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“Do one thing at a time, and while doing it put your whole soul into it to the exclusion of all else.”
- Swami Vivekananda
Lobbies of Aravind Eye Hospital in Chennai were reverberating with laughter and fun, a scene so unusual in a hospital setting. And there was all reason to warrant this - it was the homecoming of alumni doctors of Aravind. The two-day programme of was fully packed with fun and frolic and will leave an indelible mark in the minds of people.

Aravind camps are much sought-after in the community for their compassionate and quality service. And to a major extent, the success of these camps can be attributed to the local sponsors who extend their constant support. Recently, a get-together of these sponsors was arranged at Aravind-Madurai, which turned out to be a highly fulfilling event.

Diabetic Retinopathy (DR) is one of the leading causes of blindness worldwide. Every year in November, Aravind organizes elaborate awareness programmes on DR as part of World Diabetes Day celebrations.

News about these and many more feature in this issue.



AWARDS AND ACCOLADES
Distinguished Alumnus Award for Mr. Thulasiraj Ravilla
Kolkata, November 14

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Indian Institute of Management, Calcutta honored Mr. Thulasiraj Ravilla, Executive Director, LAICO with the “Distinguished Alumnus Award 2018” in recognition of his immense contributions in the arena of Social Entrepreneurship.
Dr. S.R. Rathinam Honoured at the 18th Annual Meeting of Uveitis Society of India
Chandigarh, November 16 - 18
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Dr. S.R. Rathinam, Chief, Uvea Services, Aravind-Madurai was honoured with the Dr. G. Venkataswamy Endowment Award and she delivered an oration titled, “Let there be the joy of doing something beautiful”.
SPECIAL EVENTS
ROOTS 2018 – Doctors’ Alumni Meet 
Aravind-Chennai, November 17-18

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Organised for the second time and hosted by Aravind-Chennai, the meet had 112 Aravind alumni from across the country. The event was organised to commemorate the birth centenary celebrations of Dr. G Venkataswamy. Numerous interactive sessions organized through the programme added colour and vigour to the whole show. Special address was given by Mr. Manohar Devadoss which was very much appreciated. The session by Pegasus outdoor learning team focused on work life balance and received good response from the participants.
Sponsors Day
Aravind - Madurai, November 24

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Every two year, Aravind Eye Hospitals organise Sponsors’ Day to recognize the contribution of sponsors towards conducting different types of eye camps.  This year, being special to Aravind as the birth centenary Year of Dr. V, sponsors from Madurai, Theni and Tirunelveli were invited for the function held at Aravind-Madurai.  Around 500 sponsors attended. Mr. R. Meenakshi Sundaram, Senior Manager- Outreach gave an overview and the purpose of celebrating Sponsors Day. Dr. G. Natchiar, Director-Emeritus and Dr. R.D. Ravindran, Chairman-Aravind Eye Care System offered felicitations. Dr. R. Ramakrishnan, Chief Medical Officer, Aravind Eye Hospital, Tirunelveli shared his experience with sponsors. Dr. Usha Kim conducted Quiz Program on the topic, “Eye care is our care”.  Sponsors day souvenir was released by Er. G. Srinivasan, President-Govel Trust and the first copy was collected by Dr. P. Namperumalsamy, Chairman-Emeritus. Prof. Dr. Jayanthasri Balakrishnan, Chief Guest delivered an emotional talk on Aravind’s contribution in taking eye care to the needy.  Her talk was well appreciated by the audience.  Video on theatrical presentation on Dr. V’s life was screened to the audience.  Dr. Lalitha Prajna, Camp Medical Officer proposed a vote of thanks.
NEWS AND EVENTS
Skill Enhancement Session
Aravind – Madurai, November 08

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HR Department organised a special soft skill session on “Power of Positive Attitude” to the IT team of AEH, Madurai.  IT departments from Aravind- Tirunelveli and Coimbatore joined through video conference. Mr. Chinna Maruthu, with his vast expertise in handling soft skills, managerial and leadership courses across the country took the session.
Observing World Diabetes Day
Aravind, November 14

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World Diabetes Day is the primary Global awareness Campaign focusing on Diabetes Mellitus and is observed on 14th of November of every year.  The Theme for this year was "The Family and Diabetes" Diabetic Retinopathy (DR) remains the leading cause of Blindness and major cause for Vision loss.  As part of World Diabetes Day, all Aravind centres organised various programmes to create awareness amongst the public in general and patients in particular. These included awareness talks on local radio channels, DR screening camps, exhibition, formation of human chain, and distribution of awareness pamphlets.
Diwali Celebration
Aravind, October 30& November 1

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Diwali was celebrated at Aravind Eye Hospital, Tuticorin on 30th October 2018.  Cultural programmes including dance and skit were performed by MLOPs.

