Donors Report - The Vision Mission Report 1.0 (Project...He reviewed several patients who came for a...

EYE CARE FOR ALL

www.thevisionmission.org

© The Vision Mission, 2015

Project Netra 2015 (Mar’15)

Donors Report

Cataract Surgery Camp conducted by The Vision Mission Singapore, in collaboration with

Trilochan Netralaya in March 2015 at location in Sambalpur, Odisha, India.

http://www.thevisionmission.org/

Mission Trip’s Summary

Number of free cataract surgeries conducted by The Vision Mission in collaboration

with Trilochan Netralaya in Sambalpur, Odisha.

1000 Total for

Year 2014 1000

350 Project Netra 1000

November 2014

350

300 Project Netra

February 2014 300

Target

Mission Trip Achieved

TARGET

ACHIEVED

2014


March 2015 350 This Trip


November 2014

350

2015

EXECUTIVE SUMMARY

Sambalpur is a remote location in the state of Odisha in India. In 2014, The Vision Mission (TVM) conducted 1000 cataract surgeries in partnership with Trilochan Netralaya (TN) as part of Project Netra 1000. In addition, the TVM embarked on capacity building for the set up at TN by introducing glaucoma services, optometry training and a tele-ophthalmology

unit.

In 2015, we aim to build upon the foundation set in 2014. In addition to pledging our commitment of organizing 1000 cataract surgeries per year, we aim to work on further capacity building for TN in terms of provision of subspecialist services and in training the ophthalmologists and eye care paramedical staff in and around the region. For the first of 3 planned trips this year for Project Netra 2015, we sent 5 volunteers – Dr Jayant Venkatramani Iyer, Dr Annabel Chew, Dr. Raghuraj Hegde, Mr Mohd Farook and Mr Edric Wong – to TN from Mar 22-26, 2015. In addition, Ms Anjali Iyer, our generous donor who funded this mission joined us for part of the trip, while a Channel News Asia team documented our journey.

About The Vision Mission

The Vision Mission is a Singapore-based non-profit organization started by doctors

and professionals, with the purpose of providing free eye care to those in need in

Southeast and South Asia. We seek to serve as a conduit enabling transnational

collaboration of dedicated ophthalmic experts in providing free high quality eye care

and surgery to patients in areas of need, with a view to eradicate treatable vision

impairment and allow eye care access to all. We wish to set up and operate

sustainable eye care programs focusing on (but not limited to) treating cataracts in

areas of need, in collaboration with local ophthalmologists.

About Trilochan Netralaya

TN was founded by Dr Shivaprasad Sahoo. Shiva has worked tirelessly and

selflessly over the years in trying to eradicate curable blindness in the region. TN

has existing hospital setups in Sambalpur and Kalahandi, and therefore also

possesses the methods to bring in people for camps. In TN, TVM has found an ideal

complementary partner for achieving its objective for Western Odisha.

About Sambalpur, and the need there

Sambalpur is a remote location in the state of Odisha in India. Odisha (formerly

Orissa) is among the poorer states in India. Odisha is home to a large tribal

populace, or Adivasis (known officially as Scheduled Tribes in India), and

Scheduled Castes. The western districts have a majority population of SC/ST.

Typically, the districts and its people tend to be the poorest, with very little access

to healthcare.

MISSION TRIP DETAILS

Project Netra 2015 is a continuation of the efforts of volunteers in 2014 for Project Netra 1000.

Last Year – Project Netra 2014

1000 surgeries were conducted for the poor in

Western Odisha over the year 2014 through 3

trips, while also training up a team in TN for

optometry and glaucoma. In addition, we set

up a tele-ophthalmology unit courtesy of

Forus India.

The volunteers over 3 trips for the year 2014 included Dr Jason Lee, Dr Jayant V Iyer, Mr

Avinash Jayaraman, Dr Chen Jianping, Mr Mohd Farook, Adj A/Prof Shamira Perera, Dr Arun Narayanaswamy and Dr Rupesh Agrawal. Donors’ reports for the 2014 trips may be found on our website: www.thevisionmission.org.

This Trip – Project Netra 2015 (March)

The main site for this trip was at the institution building of TN in Sambalpur town.

Over little over a month (starting 22nd March, 2015), we funded and conducted 350

cataract surgeries.

Our team consisted of Dr Jayant Venkatramani Iyer (Singapore), Dr Annabel Chew

(Singapore), Dr Raghuraj Hegde (Bangalore, India), Mr Mohd Farook (Singapore)

and Mr Edric Wong (Singapore). In addition our donor, Ms Anjali Iyer (Singapore),

through whose generosity this trip was funded, joined us for 3 of the 5 days that

the volunteers spent at TN.

This trip also proved to be unique compared to others – a documentary team from

Channel News Asia (helmed by Ms Shilpi Sharma) followed us through the entire

trip and documented our journey.

The TVM team arrived on the morning of 22nd Mar 2015 (Sunday) and worked till

27th March 2015 (Friday).

http://www.thevisionmission.org/

SUMMARY OF ACHIEVEMENT

The main objectives of this mission trip included the following:

1. Conduct 350 cataract surgeries using the Small Incision Cataract Surgery (SICS) technique

2. Enhance the safety and quality processes of the surgeries performed to even higher standards with critical systems review by consultants from Beyond Eye Care, LLP

3. Train the local TN team in the use of pattern Argon laser for conditions like diabetic retinopathy and maculopathy

4. Help run clinics and give second opinion on certain complex cases 5. Assess need for Oculoplastics service and teach the local team basic DCR

(dacryocystorhinostomy) surgery 6. Initiate a Continuing Medical Education (CME) program for TN and Western

Odisha at large 7. Continue optometry training for TN team 8. Meet up with another team from Bihar for possible new partnership opportunity

350 Cataract surgeries

2 Camps

$17,000 Money Raised/Spent

Surgeries conducted

were primarily using the

SICS - Small (sutureless)

Incision Cataract

Surgery technique.

