Activity Report 2008_09

Participants of AMECS leadership development workshop held at Aurolab Dr. Guldeep Srivastava, Dr. S. Aravind and Mr. Manoj Muttu at the inauguration of Out-patient department at Indira Gandhi Eye Hospital & Research Centre, Lucknow50

Aravind Managed Eye Care Services (AMECS)Aravind launched “Managed Eye Care” as a strategic Participants of this workshop were representatives fromapproach to dramatically scale up the reach and uptake partner organisations (Trustee), CMO, Deputy CMO andof services in underserved parts of India and other Administrators from all the four managed hospitals. Thedeveloping countries. The goal is to perform 500,000 aim of this workshop was to create a platform in whichsurgeries annually by the year 2015 through a network of different dimensions of leadership were brought to theManaged Eye Hospitals. fore by the experts. The workshop strived at bringing forth leadership transformation of the operational teamAMECS is currently working with four socially conscious working in the managed hospitals through discussions,organizations in the States of West Bengal- MP Birla presentations and team building exercises.group, Uttar Pradesh-Rajiv Gandhi Charitable Trust,Gujarat- Sun Pharma Group and Rajasthan-Narotam Events at Indira Gandhi Eye Hospital & ResearchSekhsaria Foundation. AMECS has currently four such Centre, Amethimanaged hospitals in places like Kolkatta (WB), Amethi(UP), Amreli (Gujarat) and Lucknow (UP). Inauguration of New Operation TheatreInauguration of AMECS office New Operation theatre with the capacity of four surgeons operating at a time was inaugurated on 30th January 2009.New office space for Aravind Managed Eye Care Service This new OT will help to increase the surgical volume of(AMECS) was inaugurated at the 3rd floor of LAICO on the hospital to perform 20,000 surgeries a year which was6th November by Dr. P. Namperumalsamy, Chairman, performing only 12,000 surgeries till last year.AECS .Traditional lamp was lit by the senior leadershipteam and Dr. S.Aravind, Director, AMECS. Inauguration of glaucoma clinicAMECS leadership development workshop Dr. S.R. Krishnadas, Chief Medical officer, Aravind – Madurai inaugurated the Glaucoma Clinic onAMECS leadership development workshop was a February 21.two day event from December 19-20 held at Aurolab.Inauguration of AMECS office at LAICO At the AMECS Leadership Development Workshop held at Aurolab 51

Dr. S.R. Krishnadas at the inauguration of Glaucoma Clinic in During the team building workshop held at Sudarshan Netralaya,IGEHRC at Amethi AmreliEye Exhibition World Glaucoma Day CelebrationsA two day eye exhibition was held from February 6 – 7. Theexhibition was visited by patients, patient attendants, staff World Glaucoma day was celebrated from March 12-14from Sanjay Gandhi Hospital, staff and students from Indira with a variety of activities. Free eye screening was held onGandhi School of Nursing. March 14. Notices and pamphlets were distributed to the patients and public through newspapers, camp sponsors,Best performance award club members etc.Refraction department at IGEHRC – Amethi was giventhe Best Performance Award for their continuous achieve Graduation Day of MLOPsment. The first batch of MLOPs celebrated their GraduationEvents at Sudarshan Netralaya, Amreli day after completing their two years of successful training programme.Hospital Day CelebrationsHospital day was celebrated on 20th July with a cultural Events at Indira Gandhi Eye Hospital and Researchprogramme. Centre, LucknowTeam Building Workshop Inauguration of the Outpatient DepartmentThis workshop (outbound learning exercise) was heldon 30th November as part of improving team work, Indira Gandhi Eye Hospital and Research Centre, Amethi,communication and co ordination among the members after making a remarkable mark in the rural Uttar Pradeshand to develop leadership skills. has set up its tertiary hospital at Lucknow, the capital city. The Outpatient Department was opened on May 1, 2008. Rajiv Gandhi Charitable Trust-Trustee, Wing Commander (Retd) Manoj Muttu, AMECS Director Dr. Aravind Srinivasan, Dr. Kuldeep, CMO, IGEHRC andHospital day celebrations at Sudarshan Netralaya, Amreli Dr. S. Aravind with the IGEHRC, Lucknow team52

Motivational Talk Motivational talk was given by Dr.Krishnadas from Aravind-Madurai for the MLOPs. He spent time with MLOPs discussing their individual problems and issues related to work.Participants of Glaucoma CME held at IGEHRC, Lucknow Conferences Attended Elsewherea few representatives of RGCT and the staff of IGEHRC ASIA - ARVO 2009and Aravind Eye Hospital attended the function. Hyderabad, January 15-18 DR. KULDEEP SRIVASTAVAApart from general ophthalmology they have specialty Poster presentationclinics like paediatric, glaucoma and retina and also - Surgical correction of Blepharophimosis syndromes: Objectivesupportive services like pharmacy and optical shop. analysis of surgical outcomeCMEs Paper presentationA one day CME programme on Glaucoma was held - Augmented full tendon vertical rectus muscle transposition foron January 17 which was attended by a total of 31ophthalmologists. The Retina & Vitreous Services complex sixth nerve palsydepartment organised a Retina CME on January 24 onthe topic “Think Globally, Act Locally” in which the city Hospital Based ProgrammeDiabetologists and General Physicians participated. Children Hospital, Guangzhou, China, July 13-18 DR. KULDEEP SRIVASTAVA, CMO, IGEHRC,Graduation Day Celebration delivered lecture onThe second batch of MLOPs celebrated their Graduationday after completing three years of training programme. - Surgical procedures and supervised surgeries.Teachers Training Programme Feasibility StudyIn the Teachers Training Programme held on February 7, Rajkot, Baroda, Surat, June 8 - July 3 – Mr. R.Vasanthatraining was given in the area of detecting refractive errors Kumar and Mr. Kanagaraj visited Rajkot, Baroda &in school children. Following this screening was done in Surat to understand the magnitude of eye diseases andthe school premises. availability of eye care infrastructure in these districts. Based on the observation made during the study a detailed conceptual framework and roll out plan will be prepared for setting up another managed care hospital in Gujarat. HOSMAC, Mumbai, September 15 Mr. R. Vasantha Kumar, visited HOSMAC, Mumbai to prepare feasibility report on developing comprehensive eye care programme for Rajasthan.Participants of Retina CME held at IGEHRC, Lucknow Dr. Kuldeep Srivastava at the Children Hospital in Guangzhou, China 53

