AUGUST 2016 - Cornea and Anterior...

*On the cover - International and national faculty in the TKCI session of Refractive Surgery 3600

AUGUST 2016

From the Guest Editor’s desk

• Dr Jagadesh Reddy, faculty member at Tej Kohli Cornea Institute, L V Prasad EyeInstitute,organisedtheverysuccessfulRefractiveSurgery3600meetingthatwasverymuchappreciatedbyallnationalandinternationalfacultyanddelegates.

• Hehasdonealong-termfellowshipinCorneaandAnteriorSegmentfromLVPrasadEye Institute, followed by a one-year Fellowship in Cornea, External Disease andRefractiveSurgeryfromWillsEyeInstitute,Philadelphia,USA.HeisamemberofmanyprestigioussocietiesandhaspublishedandpresentedpaperswidelyinareasofDSEKandRefractiveSurgery.Thismadehimtheobviouschoicetobethe‘GuestEditor’forthisissue.

Conducting Refractive Surgery 3600 was not like conducting a conference; it was a celebration of togetherness that we enjoy at TKCI and LVPEI. We have tried to showcase the education programs conducted by TKCI in August, their scale and their success in this issue of TKCI Newsletter. Hope you enjoy reading it.”

–DrJagadeshReddy

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In the Limelight

Continuing TKCI’s tradition of making excellent eye care available to the population in remote rural areas, an innovative eye surgery of limbal stem cell transplantation (SLET surgery) has been performed for the first time in a secondary centre of L V Prasad Eye Institute at Paloncha on 8th August, 2016 for Mr Yesubu Soyam, a patient of cement injury, by Dr Mukesh Taneja.

Formoredetails-referpage20

• TKCI achieved another milestone of doing the highest number of DSAEK (Descemet Stripping Automated Endothelial Keratoplasty) by a single surgeon in a day. On August 24th 2016, Dr Sayan Basu, supported by Ramayamma International Eye Bank (RIEB) performed 8 DSAEKs in a day!

• On August 27th, Tej Kohli Eye Bank opened its account with the first cornea recovery at Government General Hospital, Vijayawada.

Eye donation counselors at Vijayawada

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Spotlight

This month’s issue focuses on TKCI’s Education Programs

Refractive Surgery 3600

In the spotlight this month, are two educational programs conducted by the Tej Kohli Cornea Institute, aimed at skills and knowledge transfer on the latest techniques of corneal transplant and refractive surgery-

Refractive Surgery 360 is a unique meeting that was started with the explicit mandate of providing a forum for the best in the business to come together and share their expertise with a focused audience of corneal and refractive surgeons.

The first edition of the meeting was in 2013 and it was a huge success. This time too, it was a super hit with over 550 delegates from across the country and overseas attending the meeting. The meeting was a two-day affair, heavily focused on acquiring hands-on skills with personalized one-on-one teaching and interactive sessions.

The faculty included some of the biggest luminaries in the world - Stephen Klyce, the man behind modern corneal topography; Margurite MacDonald, pioneer of cornea surface lasers; and Theo Seiler, the man who invented collagen cross linking for corneal disorders like keratoconus (A weakening and thinning of the Cornea). We also had two of the world’s top cornea and refractive specialists, Roberto Pineda from Harvard and Gerard Sutton from Sydney as speakers and instructors.

Spread over two days, the highlight of the program was the Tej Kohli Cornea Institute Session, which focused on understanding the science behind the art of corneal surgery.

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Feedback from delegatesHeartfelt congratulations to the whole team for organising such an informative two days refractive surgery extravaganza. Selection of topics for beginners as well as masters, calling masters in their field as speakers, arranging skill transfer courses by dedicated faculty was not an easy task but executed with perfection. Salute to the hard work of the whole team & team leaders.

-DrMukeshJain,[email protected]

Thank you for making me part of the amazing conference. It was really well organized, topics and speakers were wonderful and well thought of. I learned a lot from the presentations.Look forward to the next edition! :)

-VandanaJain,[email protected]

It was lovely meeting you and the rest of the LVP family after quite some time. Thanks for giving me this opportunity to renew so many friendships at one go!My sincerest compliments to you and the entire team behind Refractive Surgery 360 for a superbly organized meeting. Though it is not my place to judge, I feel it was at par with the best meetings internationally. The quality of the speakers was top notch and the scientific programme was thoughtfully put together. All arrangements including the conference reception, assistance at the venue and audiovisual support were flawless. I realize how much hard work must have gone into putting together such an event. I congratulate you and the entire LVP team for a meeting that truly exemplifies the institute’s commitment to excellence in every sphere of engagement. I’m sure this is just a small milestone in the journey of the Tej Kohli Cornea Institute, which is bound to scale greater and greater heights with its all-star team and inspirational leadership at the helm. Looking forward to many more of such homecomings.