In Sambalpur town and

at Betty’s Ashram near

Hirakud.

From Ms Anjali Iyer,

Singapore.

SGD

HOW WE HAVE HELPED

Free Cataract Surgeries

112 free cataract surgeries were conducted at TN, Sambalpur through the camps

funded by TVM including during the week of March 22-27, 2015 and 238 more in

the one month thereafter.

The donor’s money helped fund not just the surgery for each of the 350 needy

patients, but also the following:

- Travel cost to bring patients from a 100-200 km radius to the hospital and then back to their villages

- Accommodation over two nights (one preoperatively and one on night following the surgery)

o Patients who had complications or required careful observation for more than one day postoperatively would be housed in the premises of Betty’s Ashram for the duration required as deemed by the treating doctor

- Food during the patients’ stay in camp - Cost of nurses and paramedical staff during duration of camp - Cost of equipment and medications required for conduct of surgeries

Surgical Process Optimization

Dr Shiva has established himself to be an

excellent cataract surgeon through his many

years of service in the region. While he has an

excellent safety record through his previous

60000 or so cataract surgeries, the TVM team

wanted to ensure that international best

practices were adhered to in the surgical and

clinical set up.

The TVM teams in 2014 (specifically the team

in December 2014) already made a few

suggestions and changes in order to optimize

the processes in place at TN. The practice of

autoclaving every set of instruments prior to

use for each case was implemented as

opposed to using “chemical sterilization”

which was practiced previously. In addition,

every patient was to don newly sterilized

surgical drapes.

For this trip we requested the expert services of Beyond Eye Care helmed by Dr

Rashmin Gandhi to help review and make suggestions for further optimization of

surgical processes at TN during TN-TVM camps. Beyond Eye Care sent Mr Arul

who spent 5 days with us to document every aspect of the surgical processes

involved in the main TN center at Sambalpur and the operating theater facilities in

the satellite center at Betty’s Ashram (7 kilometers away). Arul will be providing

Shiva and the TVM team his finalized report and will see through the

implementation of the suggestions by the next TVM trip in 4-5 months’ time.

Laser Training

TN recently acquired a pattern laser machine (Appasamy®) as per TVM’s

suggestions in 2014. Jayant and Annabel took TN doctors, Shiva and Chitaranjan

through various laser procedures and

advised on management for patients

with various grades of diabetic

retinopathy and maculopathy –

conditions that in some cases may

result in irreversible blindness if not

managed properly.

Around 25-30 patients with

suspected diabetic retinopathy were

seen during the visit. 10 of the

patients required focal and/or

panretinal photocoagulation (PRP)

laser therapy.

Till date, there has been no formal diabetic retinopathy screening program in the

region. Institution of such a program in developed countries such as Singapore has

led to a significant decrease in rates of irreversible blindness from diabetic

retinopathy. Now that we have instituted training for the local doctors in laser

therapy, TVM intends to work with TN in setting up a diabetic retinopathy

screening program for the greater Sambalpur region. Through this program we

intend to diagnose and manage hundreds of diabetic patients with this potentially

blinding condition. We believe this will benefit many thousands of patients and

raise standards of ophthalmic care in the region in the years to come.

Clinics

Around 40 patients were reviewed per day over the 5 days of clinics. TN doctors

brought back patients with various conditions for a second opinion from the TVM

doctors. Raghuraj reviewed patients with various oculoplastics conditions while

Annabel and Jayant managed patients with other complex ocular conditions and

diabetic retinopathy/maculopathy.

Conditions encountered included diabetic retinopathy/maculopathy,

rhegmatogenous retinal detachment, age-related macular degeneration, fungal

keratitis, glaucoma suspects and glaucoma patients, post-operative blebitis,

spheroidal degeneration and

corneal decompensation,

naso-lacrimal duct

obstruction and conjunctival

melanoma.

In addition, Shiva and Jayant

screened around 350 patients

in a primary free eye

screening camp conducted in

Padampur – a small township

located 110 kilometers from

the main center – on 23rd

March 2015.

The aim of such camps in the

100-200 km radius from Sambalpur is to be able to bring eye care to the suburban

and rural populations who may otherwise not have access to such facilities. 35

patients from the eye screening subsequently underwent cataract surgery with TN

during the duration of our visit.

Oculoplastics

Raghuraj was on his first visit to TN to assess scope for Oculoplastics in TN. The

nearest referral center for oculoplastics services was around 300 km from TN – a

distance many patients would not be able to travel.

He reviewed several patients who came for a clinic consult and identified

oculoplastics cases that could be managed in TN without need for further referral.

He performed and took Shiva through dacryocystorhinostomy (DCR) surgeries.

He felt there was scope for developing this subspecialty in the region, as many of

the patients would otherwise

remain untreated resulting

in various ocular

comorbidities. Conditions

that could potentially be well

managed in TN itself include

ectropion, entropion, eyelid

ptosis, blepharochalasis,

dacryocystitis, eyelid laxity,

small benign eyelid tumours

and eyelid lacerations.