Rotary Aravind International Eye BankSet up in 1998 with an aim to provide a sustainable Eye donation fortnight celebrationsolution to the problem of corneal blindness, RotaryAravind International Eye Bank has completed a decade Madurai, August 25-September 8of its commendable service. It is one of the four eye banksin the country affiliated to the International Federation of 23rd Eye Donation Fortnight was observed from AugustEye and Tissue Banks, Baltimore, USA which stipulates 25 to September 8. During these two weeks Rotarystringent standards of quality for corneas to be used in Aravind International Eye Bank did various programmestransplants. within and outside the hospital.Eye banks located at Aravind Eye Hospitals in Madurai, Write ups on the need and importance of eye donationTirunelveli, Coimbatore and Puducherry provide corneas were published in Newspapers and Cinema Slidesand other eye tissue for sight – restoring transplant explaining Eye Donation were distributed to the Maduraisurgery. Besides eye ball collection and processing work, cinema theatres to create awareness about eye donation.the eye banks also organize several training and awareness In BSNL Phone Bills Eye Donation Message with ourcreating activities in colleges, self – help groups, Lions Hospital Number were printed to create awarenessClubs, Rotary Clubs and in non – profit organizations. In among public and Short Messages (SMS) were sent aboutcollaboration with different community organizations and significance of eye donations to all the BSNL Mobilecompassionate corporations, Aravind eye banks observe phone subscribers. Letters were sent to all the LionsEye Donation Fortnight through programmes such as Clubs explaining the importance of Fortnight celebrationpublic rallies and awareness creation activities. and the activities to be done in this regard. Eye donation awareness rally Eye Donation Awareness Rally was conducted by Rotary club of Rajapalayam at Madurai. The function was inaugurated by Dr. M. Sivagami, Aravind-Madurai on August 25. A total of 900 students participated in this rally.Eye Donation Awareness Rally by Aravind-Coimbatore54

Eye Donation Awareness Rally by Aravind-Madurai Participants of Eyebank training programmeEye donation fortnight celebration Maharashtra and other from Priyamvada Birla Aravind Eye Hospital, Kolkata attended the programme. Eye BankAravind IOB Eye Bank, Coimbatore, August 25 - September 8 Manager Training Programme was held from August 6-12. Eye Bank Technician Training was held from August 6 toEye Donation Fortnight was observed at Aravind IOB September 5, four members attended this course. Eye BankEye Bank-Coimbatore from August 25 to September Grief Counsellor Training was held from August 6-23,8. Eye Donation Awareness Rally was held to create Mr. Himadri Bhattacharya attended the course.awareness among public. A total of 450 college studentsparticipated in this rally. A Live programme presented by Details of eyes received and corneas usedDr. Siddharthan on ‘Eye Donation’ was broadcast by theAll India Radio. Dr. Sathya Rakha delivered a talk on Eye bank Eyes Suitable for Used forEye diseases and Eye Donation over All India Radio. Received Transplant transplant MaduraiIn order to create awareness among public, doctors of Tirunelveli 2,136 519 519Aravind-Coimbatore delivered special lectures at various Coimbatore 47colleges. Dr. Siva Jothi took the seminar session on Eye Pondicherry 78 47 395Donation at SNR College as part of creating awareness Total 109among them. Dr. Kalaivani took the session on Eye 1,105 395 1,070Donation at Kumaran College, Tirupur, Dr. Srishankartook a seminar on Eye Donation and Eye Diseases at 307 109Ramakrishna College, Dr. Sivajothi took the Eye Donationseminar at Gobi Arts and Science College. Dr. Revathi 3,626 1,070took the seminar on Eye Donation and Hospital CorneaRetrieval Programme for MSW and NSS students. Dr. Not all the corneas in the eyes donated are usable forJothi took the seminar on Eye Donation at SNR College. transplant. Careful selection and determination has to beEye donation batches were worn by all Aravind staff. made to ensure that there is minimal rejection of graft or other complications in the recipient’s eye. This can not beEye bank training programme done at the point of collecting the eye, for technical and emotional reasons. The eyes with corneas that can’t beEye Bank Training Programme was held at Aravind - used for transplant purposes are still very valuable. OtherMadurai from July 20 to August 20. Two trainees one from parts of the eye are used in certain surgeries and they are used for corneal graft training and research purposes. 55

Participants of the Flow Cytometry and its application in Ophthalmic Research Workshop Dr. P. Namperumalsamy, Dr. A.P.J. Abdul Kalam, Dr. V.R. Muthukkaruppan during the inauguration of Research Institute56

Aravind Medical Research FoundationThe inauguration of the Dr.G.Venkataswamy Eye Dr. Anant Swaroop, Dr. Fielding Hejtmancik of NationalResearch Institute on 1st October 2008 by Dr.A.P.J.Abdul Eye Institute gave the inaugural Dr.G.VenkataswamyKalam, Former President of India, is a major landmark memorial oration .event in the annals of Aravind Eye Care System.This integral institute will have the state-of-the-art We continue to be driven by our quest to reduce needlessinfrastructural facility to understand the basic biological blindness and we believe that this new institution, whichmechanisms of eye diseases at Genome, Transcriptome, will integrate the basic and clinical research will aid inProteome, Cytome and Histome levels apart from the achieving this mission.clinical and research activities of the various constituentsof Aravind Eye Care System – Aravind Eye Hospitals, Ongoing projectsAravind Medical Research Foundation, Lions AravindInstitute of Community Ophthalmology and Aurolab. Basic researchOther highlights during this year were the identification The major ongoing basic research studies are:of the causative agents (Eye fluke) in the formation of - Molecular genetic analysis of corneal endothelial dystrophiesanterior chamber granuloma and the demonstration of - Identification of genetic defects occurring in Indianmolecular mimicry between leptospiral and human lensproteins in the rapid maturation of cataract in leptospiral oculocutaneous (OCA) and ocular albinism (OA) familiesuveitis patients. - Association studies on diabetic retinopathy with type 2 diabetesThe Indian Eye Research Group (IERG) meeting was in South Indian populationconducted at our institution from July 26 – 27. While - Genetic study on congenital hereditary cataractthe Bireswar Chakrabarti memorial oration was given by - A genetic component to the INDEYE study of cataract in India - Molecular genetics of leber congenital amaurosis in South Indian populationResearch scholars at AMRF 57