-JayeshVazirani,[email protected]

Thankyouforputtingtogetheranoutstandingrefractivesurgeryprogramthisweekend.Itwaswonderfultoseeeveryoneandseetheenthusiasmofthedelegates.Thankyouagainfortheinvitationandopportunitytobepartofthisevent.

-RobertoPineda,USA,InternationalFaculty

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Video link: Watch glimpses of the event

https://drive.google.com/file/d/0B9mwPk6HehJXRHdFZmJJYk5BRXM/view

International Faculty

Stephen D KlyceNew York, USA

Theo SeilerZurich, Switzerland

Roberto Pineda Boston, USA

Choun-Ki JooSeoul, Korea

Gerard SuttonSydney, Australia

Marguerite B McDonaldNew York, USA

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ParticipantsThere were around 550 registrations for the course with participants from around the world and across India.

Regionaldistributionofparticipants

Coursewisedistributionofparticipants Citywisedistribution77

Feedback survey

A survey conducted after the event validated our belief that the program was a runaway success with most delegates wanting to come back for more!

Glimpses from Refractive Surgery 3600

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I for Eye

Employee Interview - Snigdha Reddy

Snigdha completed her BS Optometry from LVPEI’s Bausch & Lomb School of Optometry in 2006. Being more driven towards management and administration, she then did her Masters in Business Management (Major in Marketing & Minor in Finance) from IBS – Gurgaon in 2010. Having good experience in both operations and corporate marketing, she joined LVPEI in 2011 and currently is working in the capacity of Assistant Director at the Academy of Eye Care Education. She hails from Patna and is well appreciated by her peers and seniors for her management skills.

Below is an extract from a conversation we had with her

Could you please brief us on the core responsibilities that you are handling currently?

My core responsibility comprises management of training programs across the LVPEI network. These programs are offered to all cadres of eye care

professionals. I also take care of the international collaborations that LVPEI has for knowledge and skill transfer and play a major role in the various programs implemented by the Institute for the capacity building of the under developed nations.

What motivated you to choose education as a career?

It was more about the opportunity and scope I saw in this field! I have always been interested in taking up new and challenging tasks wherein I constantly get to acquire new skills and grow professionally. Being a clinician who understands market dynamics and knows how to handle operational challenges, and can also teach, gives a whole new perspective to my career and motivates me to excel further.

What is the most interesting aspect of your job?

The most interesting part of my job is – LVPEI! I came here as a trainee and in the course of time, acquired skills and developed a vision for the future. If you are ambitious and hard working, this organization has limitless opportunities to offer to you!

What are you passionate about?

Besides my job, I am passionate about teaching. I take out time for such activities at every given opportunity.

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TKCI Monthly Report

Bhubaneswar LVPEI Campus, TKCI Monthly Statistics

GMRV Campus, Visakhapatnam TKCI Monthly Statistics

KAR Campus, Hyderabad TKCI Monthly Statistics

Odisha State

Other States Male Female Children Adults Non

Paying Paying Total

OPDConsultation 389 64 317 136 65 388 126 327 453

OPDInvestigations 1014 66 675 405 104 976 331 749 1080

Surgery 62 15 54 23 10 67 39 38 77

Andhra Pradesh

State


Paying Paying Total



Surgery 71 5 51 25 7 69 46 30 76

TelanganaState


Paying Paying Total



Surgery 120 407 329 198 56 471 227 300 527

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KVC Campus, Vijayawada TKCI Monthly Statistics

Andhra Pradesh

State


Paying Paying Total



Surgery 68 5 39 34 4 69 47 26 73

OutpatientVisits Surgical Procedures

Paying Non Paying Total Paying Non Paying Total

Secondary Centre 543 430 973 70 100 170

Vision Centre - 299 299 - - -

Total 543 729 1272 70 100 170

Secondary Centres / Vision Centres Monthly Statistics

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Corneas Collected Ramayamma International Eye Bank, Hyderabad

Drushti Daan Eye Bank, Bhubaneswar

Hospital Cornea Retrieval Program 286 81Volunteered 96 4AffiliateCentres 231 2Total 613 87Corneas Utilized

SurgeriesatrespectiveCampuses 178 18To other LVPEI Campuses 29 0To surgeons outside LVPEI 126 47Training & Research 240 0Total 573 65Unsuitable for surgery 40 22

Eye Bank Statistics

Training No of Trainees Course Duration

Eye Bank Technician 3 Three months

Eye Bank Technician 3 One Month

Total 6

Eye Bank Training

The youngest corneal transplant patient this month was a child aged 7 months and the oldest corneal transplant recipient was aged 84 years.