Aravind-Salem conducted Cricket League for MLOPs on October 28 and quiz programme for all MLOPs and Doctors on November 5. Winners were honored with trophy and attractive prizes. 
 
Diwali was celebrated at Aravind Eye Hospital, Tirunelveli on 1st November 2018 and at Chennai on 2nd November 2018. All staff includes Doctors, MLOPs and Admin attended this grand celebration.

This special evening was marked with a brilliant display of lights, the dazzling fireworks, dinner. Various cultural programmes like Bharatanatyam, Folk Dance and singing were performed by doctors and MLOPs.  

HR department organised a dance competition for nurses as part of Diwali celebrations at Aravind-Pondicherry. 
Children’s Day
Aravind, November 14

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At Madurai, the Paediatric Ophthalmology and Strabismus Department organised awareness exhibition.  Several models showing squint and amblyopia and their treatment methods were kept on display.  Around 150 children and their parents visited the exhibition. Orbit and Oculoplasty Clinic organised celebration in collaboration with Top Kids, a professional counselling centre.  Psychiatrists dressed up as clowns entertained the children.  At Aravind- Tirunelveli, Paediatric Ophthalmology clinic conducted drawing competition for the children and prizes were distributed. Dr. R. Meenakshi gave an awareness talk on Ambylopia for patients and their parents.  Parents also shared their experiences and got all their queries clarified. At Aravind-Pondicherry, the clinic organised an exhibition; more than 1000 patients and their attenders visited.  Drawing competition and puzzles were conducted for children less than 15 years and prizes were distributed by Dr. K. Veena.  

Aravind-Coimbatore organised an exhibition on various aspects of eye care. This covered a variety of topics such as need for regular use of glasses among children with refractive error; need to stay away from digital devices such as mobiles and tablets, patching therapy for amblyopia, necessity and use of low vision aids in children requiring the same. Importance of consuming healthy and nutritious food and its impact on general well-being was highlighted. Children were also cautioned about possibility of injury to the eye by sharp objects being used in routine household activities. Throughout the day, games and competitions were conducted for the entertainment of children.  Children’s play area at Aravind-Coimbatore was renovated with a generous support from Mrs. Sharmila Srikumar, a young mother who has great regards for Aravind after having her son treated successfully at Aravind. 
Aravind’s new Vision Centre at Mukkudal
Aravind-Tirunelveli, November 12

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73rd Vision Centre for Aravind Eye Care System and the 15th centre for Aravind-Tirunelveli was inaugurated at Mukkudal by Dr. R. Ramakrishnan, Chief Medical Officer of Aravind Eye Hospital, Tirunelveli in the presence of various community leaders.  On the first day, the vision centre team examined 100 patients.
Writathon 2018
Aravind-Pondicherry, November 1

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Influenced by events like "Hackathon" in engineering colleges, "Writathon 2018" was conducted at Aravind to help doctors come out with quality articles that can be published. Most Aravind doctors have a good collection of case reports and rare clinical images, which do not move to the next level beyond the regular grand rounds. Writathon was a 24 hour event where the participants in groups were provided a calm atmosphere with all the support facilities to think and write scientific articles. 29 participants attended and 23 articles were uploaded successfully.  
Awareness Exhibition on Using Fire Crackers
Aravind – Pondicherry, October 25 – 31
The week-long exhibition had awareness posters and models on how to be alert while dealing with fire crackers. More than 2000 patients and attendees visited and got benefitted. Dr. Arthi gave an awareness talk on Suriyan FM on the same topic.
CME on Diabetes 
Aravind-Tirunelveli, November 25