Working with Liquid handling system for DNA dilution Children with Low Vision in Blind School- Screening of LOXL1 gene mutations in exfoliation glaucoma - Safety and efficacy of manual small-incision cataract patients surgery combined with trabeculectomy: comparison with phacotrabeculectomy- Biophysical characterisation of human myocilin and its deletion mutants - Surgical outcome of phacotrabeculectomy in eyes with small pupils – A prospective study- Molecular genetics of keratoconus- Corneal surface reconstruction using cultured human limbal - Correlation of central corneal thickness and retinal nerve fibre layer in POAG epithelial cells- Characterisation of corneal epithelial stem cells - Comparison of intraocular pressure measured by Pascal dynamic- Identification, characterisation and quantification of human contour tonometry and Goldmann applanation tonometry buccal epithelial stem cells for corneal surface reconstruction - Comparison of intraocular pressure rise in the early- Developing xenobiotic-free culture conditions to generate stem- postoperative period between phacoemulsification with intraocular lens implantation and phacotrabeculectomy in cell rich epithelium for corneal surface reconstruction patients with primary open angle glaucoma and pseudoexfoliative- Socket reconstruction using bio-engineered autologous oral glaucoma mucosal epithelium - Mitomycin C augmented trabeculectomy combined with single- Cytokine profile in aqueous humor of parasitic granuloma site manual small incision cataract surgery-A retrospective- Antigenic mimicry between leptospiral and human lens proteins analysis.- Pathogen host interactions in mycotic keratitis- Proteomic profiling of serum in proliferative diabetic retinopathy - Pars plana vitreous tap combined with manual small incision- Identification of biomarkers for primary open angle glaucoma cataract surgery for management of phacomorphic glaucoma- Evaluation of a suitable in vitro model for diabetic retinopathy- Topical kinetics of voriconazole (1% & 0.1%) in humans - Safety and efficacy of using off label bevacizumab versus- Standardisation and application of multiplex PCR as a rapid mitomycin C to prevent bleb failure in a single site phaco trabeculectomy by a randomised controlled clinical trial diagnostic test for the detection of infectious agent in the intraocular fluids of clinically suspected retinochroiditis patients - Central corneal thickness changes after combined- Molecular insights into the etiology of infectious uveitis (trabeculectomy and phacoemulsification) surgery- Elucidating the virulence genes involved in the pathogenesis of corneal ulcers by Aspergillus - Comparative study of safety and efficacy of rigid PMMA and- To elucidate the mechanism of neovascularisation in proliferative foldable lenses in glaucoma triple procedures diabetic retinopathy Pro-inflammatory Cytokine release from RPE is linked to RAGE signalling - Results of repeat trabeculectomy with MMC 0.02% in POAG- Will cytoskeletal drugs prevent posterior capsule opacification? - Assessment of consensual ophthalmotonic reaction (COR)Clinical Research following diode laser cyclophotocoagulation (DLCP) for advanced / refractory glaucomaThe major clinical research studies are- The study of low vision children in blind school - Optical coherence tomography measurement of the retinal nerve- Impact of the low vision devices and rehabilitation services on the fibre layer in normal and juvenile glaucomatous eye quality of life - Study of diode laser cyclophotocoagulation in refractory glaucoma in South Indian population - Intraocular pressure and central corneal thickness - A comparison between non-contact tonometry and Goldmann applanation tonometry58

- Long term results of mitomycin C enhanced trabeculectomy in - Serous macular detachment as a predictor of malignant young adults hypertension- Long term effect on IOP control after clear corneal - Vitrectomy for macular hole associated with rhegmatogenous phacoemulsification in previous successful trabeculectomies retinal detachment- Retinal nerve fibre layer thickness in normal Indian paediatric - Radial optic neurotomy for ischaemic central retinal vein population measured with optical coherence tomography occlusion: a case-control study- A comparative study of efficacy, complications and - Brilliant blue dye for internal limiting membrane peeling in corneal topography following single-site versus twin-site macular surgery phacotrabeculectomy. - Vitrectomy for fovea-threatening tractional retinal detachment- Efficacy and safety of posterior juxtascleral administrations in diabetic retinopathy of anecortave acetate for depot suspension (15mg or 30mg) versus sham administration in patients at risk for progressing to - Laser photocoagulation for diabetic macular edema with serous exudative Age-Related Macular Degeneration (AMD) retinal detachment- A Six-month, phase 3, multicenter, masked, randomised, sham- - Optical coherence tomography evaluation of subhyaloid controlled trial (with six-month open-label extension) to assess haemorrhage of various etiologies the safety and efficacy of 700 µg and 350 µg dexamethasone posterior segment drug delivery system (DEX PS DDS) - A study of combined occlusion of central retinal artery and vein applicator system in the treatment of patients with macular edema following central retinal vein occlusion or branch retinal - An invited review on leptospirosis (international ophthalmology vein occlusion clinics)- A safety and efficacy assessment of vitreosolve® for ophthalmic - Silicone oil tamponade in 23 gauge sutureless vitrectomy: long intravitreal injection for inducing posterior vitreous detachment term anatomical and functional outcome in non-proliferative diabetic retinopathy subjects - YAG hyaloidotomy with gas tamponade as a viable option for pre- A randomised, double masked, active controlled, phase 3 study macular haemorrhage in PDR against surgical intervention by of the efficacy, safety, and tolerability of repeated doses of pars plana vitrectomy intravitreal VEGF trap-eye in subjects with neovascular age- related macular degeneration (AMD) - VTA Vs macular PHC for diffuse diabetic macular edema – prospective study- A study of featureless retina in diabetic retinopathy: Clinical and angiographic features and therapeutic implications - Isolated intravitreal bevacizumab therapy for choroidal neovascular membranes of multiple aetiologies- A retrospective analysis of patients with idiopathic macular telangiectasia (IMT): Natural history, incidence of visual loss - Intravitreal bevacizumab as a preoperative adjuvant for diabetic and investigations of causes of visual loss macular tractional detachments with active new vessels- A retrospective study of the natural history of lamellar macular - Intravitreal bevacizumab therapy for polypoidal choroidal hole vasculopathy- A study of polypoidal choroidal vasculopathy: incidence, - A randomised, double-masked, parallel-group, multicenter, dose- angiographic and tomographic features finding comparison of the safety and efficacy of ASI-001A 0.5mg/ day and ASI-001B 0.2mg/day flucinolone acetonide intravitreal- Atypical manifestations of posterior scleritis: diagnosis and inserts to sham injection in subjects with diabetic macular edema. management - A randomised, double-masked, parallel group, multicenter, dose-- A restrospective study of anatomic and functional outcome of finding comparison of the safety and efficacy of ASI-001A 0.5µg/ chronic macula-off rhegmatogenous retinal detachment day and ASI-001B 0.2µg/day fluocinolone acetonide intravitreal inserts to sham injection in subjects with diabetic macular edema- A prospective study of transpupillary thermotherapy (TTT) for chronic central serous chorioretinopathy (CSCR) - A phase 3 safety and efficacy study of vitreosolve® for ophthalmic intravitreal injection for inducing posterior vitreous detachment- Atypical acute posterior multifocal placoid pigment in retinopathy subjects epitheliopathy associated with serous retinal detachment: Clinical and angiographic features and treatment - VEGF trap – eye: investigation of efficacy and safety in Wet AMD - A randomised, double masked, active controlled, phase 3- Post pan retinal photocoagulation (PRP) serous macular study of the efficacy, safety, and tolerability of repeated doses of detachment in patient with nephropathy intravitreal VEGF trap-eye in subjects either neovascular age- related macular degeneration (AMD)- Serous macular detachment as a predictor of resolution of vascular macular edema with intravitreal Triamcinolone - INDGEN AMD study (An add-on study to the INDEYE Study) injection - Retinochoroidal coloboma - a comparison of laser barrage- Pigment epithelial detachment (PED) in chronic central serous photocoagulation versus natural history retinopathy (CSCR) - PVD-301- A Phase 3 safety and efficacy study of vitreosolve® for ophthalmic intravitreal injection for inducing posterior vitreous detachment in retinopathy subjects 59