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Low Vision & Vision Rehabilitation - Profile of Cornea Clients

Rehabilitation Services for clients with Corneal Conditions for the month of June 2016

Services break-up Vision Rehab Total

Counselling 12

EarlyIntervention 8

EducationalGuidance 13

VocationalGuidance 1

Skills Training 6

AssistiveSoftware 4

Support Services 4

Low Vision - CSE 4

Adult12

Child21

Paying11

Non -paying

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Male20

Female14

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TKCI Patient Stories

A positive impact of DSAEK SurgeryFor Samadev Mahadev Bhavsar, 62, hailing from Ahemedabad, Gujarat, a failed cataract surgery in 2015 resulted in gradual vision loss in his right eye. “Post the surgery, initially I was able to see well but then suddenly since the past three months, I started experiencing gradual decrease in vision,” says Bhavsar. A severe conjunctivitis infection during childhood had resulted in complete vision loss in his left eye and now with the right eye vision also being affected, his family was very worried.

On advice of their doctor, and accompanied by his son, Bhavsar came to LVPEI in July 2016. The cataract surgery had damaged his cornea, leading to a condition called - Pseudophakic bullous keratopathy. DSAEK (Descemet’s Stripping Automated Endothelial Keratoplasty) - a cutting edge corneal transplant procedure was performed at LVPEI under the skilful hands of Dr Jagadesh Reddy. “My father has regained most of his vision and the doctor has told us that as time passes, his vision might improve too. He can today carry out his day-to-day activities independently and can recognize everybody. We are very happy and satisfied with the services we have received. I am an actor and I had to forego a few assignments in order to come to Hyderabad, but I am happy that it has all been worth it!” says his son, Dharmendra.

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Gnaneshwar Narayan Kondke a 20 year old student from Aurangabad, Maharashtra, had a genetic disease of the cornea called Gelatinous Drop like Corneal Dystrophy (GDLD). This had affected other members in his family too. When he came to LVPEI in 2013, he was unable to open his eyes in bright light and his vision was restricted to only identifying hand movements close to his face.

A debridement (removal of damaged tissues) of the cornea and an amniotic membrane grafting was done. His vision improved, but the nature of GDLD is that it recurs. His vision now was limited to counting fingers at a distance of 5 metres and he was once again facing photophobia. Gnaneshwar’s brother, who also had the same problem and was operated elsewhere had also experienced reoccurrence of GDLD several times. In January 2016, Gnaneshwar underwent femtosecond laser assisted sutureless anterior lamellar keratoplasty (FALK) at TKCI by Dr Jagadesh Reddy. His vision today has improved to 20/30. Dr Jagadesh says, “GDLD has a very high recurrence and hence performing FALK will help in replacing the graft multiple times without affecting the visual outcome. Only a few centres in the world have facilities and expertise to perform advanced surgeries like the one done for Gynaneshwar.”

Gnaneshwar benefits from Femtosecond assisted lamellar keratoplasty

(Pre-op OCT picture of RE)

GDLD (Corneal Dystrophy)

(Post-op OCT picture)

Post operative clear and well apposed corneal graft

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Also in the Spotlight

The 5th LVPEI/TKCI - SightLife skills transfer course on tranplantation of the posterior layers of the cornea (DSEK) was conducted from 1 to 4 August and as always, was tremendously successful. 5 corneal surgeons from across India (Haryana, Maharasthra, Tamil Nadu, Orissa) engaged with 6 of our Tej Kohli Cornea fellows for an intensive 4 day session of learning all about component corneal transplantation. As instructors, we had the talented Dr Mathew Bujak from University of Toronto and Dr Prabjot Channa from the University of

New York join two of our TKCI cornea faculty members Dr Pravin Krishna and Dr Bhupesh Bagga.

The course started with a day of didactic lectures followed by supervised one-on-one hands-on wet lab sessions, to simulate real world surgical set ups and finally culminated in assisted corneal transplantation surgeries for all the trainees. We finished with an extensive patient review session, where patients at different stages after and before endothelial transplantation were examined and discussed thoroughly.

Now once these trained surgeons go back to their native hospitals, TKCI and SightLife will continue to provide logistic and technical support and if need be, an instructor will fly in to be present while the trainee operates on his or her first case.

