL CANDIDATES) Update in Ophthalmology for Postgraduate StudentsOrbit and Oculoplasty 6 months 1 Aravind – Tirunelveli, October 5 – 9SHORT TERM - CLINICAL COURSES 1 month 22 A total of 46 Post Graduate students in ophthalmologyIOL Microsurgery 1 month 38 attended the update. Senior Aravind faculty andSmall Incision Cataract Surgery 1 month 48 experts from outside discussed the recent advances andPhacoemulsification 2 months 42 GHYHORSPHQWV LQ WKHLU UHVSHFWLYH ÀHOGVDiagnosis and Management of Glaucoma 2 months 42Lasers in Diabetic Retinopathy Management 1 month 7 CME on Child Blindness and Eye HealthLow VisionOrientation to Paediatric Ocular Anaesthesia 1 month 1 Aravind – Madurai, December 12for Anaesthetics A2Z, the United States Agency of International Development (USAID) Micronutrients Sight InnovationLONG TERM - PARAMEDICAL COURSES 2 years 62 Project managed by Academy for EducationalDiploma in Ophthalmic Techniques Development (AED) supports Paediatric Department of Aravind Eye Hospital, Madurai in the eye careSHORT TERM - PARAMEDICAL COURSES 3 months 18 programmes on school based screening for refractiveOptical Dispensing 2 months 8 error, paediatric cataract surgery and Retinopathy ofOT Techniques 2 months 8 Prematurity (ROP) screening at Neo-natal Intensive CareRefraction Techniques 6 months 7 Units.Training for Orthoptist 3 months 7Training for Paediatric Nurses 2 months 2 During the CME on Child Blindness and Eye HealthTraining for Paediatric Counsellors 3 weeks 3Training for Ocularist 2 months 4 21Fundus Angiography and UltrasonographyMANAGEMENT COURSESManagement Training for Eye Care Programme Managers 2 weeks 36 20Management Priorities in Eye Care Delivery 1 week 39Eyexcel-Expanding Global Eye Care Workforce through 14Excellence in Training 4 days 4 13Management Training and Systems Development 21 40for Hospital Administrators or Managers 6 weeks 1Medical Records Management 1 month 18 622Project Management Training for Eye Care 4 weeksWorkshop on Research Methodology 5 daysInstruments Maintenance for Technicians 6 weeksInstruments Maintenance for Ophthalmologist 5 daysCommunity Outreach and Social Marketing ofEye Care Services 4 weeksTOTAL

CONFERENCES ATTENDED ELSEWHERE In the year ending March 2010, Aravind doctors and senior managers made over thirty paper presentations at the Tamil Nadu Ophthalmic Association (TNOA) Conference KHOG LQ &RLPEDWRUH DQG DURXQG IRUW\ ÀYH DW WKH SUHVWLJLRXV All India Ophthalmic Society (AIOS) Conference held in Kolkata. Apart from these they participated in several state level conferences across India. Listed below are the national level clinical society meetings and international conferences attended by Aravind staff:*XHVW )DFXOW\ ZLWK WKH $UDYLQG WHDP DW WKH ,QWHUQDWLRQDO American Society of Cataract and Refractive Surgeons6\PSRVLXP RQ 'LDEHWLF 5HWLQRSDWK\ DQG 5HWLQDO 9DVFXODU 'LVHDVHV San Francisco, USA, April 3 – 8 DR. HARIPRIYAAs part of this project, a CME was jointly organised  &RPSDULQJ WKH VDIHW\ DQG HIÀFDF\ RI  SKDFR WHFKQLTXHVby Aravind Eye Hospital - Madurai, Indian Academy  &DSVXOH À[DWLRQ GHYLFHV WR DLG VDIH SKDFR LQ VXEOX[DWLRQ  6,&6of Paediatrics- Madurai Branch and Institute of ChildHealth and Research Centre, Government Rajaji Hospital. LQ GLIÀFXOW VLWXDWLRQV DQG TXDOLW\ DVVXUDQFH LQ KLJK YROXPHMadurai. Around 45 Paediatricians and Postgraduate systemstudents attended the programme. A practical Lead instructor for the Course on Posterior Capsuledemonstration of fundus pathology using model eye was Rupture and Zonular Dialysis Management.arranged at the end of the programme. DR. R. VENKATESH - Torsional phaco for small pupil in a course on torsional phaco forInternational Symposium on Diabetic Retinopathy challenging casesand Retinal Vascular Diseases 14th Annual International Meeting of the AmericanJanuary 9 – 10 Telemedicine Association Las Vegas, USA, April 26 – 28The Symposium was organised by TIFAC-CORE in DR. R. KIMDiabetic Retinopathy at Aravind Eye Hospital, Madurai  7HOHKHDOWK SULPDU\ VHFRQGDU\ DQG WHUWLDU\ H\H FDUH LQ ,QGLDin collaboration with Beetham Eye Institute and JoslinDiabetes Centre, Boston,USA. Around 180 participants Association for Research in Vision and Ophthalmologyincluding ophthalmologists, postgraduates, consultants, Fort Lauderdale, USA, May 3 – 7diabetologists, postgraduates in genetic studies DR. BADRINATH TALWARfrom various hospitals and institutions across India  5LVN IDFWRUV IRU FDWDUDFW LQ WKH ,1'(<( VWXG\participated in the symposium. Eminent international andnational faculty delivered lectures in the symposium. 24th Congress of the Asia-Pacific Academy of OphthalmologyApart from these, Aravind – Pondicherry conducted two Bali, Indonesia, May 16 – 19CMEs, one on Recent Trends in Ophthalmic Care (April Dr.R.Kim, Dr. Ravindranath Reddy and Dr. R. Meenakshi19) and the other on Paediatric Ophthalmology (June 21) SDUWLFLSDWHG LQ WKH WK &RQJUHVV RI WKH $VLD3DFLÀFfor the general physicians in and around Pondicherry. Academy of Ophthalmology conference held at Bali.Participants of 20th Update in Ophthalmology for Postgraduate Students at Aravind-Tirunelveli22

Annual Meet of Canadian Ophthalmological Society World Congress of Paediatric Ophthalmology and Strabismus (WCPOS) ConferenceToronto, Canada, June 20 – 23 Barcelona, Spain, September 12 – 14DR.VENKATESH DR. P. VIJAYALAKSHMI- Manual sutureless cataract surgery - A practical short course for  'HYHORSLQJ D WHDFKLQJ QHWZRUN LQ VRXWK ,QGLD DR. MEENAKSHI phaco surgeons - Optic neuritis in children - Etiology and management of commitant esotropia in children inWorld Glaucoma Congress VRXWK ,QGLDBoston, USA, July 8 – 11 DR. KALPANADR. S. KAVITHA Poster presentations:Poster presentation - Mitomycin C augmented  9LVXDO RXWFRPHV DQG FRPSOLFDWLRQV IROORZLQJ VXUJHU\ IRU HFWRSLDtrabeculectomy with single site manual small incisioncataract surgery - a retrospective analysis. lentis in paediatric population with use of cionnis endocapsular ringCase report titled Topiramate induced bilateral angle  9LVXDO RXWFRPHV DQG FRPSOLFDWLRQV IROORZLQJ VXUJHU\ IRUclosure glaucoma traumatic cataract in paediatric population - long term resultsDR. R. RAMAKRISHNAN Paper presentation 0DQDJLQJ WUDEHFXOHFWRP\ FRPSOLFDWLRQV  9LVXDO RXWFRPHV DQG FRPSOLFDWLRQV IROORZLQJ VXUJHU\ IRUChaired the session on Glaucoma surgery basics LQWUDRFXODU OHQV H[FKDQJH LQ SDHGLDWULF SRSXODWLRQDR.MANJU PILLAI DR. K. VEENAVideo presentations Poster presentation- Training to tackle glaucoma in the developing world.  'LDJQRVLV DQG PDQDJHPHQW RI SUH H[LVWLQJ SRVWHULRU FDSVXODU &RPEDWLQJ JODXFRPD EOLQGQHVV  UHDFKLQJ WKH XQGHWHFWHG defect in traumatic white cataract in children6KH DOVR YLVLWHG PDVVDFKXVVHWV H\H DQG HDU LQÀUPDU\ DQGmet Dr. Wallace Lee Alward, Dr. Fingert, Dr. Kwong and European Society of Cataract and Refractive SurgeonsDr. S.S. Hayreh at the university of IOWA. Barcelona, Spain, September 12 – 14 DR. K. VEENAIndian Council of Medical Research (ICMR) Registry ,QVWUXFWLRQ FRXUVHMeetings - Manual sutureless small incision cataract surgery - cost effective,Dr. Usha Kim and Dr. P. M. Aravind participated in the KLJK YROXPH KLJK TXDOLW\ DOWHUQDWLYH WR SKDFRHPXOVLÀFDWLRQ IRUNational Retinoblastoma Registry Meetings on July 27 developing countriesand March 26, 2010 respectively and Dr. R. Kim attendedthe Retinitis Pigmentosa (RP) Registry Meeting held National Conference on Advancements in Medicalunder ICMR at New Delhi on February 25, 2010. Instrumentation Maharashtra, India, September 19Nystagmus Research Group Meeting PROF. V. SRINIVASAN Paper presentationOxford, UK, September 2 – 5  &DUH PDLQWHQDQFH DQG UHSDLU RI KRVSLWDO HTXLSPHQWDr. Shashikant Shetty participated in NystagmusResearch Group meeting at Oxford. He also visited/HLFHVWHU ,QÀUPDU\ KRVSLWDOV IRU REVHUYDWLRQ XQGHU WKHguidance of Prof. Irene Gottlob.Dr. R. Ramakrishnan, Dr. Manju R. Pillai and Dr. S. Kavitha with0UV %DUEDUD 6KLQJOHWRQ 'U %UDGIRUG 6KLQJOHWRQ DW WKH :RUOGGlaucoma Congress held at Boston, USA 3URI 9 6ULQLYDVDQ DW WKH 1DWLRQDO &RQIHUHQFH RQ $GYDQFHPHQWV LQ 0HGLFDO ,QVWUXPHQWDWLRQ 23

