Aravind News Team

Success seems to be largely a matter of hanging on after others have let go
- William Feather

Dear Readers,
A motivating function was held at Aravind-Madurai in June in which Dr. G. Natchiar, Vice Chairman, Aravind Eye Care System appreciated and rewarded Aravind employees children who have successfully passed through the 10th and 12th standard examinations.

Aravind Eye Hospital at Tirunelveli conducted two programmes in the month of May. The first one was a training programme for Rotarian Medical Practitioners in enucleating procedure and the second one was a guest lecture on Gandhian Philosophy. Dr. R. Ramakrishnan, CMO gave an overview of corneal blindness in the training programme.

The month of May witnessed highest performance by the outpatients department at Pondicherry when 1053 patients (New-533 and review-520) who visited on the paying side were handled efficiently by the employees. It was the highest number in the history of Aravind-Pondicherry.

Ten fellows in Eye Hospital Management have commenced their 6 week externship postings from May 25 at various other hospitals located in different states. Aravind doctors and senior scientist visited places in India and abroad to participate in conferences and meetings and research workshop.

Aurolab has obtained ISO 9001:2000 and ISO 13485:2003 certificates for its products like medical devices, aspheric lens and surgical blades. It organised a 15 day summer class for the wards of the staff and employees.

Graduation Day was celebrated in Aravind-Madurai and Tirunelveli the MLOPs. With different themes "Melody Friday" musical programmes were held at Madurai and Tirunelveli and Aurolab had its "Kalakkal Saturday". All these events manifested new enthusiasm and vigour. 
                                                               - Aravind News Team

Conferences Attended Elsewhere
Round Table Workshop on Diabetic Retinopathy
Goa, May 9-10
  Dr.Shukla attended the Round Table Workshop on Diabetic Retinopathy held at Goa from May 9-10.
24th Congress of the Asia-Pacific Academy of Ophthalmology
Bali, Indonesia, May 16-19
  Dr.R.Kim, Dr. Narendran and Dr. Ravindranath Reddy participated in the 24th Congress of the Asia-Pacific Academy of Ophthalmology conference held at Bali.
14th Annual International Meeting of the American Telemedicine Association
Rio All-Suite Hotel and Casino, Las Vegas, April 26-28
  Dr. Kim
- Tele-health Primary, Secondary and Tertiary Eye Care in India.
Chennai Ophthalmological Meet
Chennai, April 29
  Dr.Usha Kim
- Assessment of Aging Face in relevance to Eye lid Rejuvenation.
Association for Research in Vision and Ophthalmology
Fort Lauderdale, Florida, USA, May 3-7
  Dr. Badrinath Talwar
- Risk factors for cataract in the Indeye study
Nashik Ophthalmological Association
Nashik, Maharashtra, May 16
  Dr. Parag K. Shah
- Recent Advances in management of ROP & Retinoblastoma
- Steps of Scleral Fixated IOL.
Human Resource Development
Graduation day celebrations
Graduation day celebrations held at Aravind-Madurai, Coimbatore and Tirunelveli
Graduation day was celebrated at Aravind-Madurai, Coimbatore and Tirunelveli Hospitals on May 24 hospitals for the second year MLOP's who have successfully completed their two year training programme.
Melody Friday
Melody Friday event held at Aravind-Madurai and Tirunelveli

"Melody Friday"-the monthly retreat for employees was held at Aravind-Madurai and Tirunelveli on May 29. The theme for this month’s Melody Friday at Madurai was "TEAM WORK" Professional Guitar artist Mr. Babu Rajasekar along with his Son Master Joshua accompanied most of the songs on the guitars. Mr. Vijay Anand from Aurolab played a lovely song on flute. The guest artists played a melodious film song on the guitars. The other singers performed in the programme were Mr. Anshuman, Ms. Josphine Christy, Mr. Kiran Maharaj, Mr. KVS. Lakshmanan, Mr. Sanil Joseph and Ms. Hema Meenakshi. 