The main focus of this program is to increase the quality and volume of corneal transplants in India by building the capacity of the surgeons. The course is designed to improve the diagnostics, surgical and postoperative treatment skills of the surgeons.

LVPEI/TKCI- Sightlife DSEK Skills Transfer Course

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Participants in LVPEI/TKCI- Sightlife DSEK Skills Transfer Course

Sl. No Name Institution Eye Bank Location

1 Deepak Sharma PC Sharma Eye Hospital CDS Ambala, Haryana

2 Makarand Deshakar Mure Mem Hospital Local Eye Bank Nagpur, Maharashtra

3 Tanwangee Joag Joag Eye Hospital HV Desai Hospital Eye Bank Solapur, Maharashtra

4 Purushothama Rajkumar Aravind Eye Hospital Aravind Rotary Eye Bank Madurai, Tamil Nadu

5 Pratik Gogri LVPEI

6 Paavan Kalra LVPEI

7 Siva Kumar Wurity LVPEI

8 Alisha Desai LVPEI-Bhubaneshwar

9 Siddharth Yadav LVPEI-Visakhapatnam

Participants

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International Faculty

Dr Prabjot Channa, MDAssistant ProfessorDepartment of OphthalmologyAnd Visual SciencesCornea, External Diseases and UveitisMontefiore Medical CenterAlbert Einstein College of MedicineBronx, New York

Dr Matthew Bujak, MD, PT, FRCSC, DABOAssistant ProfessorCorneal, External Ocular Disease andRefractive SurgeryDepartment of Ophthalmology andVision SciencesUniversity of TorontoCanada

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Feedback

Average 77% increase in self-rated surgical competencies from before to after the course

A course net promoter score of 56, meaning the majority of participants would recommend the course to another cornea surgeon

Comments from participants about best part of the course:• Theone-on-oneinteractionwiththefaculty• Wetlabsessions,smallgroupdiscussionsandexcellentfaculty• Thesystematicwaythetrainingwasrun.

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Simple Limbal Epithelial Transplantation (SLET) at LVPEI’s Secondary Centre

Yesubu Soyam, 22, was experiencing decreased vision in his right eye due to a lime (cement) injury caused some five years ago. In this kind of injury the limbal stem cells in the eye damage and as the uppermost layer of the eye does not get healed, there remains a scar in the cornea, leading to significant loss of vision.

The treatment for this kind of a problem is to transplant normal limbal stem cells from the other healthy eye of the patient to the affected eye. Earlier this used to be done by a very complex procedure whereby a biopsy of normal limbal tissue would be taken from patient’s eye and then this would be grown in the laboratory for 2 weeks and thereafter transplanted in the patient’s eye

with the diseased cornea. As this procedure required very complex laboratory techniques, this could be done only in some major eye hospitals.

Dr Virender Sangwan of LVPEI Hyderabad has evolved a simple technique to do this procedure whereby the need of laboratory has been totally eliminated and the limbal stem cells are taken from the normal eye of the patient and transplanted and cultivated on the amniotic membrane placed over the diseased eye of the patient. This way the patients, who do not have access to major eye centres, can also benefit from this surgery. This is known as Simple Limbal Epithelial Transplantation (SLET).

Continuing the LVPEI tradition of making excellent eye care available to the population in remote rural areas, this innovative eye surgery (SLET surgery) was performed for the first time in a secondary centre of LVPEI on 8 August 2016 for Yesubu at Nava Bharat Eye Centre, Paloncha, Khammam, Telangana.

A 2 mm limbal biopsy was taken from his normal left eye and the unhealthy tissue was removed from his right eye, amniotic membrane grafting was done and the healthy limbal tissue was transplanted in multiple fragments over his right eye cornea. These will grow over a period of next 6-8 weeks and thereby help in improving the patient’s vision.

This surgery was done by Dr Mukesh Taneja who is a Cornea Specialist at TKCI LVPEI Hyderabad and visits Paloncha centre every month for his tele-ophthalmology project. He was ably assisted by Dr Gurcharan Singh, Dr Smrita, Dr Hrishikesh and Sister Ganga. Overall administrative support was provided by Mr Vijay Kumar.

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In this section, Dr. Jagadesh Reddy, shares his research interests which lie in the areas of Keratoconus, lamellar keratoplasty (DSAEK, DMAEK, DALK, FALK), Cataract surgery, Intraocular lenses & Refractive surgery.

Belowareextractsfromaconversationwehadwithhim.

Q1. Please share with us in brief - details about the most prominent study that you have been a part of in the area of DSEK?