- A 12-month randomised, pilot study to compare the efficacy - Contralateral eye study to compare the incidence of PCO between and safety of verteporfin (visudyne) photodynamic therapy square edge PMMA IOL and round edge PMMA IOL and (standard fluence) plus intravitreal ranibizumab (lucentis) between square edge PMMA IOL and acrysof IOL versus verteporfin (visudyne) photodynamic therapy (reduced fluence) plus intravitreal ranibizumab (lucentis) in patients with - To compare safety and efficacy between SICS and subfoveal of juxtafoveal choroidal neovascularisation secondary phacoemulsification using ozil infinity system in immature to age-related macular degeneration. cataracts with pseudoexfoliation- Intravitreal VEGF trap-eye in subjects with neovascular age- - Comparison of intraocular lens power calculation in eyes with related macular degeneration long axial length using two formulae- Randomised, double blind, active controlled study of the efficacy, - Comparison of astigmatism in manual SICS based on incision surgical outcome and complications of Silicone Rod Sling in site frontalis sling suspension surgery - Intra-operative floppy iris syndrome – an Indian perspective- Socket reconstruction using bio-engineered autologous oral mucosal epithelium - Genetic Component of the INDEYE study of Cataract and Age -Related Macular Degeneration in India- Corneal surface reconstruction using bio-engineered autologous oral (Buccal) mucosal epithelium - Evaluation of homoeopathic therapy in treatment of cataract- Factors responsible for the generation of epithelial sheet rich in - Posurdex – intermediate and posterior uveitis study stem cells under ex-vivo conditions from the limbal and buccal biopsy - HLA-DR determination of Vogt-Koyanagi-Harada syndrome and sympathetic ophthalmia in South Indian patients- Developing xenobiotic-free culture conditions to generate stem- cell rich epithelium for corneal surface reconstruction - A double - masked, placebo-controlled, multicentric, parallel group, dose ranging study to assess the efficacy and safety of- A clinical study on microbiological analysis, culture and LX211 as therapy in subjects with non - infectious intermediate, sensitivity of chronic dacryocystitis and results following surgical anterior and intermediate, posterior or pan-uveitis treatment - How valid (sensitive and specific) is teacher’s screening- To study the functional results and complications of frontalis for refractive errors as compared to that done by trained sling surgery by using silicon rod (auro sling) refractionists?- Outcome and safety of supratarsal injecton of triamcinolone - Clinical profile with ocular and oculocutaneous albinism at a acetonide in improving the quality of life in patients with tertiary care centre refractory vernal keratoconjunctivitis. - Surgical outcome of membranectomy via limbal route- Steroids for Corneal Ulcers Trial (SCUT) - Wildervanck syndrome- Mycotic Ulcer Treatment Trial (MUTT) - Clinical features of joubert syndrome- Comparison of accuracy of IOL master and conventional A-scan biometry in IOL power calculation in high myopes - Clinical course and outcome of bilateral PFV (persistent fetal vasculature)- Comparison of accuracy of IOL master and conventional A-scan in IOL power calculations - Jensen procedure for sixth nerve palsy – retrospective study- Study of visual outcome and complications following posterior - Surgical outcome of traumatic cataracts in children capsular rupture during IOL surgery - Surgical outcome of microspheroaphakia- Capsule wash for pediatric eyes - Optic atrophy in children- Role of CTR on anterior capsular contraction in patients with retinitis pigmentosa - Surgical outcome in duane retraction syndrome - Validating teachers screening for refractive error - Surgical outcome of combined squint with IOL surgeryPresbyopia study team Ms. Ramya devi at the presentation of her Ph.D thesis60

- Surgical outcome of intermittent exotropia - Assess the prevalence and socioeconomic burden of near visual- Strabismus surgery under topical anaesthesia impairment caused by uncorrected presbyopia- Surgical outcome of exotropic duane’s retraction syndrome- Surgical outcome of posterior lenticonus in children - HR practices which influences employee satisfaction and patient- Completion of anterior and posterior capsulorhexis using satisfaction Hydroxy methy cellulose in paediatric cataract surgery AWARDS- Efficacy of nystagmus surgery - B. SUGANTHALAKSHMI, Senior Research Fellow was- Evaluation post operative predictive errors in paediatric cataract awarded Pre doctoral Fellowship (2007-08) under surgery using currently available IOL formulae Dr. Fielding Hejtmancik at National Eye Institute- Prospective study on optic neuritis in children – “Genetics of diabetic retinopathy”- Third nerve palsy surgical outcome- Torsion evaluation after muscle displacement procedure - S. VAISHALI, Junior Research Fellow received “Best- Outcome of single muscle MR recession in esotropia retrospective scientific paper presentation award” at the Indian Eye Research Group meeting held in July, 2008 study (Identification of stem cells in cultivated buccal- Binocularity following late strabismus surgery for childhood mucosal epithelium and clinical outcome after transplantation in patients with bilateral LSCD) onset strabismus - S. JEYALAKSHMI, Junior Research Fellow received “BestAurolab Clinical Trials scientific paper presentation award” at the ASIA ARVO meeting held in January 2009 (Characterisation of- Posterior capsular opacification after implantation of square human epithelial cells and epithelial-mesenchymal edge PMMA, round edge PMMA and acrysof intraocular lenses: transition cells in relation to PCO formation in culture) A prospective, randomised comparative trial - P. MURUGESWARI, Junior Research Fellow was awarded- Clinical evaluation of hydrophobic foldable IOLs UK Commonwealth Split-Site doctoral scholarship- Effect of square edge PMMA IOL in preventing lens epithelial 2008 to carry out part of Ph.D – Centre for Vision Science, School of Bio medical Science, Queen’s cell migration in paediatric cataract surgery: A randomised University, Belfast under the guidance of Dr. Alan Stitt controlled trial - (October 1, 2008 to September 2009)- Randomised controlled trial of Aurolase 532-I-1 with already available green laser (Iridex) in proliferative diabetic retinopathy PH.D AWARDED- Clinical evaluation of aspheric intraocular lenses MS. R. RAMYADEVIOperations Research October 2008 Understanding the molecular genetics of cataract- Investigating gender equity in the utilisation of cataract surgical services in Aravind Eye Hospitals, Madurai - SEVA Canada MR. J. NALLATHAMBI October 2008- Uptake of spectacles for refractive errors across different delivery Involvement of transcription factor genes PAX6/FOXL2 in systems various ocular anomalies. 61

Suture Needless Manufactured at Aurolab Production staff of Aurolab attaching suture with needle under microscope62