Toward this end, Raghuraj

has promised to make more

trips to TN to train Shiva

and his team at TN in simple oculoplastic procedures and DCR. In addition,

Raghuraj intends to use his network of local Indian ophthalmology experts to bring

in expertise to the region on a more regular basis.

Inaugural TN-TVM CME Program

The TVM volunteer doctors conducted a CME program in collaboration with the TN

doctors and professors from Burla Medical College for ophthalmology trainees of

the same institute and for ophthalmologists in the region. The aim of this was to

set up a platform that allowed regular sharing and updating of knowledge amongst

the various specialists in the Western Odisha region in collaboration with

international ophthalmologists during TVM visits.

The CME program was attended by around 40 delegates and involved talks on

recent advances in ophthalmology, medical retinal conditions such as diabetic

retinopathy and age-related macular degeneration, uveitis and interpretation of

imaging studies for ophthalmologists. The small quiz held at the end of the CME

program proved to be very engaging and

ended with one of the residents winning

the prize money of Rs 2020.

Overall, we found the residents to be

engaging and keen to learn. We believe

that through the establishment of such

programs and regular interactions

between local and international

ophthalmologists, eye care may be

further enhanced in the region as a

whole.

Optometry training

The optometry training for the five TN paramedical was a continuation from the

previous trip in November 2014. Two new paramedical staff recently joined TN were

also trained during this visit.

The training program focused primarily on visual acuity recording, objective

(retinoscopy) refraction and subjective refraction. The trainees were also exposed to

very basic optical properties and eye anatomy.

Trainees attended lectures before moving on to practical sessions among

themselves. Language barrier was overcome by translation between English and

Hindi or English and Oriya language. This was done through students who spoke

fair amount of English or doctors who dropped by to sit in.

Their performance was assessed through actual patient handling and

improvements were discussed separately. Continued education and reviews were

suggested by engaging a local optometrist from the locality.

Visit by Bihar team for prospective new TVM collaboration

A team from Sri Sai Lions’ Netralaya (Patna, Bihar, India) led by Mr Marianus

Lakra came to meet up with Jayant and some of the volunteers to discuss the

potential for a new TVM collaboration in Bihar. This hospital based out of Patna

has 6 ophthalmologists and does around 20 000 cataract surgeries for the needy in

Bihar. They requested support in terms of finances and capacity building (expertise

and skills transfer) and invited TVM to visit their set up in view of possible future

collaboration. They were generally impressed with the model we created in the

TVM-TN partnership and hoped we could replicate this effort in their center in

Patna. TVM intends to send a team in the middle of the year for a site visit for

possible future collaboration.

TEAM JOUNRAL AND PHOTOS

Arriving via overnight train, the

TVM team was greeted at the

Sambalpur train station by Shiva.

We were brought to TN where

Shiva’s team welcomed us with an

elaborate [aarti] ceremony,

complete with [tilak] on our

foreheads. Eager to start work,

Jayant and Annabel quickly started

their clinics while Mohamed Farook

kicked off his optometry training

programme.

In the afternoon, Jayant

demonstrated how to perform a

PRP, with a view to augmenting

TN’s skills in preventing blindness

in diabetic patients. Shiva then

commenced the first 50 of the 350

free SICS cataract surgeries

sponsored by TVM’s donors.

The clinics, surgeries and

optometry classes ended about

8.30pm.

Day 1

As part of its outreach program, TN regularly conducts free eye screenings and

counseling. On Day 2 of Project Netra 2015, Jayant, Mohamed Farook, Anjali and Edric

travelled two hours from Sambalpur to a dilapidated old school hall in Padampur, where

TN partnered with the local communities to conduct screening.

The importance of TN’s outreach program cannot be understated. We learnt in

Padampur that a lot of Orissans are under the mistaken impression that blindness is

part and parcel of old age; those who are aware that some causes of blindness may be

preventable or treatable, do not seek medical attention because they cannot afford to.

There were eight stations at the make-shift screening center, starting with triage and

ending with counseling. The main station was helmed by Shiva and Jayant with the

primary aim of identifying patients with cataracts. Those found to have cataracts were

counseled on their options.

After screening over 350 walk-in patients, about 70 were found to have cataracts – 35

were sent to TN for surgery; the remainder to a nearby hospital sponsored by other

donors.

While the rest of the TVM team were in Padampur, Annabel and Dr Chitaranjan Mishra

or Chita (who has been an ophthalmologist with TN for half a year) held the fort in

Sambalpur. Annabel worked closely with Chita and was called upon to shared her

experience on managing various eye diseases such as severe proliferative diabetic

retinopathy, fungal keratitis, rhegmatogenous retinal detachment, glaucoma, age-related

macular degeneration, and even a case of conjunctival melanoma. Annabel also guided

Chita through several PRPs and focal lasers. After lunch, Chita completed another 35

SICS funded by TVM.

Day 2 also saw the arrival of our final volunteers, Raghuraj from Bangalore, and Arul

from Beyond Eye Care. Arul’s role in Project Netra 2015 was to audit and raise TN’s

operations to international standards.

Day 2

The day began with meeting two

representatives from Sri Sai Lions Netralaya.

Like TN, Sri Sai Lions Netralaya conducts

outreach programs and free cataract

surgeries for the needy, and were looking to

partner with TVM to fund free cataract

surgeries for farmers in Bihar.