Infectious keratitis is one of the most important indications for keratoplasty in our scenario (25% of total grafts, RIEB 2015). Many of these grafts fail either due to primary graft failure or graft rejection because of the high-risk nature of the primary graft and

will eventually need a second graft. We did research with the specific question of looking into the type of second graft that would be ideal for these patients.

Ramamurthy S, Reddy JC, Vaddavalli PK, Ali MH, Garg P. Outcomes of Repeat Keratoplasty for Failed Therapeutic Keratoplasty. Am J Ophthalmol. 2016 Feb;162:83-88.e2.

Title: Outcomes of Repeat Keratoplasty for Failed Therapeutic Keratoplasty

Objective: To analyze clinical outcomes of repeat optical penetrating (PK) or endothelial keratoplasty (EK-DSEK) after failed therapeutic keratoplasty (TPK).

Key Findings: This study shows that visual rehabilitation with relatively good functional outcomes can be achieved by performing repeat PK or EK-DSEK in patients after failed TPK.

Dr Jagadesh Reddy, MDFaculty,TejKohliCorneaInstitute,LVPEI

Research Highlight

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Refrences

1. Park CY, Lee JK, Gore PK, Lim CY, Chuck RS. Keratoplasty in the United States: A 10-Year Review from 2005 through 2014. Ophthalmology. 2015 Dec;122(12):2432-42.

2. Anshu A, Price MO, Price FW Jr. Risk of corneal transplant rejection significantly reduced with Descemet’s membrane endothelial keratoplasty. Ophthalmology. 2012 Mar;119(3):536-40.

3. https://smdm.confex.com/smdm/2016bc/webprogram/Paper10207.html

Q2. Your take on the global research, trends and developments in DSEK surgery? According to you which is the most prominent study that has been carried out till date on DSEK and its impact?

Ang M, Soh Y, Htoon HM, Mehta JS, Tan D. Five-Year Graft Survival Comparing Descemet Stripping Automated Endothelial Keratoplasty and Penetrating Keratoplasty. Ophthalmology. 2016 Aug;123(8):1646-52.

Ang et al in their recent publication from SNEC has shown that DSEK resulted in significantly superior 5-year graft survival , minimal amount of complications and lower endothelial cell loss compared with PK in patients with Fuchs endothelial dystrophy and bullous keratopathy. This study has clearly shown the advantages of DSEK and in our scenario where the follow-ups and long term use of medicines is a burden to the patient DSEK should be the surgery of choice. There is definite need for surgeon training across the country.

Q3. What are the future research projects on Endothelial keratoplasty that you would like to undertake?

Park et al have shown that 49.7% of total transplants performed in USA are of DSEK and 6.2% OF DMEK.1 In spite of research showing a significant decreased rejection rate with DMEK (0.7%) compared to DSEK (9%). 2 The transition from DSEK to DMEK has been slow because of technical challenges and a long learning curve. In the US it has been shown that DMEK to be less costly compared to DSAEK ($7482.75 vs. $8242.96) with greater utility (3.75 QALY vs. 2.04 QALY).3

All patients that present to our clinic may not be suitable for Descemets membrane endothelial keratoplasty because of dense corneal edema as a result of delayed presentation. Hence there was a need for modification of the DMEK procedure in order to make it applicable for all sets of our patients with endothelial disease. We modified the procedure by utilizing the advantages of DMEK in the center and desk in the periphery thus making it surgically less challenging. This is called Descemets membrane automated endothelial keratoplasty (DMAEK) ( pictures attached). We would like to further refine the technique and also train surgeons across the country so that this couls be the surgery of choice for endothelial disease.

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Pre-cut Donor tissue

Removal of the posterior stroma in the central 7 mm

Donor graft with central 7 mm with only DM and periphral rim of stroma

Recipient DMAEK graft attached to the posterior stroma of the recipient cornea

A 64 year old female with pseudophakic bullous

keratopathy

1 week after DMAEK with significantly clear central

cornea

OCT showing well attached DMAEK graft

DMAEK

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Presentations

Dr Sunita Chaurasia

Poster presentation

IERG-ARVO chapter

Hyderabad 31 July 2016

Uveal coloboma with microcornea are thick corneas

Poster presentation

IERG-ARVO chapter


Endothelium in Uveal coloboma eyes

Poster presentation

IERG-ARVO chapter


Outcomes of therapeutic keratoplasty in fungal keratitis

Presentations and Skills transfer course

TOSC Hyderabad 5-7 August 2016

Allergan anterior segment symposium- Dua’s 6th layer: Is it there?• Instruction course-Pediatric corneal

disorders and surgical management-“Overview of pediatric corneal disorders”