AurolabINTRODUCTION NEW PRODUCTS Auroflex – EVEntering into the seventeenth year of its operations,Aurolab has expanded its product pipeline with the new February 2009range of ophthalmic products to fulfill the need of medicalfraternity all over the world. To further its commitment Aurolab’s IOL division launched its Aspheric IOLto aid in the elimination of needless blindness, Aurolab “Auroflex – EV”. This lens aids in increased contrastopened the Laser division for manufacturing Green Laser sensitivity and better visibility in low light conditions.Photocoagulator in its new facility. The Laser division, The Auroflex – EV which is a negative aspheric IOL is thepart of Instrument’s division was inaugurated by Mr. first of its kind manufactured in India. The unique prolateYemen Chambers, Ingenus, Australia. design ensures that all the light rays passing through the lens converge at a single point, thereby ensuring betterApart from the laser, Aurolab launched Auroflex – EV contrast and sharpness of vision.-Negative aspheric IOL, Aurosling, Absorbable suture andOcublue Plus in 2008-09. During the year, various audits Ocublue Pluswere conducted and successfully certified for variousAurolab products. June 2008Aurolab participated in various international ophthalmic Aurolab’s Pharmaceutical division launched the Brilliantconferences, the national ophthalmic conference and Blue G Solution “Ocublue Plus”, an Ophthalmic stainingin various domestic state level ophthalmic conferences dye. This dye has superior staining of ILM, even at lowerin 2008-09. Aurolab received the Best Stall award in concentrations as compared to the more expensivethe Annual Conference of Tamil Nadu Ophthalmic and toxic alternatives like ICG. It makes the delicateAssociation, Chennai. manoeuvre of ILM peeling much safer and efficient, with superior functional outcomes for patients.The HR department of Aurolab has introduced variousactivities for the welfare of the employees. A monthly Auroslingretreat programme called ‘Kalakkal Saturday’ & ‘WinnersSaturday’ is conducted for staff to expose their talents July 2008through cultural and sports activities. Aurolab staffundertook ‘ Plastic free Zone’ project for three days to Aurolab’s suture division launched the Frontalismake Aurofarm a plastic free zone by removing all plastic Suspension set “Aurosling”. This product is useful inwastes from its premises. A Crèche was inaugurated inthe staff quarters for the Aurolab employees’ children.The swimming pool at Aurofarm was inaugurated andmade available for all Aravind staff. The Aurolab staffattended the outbound learning programme at the PegasusInstitute, Marakkanam. 63

patients with significant Ptosis and poor levator function.Its silicone tubing sleeve provides a method for securingrods and allows postoperative adjustment of the sling.The product is gaining great acceptance in the ophthalmicsociety due to its affordable price and high quality.Absorbable Suture V. Venkatesa Kannan, Division Manager - Pharmaceuticals, N. Vishnu Prasad, Marketing Manager – Exports,February 2009 Dr. P. Balakrishnan, Managing Director at the AAO conferenceAurolab’s suture needle division also launched the much CE Auditawaited absorbable sutures in various sizes namely 6-0,7-0, 8-0 and 10-0. The PolyGycolic Acid (PGA) absorbable The CE certification audit was held from Septembersuture comes in braided and monofilament form (only 1 - 2 by TUV Rheinland, Germany. The lead auditor10-0). These sutures are coated with polycaprolactone Dr. Hans G Rudorf, Germany and co auditor Mr. Guruand calcium stearates, which render the thread extremely Prasad, Bangalore conducted the audit. The audit wassmooth, soft and knot safe. completed successfully. Aurolab got CE certificate for its new product Ocublue plus and some extended models ofGreen Laser Photocoagulator Polypropylene sutures, cartridges and injectors.February 2009 MAJOR OPHTHALMOLOGICAL CONFERENCESAurolab launched Green Laser Photocoagulator “Aurolase Aurolab actively participated in the trade exhibitions of532”. With significant increase of diabetes patients domestic and international conferences to promote itsin India, a proportional increase in the incidence of products. The participation in various Ophthalmologicaldiabetic retinopathy is found. The Green laser is used conferences provided an opportunity for Aurolab to meetfor photocoagulation of the tiny blood –vessels that delegates from various regions and discuss future businessproliferate on the Retina, particularly with the onset of with existing distributors. Apart from national anddiabetic retinopathy. state level conferences, Aurolab also participated in the following international conferences during 2008-09:AuditAs Aurolab is a manufacturing unit, it should register its - 8th General Assembly of International Agency forproducts to export them to other countries. Aurolab has Prevention of Blindness (IAPB) at Argentina,already registered its products in some South American August 25 -28countries, some Asian countries and some Africancountries. - XXVI European Society of Cataract & Refractive Surgeons Conference at International CongressNow Aurolab is in the process of registering its products Centrum, Berlin, September 13 -17in Ethiopia. In this connection the Drug Administrationand Council Authority (DACA), Ethiopia came here and MEDICA trade fair at Düsseldorf, Germanyaudited the facility from August 9-11. The audit team washeaded by lead auditor Mr. Lake Ademe Mengistie. Mr.Tekalign and Mrs. Tigist Belay Fenta were the co-auditors.The audit was completed successfully and Aurolab isawaiting the registration certificate.CE certification audit64

- American Academy of Ophthalmology Annual Meeting (AAO) at Atlanta, November 8 – 11- MEDICA trade fair at Düsseldorf, Germany, November 19 – 22- 10th International Congress of the Middle East African Council of Ophthalmology (MEACO) at Manama, Bahrain, March 26 -3067th All India Ophthalmological Conference Award for the Best Stall Best Advertisement AwardJaipur, February 5-8 OTHER NEWS AND EVENTSAurolab participated in the 67th All India Observation of Mission DayOphthalmological Conference held at B.M. Birla Scienceand Technology Research Centre, Jaipur from February Mission Day was observed on July 7 to reflect on Founder5-8. Aurolab used the opportunity to introduce new Chairman Dr.G.Venkataswamy. Dr. P. Balakrishnan,products “Auroflex - EV” - Negative Aspheric IOL, Managing Director delivered a talk on the future steps ofabsorbable sutures and needles, Ocublue Plus - A new Aurolab entitled Vision for going forward. Passages weredye for ILM peeling, and Aurolase 532 - Green Laser read from Illuminated Spirit and Bhajan was performed byPhotocoagulator to the ophthalmic society. Members of the staff.the Aurolab team organised the Aravind Alumni Meet heldon February 7 at Hotel Maurya Palace, Jaipur. Inauguration of CrecheAWARDS Crèche for the children of the employees was inaugurated on August 1 by Dr. P Balakrishnan, Managing Director.Aurolab won the ‘Award for the Best Stall’ in the56th Annual Conference of Tamil Nadu Ophthalmic Plastic Free Zone ProjectAssociation held at Chennai from August 8-10. To make Aravind Eye Care System a plastic freeBest Advertisement Award institution, Aurolab undertook plastic free zone projectAurolab participated in the 32nd Annual Conference of for three days by cleaning the entire Aurofarm andthe Indian Society for Surgery of the Hand (ISSH) and Aurolab premises. This project was led by 12 Adminthe second combined meeting of the British Society for fellows who have recently joined Aravind Eye CareSurgery of the Hand (BSSH) and ISSH held at Bangalore System. The staff members involved themselves wholefrom November 28-30. As part of it, Aurolab had put up heartedly in this non bio degradable plastic free projecta stall and released a full page colour advertisement in and they covered 80% of the premises.the souvenir. This was selected as the best advertisementand found place in the first page of the book which wascirculated among 225 surgeons.At 67th All India Ophthalmological Conference, Jaipur Crèche inaugurated by Dr. P Balakrishnan, Managing Director 65