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A one day CME on Diabetes was organized at Aravind-Tirunelveli in association with IMA and Tirunelveli Medical College.  This CME was organized to update Ophthalmologists, Physicians and other specialists about the importance of proper monitoring in diabetes cases and how the disease can affect eyes.  The CME had various specialists like Cardiologists, Endocrinologists, Gynaecologists, Diabetologists and Ophthalmologists giving a very descriptive and informative lecture. A total of 10 speakers, 50 Delegates participated in the CME.
Supporting the Victims of Gaja Cyclone
Aravind-Tuticorin, November 24
As immediate relief, Aravind-Tuticorin sent relief materials worth of Rs. 12,000 to the cyclone-affected affected Delta districts of Tamil Nadu. Aravind’s other centres also joined hands in this mission.
Awareness talks on Obesity and Diabetes
Aravind – Madurai, November 20
The HR Department organised an awareness talk on Obesity and Diabetes. Dr. Kannan from Dr. Mohan Diabetes Speciality Centre handled the session, which was very interactive and informative.

CME on Retinopathy on Prematurity (ROP)
Aravind-Madurai, November 23

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Every year, World Prematurity Day is observed on  November 17 to raise awareness of the consequences of preterm birth. A CME was conducted at Aravind-Madurai on this occasion by the Government of Tamil Nadu under National Health Mission (TSBCS). The gathering was inaugurated by Honorable District Collector Thiru. S. Natarajan IAS, Dr. Chandrakumar, Project Director of DBCS and Dr. Kavitha, HOD of Ophthalmology, Government Rajaji Hospital, Madurai.  Chairman Emeritus Dr. P. Namperumalsamy addressed the gathering. The programme had exhaustive scientific session about the screening guidelines, clinical management and tele screening of premature infants.  Speakers from all over Tamil Nadu shared their experiences. The highlight of the programme was the hands on training in visualization of the fundus with model eyes and introduction to laser for young ophthalmologists who attended the CME. There was an overwhelming response from the delegates. A total of 8 speakers and 75 Delegates participated.
Phaco Development Workshop
Aravind-Madurai, November 23-24

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Phaco Development programme is a dedicated platform for providing the most up-to-date knowledge in eye care to ophthalmic surgeons.  It is a unique initiative between Alcon and specialist training institutes that builds cataract surgical capabilities across Asia and Russia.

At Aravind-Madurai, two days’ workshop for MS Residents and IOL Fellows was conducted which covered basics in Phacoemulsification.  Practical session was performed at Wetlab after the elaborative lectures and interactive sessions.  Participants performed all steps in surgery including wound construction CCC, Hydro procedures and Nucleus management in animal eyes.
CONFERENCES ATTENDED ELSEWHERE
American Academy of Ophthalmology (AAO)
Chicago, October 27-29
Dr. N. Venkatesh Prajna 
Conjunctival autograft for Pterygium in the Great Cornea debate session

Dr. Haripriya 
- Endophthalmitis reduction with Intracameral moxifloxacin in eyes with posterior capsular tear(Original Paper)
- Incidence and outcomes of toric IOL repositioning surgery (Original Paper)
- Globalising human resources for universal eye care- Community health workers (Symposium)
- Manual ECCE Surgery- Indications and Techniques
- Intracameral antibiotics options, rationale and efficacy of prophylaxis (Co- Instruction, Instruction Course)
- Learning curve of manual small incision cataract surgery at Aravind eye hospital, India (Poster)
Hyderabad Ophthalmology & Optometry Congress & Exhibition (HOA Vista 2018)
Hyderabad, November 16-18
Dr. Usha Kim
Chairperson of the session
- Master class in Ocular Oncology
- Clinical Applications of Retinoblastoma Genetics
- Oculoplasty for Everyone – Surgery that Works 
- Eyelid Reconstruction - Surgery that Works
Indian Society for Medical Statistics Conference
Bengaluru, October 31 - November 3
M. Ishwarya
- Indirect treatment comparison in Meta- analysis using three different methods
World Innovation Summit for Health (WISH 2018)
Doha, Qatar - November 13 & 14