International AMD and Retina Congress MeetingAthens, Greece, October 7 – 12Dr. V.Narendran and Dr. Rodney J Morris, Aravind-Coimbatore participated in the International AMD andRetina Congress meeting held at Athens from October7 - 8. They also went for an observership in the EYESIVitrectomy Training facility at University Hospital,Frankfurt from October 10 – 12.Conference on Global Health Care Sustainability 'U .ULVKQDGDV DW WKH FRQIHUHQFH RQ JOREDO KHDOWK FDUH VXVWDLQDELOLW\Gothenburg, Sweden, October 12 – 14 SwedenDr. Krishnadas attended the conference convened by Panel member for the discussion on Medical management,the Center for Effective Organisations, University of surgical management and clinical management ofCalifornia and the Center for Health Care Improvement glaucoma.of the Chalmers University of Technology, Gothenburg, DR. S.R. KRISHNADASSweden to discuss globally effective systems of health  0DQDJHPHQW RI RYHU IXQFWLRQLQJ EOHEVcare delivery. Dr. Krishnadas presented and discussed DR. P. SATHYANthe Aravind model of effective, low cost and high quality - Setting up of a glaucoma practicedelivery.  7UDEHFXOHFWRP\ ZLWK SKDFRHPXOVLÀFDWLRQ LQ JODXFRPD DR. VENKATESHAnnual Meeting of the American Academy of  1RQ SHQHWUDWLQJ JODXFRPD ÀOWHULQJ VXUJHU\Ophthalmology DR. SHARMILASan Francisco, USA, October 23 – 27  )DPLO\ VFUHHQLQJ IRU RSHQ DQJOH JODXFRPD EHVW SDSHU DZDUG DR. DHANANJAY SHUKLA DR. GANESH RAMAN $ FRPSDULVRQ RI EULOOLDQW EOXH * WU\SDQ EOXH DQG LQGRF\DQLQH  0RELOH VHUYLFHV WR HQKDQFH SDWLHQW FRPSOLDQFH DQG UHYLHZ DR. R. PRASHANTH JUHHQ WR DVVLVW LQWHUQDO OLPLWLQJ PHPEUDQH SHHOLQJ GXULQJ - Correlation of DDLS and RNFL measurements macular hole surgery (poster) DR. GEORGE. V. PUTHURAN- A prospective controlled trial of transpupillary thermotherapy - All that is cupped is not glaucoma for chronic central serous chorioretinopathy (poster) DR. G. VIJAYADR. ANAND RAJENDRAN  6PDOO SXSLO SKDFR WUDEHFXOHFWRP\ ,VRODWHG ,QWUDYLWUHDO EHYDFL]XPDE IRU FKRURLGDO QHRYDVFXODU DR.R. VENKATESH PHPEUDQHV RI PXOWLSOH DHWLRORJLHV poster)  9LVFRFDQDORVWRP\DR. K. NIRMALA DEVY DR. S. KAVITHA ,QVWUXFWLRQ FRXUVH RQ 6,&6  VWHSV RI PDQXDO VPDOO LQFLVLRQ cataract surgery Poster presentationMR. R. D. THULASIRAJ - History taking a never dying artParticipated as the chief instructor and instructor of the World ROP Congress Conferencecourses New Delhi, India, November 21 – 23 DR. V. NARENDRAN +LJKYROXPH KLJKTXDOLW\ FRVWHIIHFWLYH FDWDUDFW VXUJHU\ WR - Screening guidelines WDFNOH FDWDUDFW EDFNORJ DR. PARAG K SHAH  7UDQVSXSLOODU\ WKHUPDO WKHUDS\ 777  $ TXLFNHU DQG PRUH :RUNVKRS RQ VWUHQJWKHQLQJ H\H FDUH LQIUDVWUXFWXUH LQ GHYHORSLQJ countries HIÀFLHQW ODVHU IRU WKH WUHDWPHQW RI 523He also participated in Cataract Working Group Annual Conference of Vitreo Retinal Society Indiaand ICO’s Refractive Task Force meetings to identify Palampur, India, November 25 – 28strategies to address the problem of refractive error in DR. V. NARENDRANdeveloping countries.  9LUWXDO UHDOLW\ LQ 95 VXUJHU\ WUDLQLQJTELEMEDICON 2009Pune, India, November 6 – 8DR. R. KIM- Teleophthalmology - primary, secondary and tertiary eye care in ,QGLDXIX Annual Meeting of the Glaucoma Society of IndiaBangalore, India, November 6 – 8DR. R. RAMAKRISHNAN 5HOHYDQFH RI GLIIHUHQW JODXFRPD VXUJLFDO SURFHGXUHV LQ ,QGLDQ scenario24

DR. V.R. SARAVANAN DR. P. RAJA SEKHAR, DR. M. DHEEPHA, DR. PARAG K. SHAH, ,QLWLDO H[SHULHQFH ZLWK LQWUDYLWUHDO PDFXJHQ IRU QRQ$0' DR. RODNEY J MORRIS, DR. V.R. SARAVANAN AND DR. V. NARENDRAN macular diseases ² $QDWRPLFDO DQG YLVXDO RXWFRPH IROORZLQJ SRVWHULRU VHJPHQWDR. RODNEY J MORRIS ,QGLDQ H[SHULHQFH RI DQWL 9(*) LQ '0( LQWUDRFXODU IRUHLJQ ERG\ UHPRYDO SRVWHU DR. RAJASEKHAR- Anatomical and visual outcome of posterior segment intraocular Uveitis Society of India Conference Chennai, India, December 4 – 6 IRUHLJQ ERG\ UHPRYDO SRVWHU DR. S.R. RATHINAMDR. THOMAS K CHACKO  ,GLRSDWKLF XYHLWLVKRZ ORQJ WKH\ DUH LGLRSDWKLF $QDWRPLFDO DQG YLVXDO RXWFRPH IROORZLQJ J WUDQVFRQMXQFWLYDO - Construction of differential diagnosis in uveitis DR. S. BALAMURUGAN sutureless vitrectomy for repair of primary rhegmatogenous  $ UDUH GLVRUGHU WKDW PDVTXHUDGH DV LQWHUPHGLDWH XYHLWLV retinal detachment DR. KAWALI ANKUSH ASHOKDR. R. KIM - STAPH. AUREUS endogenous endophthalmitis &XUUHQW FRQFHSWV LQ YLWUHFWRP\ IRU RSHQ JOREH LQMXU\ DR. B. MANOHAR BABUDR. NARESH BABU - Update in intermediate uveitis * 339 IRU SRVWHULRU VHJPHQW ,2)% 1RYHO WHFKQLTXH RI VXWXUHOHVV VFOHUDO À[DWLRQ RI GLVORFDWHG OHQV Oculoplasty Association of India ConferenceDR. PRAVEEN MURALI Ahmedabad, India, December 4 – 6- Myopic tractional maculopathy as rare cause for visual loss in DR. USHA KIM degenerative myopia - Endoscopic DCR presentation * 33/ IRU FKLOGUHQ ZLWK HFWURSLD OHQWLV Live surgery - Auro sling with frontalis sling surgeryDR. SHASHANK RAI GUPTA ,QWUDYLWUHDO EHYDFL]XPDE IRU &190 ZLWK UHWLQRFKRURLGDO Strabismus Society of India (SSI ) Conference FRORERPD Hyderabad, India, December 19 – 20DR. MANJUNATH DR. RAMAKRISHNAN 53( ULS SUHVHQWLQJ DV D VXEWRWDO UHWLQDO GHWDFKPHQW$ FDVH UHSRUW  0DQDJHPHQW RI VL[WK QHUYH SDOV\- Computerised eye simulator - A surgical training tool DR. RAJESH PRABU AND DR. NEELU AGARWALDR. SHASHANK RAI GUPTA, DR. ANAND RAJENDRAN, DR. KIM - Surgical outcome of MEDRAMASAMY DR. SREEPATHY ,QWUDYLWUHDO EHYDFL]XPDE IRU FKRURLGDO QHRYDVFXODUL]DWLRQ  &DVH SUHVHQWDWLRQ  $ UDUH FDVH RQ WUDXPDWLF VXSHULRU REOLTXH DVVRFLDWHG ZLWK UHWLQRFKRURLGDO FRORERPD SRVWHU DR. PRAVEEN MURALI, DR. DHANANJAY SHUKLA, DR. ANURADHA ruptureDHAWAN, DR. KIM RAMASAMY DR. LAXMAN NARALE- Myopic tractional maculopathy as rare cause for visual loss in  &DVH SUHVHQWDWLRQ  $ UDUH FDVH RI LQIHULRU REOLTXH SDOV\ degenerative myopia (poster)DR. K. NARESH BABU, DR. R. KIM, DR. PRAVEEN MURALY TIFAC – CORE Meet (TCM) 2009  ² J SDUV SODQD YLWUHFWRP\ IRU SRVWHULRU VHJPHQW LQWUDRFXODU Coimbatore, India, December 22 – 24 IRUHLJQ ERG\ SRVWHU Dr. R. Kim participated in the TCM 2009, an annual event held to discuss the major developments and activities of TIFAC–CORE in the management of diabetic retinopathy.'U .LP 'U ,QGLUHVDQ 'U 5 &KLGDPEDUDP 3ULQFLSDO $GYLVRU WR 'U 0 6ULQLYDVDQ DQG 'U /DOLWKD 3UDMQD DW WKH ÀIWK ,QWHUQDWLRQDOWKH *RYW RI ,QGLD &KDLUPDQ 7,)$& 6XGKDNDUDQ $XURODE /DVHU Conference on Ocular infectionsGLYLVLRQ DW 7,)$&&25( 0HHW  25