At Aravind-Tirunelveli the theme of the Melody Friday was "SUCCESS AND JOY". The entire programme at Tirunelveli was co-ordinated by MLOP trainees. They participated very enthusiastically and performed group dance, monoacting, singing and few of them read poems written by them. Apart from the cultural programs, Dr.R.Ramakrishnan, CMO, Aravind-Tirunelveli shared his experiences about his trip to Egypt.

Reward for 10th & 12th passed children of our staff
Reward Programme held at Aravind-Madurai
Aravind Employees children who have successfully completed their 10th and 12th standard were appreciated and rewarded by Dr. G. Natchiar, Director, Human Resource on June 2. The students shared their future dreams along with their parents. Our Director-HR motivated and congratulated the students and their parents for their success. The students and parents thanked Aravind Eye Care System for organising a wonderful function.
LAICO Happenings
Needs Assessment Visit
Lions Revanker Charity Eye Hospital, Kumta, Karnataka, May 4
Mr. Sanil Joseph at Lions Revanker Charity Eye Hospital at Karnataka
Mr. Sanil Joseph, Faculty-LAICO and Mr. Mohammed Gowth, Manager-Community Outreach along with Dr. Chandrasekar Shetty, Senior Technical Advisor-SightFirst made a Needs Assessment Visit to Lions Revanker Charity Eye Hospital, Kumta, Karnataka.
Externship posting of fellows in outside Eye  Hospitals

The Fellows in Eye Hospital Management (2008-09 batch) is starting their six weeks externship posting in various outside eye hospitals as part of the one year long training. The externship placement is from May 25 to July 4, 2009. The permanent postings of the Fellows would be identified and finalised once they come back from the externship.

Ms. Sangeetha - Vivekananda Mission Asram Netra Niramay Niketan, Chaitanyapur, West Bengal
Mr. Damien Jacob - Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh
Mr. Abeesh - Lions NAB Eye Hospital, Miraj, Maharashtra
Mr. Satheesh - Islamia Eye Hospital, Dhaka, Bangladesh
Mr. Anto Twinkle - Akhand Jyoti Eye Hospital, Mastichak, Bihar
Mr. Maneesh - Lions Club of Karimnagar-Charitable Eye Hospital, Karimnagar, Andra Pradesh
Mr. Ranjith Manoharan - Bhakti Vedanta Hospital, Mumbai
Ms. Swetha Prabhu - H.V. Desai Eye Hospital, Pune, Maharashtra
Ms. Anupama - Mahatme Eye Hospital, Nagpur, Maharashtra
Ms. Sunytha - Sankar Foundation Eye Hospital, Vizag

Training Programmes
Course title
Training Centre
Total number trained as on April 2009
Enrollments for May 2009
Residency Programmes - Clinical Courses
Diploma Course in Ophthalmology
Master of Surgery in Ophthalmology
Short Term Courses - For Ophthalmologists
Diagnosis and Management of Glaucoma
IOL Micro surgery
Small Incision Cataract Surgery
Lasers in Diabetic Retinopathy
Fundus Fluorescein Angiography and Ultrasonography
Low Vision
Non - Clinical Course
Instrument Maintenance - For Technicians
Visitors & Volunteers
  - Ms. Penny Hopkins, UK visited Aravind-Madurai on May 7 to have an Overview of Aravind Model
- Ms. Shalina and Mr. Yadin Samant, Shalina Helath Care Ltd, UAE visited Aravind-Madurai from May 15-16 to have an overview of Aravind Model
- Mr. Fred de Sam Lazaro, Director, Project for under stories, Saint John University visited Aravind-Madurai from May 28-30. The main purpose of the visit was to document Aravind's development during the past 20 years and interviewed key people of our system.    
- Group of Participants from Pegasus institute visited Aravind-Pondicherry on May 29 to get an overview about Aravind Eye Care System. 
- Dr. Ron Snow, Observer, Arunodaya Charitable Trust (ACT) eye care project visited Aurolab on May 14
- Dr Deepak Gore, Medical Administrator, Shehernaz Medicare Centre, Forbes Marshall, Pune visited on May 26
- Mr. Fred De Sam lazaro-Director, Ms. Nikki See - Producer, Saint John University visited on May 29.
Case Study
Fear of anaesthesia stalled a Cataract Surgery

It is quite common to see patients and their relatives who fear surgery. But here is a case where a mother's fear of anaesthesia stalled a cataract surgery on her mentally challenged daughter. This incident happened at Aravind Eye Hospital at Pondicherry.