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WISH is a global healthcare community dedicated to capturing and disseminating the best evidence-based ideas and practices.  WISH highlights some of the most exciting innovations in healthcare through its Innovation Showcase competition. These include devices, applications, innovative delivery models and design-based solutions that improve quality and experience of patients, while also reducing the cost of care. This year, Aravind’s Vision Centre model was selected and exhibited at the conference. Mr. Thulasiraj Ravilla and Mr. Mohammed Gowth represented Aravind in the conference.
Annual Conference of Uveitis Society of India (USI 2018)
Chandigarh, November 16 - 18
Dr. S.R. Rathinam 
- Art of ordering lab investigations
- Systemic therapy conventional
Dr. Radhika 
- Microarchitected changes in limbus and central cornea in VKH Syndrome
- A rare manifestation of Herpes zoster ophthalmics

Dr. Pranesh Balasubramaniam
- Systemic Lupus Erythematous and Tuberculosis-A diagnostic conundrum 
Executive Director’s Visit to the US
November
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Mr. Thulasiraj Ravilla delivered Oration “Eliminating needless blindness is all above perspective” at Kellogg Eye Centre, in University of Michigan, Ann Arbor. He spent time at University of Michigan’s Ross Business School and held discussions with the faculty on collaboration with Aravind. At the AAO Meet in San Francisco, he held meetings with the team of Pacific Vision Foundation, an upcoming eye hospital  and discussed on formal MoU. He also visited John A. Moran Eye Centre, The University of Utah, Salt Lake City. Mr. Thulasiraj attended the Seva Board meeting at San Francisco. He delivered Dr. Richard E. Hoover Oration, Father of Light Weight Long Cane Technique, at Greater Baltimore Medical Centre (GBMC).
Equitable Healthcare Access Consortium 
Bengaluru, November 17-18

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Dr. Devendra from Aravind-Madurai and Mr. Krishnakumar from Aurolab attended 3rd Quarterly meeting of Equitable Healthcare Access Consortium held at People's Tree Hospital, Bengaluru. This forum has brought together people and organizations working in area of livelihoods, education and different branches of healthcare to ensure delivery of equitable healthcare across the country. Going ahead members are working with each other on different projects to achieve the said purpose. 
Telemedicine 
Amaravati, November 1-3, 2018

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Dr. R. Kim
- Telemedicine: Clinical Applicants -Ophthalmology

EMBI-EBI-IBAB Workshop
Institute of Bioinformatics and Applied Biotechnology, Bangalore, November 26-30
A.S. Sriee Viswarubhiny, Research Scholar, Department of Genetics, AMRF
- Analysis of Next Generation Sequencing Data
7th annual conference of the Society of Mitochondrial Research and Medicine (SMRM)
Lucknow, November 28-30, 2018
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P. Gowri, Department of Genetics, AMRF 
- Leber’s Hereditary Optic Neuropathy: Relative frequency of primary mutations in South Indian population (Poster presentation)
42nd Annual Conference of Indian Association of Medical Microbiologists
Bengaluru, November 28- December 2

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Dr. Suneetha, Consultant – Microbiologist, Aravind Eye Hospital, Salem
- Spectrum of microbial pathogens and antibiotic susceptibility of vitreous aspirates in culture proven cases of all causes of endophthalmitis

SELECTBIO - Next Generation Sequencing in Clinical Genomics
Bengaluru, November 29-30, 2018

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Dr.P.Sundaresan
- Identification of New candidate genes for Ocular Disorders
Annual Conference of Vitreo Retinal Society of India (VRSI 2018)
Jaipur, November 30- December 2

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Dr. Kim 
- Application of AI in Diabetic Retinopathy
- Tele-Ophthalmology: the current status
Dr. Naresh Babu 
- Pachychoroid Epitheliopathy

Dr. Vignesh
- Challenging case presentation: Eplerenone for bullous variant of CSCR 

Dr. Piyush Kohli
- Rhegmatogenous retinal detachment after pars plana vitrectomy and sutureless scleral fixated intraocular lenses 
- Repoisitioning of inadvertent intralenticular Ozurdex: A Vitreoretinal approach – Video presentation

Dr. Chitaranjan
- Microbial spectrum and outcomes of endophthalmitis after intra vitreal injections versus pars plana vitrectomy – E Poster presentation

Dr. Akshay
- Rare video showing removal of a live worm from the vitreous cavity using a unique approach

Dr. Anand Rajendran
- Outer Retinal Tubulations
- Best Approaches to Complex RD Surgeries
LAICO HAPPENINGS
Consultancy Visits
Mr.Syed Ali and Dr.Mahesh Pathak went on a needs assessment visit to Rotary Eye Hospital, Malegaon from November 10-15, 2018.