5th International Conference on Ocular Infections VOL: 40 (5) 2009 SEP.-OCT. P.501-503Florida, USA, February 18 – 21 SHUKLA, DHANANJAY; KANUNGO, SANGHAMITRADR. M. SRINIVASAN - Surgical repair of iatrogenic macular hole secondary to 6WHURLG YV QR VWHURLG LQ EDFWHULDO NHUDWLWLV- Prevention of suppurative keratitis vitrectomy for long-standing traumatic retinal detachment- Newer antifungals and anti protozoalsHe also moderated the sessions on 2010 MAR 9:1-3. (Epub ahead of print)- Fungal keratitis SHUKLA, DHANANJAY; DHAWAN A. *OREDO LQIHFWLRXV EOLQGQHVV - Evolution and management of a post-uveitis macular holeDR.S.LALITHA PRAJNA- Comparison of natamycin and voriconazole for the treatment of 2010 MAR 1-7 (Epub ahead of print) SHUKLA, DHANANJAY; RAMCHANDANI, B; VIGNESH, TP; ANAND, fungal keratitis RAJENDRAN; NEELAKANTAN, NITHYA 5HDO WLPH TXDQWLWDWLYH 3&5 LQ WKH GLDJQRVLV RI WXEHUFXODU XYHLWLV - Localized serous retinal detachment of macula as a marker of8th National Conference of Society for Human and malignant hypertensionAnimal MycologistsNew Delhi, March 4 – 6 2010 MAR 9:1-3. (Epub ahead of print)DR. S. LALITHA PRAJNA SENGUPTA, S; VENKATESH, R; RAVINDRAN, R D- Study of the host response in fungal corneal ulcers in humans  8QLODWHUDO RSWLF QHUYH HQWUDQFH FRORERPD 7KH EURNHQ GLVF ZRQ WKH ÀUVW SUL]H anomalyP. Manikandan, Microbiologist, Aravind - Coimbatorewon “Dr. Pankajalakshmi Venugopal Glaxo Meritorious CURR OPINION OPHTHALMOL$ZDUGµ IRU RXWVWDQGLQJ ZRUN LQ WKH ÀHOG RI PHGLFDOmycology. VOL: 20 (4) 2009 JUL. P.318-323 LALITHA, PRAJNAIndia Conference 2010 - Nocardia keratitisBoston, USA, March 6Dr. P. Namperumalsamy participated in the health care OPHTHALMIC EPIDEMIOLOGYdiscussion at the India Conference held at HarvardBusiness School. VOL: 16 (3) 2009 JUN. P.193-197 KATZ, JOANNE; TIELSCH, JAMES M; THULASIRAJ, RAVILLA D;ARTICLES PUBLISHED IN PEER REVIEWED JOURNALS COLES, CHRISTIAN; SHEELADEVI, SHEELA; YANIK, ELIZABETH L; RAHMATHULLAH, LAKSHMIInternational Journals  5LVN IDFWRUV IRU PDWHUQDO QLJKW EOLQGQHVV LQ UXUDO VRXWK ,QGLDBR J OPHTHALMOL OPHTHALMIC PLAST RECONSTRUCTIVE SURGERYVOL: 93 (4) 2009 APR. P.429-434 VOL: 25 (5) 2009 SEP.-OCT.NAMPERUMALSAMY, P; KIM, R; VIGNESH, T P; NITHYA, N; USHA, KIM R; VIPUL, ARORA; SHANTI, R; AKASH, D SHAHROYES, J; GIJO, T; THULASIRAJ, R D; VIJAYAKUMAR, V  1HJOHFWHG JLDQW DW\SLFDO ÀEUR[DQWKRPD RI WKH H\HOLG 3UHYDOHQFH DQG ULVN IDFWRUV IRU GLDEHWLF UHWLQRSDWK\ D 2010 JAN-FEB; 26(1):30-2. SRSXODWLRQEDVHG DVVHVVPHQW IURP 7KHQL GLVWULFW 6RXWK ,QGLD USHA, KIM R; VIPUL, ARORA; RAMCHANDRAN, S; AKASH, D SHAH; PHELPS, POVOL: 93 (5) 2009 MAY P.701-702  2UELWDO K\DOLQL]LQJ VSLQGOH FHOO WXPRU ZLWK JLDQW URVHWWHVROE, R H; RATHINAM, S R; WONG, R W; MCDONALD, H R;JUMPER, J M; CUNNINGHAM J., E T MAR.- APR. 2010- Delayed fellow eye involvement in patients with vogtt-koyanagi- USHA, KIM R; SHAH, AKASH D; SHANTI, RAMACHANDRAN; ARORA, VIPUL harada disease - Primary adenoid cystic carcinoma of the eyelidOPHTHALMIC SURG LASERS IMAGING ARCH OPHTHALMOL.VOL: 40 (2) 2009 (MAR-APR) P.115-119 2010 VOL: 128(1) JAN. P.28-32.SHUKLA, DHANANJAY; BEHERA, UMESH CHANDRA; CHAKRABORTY, BALASUNDARAM, MB; ANDAVAR, R; MANIKANDAN, P;SOMNATH; MAHALAKSHMI, RAJENDRAN; PRASAD, NOELA MARIE NARENDRAN, V- Serous macular detachment as a predictor of resolution of  2XWEUHDN RI DFTXLUHG RFXODU WR[RSODVPRVLV LQYROYLQJ  macular edema with intravitreal triamcinolone injection patients EYE VOL: 23 (4) 2009 APR. P.945-956 RAMAKRISHAN, R; JAYAHAR, M BHARATHI; SHIVKUMAR, C; MITTAL, S; MEENAKSHI, R; KHADEER, M A; AVASTHI, A  0LFURELRORJLFDO SURÀOH RI FXOWXUHSURYHQ FDVHV RI H[RJHQRXV DQG HQGRJHQRXV HQGRSKWKDOPLWLV D \HDU UHWURVSHFWLYH VWXG\26

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Lions Aravind Institute of Community Ophthalmology(LAICO)The year 2009-2010 has been remarkable for LAICO in Eye Foundation, Right to Sight, Seva Foundation, ORBISterms of sharing with the external world the preferred International, Lavelle Fund for the Blind, Internationalpractices learned at Aravind. This was achieved through Council for Ophthalmology and the World Healthworkshops, training programmes, publications as well Organisation.as through a series of global consultations and visitsby experts and learners from various walks of life that Listed below are the capacity building activities carriedprovided a platform for sharing and cross learning. The out from April 2009 – March 2010:new division, Advocacy and Patient Empowermentestablished itself as another component of LAICO’s Needs Assessment Visitsoffering. - Eye Care Centre, Banglore, Karnataka - Ganga Devi Pandey Eye Hospital, Mahendragarh,Consultancy and Capacity Building Services HaryanaLAICO in collaboration with international voluntary - Lions Eye Hospital, Guna, Madhya Pradeshorganisations, engages with several eye care institutions - Lions Revanker Charity Eye Hospital, Kumta,and programmes in a systematic capacity buildingprocess where the core principles of demand generation, Karnatakaproductivity, quality and sustainability are incorporated - Ram Mohan Mission Eye Hospital, Prantik, Westinto the institution’s way of working – by enhancingthe capacity of the management and by instituting Bengalappropriate systems to ensure optimum utilisation of - Eye Micro and LASIK Centre, Chinsura, West Bengalresources and developing ways to serve the need in the - Lions Eye Hospital - Surat, Gujaratcommunity in a sustainable manner. The key collaborators - Lions Eye hospital - Jalgaon, Maharashtraare the Lions Clubs International Foundation, Sightsavers - Dr. Bhanuban Nanavathi Hospital, Chorwad, Gujarat,International, Christoffel Blinden Mission, International - Dr.Balabhai Nanavathi Hospital, Mumbai, MaharashtraMr. Sanil Joseph, Faculty, LAICO and Mr. Mohammed Gowth, Vision Building and Strategic Planning WorkshopAssistant Manager-Community Outreach with the Lions RevankerCharity Eye Hospital, Kumta team July 13 – 18, 2009 The participants were from: - Lions Eye Hospital - Surat, Gujarat - Lions Eye hospital - Jalgaon, Maharashtra - Dr. Bhanuban Nanavathi Hospital, Chorwad, Gujarat - Dr.Balabhai Nanavathi Hospital, Mumbai, Maharashtra August 31 – September 05, 2009 The participants were from: - Dhaka Shariatpur Central Lions Eye Hospital, Bangladesh - Lions Revankar Charitable Eye Hospital, Kumta, Karnataka - Shri Sadguru Sankalp Netra Chikitsalaya, Anandapur, Madhya Pradesh - Gangadevi Pandey Eye Hospital, Haryana - Dr. M.M. Joshi Eye Institute, Hubli, Karnataka 29

30

Mr. Sanil Joseph and Dr. K. Tiruvengadakrishnan, Consultant, Dr. Shivakumar Chandrasekhar at the Capacity BuildingAravind-Pondicherry with the KCMC team, Moshi Workshop for Rural Practitioners in ChinaFollow-up Visits Mr. Colin Williams and Mr. John Bickel who were the resource persons for the workshop.Kilimanjaro Christian Medical Center (KCMC), Moshi,Tanzania, July 29 – 31 Mr. Sanil Joseph visited Kilimanjaro Centre for Community Ophthalmology, Tanzania from July 27 – 31The Lavelle Fund supported consultancy for capacity to conduct onsite coaching review for the participantsbuilding of the KCMC Eye Department was initiated in of the workshop on consulting skills held in February,January 2006. The hospital is showing a positive growth 2009. This was part of the SEVA CCO capacity buildingdespite challenges such as high incidence of staff leaving initiative in collaboration with Wescott Williamsfrom key positions. Consulting Ltd., UK.Eli Lily Diabetic Eye Disease Centre Workshop on Capacity Building and CommunityBeijing, China, December 20 – 24 ParticipationThe main objective of this capacity building project Zhongshan Ophthalmic Centre, Sun Yat–sen University,initiated in January 2007 was to provide consultation Guangzhou, China, June 12 – 13WR DFKLHYH (/'('&·V VSHFLÀF JRDOV WR SURPRWH GLDEHWLFretinopathy services in China. Aravind team assessed the Dr. Shivakumar Chandrasekhar, Consultant,performance of the ELDEDC-the extent of implementation Aravind-Tirunelveli participated in the workshop whichof strategies, recommendations and action plans, the was conducted as part of capacity building for thechallenges faced and the change in impact. rural practitioners and also for the hospitals to perform adequate number of quality cataract surgeries to meet theUpdate on CCO Network Activity community need. He made presentations onMr. Sanil Joseph visited W2 Consulting, UK from July - The core concept of Aravind way of providing21 - 25 to plan for the follow up review on the Workshop quality and large volume service for the paying andon Developing Consultancy Skills for Seva CCOs. He had underprivileged patientsdiscussions on the design of the October Summit-2009ZRUNVKRS RQ ,QÁXHQFLQJ 6XVWDLQDEOH &KDQJH ZLWK - Reaching the rural and urban communities to provide needed eye care and to increase patient volume.Dr. K. Naresh Babu, Retina Consultant, Aravind - Madurai andMr. V. Vijayakumar, Faculty, LAICO at ELDEDC, China Curriculum Development Workshop for Lions Hospitals December 2009 Having worked with over 100 Lions eye hospitals through its structured capacity building initiative, LAICO saw tremendous scope for these hospitals to further build their capacity to serve the community better. The curriculum development workshop was aimed to: - Develop better understanding about the hospitals’ current situation - Understand the support required by the hospitals in their attempt to grow 31