The 28 year old Saroja and her 30 year old sister Saraswathi (real names shielded) who are both handicapped belong to Katpadi. They had bilateral cataract. Since their father had died, they are being taken care of by their mother who works as a coolie.
The two girls were taken to an eye camp conducted by Aravind Eye Hospital at Katpadi. Doctors who examined their eyes advised surgery for cataract. With the consent of their mother the patients were brought to Aravind-Pondicherry. All the preoperative tests were conducted at the hospital. Since Saroja was a mentally challenged patient, the doctor decided to operate on her under general anaesthesia. When the patient's mother was informed about doctor's decision, she became apprehensive of anaesthesia and said "No" for the operation. Nurses in the inpatient ward explained to her the anaesthesia procedure in detail and assured that there was nothing to fear about. It will do no harm to the patient. But it may create problems for her if the operation is performed without anaesthesia. Convinced by their explanation, Saroja's mother finally agreed for the operation under general anaesthesia.

The CMO of the hospital performed surgery on both the girls and later enquired about their condition after they were shifted to the ward room. On the next day when the bandage was removed, Saroja and Saraswathi were examined and found to have regained good vision.
More than the daughters their mother became very happy. They thanked the medical staff and others before leaving the hospital. Next month when the patients visited the hospital for a follow up examination, their next eye was also operated on. Now they have clear vision in both the eyes.

If the fear of anaesthesia had not been removed from the mind of the poor mother, perhaps both the handicapped girls would not have still undergone operation. This is another instance of the success of awareness creation which helps to bring to the operation theatre a number of patients who may return home without availing treatment due to fear of operation related matters.
Source: K.M. Subani, Aravind - Pondicherry
Script: K.V.S. Lakshmanan

Guest Lecture and Training Programme at Aravind
Training Program
Aravind-Tirunelveli, May 10
Training Program held at Aravind-Tirunelveli
A training program for Rotarian Medical Practitioners in Enucleation procedure was held on May 10. Dr.V. Shanmugam inaugurated the training session. Dr.Ashish Bachav spoke on Anatomy of the Eye. Dr.R.Ramakrishnan gave an overview of Corneal Blindness and need for community participation and legal issues with Enucleation. Dr.Meenakshi spoke on Eye Banking and Dr.Lional Raj delivered a lecture on Enucleation procedure and Instrumentation and its sterilisation. Dr. S. Subramanian, District Chairman of Rotary Club of Puliangudi organised the entire session.
Guest Lecture on 'Gandhian Philosophy'
Aravind-Tirunelveli, May 22
Gandhian Philosophy Guest Lecture held at Aravind-Tirunelveli

A Guest Lecture on 'Gandhian Philosophy'was held at Aravind-Tirunelveli on May 22. Mr.Vivekanandan from Mahatma Gandhi Seva Mayyam Charitable Trust, Shencotta was invited as the chief guest of the function. Mr.Sivaramakrishnan and Prof. Ganapathy Ram of Thiruvalluvar Kazhagam spoke on the occasion.

Mr.Vivekanandan is a great philosopher and has dedicated his whole life in service to the mankind. His talk was very inspiring and interesting. Mr.Vivekanandan also distributed two books "Pathinooru Mahavirathangal" and "Paamaranukkum Baghavatgeethai" compiled by him to the audience.