After a fruitful meeting with Sri Sai Lions

Netralaya, Jayant, Anjali and Edric visited

Betty’s Ashram. About 20 minutes away from

TN, Betty’s Ashram is where Shiva conducts

his free surgeries, and also the location

where he houses his patients pre- and post-

op. Shiva provides these patients with free

meals throughout their stay. Funded by

Betty’s Foundation, the Ashram features a

new three-storey building that will bring

improved bedding and sanitary conditions to

the in-patients.

In the meantime, Annabel and Raghuraj ran

the clinics along with Chita and Shiva.

Jayant, Annabel and Raghuraj then came

together in the afternoon to speak at the

inaugural CME session. The turnout was

spectacular, with more than 40 guests

ranging from senior consultants and

professors to residents of regional

ophthalmology hospitals, in attendance.

Topics covered included diabetic retinopathy,

age-related macular degeneration, orbital

imaging for general ophthalmologists and

infective uveitis. The session ended with a

lively exchange of the doctors’ experiences, a

quiz for the residents, and a splendid buffet

dinner hosted by TN.

Day 3

There were a flurry of activities in the last two days of Project Netra 2015.

Clinics kept Annabel, Raghuraj and Chita busy as usual. Meanwhile TN’s clinical staff

worked hard on their practicals at Mohamed Farook’s optometry classes, which had been

going on from Day 1.

Jayant guided Shiva through his first PRP. Both also took time to visit several post-op

patients to see how they were doing. Arul reviewed the set-up at Betty’s Ashram and gave

Shiva and Jayant a preliminary report of his findings for what can be improved upon in

TN. Plans were made for collaboration between TVM, TN and Beyond Eye Care over the

coming 3-4 months so that many of the suggestions may be implemented to optimize

processes in TN.

Raghuraj went on to perform two DCRs.

On Day 5, the patient load was noticeably lighter on Day 5 because India was playing

Australia in the Cricket World Cup Semi-Final!

Meanwhile Jayant went to the village along with the media to visit a few of the patients

who had their cataract surgeries. It was a very touching experience to witness firsthand

the effect restoring sight had on many of these patients.

The patient load was noticeably lighter on Day 5 because India was playing Australia in

the Cricket World Cup Semi-Final!

Between Day 4 and 5, Dr Shiva operated on the next 30 of the TVM sponsored surgeries.

Between Day 4 and 5, Dr Shiva operated on the next 30 of the TVM sponsored surgeries.

After Day 5, Arul stayed on for one more day to further consolidate his suggestions and

report for Shiva’s team. Raghuraj took Shiva through another DCR surgery and helped

run clinics before heading back to Bangalore.

Day 4,5

SPECIAL CASE FILES

Thabiera & Sopati

Sopati’s vision has been gradually deteriorating over the last few years. Three years ago, she saw a doctor who prescribed her with eye drops and promised her she will recover –

unsurprisingly, the eyedrops did nothing to improve her vision. Her husband, Thabiera, found out about the screening at Padampur, and cycled her 10km from their home to Padampur.

Thabiera and Sopati survive on a pension of Rs 300 per month (i.e. S$6). They live in a small, dark and spartan house built with mud and dung. The only possession of some value in the house is a piece of costume jewellery hanging on a hook next to broken mirror shards, an old comb and a dirty basin. To supplement their income, Sopati weaves two brooms per day (4 hours effort per broom) – each going for Rs 1 (i.e. S$0.02), if she manages to sell it in the first place. Thabiera tells us he hopes that TN will be able to help restore Sopati’s eyesight so that he won’t have to do the household chores anymore and he can go out to look for work.

When asked to eat their lunch before going to TN for surgery, Thabiera and Sopati offered most of their rations to us. For a couple that have so little to survive on, their generosity was deeply moving.

Sopati was brought to TN for cataract surgery. At TN, it was discovered that Thabiera was himself going blind from cataracts.

Shiva operated on both Thabiera and Sopati. But for TVM’s sponsorship and TN’s dedication to the cause, Thabiera and Sopati would have continued living in blindness.

FUTURE PROJECTS

1. Continue supporting 1000 surgeries per year for the needy in collaboration with TN as part of Project Netra.

2. Continue the CME program that we have initiated 3. Set up a much needed Diabetic Retinopathy screening program for the region 4. Continue augmenting clinical set up in TN

a. Organize further glaucoma training for Shiva b. Set up a team of local Indian volunteer doctors across various

subspecialties – specifically retina, glaucoma, oculoplastics – to augment

local team’s management of patients presenting with such conditions 5. Complete optometry training program 6. Continue work with Beyond Eye Care to implement international best practices

for the local set up 7. Replicate model set up through Project Netra in other locales such as Bihar,

China and Myanmar.

SPECIAL ACKNOWLEDGEMENT

TVM is grateful to Ms Anjali Iyer for not

only funding the entire March trip but

for also taking time and effort out of

her busy schedule to join us for 3 of

the 5 days of the trip and help us out

while we were reviewing patients in the

clinics.

We also thank the Channel News Asia

team for staying with us through the

entire one-week journey and

documenting the work that we did. We

hope that this would bring more

publicity to our cause so that we can

reach out to even more people in need.