Participants at the Lions’ Curriculum Development Workshop 'U ' 'DWWD &KLHI 0HGLFDO 2IÀFHU $UDYLQG ² 7KHQL and Mr. Suresh Kumar, Faculty – LAICO analysed- Develop better understanding of what directions and the performance, clinical and non-clinical quality, growth levels these hospitals should aim at patient satisfaction level, utilisation of resources and the effectiveness of demand generation. The team also- Evolve intervention strategies to support these evaluated the sustainability aspect of the hospital. hospitals Quality Assurance Assessment of Dalian He Eye Hospital26 participants representing LCIF, Lions Eye Hospitals, China, November 9 – 13non–Lions Eye Hospitals, INGOs and LAICO-AECSattended the workshop. The workshop was formally Dr. R D Ravindran, Joint Director, AECS and Dr.inaugurated by Ln. Mahendra Amarasuriya PMJF and Muralidhar, Consultant, Paediatric OphthalmologyPast International President. The participants included Services, Aravind-Madurai visited Dalian He Eye Hospital,Mr. Joshua Friedman, Assistant Department Manager, China to assess its quality assurance practices. This wasLCIF SightFirst- Programmes and the technical advisors done as part of a continuous capacity building initiativeof SightFirst-India programme. By the end of this to provide high quality paediatric eye care services toworkshop a broad curriculum matrix was developed serve Northeast China. Dalian He Eye Hospital is settingto work with Lions Eye Hospitals. This will be further up a pediatric eye care centre with support from ORBISGHWDLOHG DQG UHYLHZHG EHIRUH VXEPLVVLRQ RI WKH ÀQDO International. The key tasks carried out during the visitproposal to LCIF. were: - Assessing the existing quality assurance system atEvaluation Visits Dalian HEH for cataract surgery, strabismus surgery,Eye Care Evaluation in Rev. Abdul Wadud Memorial amblyopia treatment, and patient satisfaction.Hospital (RAWMH) - Conducting a training workshop for DalianKhulna, Bangladesh, August 10 - 15 HEH’s Quality Assurance Monitoring Team (to beThe evaluation visit supported by Dark and Light established) and staff members on concepts, methodsFoundation was carried out to understand the relevance and protocols of QA.of RAWMH’s services to the need of the community. - Providing advisory support to Dalian HEH, particularly to the Quality Assurance (QA) MonitoringDr. Datta and Mr. Suresh Kumar at RAWMH, Khulna, Bangladesh Team, on developing a QA system for priority clinical areas of cataract surgery, strabismus surgery, and amblyopia treatment, as well as for non-clinical areas, namely patient satisfaction, based on the results of the above mentioned assessment. Prior to the workshop, the Aravind team visited the hospital facilities including various departments to understand current practices and approaches and also an outreach screening camp. The team discussed as to how to implement the QA system and shared relevant quality assurance information and documents such as Dr. R D Ravindran and Dr. Muralidhar at Dalian He Eye Hospital, China32

quality assurance indicators, assessment instruments, QApolicies, QA job descriptions etc.Final Evaluation of Child Eye Care Support Project Mr. R.D. Thulasiraj and Dr. Mohideen with the Ministry of Health,Vietnam, December 13 – 19 Oman teamDr. Kalpana Narendran, Senior Consultant, Aravind – of VISION 2020 programme management and suggestedCoimbatore and Sasipriya KM, Faculty, LAICO visited recommendations for the strengthening of the same.Quang Nam and Quang Ngai provinces in Vietnam toFDUU\ RXW ÀQDO HYDOXDWLRQ RI &KLOG (\H &DUH 6XSSRUW Collaboration with Grameen Hospitalsproject implemented by the respective provincialMinistries of Health funded by USAID and managed by LAICO has been supporting Grameen Hospitals in BograFred Hollows Foundation, Vietnam. This evaluation DQG %DULVDO LQ WHUPV RI GHVLJQ RSHUDWLRQV DQG VWDIÀQJexercise assessed the progress made against the targets On September 14, Mr. R.D. Thulasiraj and Dr. SuzanneVHW HIÀFLHQF\ DQG HIIHFWLYHQHVV RI SURMHFW LPSOHPHQWDWLRQ Gilbert, Seva Foundation met with Prof. Mohammadstrategies, partnerships and linkages. The team provided Yunus and Mr. Imamus Sultan in Dhaka to have a strategicnecessary recommendations for future projects by visiting level discussion on how Aravind – Seva could supportand having discussions with different stakeholders – these hospitals in scaling up the project.provincial and district hospitals, commune health stations,VFKRROV EHQHÀFLDULHV FKLOGUHQ ZKR ZHUH RSHUDWHG XSRQ At Grameen GC Eye Hospital (GGCEH), BograDQG DOVR WKH RIÀFLDO DXWKRULWLHV DW GLIIHUHQW OHYHOV During the visit made by Dr. D. Datta and Mr. SureshProgress of Vision 2020 in Oman Kumar from August 16 – 19, performance parameters were introduced and discussed in-depth with the differentDecember 26 – 30 clinical and non-clinical departments.Aravind team consisting of Mr. R. D. Thulasiraj, Executive At GGCEH, BarisalDirector - LAICO and Dr. Mohideen Abdul Khadar,0HGLFDO 2IÀFHU $UDYLQG  7LUXQHOYHOL UHYLHZHG WKH $UDYLQG WHDP FRQVLVWLQJ RI 'U /LRQDO 5DM 0HGLFDO 2IÀFHUimplementation of Disease Control strategy (Cataract, Aravind – Tirunelveli, Mr.Dhinakaran, Asst. Administratorglaucoma, Diabetic Retinopathy, corneal pathologies (Aravind – Tirunelveli), Sr.Pitchaimeena (Refraction),and ocular trauma) at the representative institutes of Sr.Gomathi (MRD), Sr.Innasi (OPD). Sr. Indhumathisecondary and tertiary eye care units under the Ministry (Ward) and Sr.Sangeetha (OT) provided training to theof Health, Oman. They analysed the present scenario staff of various cadres in their respective areas. The teamRI KXPDQ UHVRXUFH LQ WKH ÀHOG RI H\H FDUH LQ 2PDQ DQG carried out evaluation based on performance parameters.UHFRPPHQGHG VWHSV WR LPSURYH HIÀFLHQW XWLOLVDWLRQ RIavailable manpower and generate sustainable mid leveleye care personnel. The team had a discussion on theHIÀFLHQF\ RI H\H FDUH GHOLYHU\ DQG VXJJHVWHG FRVW HIIHFWLYHtechnological upgradation for eye care delivery withinternational standards. The team made an assessmentDr. Kalpana Narendran and Ms. Sasipriya KM with the Vietnam Dr. Datta in discussion on performance parameters with theteam Grameen team in Bogra 33

Bank Foundation by providing technical support in the planning and execution of this project. Teaching and Training DivisionMr. R.D. Thulasiraj and Dr. Iqbal Anwar signing the MoU Management Training and Systems Development for Hospital Administrators0U 5' 7KXODVLUDM 'U 8VKD .LP 0HGLFDO 2IÀFHU April 13 – May 23Aravind-Madurai, Ms. K.M. Sasipriya, Faculty, LAICO, A total of two participants from Vietnam and ChinaMr. Ganesh Babu, Senior Manager-IT and Systems and attended the course.Mr. Dhinakaran, Assistant Administrator, Aravind- August 17 – September 30Tirunelveli made a visit to both these hospitals from A total of twelve participants participated: Ten fromMarch 27 – April 1. The areas focused were demand India, one each from Bangladesh and Pakistan.generation, quality of services offered, achievingRSHUDWLRQDO HIÀFLHQF\ ÀQDQFLDO YLDELOLW\ DQG JRYHUQDQFH Course on Community Outreach and Social Marketing ofMr. Ganesh Babu had discussions regarding the Eye Care Servicesstrengthening of data management and reporting. June 15 – July 14 Eight participants from India and one from NepalAravind IT team consisting of Mr. Senthil Kumar, attended the course.Mr. Vigneshwaran and Mr. Oliver Selvam visited these November 16 – December 14hospitals in May 2009 and March 2010 to customise and Six participants from India, two from China and one fromimplement Integrated Hospital Management system Bangladesh participated.(IHMS) according to their requirements and also to orientthe staff in the use of this software. Certificate Course on Project Management for Eye Care September 1 – 26Promising Future-Collaboration for Setting up an 3DUWLFLSDQWV LQFOXGHG WKUHH IURP ,QGLD ÀYH IURPEye Hospital in Dhaka Bangladesh, two from Nigeria and one each from Uganda, Nepal and Indonesia.On April 2, LAICO and Prime Bank Foundation, Dhakaentered into a MoU for setting up of a comprehensive Course on Medical Records Managementeye facility in Dhaka. Mr. R.D Thulasiraj, Executive November 1 – 28Director, LAICO and Dr. Iqbal Anwar, CEO, Prime Three participants from India and one from KenyaBank Foundation signed the MoU representing the participated.respective organisations. LAICO will support Prime Management Priorities in Eye Care Delivery January 3 – 9 Thirteen participants from India, two each from Nepal, Bangladesh and Ethiopia and one from Vietnam took part in the course.Community Outreach and Social Marketing of Eye Care Services 3DUWLFLSDQWV DW WKH &HUWLÀFDWH &RXUVH RQ 3URMHFW 0DQDJHPHQW IRUCourse participants with Aravind team Eye Care34