Internal Capacity Building
Dr. P. Sundaresan visits to United States of America and Germany
Dr. P. Sundaresan at United States

Dr. P.Sundaresan visited University of Pittsburgh, and presented a Lecture on "Molecular genetics on Congenital Hereditary Endothelial Dystrophy in Indian Population" and he had discussion with Dr. Shiva Swamynathan, on the corneal eye diseases in mouse and human.

He visited centres for Disease Control and Prevention (CDC) Atlanta and gave a guest lecture on "Molecular Genetics of Inherited Eye Diseases in Indian Population" to the faculties of Human Genome Epidemiology Network and interacted for future collaboration. He attended the ARVO-2009 Annual Meet held from May 3-7 at Fort Lauderdale, Florida, he presented a poster on "Novel mutations of the transcription factor FOXL2 and functional effects in BPES patients".

He attended the INDO-US collaborative research workshop and presented two projects on Diabetic Retinopathy Clinical Research (DRCR) Project, Identification of Biomarkers for Primary Open Angle Glaucoma.

Dr.P.Sundaresan's, research proposal on Molecular Genetics of Albinism in Indian Population was selected by Department of Science and Technology, Government of India under INDO-GERMAN collaborative project with Dr. Markus Preising, University of Giessen, Germany.

Dr. P.Sundaresan visited University of Giessen and met Dr. Markus and discussed the research plans for the approved project for next two years.

Aurolab News
ISO Certification
Aurolab received ISO certificate

The ISO certification audit was held from January 19 to 23 by UL India Ltd., Bangalore at Aurolab. The Lead Auditor Mr. Manickam and co auditor. Mr. Mahadevan conducted the audit. The audit was completed successfully. 

In this audit, Aurolab got ISO 9001:2000 & ISO 13485:2003 certificates for pharmaceutical medical devices, aspheric lens, and surgical blades.

Except surgical blades, Aurolab got CMDCAS (Canadian Medical Device Conformity Assessment System) certificate for all other products covered in ISO 13485:2003. Aurolab has listed Aurosling in FDA website. Based on this listing, Aurolab can sell this product in USA legally.

Creche exhibition
Aurolab, May 20, 2009
Creche exhibition held at Aurolab
Aurolab organised 15 day summer class for its staff's children during this summer vacation. In this class children were taught various skills by creche in-charge. As a mark of concluding the summer class, Aurolab organised an exhibition to show their talents on May 20. The function started with a prayer song followed by the kid's cultural activities like dancing and singing. They also shared what they have learnt in summer class. Dr. P. Balakrishnan, Managing Director and other staff members attended the function and appreciated the exhibited items.
Kalakkal Saturday
Aurolab, May 30, 2009
Kalakkal Saturday event held at Aurolab
Kalakkal Saturday is an in-house cultural event being celebrated by Aurolab staff every month. Through this event the employees expose their talents in dancing, singing, drama, and other activities. They select some special theme for each month. This month's theme was "Bharathathin Panpaadu" in which cultural activities related to Indian culture were performed.

Monthly Patient Statistics

May - 2009

Paying (New & Review) 39,781 6,054 19,486 27,570 18,671 16,826 128,388
Free (Direct walk-in) 11,959 1,836 5,159 8,837 5,126
Regular Eye Camps 6,228 1,450 3,288 6,967 3,618 4,899 26,450
Diabetic Retinopathy camps 200 207 - 1,562 144 - 2,113
Refraction Camps 1,304 607 469 1,080 247 1,227 4,934
School Screening - - - - - - -
Vision Centres 3,733 3,071 2,298 1,296 950
Community Eye Clinics 2,993 1,230 2,277 2,397
Total OP Examinations 66,198 14,455 32,977 49,709 28,756 22,952 215,047
Paying 5,337 475 1,887 3,386 1,668 707 13,460
Free (including the subsidized camp surgeries) 3,364 201 804 2,063 792
Camp 1,476 66 776 1,318 761 1,260 5,657
Total Surgeries 10,177 742 3,467 6,767 3,221 1,967 26,341