Mr. Ganesh Babu and Dr. Rohan Daniel went on a follow up visit to Eye Foundation Hospital, Lagos, Nigeria from November 20-December 2, 2018.

Aravind team consisting of Mr.Suresh Kumar, Dr. Dayakar, Mr. Vignesh, Mr.D. Gopinathan, Ms. Ayirathammal, Ms. Rejina, Ms. Pandiammal and Ms. Lakshmi Gandhi provided onsite support to the team of staff members at Magrabi ICO Cameroon Eye Institute, Yaounde from November 26-December 19, 2018.

ARAVIND MEDICAL RESEARCH FOUNDATION
AMRF – Dartmouth Education and Research Conference
Aravind Medical Research Foundation (AMRF), November 28-29, 2018

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Aravind Medical Research Foundation conducted a two day Education and Research Conference in collaboration with Dartmouth College and Medical Center, Hanover, USA. 

Students from Dartmouth College presented research proposals on various eye diseases to clinicians, scientists and research scholars. Research students from AMRF presented new research proposals. The presentations were highly appreciated by the invited experts. Research work at AMRF was presented as posters by research scholars. The details of the core research facilities and on-going research projects were presented by AMRF scientists to Dartmouth team during lab visits. 
TRAINING PROGRAMMES

Enrolments for November 2018 at Aravind Eye Care System

Course title
Training Centre
Enrolments for November 2018
Long Term Fellowship - For Ophthalmologists
Fellowship in IOL
Madurai
3
Pondicherry
1
Chennai
1
Fellowship in Glaucoma
Madurai
1
Tirunelveli
1
Fellowship in Cornea
Pondicherry
1
Fellowship in General Ophthalmology
Theni
1
Coimbatore
1
Madurai
1
Short Term Clinical Courses - For Ophthalmologists
Clinical Observership Program In Diagnosis and Management Of Glaucoma  
Madurai
1
Coimbatore
1
Lasers in Diabetic Retinopathy
Coimbatore
2
Madurai
2
Tirunelveli
1
Management of Retinopathy of Prematurity
Coimbatore
1
Neuro ophthalmology
Madurai
1
Phacoemulsification
Madurai
1
Tirunelveli
1
Pondicherry
1
Coimbatore
2
Small incision cataract surgery
Madurai
1
Pondicherry
1
Tirunelveli
1
Coimbatore
1
Community outreach courses
Community Outreach and Social Marketing of Eye Care Services
LAICO
8
PUBLICATIONS
  • Sachin Gupta, Palsule-Desai OD, Gnanasekaran C, Thulasiraj RD. Spillover Effects of Mission Activities on Revenues in Nonprofit Health Care: The Case of Aravind Eye Hospitals, India. J Marketing Res. 2018:1-16. 
    Article View

  • Manayath GJ, Ranjan R, Karandikar SS, Shah VS, Saravanan VR, Narendran V. Central serous chorioretinopathy: Current update on management. Oman J Ophthalmol. 2018 Sep-Dec;11(3):200-206.
    Article View

  • Gupta C, Tan R, Chitaranjan Mishra, Khandelwal N, Raman R, Kim R, Agrawal R, Sen P. Choroidal structural analysis in eyes with diabetic retinopathy and diabetic macular edema-A novel OCT based imaging biomarker. PLoS One. 2018 Dec 11;13(12):e0207435.
    Article View

  • Varsha R, Premanand C, Reji Philip, Vinoth A, Ganesh V Raman. Effect of Mannitol on Intraocular Pressure in Vitrectomized and Non-vitrectomized Eyes: A Prospective Comparative Study. J Glaucoma. 2018 Dec 11. [Epub]
    Article View