Management Training for Eye Care Programme ManagersFebruary 8 – 20, 2010A total of 36 participants participated- six from Africa,two from East Mediterranean region, thirteen from South(DVW $VLDQ UHJLRQ DQG ÀIWHHQ IURP :HVW 3DFLÀF UHJLRQCertificate Course in Eye Hospital Operations Mr. Colin Williams and Mr. John Bickel, Wescott Williams Ltd., UKA total of nine participants attended this three month IDFLOLWDWLQJ WKH ZRUNVKRS RQ ,QÁXHQFLQJ 6XVWDLQDEOH &KDQJHcourse. The participants, at the completion of the coursewere appointed as co–ordinators of various departments Review and Development of National Plans – a VISIONin Aravind Eye Care System. 2020 Regional Workshop September 24 – 26Fellowship in Eye Hospital Management7KH ÀIWK EDWFK RI )HOORZVKLS LQ (\H +RVSLWDO 0DQDJHPHQW The workshop focused on reviewing the national planscommenced on September 1, 2008 with nine candidates. for Bhutan, Nepal, Sri Lanka, India and Bangladesh.On completion of the training, the Fellows will be The existing service levels and training capacity wereemployed as managers in various areas according to their assessed against the actual need in the country. Issuesaptitude, skills and requirement in the system. in implementing these national plans in the past decade were elicited and discussed. The different strategies andEyexcel Training Programme approaches in each of these countries were presented andSeptember 2 – 5 this provided rich cross-learning for all those present. TheA total of 42 members from Vietnam, Bangladesh, Nepal national plans were then worked upon, in order to ensureand India attended the program. The workshop aimed to that in the next decade, eye care services in the countryoffer inputs for developing a training programme. This can be designed to effectively address blindness in a waycourse, conducted in collaboration with ICO and SEVA wherein these issues can be overcome.Foundation, is specially designed for teaching hospitalsaiming at developing a training institute or developing into Global Consultation on Enabling Environment for Servicea center for excellence. The guest faculty for this workshop Deliveryincluded Dr. Karl Golnik, Vice Chairperson, Cincinnati September 28 – 30Eye Hospital and Director of Residency Education, ICO,Dr. Katryn Hecht, Volunteer-SEVA and Ex-Director of This consultation was convened to address those issuesEducation, AAO and Susan Spinola, SEVA volunteer. in the environment that affect the effectiveness of eye care service delivery. It strived to bring about the paradigmOctober Summit where the environment is recognised as an importantVarious workshops were conducted with the funding LQÁXHQFH LQ H\H FDUH GHOLYHU\ DQG KRZ RQH FDQ VXFFHVVIXOO\support from organisations such as International Agency create an enabling environment for the same. As suchfor Prevention of Blindness, Light for the World, Seva impediments in the environment are not unique to eyeFoundation, Christoffel Blinden Mission. care, the consultation drew lessons from organizations from different sectors, who have successfully overcomeParticipants of the Review and Development of National Plans-a VLPLODU FKDOOHQJHV LQ WKHLU UHVSHFWLYH ÀHOGVVISION 2020 Regional workshop Workshop on Influencing Sustainable Change October 1 – 3 Effective implementation of a programme or running of an LQVWLWXWLRQ UHTXLUHV FRQVLGHUDEOH LQÁXHQFLQJ VNLOOV RQ WKH part of those who are in charge of orchestrating it.Faculty from Wescott Williams Ltd, UK guided the participants WKURXJK D VWUXFWXUHG SURFHVV IRU LQÁXHQFLQJ WR EULQJ about change. They facilitated application of the learning LQ D UHDO OLIH SUREOHP VSHFLÀF WR HDFK RI WKH SDUWLFLSDQWV 35

Global Consultation on Patient Empowerment Participants of Instruments Maintenance CourseOctober 5 – 6 Instruments Training CoursesWhile considerable costs are incurred towards gettingpatients into the system it is often with limited success. In the year ending March 2010, six batches of instrumentsEmpowering the patient was recognized as being the key training courses were conducted thus providing trainingto effective eye care delivery. Eminent resource persons to a total of 41 participants.drawn from key areas helped the participants appreciatethe powerful role that patients themselves can play in Projects Divisionimproving the effectiveness of eye care services. Strategiesaimed at empowering the patient and community were LAICO Projects Division contributes to the elimination ofdeveloped through discussion. Case studies were used needless blindness throughto illustrate the principles necessary to bring about the - Effective provision of end to end project managementdesired positive behaviour change. systems and processesInternational Conference on Knowledge Management: - Development of project management capabilityKeeping Pace with the Digital AgeOctober 9 – 10 through sharing of best practices, systems and training The main areas of work under this division are promotingThis workshop highlighted the multiple ways in which the right approaches to project development, itsknowledge is being created in eye care and the current implementation and evaluation. The developments inpractices and emerging technologies in information the year ending March 2010 in the major projects arePDQDJHPHQW ,W KHOSHG WR UHGHÀQH WKH UROH RI WKH OLEUDULDQ discussed here.to that of a proactive knowledge worker – one who notonly responds to information requests but proactively Primary Eye Care through Vision Centresdisseminates information to those who are likely to utiliseit. It was emphasised through demonstration that IT Lavelle Fund, USA is supporting establishment of 20could be leveraged for effective information management. Vision Centres, now onwards known as ‘Primary EyeEminent faculty from prestigious institutions facilitated Examination Centres’ in rural parts of Tamilnadu andthe whole programme. Pondicherry. During the year 2009 – 2010, two more vision centres were established under the phase two ofFirst Academic Council Meeting of the DOTT. NET this project. Aravind incorporates Community BasedNovember 28 – 29 Rehabilitation coupled with systematic community based activities, thus providing comprehensive coverage7KH PDLQ IRFXV RI WKH ÀUVW $FDGHPLF &RXQFLO PHHWLQJ and services-preventive, curative and rehabilitative. Onof the DOTT. NET (Diploma in Ophthalmic Techniques the rehabilitation front, 552 incurably blind people andTraining Network) was to accelerate the plans for  SHUVRQV ZLWK ORZ YLVLRQ KDYH EHHQ LGHQWLÀHG &%5LPSOHPHQWLQJ WKH '2771(7 LQLWLDWLYH E\ ÀQDOLVLQJ WKH services were provided for 136 persons.guidelines and reviewing the proposal. Delegates from 11eye care institutions, 6 INGOs and Dr. A S Rathore fromADG (NPCB), Ministry of Health and Family Welfare,Government of India participated in the meeting.Participants of the First Academic Council Meeting Seeing is Believing–Standard Chartered Bank Supported Vision Centre Project Seeing is Believing Project is supported by Standard Chartered Bank, UK through International Agency for Prevention of Blindness (IAPB)) for setting up of forty vision centres across four States in the country as part of36

errors and 6725 of them were provided with spectacles. Around 3600 children were examined and 500 spectacles GLVSHQVHG LQ WKH ÀIWHHQ SDHGLDWULF H\H FDPSV FRQGXFWHG in different locations of Tamilnadu. Nearly 500 children underwent cataract surgery.Ophthalmologist examining patients at Alandurai Vision Centre ORBIS – Aravind Paediatric Ophthalmology Learning and Training Centre (POLTC)a strategy for providing comprehensive sustainable eyecare to the under-served populations. The implementing Training of human resource for paediatric ophthalmologyagencies are service is the main focus of this centre. The centre is conducting training courses, long-term fellowship- Aravind Eye Hospital - Theni and Madurai, Tamil Nadu for Ophthalmologists and short term for paediatric- Venu Charitable Society, Tapal, Aligarh anaesthetists, MLOPs, community outreach workers and- Sadguru Netra Chikitsalaya, Chitrakoot, Madhya instruments maintenance workers. The centre also has developed a training manual exclusively for this training Pradesh course.- Dr. Shroff Charitable Eye Hospital, Delhi Aravind WDF Diabetic Retinopathy Management2I WKH WRWDO WDUJHW RI WHQ YLVLRQ FHQWUHV ÀYH ZHUH Projects – Phase III (Aravind-Coimbatore, Tirunelveli)established in the Phase I of the project connected toAravind eye Hospital, Madurai and Theni. Two more With the successful implementation of Diabeticvision centres have been established at Sathur and Retinopathy (DR) Programme at Aravind Eye Hospitals atSingampunari in phase II. Madurai, Theni, Tirunelveli and Pondicherry, WDF is now extending support to further expand this programme to Aravind-Coimbatore covering three districts-Coimbatore, Salem and Erode and has extended the support to Tirunelveli region also. Phase III of the project was concluded in September 2009.TIFAC-CORE in Diabetic Retinopathy Project–Phase II Project ImpactThe Phase II of the project with the objective to enhance 7KH LPSDFW RI WKH SKDVH  RI WKH SURMHFW VKRZV VLJQLÀFDQWresearch in Diabetic retinopathy through basic research increase in the number of diabetes patients attending theand to develop human resource through various training Retina Clinic at Aravind.programmes was completed in March 2010. The researchand academic programmes are under progress. The fourth At Aravind - Tirunelveli the number of diabetes patientsmeeting of the Reach Monitoring Committee (RMC) has increased from 4,937 in the year 2006 to 7,026 in 2008was held at Aravind on February 12 wherein the RMC (29% increase). At Aravind - Coimbatore the number hasmembers reviewed the performance of this project. increased from 6,272 in the year 2006 to 10,789 in the year 2008 (42% increase).A2Z Child Blindness Project During the project period, the number of laser patients hasA2Z, the USAID Micronutrients Sight Innovation Project increased from 2,639 to 2826 (6.6%) at Aravind-Tirunelvelimanaged by Academy for Educational Development (AED) and from 4,957 to 6,553 (16 %) at Coimbatore.is supporting Paediatric Department of Aravind EyeHospital, Madurai in the eye care programmes on school A strong referral system was developed with localbased screening for refractive error, paediatric cataract physician and diabetologists for sustainable diabeticsurgery and Retinopathy of Prematurity (ROP) screening retinopathy screening.at Neo-natal Intensive Care Units. The expected result ofthe project is to increase the knowledge on paediatric eye Research Divisiondiseases and make the community realise the importanceof checking visual acuity in all children in the age group LAICO’s Research Division was established primarily0–17 years. to build the organisations’ research capacity to conduct VFLHQWLÀFDOO\ ULJRURXV DQG UHOHYDQW UHVHDUFK DQG WR HQJDJHFrom the starting of the project till March 2010, around in epidemiologic, and population based studies and health186,000 school students were screened for refractive systems research to generate evidence to guide global policy in the elimination of avoidable blindness. 37