Swimming pool at Aurolab Aurolab staff at pegasus workshopInauguration of Swimming Pool Institute, Marakkanam from May 22-24. The second batch of 25 members of Aurolab staff attended the programmeA swimming pool was inaugurated at Aurolab by from June 19-21. The outbound learning built a sense ofMr. Kanakaraj, Engineer at Aurolab premises on camaraderie amongst the group.September 12.Guest Lecture Inauguration of Laser Division and Tool RoomA talk on the ways to prevent heart attack was given by The Laser Division and Tool room were inaugurated byDr. Dick Lueker, Cardiologist – New Heart Centre, USA Mr. Yemon Chambers, Ingenus, Australia andon October 11. Dr. M. Srinivasan, Director, AECS on March 23.Graduation Day Celebration Recreational EventsGraduation day for the trainees who completed one year Aurolab organises a monthly retreat programme ontraining was celebrated on December 6. Felicitation Saturdays, “Kalakkal Saturday” thereby providing aaddress was given by Mr. P. Balakrishnan, Managing homely forum for Aurolab employees to expose theirDirector, Aurolab, Dr. G. Natchiar, Vice-Chairman, AECS, talents through singing, dancing and other performingDr. M. Srinivasan, Director, AECS and Dr. Usha Kim, Head, arts. On Winners’ Saturday various sports activities areDepartment of Mid Level Ophthalmic Personnel Training. organised for the employees.Pegasus WorkshopThe first batch of 25 members of Aurolab staff attendedthe outbound learning programme at the PegasusGraduation Day Celebration for Production staff at Aurolab66

Awards and AccoladesDuring the year 2008 – 2009, Aravind Eye Care Systemwon many national and international awards, both atthe organizational and individual levels. These awardsbear testimony to the world’s recognition of Aravind’shumanitarian services by providing high quality eye careat affordable cost to the community.Aravind’s innovative eye care services was internationally Dr. P. Namperumalsamy, Chairman, Aravind Eye Care System,acknowledged when it was conferred the prestigious Gates receives the “Dr. B.C Roy Award”from Her Excellency Smt. PratibhaAward for Global Health – 2008.The Gates Award for Devisingh Patil, President of IndiaGlobal Health was established by the Bill & Melinda GatesFoundation to reward and exemplify organizations which Champalimaud Foundation have jointly instituted thehave developed processes for improving health, especially Champalimaud Award Lecture as a part of ARVO annualin resource poor settings, with measurable results. meetings every year. Dr. P. Namperumalsamy, delivered the first Champalimaud Award Lecture at ARVO annualDr. B.C. Roy Award meeting held at Fort Lauderdale, USA in April 2008. He highlighted the multifarious contributions of AravindDr. P. Namperumalsamy was conferred with the towards preventing and eliminating needless blindness in“Dr. B.C.ROY AWARD” by the Medical Council of India India and other developing countries of the world.in the Category of “Eminent Medical Teacher”. TheManagement Committee of Dr. B.C. Roy National Award Gates Award-2008Fund has selected Dr. P.N. for the prestigious NationalAward for the year 2006 and he received the award from In recognition of its groundbreaking work to preventHer Excellency Smt. Pratibha Devisingh Patil, President debilitating blindness and provide affordable, world-classof India on July 1. eye care to the poor, the Aravind Eye Care System won the 2008 Gates Award for Global Health. The $1 millionChampalimaud Award Lecture at ARVO (The Gates Award - the world’s largest prize for internationalAssociation for Research in Vision and Ophthalmology) health - honors extraordinary efforts to improve health in developing countries.Antonio Champalimaud Vision Award which carries withit a cash prize of 1 million Euro (approximatelyRs. 5.5. crores) was awarded to Aravind in September2007 for its contributions to the alleviation of visualproblems, primarily in developing Countries. ARVO andDr. P. Namperumalsamy with Ms. Maria Leonor Beleza, Dr. Al Sommer, Mr. João Silveira Botelho and other dignitaries following the firstChampalimaud Award Lecture at ARVO annual meeting 67

Dr. R.D. Ravindran, Dr. P. Namperumalsamy and Ms. Suzanne The Honourable Union Minister Shri P. Chidambaram presentingGilbert with Dr. Jim Tielsch and Dr.Joanne Katz who nominated the award to Dr. P. Namperumalsamy at Apollo HospitalsAravind for the Gates AwardDr.P. Namperumalsamy received Gates Award from Bill Health Care & Life Sciences AwardGates Sr. at a grand ceremony held at Omni Shoreham Dr. P Namperumalsamy, (with his initiation as the Co-Hotel, Washington D.C, U.S.A on May 29. ordinator, TIFAC-CORE in Diabetic Retinopathy) is chosen for the Health Care & Life Sciences Award at thePiramal Prize for Aravind Ernst and Young Entrepreneur of the Year 2008 for his contribution to super-specialty ophthalmology and hisAhmedabad, June 30 pioneering work in medical and surgical treatment of diseases of retina and vitreous in India.Aravind Eye Care System has won the Piramal Prizefor its innovative rural eye care service through the IT Ernst & Young organised its tenth ‘Ernst & Youngenabled Vision centres which offer telemedicine facility Entrepreneur of The Year Awards 2008’ on Wednesday,to eye patients in the villages. The prize worth Rs.10 lakh November 26, at the Taj Land’s End in Mumbai.was awarded by the Piramal Foundation and centre ofInnovation, Incubation and Entrepreneurship, a wing of Rotary Club’s for the Sake of Honour Award andthe Indian Institute of Management, Ahmedabad. Vocational Excellence AwardA memorandum on the Vision Centre Programme initiated Udumalpet, December 17by Chairman Dr. P. Namperumalsamy was submitted and Rotary Club of Udumalpet awarded “For the sake ofexplained to the panel by Mr. V. Vijayakumar, Project honour award” to Dr. P. Namperumalsamy, ChairmanManager and Mr. Mohammed Gowth, Assistant Manager, and to Dr. G. Natchiar, Vice-chairman, AECS. VocationalCommunity Outreach. Excellence Awards were presented to Dr. Narendran, CMO, and to Dr. Kalpana Narendran, Senior MedicalHonored by the Apollo Hospitals Officer, Aravind-Coimbatore.Chennai, July 20 Dr. P. Namperumalsamy, received the Health Care & Life Sciences Award as the Ernst & Young EntrepreneurDr. P.Namperumalsamy was honoured at the Doctors’Day celebrations at Apollo Hospitals. The celebration wasorganised by Apollo Hospitals at Hotel Taj Coramandal,Chennai. The Chairman of Apollo Hospitals presidedover the function and the Honourable Union Minister forFinance Shri P. Chidambaram presented the awards anddelivered the special address. The award carries a CitationBlock and a cash of Rs. 2 lakhs.Rotary Club’s ‘For the Sake of Honour’ AwardIn appreciation and admiration of his outstanding,dedicated and continuing contributions to the crusadeagainst blindness and in recognition of his vocationalExcellence and leadership qualities the Rotary Club ofMadurai has presented “For the Sake of Honour Award”to Chairman Dr. P. Namperumalsamy on November 4.68