• Exploring the role of viral pathogenesis in ICE syndrome-Free paper

• Clinical characterization of posterior polymorphous Corneal dystrophy in Indian subjects-Poster

•High resolution optical coherence tomography in endothelial disorders-Poster

• Skill transfer course on-“Cells of Cornea and specular microscopy”

Skills transfer course and Session Chair

Refractive surgery 360

Hyderabad 20-21 August 2016

Faculty - Skill transfer course on FLACSFaculty - chair for session on surface ablation

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Dr Virender Sangwan

Rustam Ranji Oration award of Telangana ophthalmic society

TSOS Hyderabad 5 August 2016

Managementofend-stagecornealdisease-Arayofhope

Invited talk National Symposium on Stem cells and Gene Therapy

CMC, Vellore 6 August 2016

Cellbasedtherapyfordamagedocularsurfacereconstruction

Presentation Tamil Nadu Ophthalmic Association

VIT, Vellore 6 August 2016

Stemcelltherapyforocularsurface-reasonsforoptimism

Presentation TNOA VIT, Vellore 7 August 2016

Immune-mediatedocularsurfaceinflammationandBlindingpotentialofVKC

Presentation First meeting of Indian Society for Cornea and Keratorefractive Surgeons (ISCKRS)

New Delhi 13-14 August 2016

TacklingEnd-stagecornealBlindness.Visakhapatnam

Invited lecture IERG Hyderabad 30-31 July 2016

Explorationofdrugresistantcharacteristicsinocularescherichiacoli

Dr S Shivaji

Poster IERG Hyderabad 30-31 July 2016

Biofilmformation,antibioticsusceptibilityandgeneexpressioninocularisolatesofescherichiacoli

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Dr MerleFernandes

Presentation Telangana Ophthalmic State Conference

Hyderabad 5-7 August 2016

“AllergicEyeDisease”InflammationandOcularSurfaceSymposium“TheBigStandoff:refractivesurgerysymposiumIOLCalculationNightmare,RangaReddy’sClinicalChallenges”“Allyouwantedtoknow-MicrobialKeratitis”“HappyPatientafterCataractSurgery,MultifocalvsMonofocalIOLdebate”“Allyouwantedtoknow-EndophthalmitisAllyouwantedtoknow-IOLs”“SurgicalManagementofCornealInfections”“ManagementofPerforatedcornealulcer”

Chief InstructorInvited speakerModerator


Hyderabad 20-21 August

“PhakicICLSkillsTransfer”“RightpatientforRefractiveSurgery”“PhakicIOLs”

Invited speaker

Dr NTRUHS Zonal CME, Andhra Medical College

Visakhapat-nam

28 August 2016

“AdvancesinKeratoplasty”

Dr Pravin Krishna

Scientific Committee Chairman

2nd Telangana Ophthalmology Society Meeting

Hyderabad August 5-7

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Lead Faculty 5th DSEK skills transfer Course

LVPEI Hyderabad

August 1-4

Symposium Speaker



Dr Aravind Roy

Instruction Course



CornealTopography

Dr Bhupesh Bagga

Faculty DSEK skills transfer Course


Dr Meghna Varma

Session Chair 2nd Telangana Ophthalmology Society Meeting

Hyderabad August 5-7 InnovationinOphthalmology

Moderator NABHAccreditationforEyeHospitals

Dr Varsha Rathi

Session Chair Refractive Surgery 3600


VideoPresentations

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Publications

Taneja M, Senthil S, Paulose R, Joseph J, Sharma S, Dave VP.

Intravitreal colistin for multidrug resistant aculte endophthalmitis following descemet-stripping endothelial keratoplasty due to klebsiella pneumoniae

JCRS Online Case Reports 2016;4(Aug):52-56.

Mohamed A, Ali MJ, Parel JA, Augusteyn RC,. Sangwan VS.

In vitro biometry of a human spherophakia. Clin Exp Optom. 2016 Aug 25. doi: 10.1111/cxo.12439

Ranjan A, Murthy SI, Rathi VM, Sangwan VS

Acute bilateral toxic endotheliitis following alcohol consumption.

Ocul Immunol Inflamm. 2016 Aug 5:1-4.

Sati A, Jha A, Moulick PS, Shankar S, Gupta S, Khan MA, Dogra M, Sangwan VS.

Corneal endothelial alterations in chronic renal failure.

Cornea. 2016 Jul 13

Chaurasia S, Ramappa M In vitro study of air bubble Dynamics following pneumodissection of donor corneas and relationship of air bubble pattern with a peripheral paracentesis incision.

Br J Ophthalmol. 2016 Aug 16.