LIST OF PATIENTS

Patient names are blanked out for privacy reasons. Please contact us for a full list:

jayant@ / jason@ / avinash@ thevisionmission.org

Date SL No

Patient's Name MR No Age Sex

Pre OP Vision

Type of Surgery Operated

Eye

Post OP

Vision

RE LE 1 Day

22ND

MAR

2015

01 ----- ----- F9797 64 F 6/24 1/60 SICS WITH IOL LE 6/12

02 ----- ----- F9798 59 F 6/24 6/60 SICS WITH IOL LE 6/18P

03 ----- ----- F9799 55 F PL 6/24 SICS WITH IOL RE 6/12


05 ----- ----- F9801 63 F 6/36 HM SICS WITH IOL LE 6/36

06 ----- ----- F9802 68 F 4/60 5/60 SICS WITH IOL RE 6/24



09 ----- ----- F9805 70 M 6/36 6/24P SICS WITH IOL RE 6/12

10 ----- ----- F9806 80 M 1/60 1/60 SICS WITH IOL RE 6/60

11 ----- ----- F9807 65 F 6/60 PL SICS WITH IOL LE 6/18P

12 ----- ----- F9808 75 M 6/60 6/60 SICS WITH IOL LE 6/18

13 ----- ----- F9809 60 M 5/60 5/60 SICS WITH IOL LE 6/12P


15 ----- ----- F9811 70 F PL 6/24P SICS WITH IOL RE 6/36P


17 ----- ----- F9813 56 M HM 6/12 SICS WITH IOL RE 6/9P

18 ----- ----- F9814 55 M PL 6/18 SICS WITH IOL RE 6/24

19 ----- ----- F9815 65 M 5/60 5/60 SICS WITH IOL RE 6/18P





24 ----- ----- F9820 48 M HM 6/18 SICS WITH IOL RE 6/12

25 ----- ----- F9821 65 M 6/60 CFIF SICS WITH IOL LE 6/36

26 ----- ----- F9822 70 F 1/60 6/18P SICS WITH IOL RE 6/24P

27 ----- ----- F9823 70 M 3/60 PL SICS WITH IOL LE 6/18P



30 ----- ----- F9826 70 F HM 6/60 SICS WITH IOL RE 6/24

31 ----- ----- F9827 80 M PL CFIF SICS WITH IOL RE 6/60


33 ----- ----- F9829 65 F PL PL SICS WITH IOL RE 6/12P

34 ----- ----- F9830 80 F PL NO PL SICS WITH IOL RE 6/24P




38 ----- ----- F9834 35 F HM 6/18 SICS WITH IOL RE 6/12

23RD MAR

2015







45 ----- ----- F9842 58 F CFIF CFIF SICS WITH IOL LE 6/18P

46 ----- ----- F9843 65 F PL 6/18P SICS WITH IOL RE 6/24



49 ----- ----- F9846 70 M 6/24 PL SICS WITH IOL LE 6/12







56 ----- ----- F9853 74 M PL 6/36 SICS WITH IOL LE 6/24

57 ----- ----- F9854 80 M 6/24 PL SICS WITH IOL RE 6/9P




61 ----- ----- F9858 70 F 5/60 PL SICS WITH IOL LE 6/24

24TH

MAR 2015




65 ----- ----- F9863 50 F 6/60 6/60 SICS WITH IOL RE 6/9P










75 ----- ----- F9873 60 F 1/60 6/18P SICS WITH IOL RE 6/18



78 ----- ----- F9876 70 F 6/36P 1/60 SICS WITH IOL LE 6/12




25TH MAR

2015

82 ----- ----- F9880 70 F 6/60 CFIF SICS WITH IOL LE 6/18


84 ----- ----- F9882 65 F HM 6/18P SICS WITH IOL RE 6/24

85 ----- ----- F9883 75 M 6/12 CFIF SICS WITH IOL LE 6/12



88 ----- ----- F9886 80 F NOPL 1/60 SICS WITH IOL LE 6/60


90 ----- ----- F9888 60 F CFIF 6/60 SICS WITH IOL RE 6/18

91 ----- ----- F9889 70 M 6/18 HM SICS WITH IOL LE 6/18

92 ----- ----- F9890 80 M HM CFIF SICS WITH IOL RE 6/60

93 ----- ----- F9891 65 F CFIF 6/24 SICS WITH IOL RE 6/36




97 ----- ----- F9895 65 M 6/18P 6/24 SICS WITH IOL LE 6/9


99 ----- ----- F9897 61 F CFIF CFIF SICS WITH IOL LE 6/12P





104 ----- ----- F9902 60 F HM CFIF SICS WITH IOL RE 6/36



107 ----- ----- F9905 45 F 6/60 CFIF SICS WITH IOL LE 6/18

108 ----- ----- F9906 70 M 6/24 6/24 SICS WITH IOL RE HM




112 ----- ----- F9910 60 M CFIF CFIF SICS WITH IOL LE 6/9

113 ----- ----- F9911 80 M PL PL SICS WITH IOL RE 4/60


115 ----- ----- F9913 62 M HM HM SICS WITH IOL LE 6/36


26TH

MAR 2015



119 ----- ----- F9917 65 F HM 6/18P SICS WITH IOL RE 6/18P








127 ----- ----- F9925 55 M HM PL SICS WITH IOL LE 6/24

128 ----- ----- F9926 80 M 2/60 PL SICS WITH IOL RE 6/18