Council Member of Asia Cornea SocietyAsia Cornea Society which was formed at Singapore in2007 serves as a forum for the exchange of knowledge andinformation on clinical, educational and research aspectsof the corneal sub speciality among the specialists andresearchers throughout Asia. Its ultimate aim is alleviationof corneal blindness.Dr. Prajna, Professor at Aravind’s Postgraduate Institute Ms. S. Jeyalakshmi, Junior Research Fellow, AMRF with the “Bestof Ophthalmology and Chief of Education and Training Scientific Paper Presentation Award”Programme of Resident doctors has become one of the14 Board of Council Members of Asia Cornea Society. He DEAF LEADERS awardis one among the two Indians included in the Council.Other members are from Singapore, Japan, China, Korea, Mr. Poornachandran of Aravind’s InstrumentsThailand, Taiwan and Philippines. Maintenance department has been awarded the Deaf Leaders Award for 2008. The award was presented duringFirst Case of Ophthalmic Brachytherapy Using the 5th year anniversary celebrations of DEAF LEADERSIodine 125 Seeds (Deaf Empowerment Activities for Literacy, Education, Accessible Development, Employment, Rehabilitation andDr. Narendran, CMO, Aravind-Coimbatore, and his Sports) held at Coimbatore. Last year at the meeting of theteam successfully performed the first case of Ophthalmic organisation, Mr. Poornachandran had given a “talk” usingBrachytherapy using Iodine 125 seeds manufactured by sign language and a power point presentation on his workBhabha Atomic Research Center (BARC) on May 26, at Aravind.2008. It is a case of a large choroidal melanoma. This is thefirst time in India that I-125 seeds from BARC have beenused commercially which had earlier been used only inpilot studies.Best Scientific Paper Presentation Award Padmashree Dr. JS Mahashabde Memorial IAGICEH Award 2008Ms.S.Jeyalakshmi, Junior Research Fellow, AravindMedical Research Foundation has received the “Best Dr. P. Namperumalsamy has been conferred withScientific Paper Presentation Award” at ASIA ARVO 2009 Padmashree Dr. JS Mahashabde Memorial IAGICEHmeeting held in Hyderabad from January 15-18 for the Award 2008 by International Centre for Eye Health,paper in “Characterisation of Human Epithelial Cells and London at the AIOS Conference, Jaipur on February 3,Epithelial- Mesenchymal Transition Cells in relation to 2009. This award was given as a mark of recognition of hisPCO formation in Culture”. life long, selfless and devoted community eye health care services across the Indian subcontinent.The Rotary Club of Udumalpet presented Vocational Excellence Mr. Poornachandran of Aravind’s Instruments MaintenanceAwards to Dr. Kalpana and Dr. Narendran department gets the DEAF LEADERS Award for 2008 69

Partners in ServiceAravind gratefully acknowledges the unstinting support of friends and organizations throughout the world in itscampaign against needless blindness. The number of organizations and institutions working with Aravind continues togrow even as long-standing collaborators find new ways to build on the synergy. Such partners in service are a source oftrue support and inspiration for the organisation’s sustainable development and growth.Friends of Aravind, a non-profit based in the United States, has been established specifically to raise awareness andbuild financial resources and other forms of support for the Aravind Eye Care System. Under the dedicated leadershipof Dr. Christine Melton, the organization has become increasingly active with the launch of its own website (www.friendsofaravind.org) that highlights current projects and opportunities and allows for easy online contributionsthrough Paypal.In fond memory of Mahema Devadoss, a dear friend and well-wisher of Aravind who passed away in 2007, GovelTrust Mahema Devadoss Endowment has been established to support low vision services for the poor.This fund wasmade possible by a generous offering from Mahema’s husband Mr. Manohar Devadoss. Yet a greater endowment is theextraordinary spirit of the Devadossess which continues to inspire those at Aravind and all others fortunate enough toknow them.For service delivery, training and more - Topcon, Japan - University of Michigan, USA- Acumen Fund, USA - VISION 2020 – The Right to Sight, India- Adopt-a-Business, UK - W2 Consulting, UK- Alcon Laboratories Inc, USA - World Diabetes Foundation, Denmark- Canadian International Development Agency, Canada - World Health Organization (WHO)- Carl Zeiss Meditec, Germany - University of California, Berkeley, Dept of Computer- CBM International, Germany- Combat Blindness Foundation, USA For Research- Essilor, India- Friends of Aravind, USA - Allergan Pharmaceuticals, USA- Fred Hollows Foundation, Australia. - Defence Research & Development Organisation,- Google Foundation, USA- Indian Institute of Management, Bangalore, India Government of India- Indian Space Research Organisation, India - Department of Biotechnology, Government of India- International Federation of Eye Banks, USA - Department of Science & Technology, Government of- Indian Overseas Bank, Chennai, Madurai- International Agency for Prevention of Blindness India- International Eye Foundation, USA - Francis I.Proctor Foundn. for Research in- International Counsel for Ophthalmology (ICO)- Lavelle Fund for the Blind, USA Ophthalmology, UCSF, USA- Lions Clubs International Foundation, USA - Indian Council of Medical Research, India- ORBIS International, USA - International Centre of Eye Health, UK- Pegasus Institute for Excellence, India - Indian Institute of Technology, Chennai- Project Impact, USA - London School of Hygiene & Tropical Medicine, UK- Rotary International, USA - Madurai Kamaraj University, India- Right to Sight, Ireland - National Eye Institute, USA- Seva Service Society, Canada - National Institute of Nutrition, Hyderabad- Seva Foundation, USA - Royal Tropical Institute, Netherlands- Sight Savers International, UK - Singapore National Eye Centre, Singapore- State Bank of India, Madurai - Tamil Nadu Dr. M.G.R. Medical University, Chennai,- TIFAC-CORE, Department of Science & Technology, India Government of India - University of Wisconsin, Madison - University of Iowa, USA - World Health Organization, Switzerland70