Shukla S, Tavakkoli F, SinghV, Sangwan VS.

Mesenchymal stem cell therapy for corneal diseases.

Expert Opinion on Orphan Drugs, 2016, DOI:10.1080/21678707. 2016.1215906

Awards• Dr S Shivaji received the prestigious National Award in Polar Sciences and Cryopshere by the Ministry of Earth

Sciences, 27th July, 2016.• Dr Virender Sangwan, awarded ISCKRS Oration award in Cornea at the First meeting of Indian Society for

Cornea and Keratorefractive Surgeons (ISCKRS), New Delhi, 13-14 August 2016. Topic: Tackling End-stage Corneal Blindness.

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Today’s digital technologies are unleashing tectonic changes, which are disrupting the way we work, and do business. Health care and medical education are no different. Digital can be leveraged to usher in an era of medical education that more effective, more accessible, more dynamic.

TKCI in partnership with 361 Degree Minds, would strive to offer world-class education to Indian as well as global audience. 361 Degree Minds would bring all its expertise in the area of Learning Sciences to design, develop and deliver LVPEI programs, which would be the best in the space.

As a part of the Phase-1, we intend to launch 3 programs:1. Cornea transplant follow up care2. Cornea Infection 3. Optometry program

For the Cornea programs we intend to use “ECHO Clinic” learning methodology to engage, practicing ophthalmologists. This is a 12-week program designed to disseminate knowledge through case discussions. Towards the delivery of this program we would adapt a very robust learning process which is as follow –

a. Welcome mail: All the enrolled participants would receive a welcome mail, offering program details and providing unique PIN to access the program.

b. Notifications: Participants would be automatically notified by mail of the “Live session” as and when it is scheduled. And notification and reminders about the pre-session work also would be sent.

c. Live Sessions: The sessions are conducted on the “Zoom Platform” in accordance with the ECHO Clinics methodology.

The Way Forward

Dawn of Digital Learning…

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d. Recorded Sessions: All the live sessions are canned, edited for “any-time”, “any-where” viewing the learners.

e. Assessments: Shorts quizzes / tests after each session coupled with periodical and end-term assessments to track performance, learning and enable certification.

f. Social Outreach: At end of each session, short videos of that session are made and uploaded on the social media avenues like Twitter, YouTube etc. to drive visibility.

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Team of The MonthTKCI faculty who organized

Refractive surgery and DSEK skills transfer course

Dr C Jagadesh Reddy Faculty,TKCI,LVPEI

Dr Pravin Krishna VaddavalliDirector,TejKohiliCorneaInstitute,Head,Refractive

Surgery,CataractandContactLensServices,Faculty,TKCI,LVPEI

Bhupesh BaggaFaculty,TKCI,LVPEI

Dear Friends

We recently concluded Refractive Surgery 3600 conference on a high note. The feedback from the delegates has been amazing:

This wouldn’t have been possible without the support & efforts of our complete team.

I would like to thank Pravin for extending his complete support throughout the journey

Education Dept: Avinash and Vivek for vesting confidence in us and allowing us to conduct this meeting on a big scale. Yamuna, Snigdha & Ravi babu was really helpful in handling the registrations from the beginning. I really appreciate Snigdha’s support in the planning and implementation in spite of her poor health. Ravi helped us in obtaining the CME credits & Certificates from Telangana State Medical Council. Chaitanya needs a big applause for his leadership skills in the execution of

No words or pictures demonstrate the spirit of Team TKCI and LVPEI better than this ‘Thank you Note’

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the event. He was instrumental in dealing with the vendors, pharma friends, and made sure everyone involved was on same page.

Communications Dept: I would like to thank Yedukondalu for helping in the preparation of brochure and several flyers. I would like to thank Ramu and Kishore for designing the program book. Neha and Sreedevi need a special mention as they helped in fine-tuning whenever needed.

CAVU Dept: I thank the entire team in helping us in making the speaker introduction videos, which were really appreciated. Shobha, Shiva, Nagaraju, Santhosh and Rajashekar need a special appreciation for their planning and execution of Live Surgery without any hassles. Every one was awake all through the night to make sure the vendor delivers what we wanted next morning.

Biomed Dept: The entire team ( Srinivas, Murthy, Manikanta, Purushotam, Mukesh, Pochaiah, Bhasker, Ganesh and Krishna) helped us in planning the power requirements for the instruments at HICC, made sure all the necessary equipment was shifted on time with great safety. I thank Mohan and his team for a splendid job at HICC avoiding major glitches during the event.

Maintenance Dept: Rakesh Maini and his team (Ramesh, Ravi, Krishna, Dattu, Surendra, Kumaraswamy and Venkates) extended complete support both in house and at the venue.