129 ----- ----- F9927 60 M PL 6/60 SICS WITH IOL RE PL

130 ----- ----- F9928 65 M HM 6/36P SICS WITH IOL RE 6/18


132 ----- ----- F9930 60 M CFIF CFIF SICS WITH IOL RE 6/18

133 ----- ----- F9931 60 F 6/18 6/60 DCR LE 6/60




137 ----- ----- F9935 80 F PL PL SICS WITH IOL RE 3/60


27TH

MAR

2015




142 ----- ----- F9941 60 F CFIF 6/18P SICS WITH IOL RE 6/12

143 ----- ----- F9942 70 F PL 6/24 SICS WITH IOL RE 6/18P



146 ----- ----- F9945 70 F PL PL SICS WITH IOL RE 6/36P



149 ----- ----- F9948 58 M 6/12P PL SICS WITH IOL LE 6/12

150 ----- ----- F9949 55 M 6/12 6/12 DCR RE 6/12

28TH

MAR 2015

151 ----- ----- F9950 60 F 5/60 5/60 DCR LE 5/60

29TH MAR

2015


07TH

APR 2015

153 ----- ----- F9952 70 F 6/60 6/18 PHACO WITH FOLDABLE IOL RE 6/12

154 ----- ----- F9953 66 F CF 4 MT

CF 3 MT

SICS WITH IOL LE 6/18

155 ----- ----- F9954 55 M PL 6/36P PHACO WITH FOLDABLE IOL RE 6/12

156 ----- ----- F9955 70 F CF 4 MT

PL PHACO WITH FOLDABLE IOL LE 6/12

157 ----- ----- F9956 65 F CF 5

MT 6/60 SICS WITH IOL RE 5/60

158 ----- ----- F9957 68 M CF 3 MT

PL PHACO WITH FOLDABLE IOL LE 6/18

159 ----- ----- F9958 68 F 6/12 CF 2 MT


160 ----- ----- F9959 70 M CF 1

MT

CF 1

MT PHACO WITH FOLDABLE IOL RE 6/12

161 ----- ----- F9960 63 M CF 5

MT

CF 5

MT PHACO WITH FOLDABLE IOL RE 6/12

162 ----- ----- F9961 62 M CF 4 MT

CF 3 MT


163 ----- ----- F9962 80 F CF 1/2

MT

CF 2

MT SICS WITH IOL RE 6/18

164 ----- ----- F9963 68 F CF 2 MT

CF 3 MT

PHACO WITH FOLDABLE IOL RE 6/12

10TH

APR 2015

165 ----- ----- F9964 5 F 6/6 PL SICS WITH IOL LE PL

166 ----- ----- F9965 62 F HM CF 2 MT

SICS WITH IOL RE 6/18

167 ----- ----- F9966 70 M PL PL SICS WITH IOL RE 6/24


169 ----- ----- F9968 60 F HM 6/24P SICS WITH IOL RE 6/12P

170 ----- ----- F9969 60 F HM CF 5 MT

SICS WITH IOL RE 6/18P

171 ----- ----- F9970 70 M CF 1 MT

CF 2 MT



173 ----- ----- F9972 58 F 6/24P 6/60 SICS WITH IOL LE 6/12

17TH

APR 174 ----- ----- F9973 80 F PL PL SICS WITH IOL RE 6/24

2015

175 ----- ----- F9974 62 F PL 6/60 SICS WITH IOL RE 6/18p

176 ----- ----- F9975 60 F PL PL SICS WITH IOL LE 6/9



179 ----- ----- F9978 68 F 5/60 5/60 SICS WITH IOL LE 6/18p


181 ----- ----- F9980 63 M CF 3

MT 5/60 SICS WITH IOL RE 6/9p

182 ----- ----- F9981 62 M 6/60 6/60 SICS WITH IOL RE 6/12p

18TH

APR 2015

183 ----- ----- F9982 60 F CF 3 MT

CF 3 MT


184 ----- ----- F9983 65 F CF 1

MT 6/18P SICS WITH IOL RE 6/12

185 ----- ----- F9984 60 F HM CF 1


186 ----- ----- F9985 60 F CF 2

MT 6/60 SICS WITH IOL LE 6/24


188 ----- ----- F9987 62 F CF 3 MT

CF 3 MT


189 ----- ----- F9988 70 F 6/24 CF 3 MT


190 ----- ----- F9989 60 F PL PL SICS WITH IOL LE 6/18P

191 ----- ----- F9990 75 M 6/36 CF 2 MT


192 ----- ----- F9991 75 M 6/36P 6/36 SICS WITH IOL RE 6/12

193 ----- ----- F9992 63 M HM 6/24P SICS WITH IOL RE 6/6

194 ----- ----- F9993 60 M CF 5



196 ----- ----- F9995 70 F CF 5 MT

6/12P SICS WITH IOL RE 6/12

197 ----- ----- F9996 85 M CF 1/2

MT PL SICS WITH IOL LE 6/12P

19TH APR

2015

198 ----- ----- F-6281 65 F CF 1

MT

CF 1


199 ----- ----- F-6282 50 F HM 6/9 SICS WITH IOL RE 6/12

200 ----- ----- F-6283 60 F PL 6/12 SICS WITH IOL RE 6/9

201 ----- ----- F-6284 75 F CF 2 MT

PL SICS WITH IOL LE 6/24

202 ----- ----- F-6285 70 F CFIF PL SICS WITH IOL LE 6/12

203 ----- ----- F-6286 70 F 6/60 PL SICS WITH IOL LE 6/9

204 ----- ----- F-6287 68 F CF 3


205 ----- ----- F-6288 70 F CF 4

MT

CF 5