The Biostatistics Department provides vital support Hospital – AuroNutriSoft. The workshop discussed thein data entry, management and analysis for all ongoing current knowledge gaps and research priorities in theclinical, epidemiological and health systems research Indian setting associated with 24 hour diet recall, foodconducted at Aravind. Additionally, statistical inputs are frequency questionnaire with food composition tables andprovided whenever needed for planning research studies intake analysis package.and for reviewing articles by various reviewers withinAravind and to research projects elsewhere on request. Meeting on Gender Inequity and Eye Care Tanzania, March 11 – 13Workshop on Research MethodologyLAICO, August 25 – 29 Mr. Sanil Joseph, Faculty-LAICO attended the 3 day meeting on Gender Inequity and Blindness at KilimanjaroThe basic level workshop was designed to enhance the Centre for Community Opthalmology (KCCO), Moshi,research culture among health care service providers and Tanzania. This was a meeting of the global forum workingstructured to facilitate the participants get oriented to on initiatives to reduce the gender inequity in the use ofboth research methodology and statistical methods. This H\H FDUH VHUYLFHV 0U 6DQLO DOVR SUHVHQWHG WKH ÀQGLQJV RIincluded didactic lectures, problem solving sessions, the research study carried out at Aravind: Investigatinghands-on-training, group work and participants’ Gender Associations among the Users of Cataract Surgicalpresentations. Services in South India. The group, by the end of the meeting has come up with a set of recommendations andA total of 18 participants attended the workshop. actions to be taken within the next 18-24 months.The Major Operations Research Undertaken by LAICO in Other Eventsthe year Ending March 2010 are- Investigating Gender Associations amongst the Users Guest Lecture International Center for Eye Health, London, May 7 – 8 of Cataract Surgical Services in South India - Seva Mr. R.D. Thulasiraj visited ICEH, London School of Canada Hygiene and Tropical Medicine to deliver a lecture for the- A Cluster Randomised Trial of Spectacle uptake for students of M.Sc - Community Eye Health. Refractive Errors across Multiple Delivery Systems in South India - Champalimaud Research Grant World Congress in Health Economics +5 3UDFWLFHV ZKLFK ,QÁXHQFH (PSOR\HH 6DWLVIDFWLRQ Bejing, China, July 12 – 15 and Patient Satisfaction. MS. PREETHI PRADHAN - Preferred HR Practices in Eye Hospital Sector.Nutrition Workshop on Dietary Intake AssessmentMethods in India Lions National SightFirst Committee MeetingAravind – Pondicherry, February 5 – 6 Mumbai, India, August 29 MR. R D THULASIRAJIn the workshop organised by South Asia Network for - Human Resource Needs for Eye Care in India.Chronic Disease (SANCD), 20 delegates from India,Bangladesh, USA and UK participated. There were Workshop on ICT in Rural Areasdiscussions on the collection and analysis of dietary intake Chennai, India, September 15data. Dr. R.D. Ravindran presented the dietary intake MR. GANESH BABUmethod and analysis package designed by Aravind Eye - Metrics for Monitoring Vision Centres.Participants of the Nutrition Workshop on Dietary Intake Assessment Methods in India38

Mr. R.D. Thulasiraj at Lions National SightFirst Committee meeting Mr. R.D. Thulasiraj at the TED India conferenceNational Summit on Quality in Education Summit on Redefining the Global AgendaChennai, October 23 – 24 Dubai, November 20 – 22MS. PREETHI PRADHAN 0U 5' 7KXODVLUDM DWWHQGHG WKH 6XPPLW RQ UHGHÀQLQJ- Best Practices of Aravind Eye Care System the Global Agenda at Dubai, 20-22 November 2009 convened by the World Economic Forum. He participatedSeva Sight Programme Meeting in discussions on the theme of social entrepreneurship andSan Francisco, US, October 27 – 31 economic development.Mr. R.D. Thulasiraj participated in the Seva SightProgramme meeting at Berkeley, San Francisco. TED Conference Mysore, India, November 27Visit to Fundacion Vision Mr. R.D. Thulasiraj made presentation on Aravind modelParaguay, November 1 – 4 and its relevance outside of eye care at the prestigiousMr. R.D. Thulasiraj visited Fundacion Vision, Asuncion as 7(' FRQIHUHQFH KHOG IRU WKH ÀUVW WLPH LQ ,QGLD DW 0\VRUHFaculty for a two week management course. He anchoredsessions on management aspects of eye care delivery. IHMS Users’WorkshopMr. Thulasiraj along with Dr. Rainald Duerksen, Nepal, December 10 – 11([HFXWLYH 'LUHFWRU )XQGDFLRQ 9LVLRQ EULHÁ\ PHW ZLWK Mr. Ganesh Babu, Sr. Manager IT and Systems,Dr. Luis Federico Franco Gómez, Honourable Vice Mr. Karthikeyan and Mr. Praveen Kumar-ProgrammersPresident and Dra. Esperanza Martinez, Minister attended the Integrated Hospital Management Systemof Health Services, Paraguay to discuss the role of (IHMS) Users workshop. The main purpose forgovernment to enhance eye care services in the country. conducting the workshop was to help Nepal Netra Jyoti Sang develop a central database of all the hospitals forTELEMEDICON 2009 generating country level reports. The new developmentsPune, Inadia, November 6 – 8 in IT for eye care, introduction of the new software toolsMR GANESH BABU developed by LAICO and how effectively IT can be used in- Primary Eye Care Services in Rural Areas Using Wireless eye care were all discussed in the workshop. Technology ORBIS Meeting New Delhi, India, December 19Annual Forum of Global Forum for Health Research Mr. R.D. Thulasiraj along with Dr. G.V. Rao met theCuba, November 16 – 18 leadership team of ORBIS International, New York.Mr. R.D. Thulasiraj made a presentation on research atAravind and participated in the discussions on the barriersto research, and the ways to foster and improve healthresearch. 39

INFORMATION TECHNOLOGY AND SYSTEMS Map Builder ApplicationToday IT is viewed as a tool to provide quality health care, This is an application being developed to generalise theirrespective of geographical location. Providing real time applications related to Google map. With the help of this,appropriate relevant information to every stakeholder one can upload data on their own regarding eye campin the health care industry makes a difference. Aravind locations, its statistics, course participants etc and theEye Care System has found many innovative ways corresponding map would be generated without doing anyof participating in efforts to bridge the digital divide programming.while increasing service delivery in eye care. A largenumber of diverse IT initiatives are in various stages of Trip Plannerexperimentation. These new healthcare models initiatedby AECS, while delivering quality care will explore the 7UDYHO 3RUWDO LV D ZHE EDVHG DSSOLFDWLRQ ZKLFK VLPSOLÀHVpossibility of innovative new technology that are simple to trip planning by providing pertinent information of hotels,use, cost effective, portable. travel agencies and booking forms. It enables the users to submit their trip planning information to LogisticsSoftware Installations Administration Department. It also generates monthlyThe IT Division, during the period April 2009 – March 31 report for the trips and cost involved in ticket booking2010 installed the following software: and rescheduling the trip. Another salient feature of the- The Integrated Hospital Management System (IHMS): application is employee trip calendar which shows the offsite work and onsite availability of the employee. installed in two hospitals in Bangladesh, four in Nepal DQG ÀYH LQ ,QGLD Aravind Outlook- Opticals Management System: in two hospitals in India- Lab Management software: in Joseph Eye Hospital, Aravind Outlook is a web platform which helps you build Trichy and Aravind Eye Hospitals at Tirunelveli, an online repository of all the contacts of Aravind and Coimbatore and Pondicherry enable to retrieve the same at any time.- Vision Centre Management Software (VCMS): installed in Aravind Vision Centres at Sathur, Research Study Data Entry Software Singampunari and Alandurai;- Community Centre Management Software (CCMS): A software was developed to capture the data of Mycotic installed in Community Centre at Sankarankoil Ulcer Treatment Trial Study survey forms. The userIn the already existing Aravind Diabetic Retinopathy friendly forms enable the user to feed data as well asEvaluation Software (ADRES), SMS alert was developed provide necessary validations. This software is installed into reduce the waiting time of patients and to alert doctors Madurai and Pondichery. The entire software is designedabout the patient arrival. EDVHG RQ WKH UHTXLUHPHQWV VSHFLÀHG E\ WKH WHFKQLFDO WHDP from Proctor Foundation under the leadership of Dr.TomReferral Patients Reply option was developed in Low Lietman.Vision Clinic to keep track of patients referred from otherspeciality clinics to the Low Vision Clinic at Madurai. Enhancements in IntranetThis provision enables to generate a reply letter to theDoctor who referred the patient with Diagnosis. Personnel The personnel page in the intranet is rejuvenated with a new layout and added feature like attendance summary of employee. Demonstration of the software developed by IT department at the stall set up during DR symposiumOther ApplicationsGeographical Information SystemThis is an application used for graphically representingthe data of Aravind Eye Hospitals on Google maps. It canbe used as a standalone application or can be integratedto other applications or web applications. Currently thedepartment uses this for representing the camp detailsand the details of hospitals that participated in ManpowerManagement Development Programme (MMDP)organised by Aravind Eye Hospitals.40