  • Mohammed MRS, Muthu Kumar, Amrathlal RS, Priya K, Jeya Maheshwari J, Prajna NV, Lalitha P, Dharmalingam K. Identification of the proteoforms of surface localized Rod A of Aspergillus flavus and determination of the mechanism of proteoform generation. J Proteomics. 2018 Dec 14. [Epub]
    Article View
AUROLAB NEWS
Fresher's Day 
Aurolab, November 17

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Fresher’s day for production trainees was organized at Aurolab on 17th November.  Cultural programmes like Folk dance, group dance, song and skit were performed by the newly joined trainees. 
Training on Basic Fire Safety and Mock Drill
Aurolab, November 24

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The HR department organised the workshop to provide training on basic firefighting techniques. Different types of fire extinguishers and their benefits were discussed. A demo of firefighting and a mock evacuation procedure was also organised. 
Participation in Conferences
Aurolab

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Aurolab participated in Drishti, the 45th Annual Conference of the Kerala Society of Ophthalmic Surgeons in Kannur, Kerala from November 23-25.

Aurolab participated in the 52nd Annual Conference of the Ophthalmic Society of Assam at Silchar Medical College, Silchar from November 24-25.
SEEC Workshop
Kolkata, November 27-December 1

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Aurolab successfully organised 5th workshop in the series “Skill Enhancement for Cataract Counsellors" (SEEC) in collaboration with LAICO at Priyamvada Birla Eye Hospital, Kolkata. Dr. Subra Sil from VMANNN, Chandi facilitated several sessions and contributed a lot to the success of the workshop.The workshop focused on enhancing the skill of eye care counsellors in the counselling process. Around 50 counsellors from in and around Kolkata attended this workshop. Ms. Dhivya Ramasamy and Mr. Udayakumar facilitated the workshop from LAICO. Ms. Raja Kumari from Coimbatore was invited as the guest faculty.
MONTHLY PATIENT STATISTICS

November - 2018

Hospitals
Madurai
Theni
Tirunelveli
Coimbatore
Pondi
cherry
Dindigul
Tirupur
Salem

Udumal pet

Tuti corin
CBE CC
Chennai
Total
HOSPITAL OUT-PATIENT VISITS
Paying (New & Review) 46,906 8,500 25,596 30,265 18,159 5,669 4,559 10,878 3,235 4,632 3,022 11,966 1,73,387
Free:Direct walk-in (New & Review) 12,967 1,935 6,376 9,474 6,217 NA 1,150 1,715 1,375 772 NA 2,403 44,384
OUTREACH OUT PATIENT
Comprehensive Eye Camps 3,315 1,409 3,137 6,430 2,853 NA NA 432 NA 419 NA 868 18,863
Diabetic Retinopathy camps 1,081 238 361 518 537 NA NA 128 NA NA NA NA 2,863
Glaucoma Camps NA NA NA NA NA NA NA NA NA NA NA NA NA
Refraction Camps 650 NA 845 224 NA NA NA 157 NA NA NA 87 1,963
Mobile Refraction Unit NA NA NA 963 NA NA NA NA NA NA NA NA 963
School Screening camps 2,367 190 1,376 4,062 373 NA NA 90 NA NA NA NA 8,458
Paediatric Camps NA NA NA 220 650 NA NA NA 972 NA NA NA 1842
Vision Centres 20,950 5,749 11,832 4,298 6,447 NA 1,001 NA 1,366 NA NA NA 51,643
Community Centres / City Centres 8,576 1,878 2,798 NA 2,271 NA NA NA NA NA NA NA 15,523
Total OP Examinations 96,812 19,899 52,321 56,454 37,507 5,669 6,710 13,400 6,948 5,823 3,022 15,324 3,19,889
Total Number of Camps 20 8 20 32 13 NA NA 5 NA 4 NA 3 105
SURGERIES
Service Proportion of Cataract Surgeries
Paying 2,471 395 1,053 1,476 751 196 263 616 198 132 121 537 8,209
Free (Direct) 1,989 230 681 1,522 556 123 220 238 292 76 NA 166 6,093
Camp 880 94 585 1,382 410 NA 17 86 16 30 NA 109 3,609
Total Cataract Surgeries 5,340 719 2,319 4,380 1,717 319 500 940 506 238 121 812 17,911
Note: NA - Not Applicable
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