Aravind Eye Care System ARAVIND EYE HOSPITALS & POSTGRADUATE INSTITUTE OF OPHTHALMOLOGYCENTRAL OFFICE RUN BY GOVEL TRUST ARAVIND–MADURAIChairman Board of Trustees Chief Medical Officer / ProfessorDR. P. NAMPERUMALSAMY MS., FAMS DR. S.R. KRISHNADAS DO., DNB PresidentVice Chairman ER. G. SRINIVASAN Administrator / ProfessorDR. G. NATCHIAR MS., DO DR. S. ARAVIND MS., MBA Trust SecretaryDirector DR. N.VENKATESH PRAJNA RETINA - VITREOUS CLINICDR. M. SRINIVASAN MS., DO Members Chief / ProfessorJoint Director DR. G. NALLAKRISHNAN DR. R. KIM DO., DNBDR. R.D. RAVINDRAN MS., DO DR. P. NAMPERUMALSAMY DR. G. NATCHIAR ProfessorsFINANCE MRS. MEENAKSHI NALLAKRISHNAN DR. P. NAMPERUMALSAMY MS., FAMSDirector MRS. LALITHA DR. DHANANJAY SHUKLA MS, FAMSER. G. SRINIVASAN BE., MS DR. R. KIM DR. K. NARESH BABU MS DR. S. ARAVINDHUMAN RESOURCES PRESIDENT, ROTARY CLUB, MADURAI ReaderDirector MAIN BRANCH - (EX-OFFICIO) DR. ANAND RAJENDRAN DO., DNB, FRCS (G)DR. G. NATCHIAR MS., DO Assistant ProfessorsSenior Manager DR. T.P. VIGNESH MSPREETHI PRADHAN MSW DR. UMESH CHANDRA BEHERA, MS DR. SOMNATH CHAKRABORTY, MSIT & SYSTEMS DR. JAY KALLIATH MSDirector DR. KARTHIK SR.D. THULASIRAJ B.SC., MBA INTRAOCULAR LENS & CATARACT CLINICSenior ManagerB.S. GANESH BABU M.COM., MS Chief / Reader DR. G. HARIPRIYA ARAVIND MSEDUCATIONResidency Training ProfessorsDR. N. VENKATESH PRAJNA DO., DNB., DR. G. NATCHIAR MS., DO DR. S. ARAVIND MS., MBA FRCO PHTH Readers DR. S. MAHESH KUMAR DO., DNBMID LEVEL OP HTHALM IC PERSONNEL DR. K. ILANGO DO., DNBDR. USHA KIM DO, DNB DR. KAVITA VADI ,MSARAVIND COMMUNICATIONS Assistant ProfessorsMS. CHITRA THULASIRAJ B.SC DR. A. KOWSALYA DO., DNB DR. P.M. ARAVIND MSPURCHASE & MAINTENANCE DR. S. TAMILARASI MSS. JAYACHANDRAN MHM DR. N. VIDHYA, MS DR. H. KASTHURI BAI DO, DNBOUTREACH DR. SAPNA P, MSR. MEENAKSHI SUNDARAM, MHM DR. NIRAJ KUMAR AGARWAL, MS DR. ANUJA J, MS Medical Officers DR. V.P. RAVICHANDRAN DO DR. PAMONA SAMSON DO DR. RUPA DO DR. P.S. VIVEK, DO 71

CORNEA CLINIC VISITING DOCTORS Manager - Personnel P. GANESANDirector / Professor Neuro surgeon - faculty asst.DR. M. SRINIVASAN, MS., DO Professor of neurosurgery Manager - Patient Care DR. P. SUBBURAM, MS., MCH SHAVOZ PHILIP, MHMChief / ProfessorDR. N. VENKATESH PRAJNA, DO., DNB., VISION REHABILITATION CENTRE LIBRARY R. KUMARAGURUPARI M.A.M.LI. SC., MPHIL. FRCO Reader M. C. RAJA, M.A.M.LI. SC., MPHIL. PHTH DR. ILANGO, DO.,DNB Manager-Vision CentresProfessor MICROBIOLOGIST MANIMUTHU, M HM, M B A, L..L.B ., DR. S. LALITHA PRAJNA, MD, DNBDR. JEENA MASCARENHAS, MS ARAVIND–THENI ANAESTHETISTReaders DR. A. RAVICHANDAR, MD., DA Chief Medical Officer / ProfessorDR. MANORANJAN DAS, DNB DR. DIPANKAR DATTA, DO., DNB, MNAMSDR. J. ARUN KUMAR, MS FREE HOSPITAL DR. V.P. RAVICHANDRAN, DO (OPH)PAEDIATRIC OPHTHALMOLOGY & ADULTSTRABISMUS CLINIC Assistant Administrator Assistant Professor R. RAMESH BABU, M.A DR. PRASHANT RAPHAEL, MSChief / ProfessorDR. P. VIJAYALAKSHMI, MS PHYSICIAN Research Associate DR. BANUSHREE, MD DR. S. JEYANTHAN, DO, DNBProfessorDR. SHASHIKANT SHETTY, MS OPTOMETRY, OPTICS & Manager INSTRUMENTATION M. MARUTHANAYAGAM, B.COMReaderDR. R. MURALIDHAR, MD Professor - Optics & Instrumentation ARAVIND–TIRUNELVELI PROF.V. SRINIVASAN, MA, MS. (OREGON, USA)Assistant Professors Chief Medical Officer / ProfessorDR. ANIL KUMAR GUNDA, DNB NURSING DR. R. RAMAKRISHNAN, MS., DODR. MARIE FREDRICK MOUTHAPA,DO, DNB Nursing Superintendent IOL & CATARACT CLINICGLAUCOMA CLINIC B. RADHA BAI Chief/ ProfessorChief Medical Officer / Professor Staff - Tutor DR. SHIVKUMAR CHANDRASHEKAR, MS.,DR. S.R. KRISHNADAS. DO., DNB ALEES MARY, R.N.R.M Assistant ProfessorsProfessors Staff - Theatre DR. SYED MOHIDEEN ABDUL KHADAR, MSDR. GEORGE VARGHESE PUTHURAN MS ALIKUTTY VARGEESE, R.N.R.M DR. FATHIMA, MSDR. MANJU PILLAI, DO., DNB DR. G.ANITHA, DO, DNB ADMINISTRATIONAssistant Professor PAEDIATRIC CLINICDR. R. SHARMILA, DNB Senior Manager - OutreachDR. NEETHU MOHAN, MS R. MEENAKSHI SUNDARAM, MHM Chief/ ProfessorDR. R. PRASHANTH, MS DR. R. MEENAKSHI, DO, DNB Assistant Manager- OutreachUVEA CLINIC MR. MOHAMMAD GOWTH, MA, PGDHM Assistant Professor DR. SANTONU CHAKRABORTHY, DO, DNBChief / Professor Senior Manager - MaintenanceDR. S.R. RATHINAM, DO., DNB., PH.D S. JAYACHANDRAN, MHM GLAUCOMA CLINICAssistant Professor Assistant Administrator Chief/ ProfessorDR. S. BALAMURUGAN, MS DR. RAMAKRISHNAN, MBBS DR. R. RAMAKRISHNAN, MS, DOORBIT & OCULOPLASTY CLINIC Transport & Public Relations Officer Reader S.G. RAMANATHAN, M.A DR. MOHIDEEN ABDUL KADER, DNBChief / ProfessorDR. USHA KIM, DO., DNB Manager - Finance Assistant Professor N. SHANMUGASUNDARAM, B.COM DR. RITA SINGH, MSAssistant ProfessorDR. KAMAL PREETI, DO, DNB Manager - Office RETINA - VITREOUS CLINIC K.S. KANDASAMY, B.ANEURO-OPHTHALMOLOGY CLINIC Assistant Professors Manager - Medical Records DR. ANKIT AVASTHI, DNBChief / Reader RAJKUMAR, M.A., B.M.R.SC DR. SACHIN BODHALE, MSDR. MAHESH KUMAR, DO., DNB DR. RAMANANDA SINGH, DNB Manager - StoresProfessor M. MUTHUSAMYDR. G. NATCHIAR, MS., DO72