Thingal Udhayam ARAVIND TELE-OPHTHALMOLOGY NETWORKThingal Udhayam, Aravind’s bilingual weekly e-magazinenow uses “Azhagi” Tamil unicode font for its Tamil Telemedicine link has been established through videocolumns which enables cross browser compatibility. conferencing between all the satellite hospitals of Aravind. Aravind uses this technology to overcome the issues ofAravind.org sub websites transportation and inadequate specialist availability.Low Vision Website Aravind Tele-ophthalmology Network provides facilitiesIt provides information about low vision, its causes, for tele-education, tele conference and tele- consultation.rehabilitation products, services offered and concessionsin government jobs and educational institutions for the Educational interactions include grand rounds (cases oflow vision patients. academic interest), journal clubs (Clinical research and management articles), clinical meetings, special lectures,Vanakkam regular class sessions, research committee meetings,Vanakkam is an online information guide to visitors post graduates classes, CMEs, projects review meetingsand volunteers coming to Aravind Eye Care System. It and classes for mid level ophthalmic personnel andprovides an overview of Aravind Eye Care System and its paramedics.locations. Through videoconferencing doctors, paramedicale-newsletters personnel and administrative staff at Aravind can interact and share their experiences with the experts duringAravind News Continuing Medical Education (CME) programmes,A content management system is developed for publishing grand rounds and Journal Clubs, research andAravind news letter and archiving it. management meetings. During the academic year (April 2009 to March 2010) the department conducted aroundJourney Towards Light 320 videoconferencing sessions. The department alsoJourney towards Light, biannual newsletter of the conducted seven international conferences (four with“Friends of Aravind” is also designed and published. institutions in the US, 3 with institutions in Ireland).Eyeznewz Teleconsultation involves opportunistic screening ofA content management system developed for publishing Diabetes patients for Diabetic Retinopathy. Aravind linkseyeznews, an e-newsletter of Aravind libraries and screening eye campsites and the base hospital throughinformation centres and archiving it. VSAT mounted on a mobile van. In the year ending March 2010, 1100 Diabetic Retinopathy cases were gradedVisit to Christian Medical College (CMC) through 24 such camps. The technology involves the useVellore, March 30 of a retina imaging camera and a special software, AravindThe key objectives were to have an overview of Diabetic Retinopathy Evaluation Software (ADRES) to- Medical record system offer remote diagnosis and consultation using store and- Level of Electronic Medical Record implementation forward technology. 2136 Diabetic Retinopathy cases- Details of Information technologies applied for EMR were graded in collaboration with various Diabetes Centres. and in general- Management of Patient care activitiesIT and Medical records staff at CMC, Vellore 41

ARAVIND COMMUNICATIONS HUMAN RESOURCESThe division consisting of the DTP, Publications, With the theme for the year as “Employee Empowerment”,Videography and Audio Visual departments produced the HR activities at Aravind Eye Care System wereDURXQG ÀIW\ VL[ SDWLHQW LQIRUPDWLRQ PDWHULDOV QXPHURXV UHÁHFWLQJ WKH G\QDPLF JURZWK RI WKHhandouts and about four hundred posters for various organisation.workshops and conferences held in and out of Aravind.It helps in designing the layout and publishing the Continuing Education Programmes and Retreatsannual reports of NGOs - Kilimanjaro Centre forCommunity Ophthalmology (KCCO) and International There has been a constant emphasis within theEye Foundation (IEF). The department also has to RUJDQLVDWLRQ WR FRQWLQXDOO\ LPSURYH VSHFLÀF FOLQLFDOits credit the publishing of monthly Tamil magazine skills along with soft skills in order to provide the bestKannoli, quarterly English magazines, Illumination and experience for the patients. Continuing educationCompassion. Besides these, visiting cards for Aravind staff programmes and retreats have proved to be a strongand members of Friends of Aravind are also prepared. motivation as well as a training ground.With the support from Right to Sight, the French version CEPs for Mid Level Ophthalmic Personnel wereof the DVD on Instruments Maintenance was brought conducted at all Aravind Eye Hospitals in the secondout, thanks to the efforts put in by the volunteers, Miss weeks of October and January when the patient crowdIsabelle Hoyaux and Mr. Yohann Abbou in the making of was low due to the festivals of Diwali and Pongal.it. The department plans to integrate the English, Spanishand French versions in a single DVD with multiple A two day workshop was conducted from Marchlanguage tracks so that a person may choose the language 20-21 to systematically plan the MLOP manpower for theof his choice. various departments across all Aravind Eye Hospitals. 7KH &KLHI 0HGLFDO 2IÀFHUV 6HQLRU 0HGLFDO 2IÀFHUV RI WKHA noteworthy publication of Aravind Communications specialty clinics, Heads of various departments, Nursingthis year was the book entitled Atlas of Imaging in Neuro- Superintendents, Senior MLOPs/ Supervisors, Managersophthalmology and Orbit co – authored by Dr.Usha Kim, of each department and HR Managers participated in theDr. S. Mahesh Kumar and Dr. K.G. Srinivasan. The book workshop.release function was held on September 29 at Aravind –Madurai. Similarly, a meeting was held on August 27 to streamline and discuss the activities of the newly formed cadre, HeadThe videography department of Aravind Communications cleaners in the cleaning employees sectionproduced various quality video presentations, one ofZKLFK ´,ULV À[DWLRQ RI 5LJLG ,2/Vµ ZRQ WKH %HVW 9LGHR A retreat was conducted at Black Thunder Resort,$ZDUG DW WKH $6&56 ÀOP IHVWLYDO KHOG LQ %RVWRQ 7KH Mettupalayam, near Coimbatore for the Glaucomadepartment has various rare clinical photographs in its teams across all Aravind Hospitals to plan for the futurearchives. developments and to standardise the diagnosis and WUHDWPHQW SUDFWLFHV HTXLSPHQWXVHG DQG SDWLHQW ÁRZ pattern.At the launch of the Atlas of Imaging in Neuro-ophthalmology and Team spirit - Auroutsav, CoimbatoreOrbit42

Kids’ graduation ceremony at Aravind - MaduraiThe HR Department conducted a conference on Human Lighting ceremony of human resource management conferenceResource Management-Best practices in Health Carefrom January 6-7 at LAICO. The conference which nutrition, personality development, housekeeping andcovered the key practices of HR was attended by catering.PHGLFDO RIÀFHUV +5 SHUVRQQHO DQG DGPLQLVWUDWLYHstaff from various institutions. The faculty included Aurowel, the routine health check up programme isMr.U.K. Ananthapadmanabhan (Kovai Medical Centre conducted annually to promote a healthy lifestyle amongand Hospital, Coimbatore), Dr. T. Manonmani (Ganga all the employees of Aravind Eye Care System. TheHospitals, Coimbatore), Dr. Rohini Sridhar (Apollo employees grouped under different age-groups undergoSpeciality Hospitals, Madurai), Ms. Cindy Harrison basic health-screening as part of this programme.(Chelsea Community Hospital, USA), Dr. R. Ramani(Sankara Eye Hospital, Coimbatore, Dr. K. Prabhakar To acknowledge the invaluable service rendered and to(Apollo Hospitals Group) and Mr. Biju V. John (Manipal motivate them for a better performance, awards wereHealth System, Bangalore). distributed to the staff and MLOPs who served for more WKDQ ÀYH WHQ ÀIWHHQ DQG WZHQW\ \HDUV DW $UDYLQGEducational activities of the HR Department also includeorganising various awareness exhibitions by departments At another award function the children of Aravindlike Outpatient, Counselling, Housekeeping and Wards.Various charts, models and equipment displayed duringthe exhibitions provide a learning opportunity for boththe organisers and the visitors.Employee Welfare ActivitiesIn the year ending March 2010 various workshops, guestlectures and seminars were organised for the personalwelfare of the employees and their families. Eminentresource persons spoke on health awareness, value system,Brimming with joy-Auroutsav, Madurai 43

Theme presentation-Auroutsav, Tirunelveliemployees who successfully completed their secondary given an opportunity to bring out their talents in art,and higher secondary public examinations were craft, literature and sports and also to promote team spiritfelicitated. Dr. G. Natchiar, Director – Human Resources, among themselves.in her inspirational speech advised the children that thisbeing a turning point in their life, they should work hard For the employees to rejoice themselves Melody Friday,to excel in various examinations. She also focused on the (Aravind – Madurai and Tirunelveli) and Festive Fridayimportance of setting a goal in life and how to attain it. (Aravind – Coimbatore) are observed on a monthly basis. These initiatives provide a platform for the staff toIn the year ending March 2010 across all Aravind showcase their talents through singing, dancing and otherEye Hospitals, sixteen of the total thirty children of performing arts. The department also conducts variousJanakiamma Child Care Centres were graduated as “Ready excursion programmes for the staff of different cadres.for School” to join school in the following academic year. To facilitate interaction between the staff and employeesDr. V. Mediclaim Group Insurance Scheme was of AECS, HR Department celebrates various days onintroduced for the employees who completed ten years different occasions. Mission Day is celebrated on Julyof their service and for Managers from the second year of 7 across all the hospitals to re-dedicate the staff to theWKHLU MRLQLQJ DW $UDYLQG $V D ÀUVW SKDVH  HPSOR\HHV mission of eliminating needless blindness.and their families were insured and health insuranceidentity cards were distributed. 7R UHÁHFW RQ WKH )RXQGHU &KDLUPDQ·V YLVLRQ RI FUHDWLQJ a blind-free society, Vision Day is observed on October 1.Recreational activities organised in the year ending March Besides these, the HR also organises various celebrations2010: Auroutsav, a week- long series of competitions on the anniversary of hospitals and Internationalconducted once in two years across all the Aravind Eye Women’s Day.Hospitals, was celebrated in August. The employees wereAravind-Pondicherry gets the Government’s award for the ‘Best Maintained Ornamental Garden’ consecutively for the fourth year44