206 ----- ----- F-6289 72 F CF 1

MT PL SICS WITH IOL LE 6/60


208 ----- ----- F-6291 72 F CF 4 MT

CF 2 MT



210 ----- ----- F-6293 65 F CF 4



212 ----- ----- F-6295 65 M 6/18 PL SICS WITH IOL LE 6/18

213 ----- ----- F-6296 75 F NOPL PL SICS WITH IOL LE 6/24



216 ----- ----- F-6299 70 M 6/60 CF 2 MT


217 ----- ----- F-6300 69 F PL CF 2


218 ----- ----- F-6301 70 M CF 3

MT PL SICS WITH IOL LE 6/18

219 ----- ----- F-6302 70 M CF 5


220 ----- ----- F-6303 58 M CF 3

MT

CF 3


221 ----- ----- F-6304 55 M PL 6/12 SICS WITH IOL RE CF 3 MT

222 ----- ----- F-6305 79 M CF 1 MT

CF 4 MT


223 ----- ----- F-6306 60 M CF 3 MT


224 ----- ----- F-6307 55 M PL 6/24 SICS WITH IOL RE 6/36

225 ----- ----- F-6308 71 F 6/60 CF 3 MT


226 ----- ----- F-6309 43 M 6/12 HM SICS WITH IOL LE 6/9

227 ----- ----- F-6310 76 M CF 3

MT

CF 3

MT SICS WITH IOL LE 6/12

228 ----- ----- F-6311 65 M CF 3

MT

CF 4


229 ----- ----- F-6312 61 M CF 1 MT

6/60 SICS WITH IOL RE 6/9

230 ----- ----- F-6313 52 M CF 4 MT

CF 2 MT


231 ----- ----- F-6314 70 F CF 2 MT

CF 5 MT


232 ----- ----- F-6315 62 M CF 1 MT


233 ----- ----- F-6316 75 F CF 1 MT

CF 1 MT


234 ----- ----- F-6317 65 F CF 5

MT

CF 3


235 ----- ----- F-6318 70 M CF 3

MT

CF 3


236 ----- ----- F-6319 65 M CF 3

MT

CF 3


237 ----- ----- F-6320 70 M 6/60 6/60 SICS WITH IOL RE 6/18

238 ----- ----- F-6321 75 M CF 5 MT

CF 5 MT


239 ----- ----- F-6322 80 M CFIF PL SICS WITH IOL LE HM

240 ----- ----- F-6323 60 M 6/60 6/60 SICS WITH IOL RE 6/60

241 ----- ----- F-6324 70 M CF 2 MT

CF 2 MT


242 ----- ----- F-6325 80 M CF 3

MT HM SICS WITH IOL LE 6/18

243 ----- ----- F-6326 72 M 6/60 6/60 SICS WITH IOL LE 6/24

244 ----- ----- F-6327 75 M CF 1

MT

CF 2


245 ----- ----- F-6328 75 M CF 1 MT

CF 1 MT


246 ----- ----- F-6329 70 F PL PL SICS WITH IOL RE 6/60

247 ----- ----- F-6330 68 M CF 3 MT


248 ----- ----- F-6331 60 M CF 2 MT

CF 2 MT


249 ----- ----- F-6332 82 M CFIF PL SICS WITH IOL RE 6/36

250 ----- ----- F-6333 70 F PL CF 2


251 ----- ----- F-6334 69 F CF 5

MT

CF 3


252 ----- ----- F-6335 85 M 6/60 PL SICS WITH IOL LE 6/9


254 ----- ----- F-6337 81 F PL CFIF SICS WITH IOL RE 6/36

20TH APR

2015

255 ----- ----- F9997 80 F CF 5

MT

CF 5

MT PHACO WITH FOLDABLE IOL RE 6/9P

256 ----- ----- F9998 94 M 6/60 6/36 PHACO WITH FOLDABLE IOL RE 6/9

257 ----- ----- F9999 75 M CF 4

MT 6/36P PHACO WITH FOLDABLE IOL RE 6/24


259 ----- ----- F10001 82 M CF 1/2


260 ----- ----- F10002 80 F CF 5 MT

CF 5 MT

PHACO WITH FOLDABLE IOL RE 6/9P

261 ----- ----- F10003 82 M 6/9P PL SICS WITH IOL LE 6/12

262 ----- ----- F10004 70 M CF 4 MT

CF 5 MT


263 ----- ----- F10005 65 M CF 4 MT


264 ----- ----- F10006 50 M CF 1/2

MT PL SICS WITH IOL RE

CF 3 MT

265 ----- ----- F10007 80 F 6/60 CF 5 MT


21ST APR

2015

266 ----- ----- F10008 65 F 5/60 6/60 TOPICAL PHACO WITH FOLDABLE

IOL RE 6/18

267 ----- ----- F10009 60 F PL 2/60 TOPICAL PHACO WITH FOLDABLE

IOL RE 6/18

268 ----- ----- F10010 60 F PL 6/18P TOPICAL PHACO WITH FOLDABLE

IOL RE 6/12P

269 ----- ----- F10011 65 F 5/60 4/60 TOPICAL PHACO WITH FOLDABLE

IOL LE 6/18

270 ----- ----- F10012 70 M HM 6/24P TOPICAL PHACO WITH FOLDABLE

IOL RE 6/12P

271 ----- ----- F10013 65 F CF 1/2

MT CF 4 MT


272 ----- ----- F10014 70 M CF 5

MT PL SICS WITH IOL RE 6/24

273 ----- ----- F10015 75+ F CF 5 MT

CF 5 MT


274 ----- ----- F10016 65 F CF 3 MT

CF 3 MT

SICS WITH IOL LE 6/12P