Rotary Aravind International Eye BankThe year 2009 – 2010 started with evolving various and secretary-RAIEB explained the genesis of Maduraistrategies to enhance eye collection and utilisation and Eye Bank Association (MEBA) and RAIEB. Various Lionsended with many successful events like commemoration Clubs, NGOs and active eye collection centres fromof 10 years in eye banking and conducting a national CME 12 districts of Tamil Nadu were honoured for havingon eye banking. Thanks to the consistent efforts put forth collected a total of 14,232 eyes over 10 years.by the eye bank in creating awareness on eye donation, eyecollection has increased by 14.12% and new eye collection Eye Donation Fortnight Celebrationscentres have emerged in the districts of Nagapatinam andMadurai. August 25 – September 8Tenth Anniversary of Rotary Aravind International During the eye donation fortnight Aravind doctors gaveEye Bank (RAIEB) awareness lectures on radio and local television channels. Various awareness seminars, rallies and exhibitionsMadurai, May 1 were also conducted. Drawing and poster – making competitions for school children were conducted atThe celebrations began with the lighting of Kuthuvilakku Madurai. Cinema theatres in Madurai displayed slidesby Dr. P. Namperumalsamy, Chairman, Dr. G. Natchiar, on eye donation. At Aravind – Tirunelveli, an awarenessVice-Chairman, Aravind Eye Care System, past Rotary human chain was formed by the staff in front of theGovernors Rtn. Ramanathan, Rtn. Shanmugasundaram hospital and an awareness walk was organised throughand Mr. Lalji Vora. Dr. S.R. Krishnadas, CMO, Aravind- the heart of the city. The Hindu published an article byMadurai delivered welcome address. Dr. Sri Sankar, Aravind - Coimbatore on the need for increase in eye donation.Dr.P. Namperumalsamy released the 10 year souvenirand acknowledged the active participation of eye IFETB (International Federation for Eye and Tissuecollection centres Felicitation speeches were made by Banking Inspection) Reaccreditation for RAIEBDr.Kousalya Devi, Kasthurba Hospital, Gandhigram, Rtn.M.N.Nayagam, Rtn.Ramanathan, Rtn.Lalji Vora and Rtn. RAIEB was reaccredited by IFETB, USA in JanuaryShanmugasundaram. Dr.M.Srinivasan, Director-AECS 2010 following a visit by the IFETB team consisting ofReleasing the 10 year souvenir at anniversary celebrations School students at the drawing and poster making competition 45

IFETB inspection at RAIEB, Madurai Mr. Tim Schottmann, Vice President, and Mr. Jeremy Schuman, Director, Global Programs discussed with the Aravind teamMr.Philip Felton, Vice President, International Programs and Watrap-Madurai participated. Dr. M. Srinivasanand Mr. Daniel De’lap, Director, International Programs in – Medical Director, RAIEB gave an orientation aboutSeptember 2009. FRUQHDO EOLQGQHVV DQG WKH VLJQLÀFDQFH RI H\H GRQDWLRQ There were video demos on corneal diseases, transplantNational CME on Eye Banking surgeries etc. The eye bank manager presented the statistics for the year 2009. All aspects of eye collection,Madurai, December 19 – 20 enucleation, storage, transportation and transplantIn collaboration with National Programme for Control surgeries were explained in detail with exhibits.of Blindness (NPCB) and Eye Bank Association of India(EBAI), Rotary Aravind International Eye Bank, Madurai Trainings Offeredconducted a national CME on eye banking which was - Physician training was offered to three doctors (fromWKH ÀUVW RI LWV NLQG WKDW 5$,(% KDV FRQGXFWHG VR IDU $total of 120 participants from Gujarat, Andhra Pradesh, Madurai, Portblair and Ivory Coast)Kerala, New Delhi, Pondicherry, West Bengal, Karnataka, - Eye Bank Manager from Gouthami Eye Hospital,Maharashtra and Tamilnadu attended the CME. Vishakapattinam underwent an observation training inVisitors to Rotary Aravind International Eye Bank eye banking at RAIEB.October 1 – 3 Internal Capacity BuildingSight Life team consisting of Mr.Tim Schottmann, VicePresident, Global Programs and Mr.Jeremy Schuman, Ms. Hepsiba Jawahar, Eye Bank Manager,Director, Global Programs visited eye bank to: Aravind-Madurai attended observership training on eye- enhance the capacities of the Eye Bank banking from July 13 - 18 at Ramayamma International Eye- frame strategies for the growth of the eye banks in India Bank, LVPEI, Hyderabad.- sponsor Eye Bank projectsThe team analysed RAIEB data of 2008 and did process Statistics 2009 – Eye Collection and utilitymapping and bench marking for the Rotary AravindInternational Eye Bank. Name and place of the Eye No. of No. of eyes Bank Eyes utilised forRefresher Training on Eye Donation Procured Rotary Aravind International surgeryMadurai, March 4 Eye Bank, Madurai 2238The training programme was conducted mainly for the 676existing eye collection centres. Thirty-four participantsfrom Lions Clubs of Kariyapattinam, Karaikal, Thirunallar Aravind IOB Eye Bank, 1185 520Temple City, Pugalur, Pondicherry, Kumbakonam, CoimbatoreTanjavur, Vedaraniyam, Pudukottai, Ayakarranpulam,Sivakasi, RAMCO Cements-Aruppukkottai, Pattukottai, Rotary Aravind Eye Bank, 446 151 Pondicherry Rotary Aravind Eye Bank, 69 42 Tirunelveli Total 3938 138946

Dr. G. Venkataswamy Eye Research InstituteAravind Medical Research FoundationThe Dr.G.Venkataswamy Eye Research Institute with its Workshop on Mass Spectrometry in Clinical Proteomicsstate-of-the-art infrastructural facility has been able toPDNH VLJQLÀFDQW FRQWULEXWLRQV LQ XQGHUVWDQGLQJ WKH EDVLF September 30biological mechanisms of eye diseases. Molecular geneticsof eye diseases is a proven approach to understand the Thirty four participants took part in the workshop whichdisease mechanism. At AMRF considerable effort is included lectures by national and international faculty.underway to use this approach to examine several eyediseases (diabetic retinopathy, age related cataract, age Ongoing Projectsrelated macular degeneration, Leber congenital amaurosis,albinism). Apart from the generation of basic information, Basic ResearchLGHQWLÀFDWLRQ RI WKRVH JHQHV WKDW DUH GLUHFWO\ LQYROYHG - Molecular genetics of leber congenital amaurosis inin the disease process as well as those genes that co-segregate with a particular disease will be of clinical South Indian populationimportance. - Molecular genetic analysis of fuchs endothelial cornealINDEYE Review Meeting dystrophy - Association studies on diabetic retinopathy with type 2Indeye project is one of the ongoing multi centric projectsfunded by Wellcome Trust for a duration of 3 years (2008- diabetes in South Indian population2011). The title of the project is “A genetic component - Genetic and functional dissection of FOXL2 geneto the Indeye study of cataract and age related maculardegeneration in India”. A review meeting was held at involved in the pathogenesis of the BlepharophimosisAMRF from February 8 - 9 in which all the investigators Syndrome (BPES)participated, analysed the genetic data and discussed the  ,GHQWLÀFDWLRQ RI JHQHWLF GHIHFWV RFFXUULQJ LQ ,QGLDQfuture directions. Oculocutaneous (OCA) and Ocular Albinism (OA) families. - Molecular genetics of keratoconus - Biophysical characterisation of human myocilin and glaucoma database - Screening of LOXL1 gene mutations in exfoliation glaucoma patientsParticipants of the INDEYE review meeting 47

48

- Transcriptome and proteome analysis of ALR2 gene Sample preparation for genetic analysis and its involvement in the pathogenesis of diabetic retinopathy Clinical Research - Health literacy and other barriers to follow-up- A genetic component to the INDEYE study of cataract and age-related macular degeneration in India after initial diagnosis of glaucoma in south Indian population- Topical kinetics of voriconazole (1% & 0.1%) in - A multi-center, double-masked study of the safety and humans HIÀFDF\ RI 7UDYRSURVW $36 FRPSDUHG WR 75$9$7$1Š in patients with open-angle glaucoma or ocular- Evaluating the relationship between Pharmacokinetics hypertension. 3. DQG HIÀFDF\ RI 0HWKRWUH[DWH 07; LQ SDWLHQWV - Pharmacoeconomics of various brands of timolol for with non-infectious uveitis patients with glaucoma or ocular hypertension - A Multicenter, open label, active control, parallel group- Molecular mechanism of neovascularization in randomised study to demonstrate non inferiority of proliferative diabetic retinopathy and Eales’ disease brinzolamide 1% ophthalmic suspension compared with Dorzox (Dorzolamide) 2% ophthalmic solution- Pathogenesis and molecular mechanism of age-related in treatment of elevated intra-ocular pressure in macular degeneration patients with primary open angle glaucoma or ocular hypertension- Corneal surface reconstruction using cultured human - Fluocinolone acetonide for the treatment of diabetic limbal epithelial cells macular edema - Rinzolamide 1% ophthalmic solution for the- Developing xenobiotic-free culture conditions to treatment of primary open angle glaucoma and ocular generate stem-cell rich epithelium for corneal surface reconstruction hypertension- Etiology and immuopathogenesis of presumed - A multicenter, open label, active trematode induced uveitis control, parallel-group, randomised study to demonstrate non-inferiority &\WRNLQH SURÀOH LQ DTXHRXV KXPRU RI SDUDVLWLF of BRINZOLAMIDE 1% Ophthalmic granuloma Suspension compared with DORZOX (Dorzolamide) 2% ophthalmic- Antigenic mimicry between leptospiral and human lens Solution in treatment of elevated proteins intra-ocular pressure in patients with primary open angle glaucoma or ocular ,QWHUQDWLRQDO OHSWRVSLURVLV 0$7 SURÀFLHQF\ WHVWLQJ Hypertension. scheme - A multicenter, open label, active- Molecular insights into the etiology of infectious control, parallel-group randomized uveitis study to demonstrate non inferiority of brinzolamide 1% ophthalmic- Characterisation and speciation of aspergillus and fusarium species from corneal ulcer- The pathogenesis of fungal keratitis in human corneal Tissue by fusarium SP and aspergillus SP- Pathogen host interaction in human mycotic keratitis SURWHRPLF SURÀOLQJ RI VHUXP LQ SUROLIHUDWLYH GLDEHWLF retinopathy ,GHQWLÀFDWLRQ RI ELRPDUNHUV IRU SULPDU\ RSHQ DQJOH glaucomaLaser capture microdissection system 49