275 ----- ----- F10017 70 F 6/60 CF 4 MT


276 ----- ----- F10018 70 F PL 6/24P SICS WITH IOL RE 6/18P

277 ----- ----- F10019 70+ M 6/24 6/36P SICS WITH IOL LE 6/9

278 ----- ----- F10020 82 M PL 6/24P SICS WITH IOL RE 6/18P

22ND

APR 2015



281 ----- ----- F10023 70 F 6/24 CF 1/2

MT SICS WITH IOL LE 6/12P

282 ----- ----- F10024 66 M CF 2

MT

CF 4

MT SICS WITH IOL RE 6/6P

283 ----- ----- F10025 80 F PL PL SICS WITH IOL LE 6/24P

284 ----- ----- F10026 57 M HM CF 1



23RD APR

2015

286 ----- ----- F10028 45 F PL 6/12 PHACO WITH FOLDABLE IOL RE 6/24

287 ----- ----- F10029 60 F PL 6/12 PHACO WITH FOLDABLE IOL RE 6/18

288 ----- ----- F10030 60 M CF 1/2

MT

CF 3



290 ----- ----- F10032 65 M 6/60 CF 5

MT PHACO WITH FOLDABLE IOL LE 6/6

291 ----- ----- F10033 75 M 6/36P 6/18P SICS WITH IOL RE 6/9

292 ----- ----- F10034 70 M PL 6/36 PHACO WITH FOLDABLE IOL RE 6/18P



295 ----- ----- F10037 60 M PL 6/18 PHACO WITH FOLDABLE IOL RE 6/18P

296 ----- ----- F10038 62 M CF 5 MT

CF 4 MT


297 ----- ----- F10039 60 M 6/36P CF 2 MT



299 ----- ----- F-6339 62 F HM 6/12 SICS WITH IOL RE 6/12


301 ----- ----- F-6341 67 F CF 3

MT

CF 3



303 ----- ----- F-6343 65 f CF 3 MT


304 ----- ----- F-6344 66 F PL CF 2 MT


305 ----- ----- F-6345 78 F CF 5 MT

CF 4 MT


306 ----- ----- F-6346 68 F PL CF 2


307 ----- ----- F-6347 78 F 6/12 CF 4


308 ----- ----- F-6348 60 F CF 4

MT

CF 4


309 ----- ----- F-6349 66 M 6/24P 6/18 SICS WITH IOL RE 6/24

310 ----- ----- F-6350 80 F HM PL SICS WITH IOL LE CF 2 MT

311 ----- ----- F-6351 72 F PL HM SICS WITH IOL RE CF 3 MT

312 ----- ----- F-6352 60 M CF 3 MT

CF 2 MT



314 ----- ----- F-6354 53 M PL CF 4


315 ----- ----- F-6355 72 F HM HM SICS WITH IOL LE 6/60

316 ----- ----- F-6356 78 M CF 4

MT

CF 3


317 ----- ----- F-6357 75 M CF 5 MT

CF 4 MT



319 ----- ----- F-6359 82 M CF 2

MT

CF 3


320 ----- ----- F-6360 80 M CF 1

MT

CF 1


321 ----- ----- F-6361 75 M CF 3 MT

CF 3 MT


322 ----- ----- F-6362 75 F PL PL SICS WITH IOL RE 6/60

323 ----- ----- F-6363 70 F 6/18 CF 5 MT


324 ----- ----- F-6364 73 M CF 5 MT

CF 3 MT

SICS WITH IOL LE CF 1 FT

325 ----- ----- F-6365 70 M CF 4 MT

CF 2 MT


326 ----- ----- F-6366 75 M CF 4

MT HM SICS WITH IOL LE 6/60

26TH

APR 2015

327 ----- ----- F-6367 66 F 6/18 CF 1/2



329 ----- ----- F-6369 50 F 6/60 CF 4 MT


330 ----- ----- F-6370 69 F PL CF 1 FT SICS WITH IOL RE 6/9


332 ----- ----- F-6372 67 F CF 1 FT 6/60 SICS WITH IOL RE 6/9P

333 ----- ----- F-6373 68 F PL 6/60 SICS WITH IOL RE 6/6P

334 ----- ----- F-6374 70 F CF 1 MT

HM SICS WITH IOL LE 6/12

335 ----- ----- F-6375 71 F CF 3 MT



337 ----- ----- F-6377 67 F CF 3

MT PL SICS WITH IOL RE 6/18

338 ----- ----- F-6378 98 F CF 2

MT

CF 1/2



340 ----- ----- F-6380 64 F HM CF 1 MT



342 ----- ----- F-6382 69 F CF 4 MT

CF 1 MT


343 ----- ----- F-6383 70 F CF 1 MT

CF 3 MT


344 ----- ----- F-6384 69 F PL CF 1


345 ----- ----- F-6385 61 M CF 4

MT

CF 5



347 ----- ----- F-6387 72 M PL CF 5


348 ----- ----- F-6388 68 F CF 1/2

MT CF 2 MT


349 ----- ----- F-6389 80 F CF 3

MT

CF 4


350 ----- ----- F-6390 62 F CF 1/2

MT CF 1 MT


Donors Report - The Vision Mission Report 1.0 (Project...He reviewed several patients who came for a...

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Transcript of Donors Report - The Vision Mission Report 1.0 (Project...He reviewed several patients who came for a...