I would like to extend my special thanks to Devraj for designing and preparing molds for holding globes during the wet lab sessions.

Stores & Purchase: I would like to thank Anjaneyulu and Hidayath Ali for their timely help. Thirupathi was instrumental in procuring sufficient goat eyes which helped us conduct our wetlab courses seamelessly.

Accounts: I thank Ravi Babu for helping out with complete accounting of our finances for the meeting. I would also like to appreciate the help from Subbarao and Ramesh for timely payments to the vendors.

Refractive Surgery Services: The entire team of refractive surgery services participated in various ways for the success of the meeting. I really appreciate the leadership qualities in Hiral making sure every bit is executed to perfection. I thank Rakesh, Dilip, Pooja for motivating patients for live surgery and helping on site in the functioning of wet labs. Hema and Srishaila not only helped in assisting in the wet lab courses but also aided in the execution of the live surgery to perfection.

Cornea Services: The entire cornea team (faculty and fellows) strived very hard for the success of the meeting. A big thank you to Somasheila for her continuous support. Bhupesh, Sunita, Muralidhar, Merle and Aravind helped in moderating sessions and also taking responsibility of one Wet Lab course. Bhupesh helped to a great extent in the selecting the cases for live surgery. Sangwan and Prashant were kind enough to take care of the responsibility of the clinic and OR along with Anand, Vijay, Akanksha and Dattatreya.

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I have no words to praise Shiva and Pratik for their leadership qualities. They were instrumental in helping me in delegating responsibility to the appropriate fellow and also making sure everyone delivered their best in the planning and execution of Wet Labs and Live Surgery. I am proud of you my friends. Anupam needs special appreciation for extending his support in making sure the entertainment was fun filled and enjoyable.

I would like to congratulate our first Cataract and Refractive Surgery Fellow (Sushma Rani) for winning award for BEST CASE OF THE DAY.

Niketh, Ruchi and Vivek, Musaab manned Hall A and B. They did an amazing job and made sure every speaker was on time. The entire program went dot on time.

Sushma, Nikhil, Melicent, Gaura and Arushi took care of the international faculty on these two days. The faculty mentioned a special appreciation to all these youngsters by the way they care of them. They didn’t miss taking selfie.

Optometry Group: I thank Shrikanth and his team (Praveen, Vinay and Asra) for running the aberrometry course successfully. The entertainment wouldn’t have been that successful without the sizzling performance by our optometry team. Thank you Vinay for coordinating this and giving your best to entertain our guests.

Security: I thank Shive Shankar for helping us get permisiions for our event and also taking care of our international faculty whenevr they visit our premices. I also thank padma raju for coordinating travel arrangemnts and made sure everyone was on time.

OR team: Live surgery wouldn’t have been successful with out the support from our OR team. I thank Dr.Uma Shanker (Anaesthetist), D. Praveen Kumar, Manohara, Jhanshi, M Rajitha, Lavanya, Keerthi Lavanya, C. Sridhar, N.Venkatesh Naik, and Krishnaiah for being on time and also for making the new faculty comfortable with the new surroundings. I thank the entire team for their support and also Durga for her leadership.

ISD: I thank Shiva, Pasha and Ravi for planning and execution of the preview room during the meeting. Shiva I really appreciate your detailed planning, this really made me very comfortable. I thank Pasha who was instrumental in making our online registration portal, Though they were glitches in between they were taken care accordingly. I thank Annapurna for leading the team and troubleshooting when needed.

Secretary Desk: I thank Shravanti and Rashmi for helping me coordinate travel of faculty, coordinating with vendors and making sure I didn’t miss anything in the final to do list. These girls were really kind approaching me several times and asking if they could do more…. I loved the team spirit.

RIEB: I thank the entire team of RIEB for providing necessary corneoscleral rims that were used in the Wet Labs.

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Anjani Prathi: Anjani was instrumental in helping with the menu, discussing closely with the chef for tasty food, making sure the food was served on time. Cleanliness was given prime importance. In our last meeting with the HICC team she was loud “I want boneless chicken for dinner! No more discussions”Silence prevailed for a few minutes after this. The food was really appreciated by the delegates. Thank you Anjani for all your help.

Sam Balasundaram: Sam was really helpful in finalising the entertainment troop for the evening, which we all enjoyed to the fullest. Sam deserves big thank you for helping with the Visa process for one of our international faculty.

My special thanks to Vadlamani Murthy who helped me in negotiating prices with HICC. I personally learnt a lot from him.

I thank Sumanth and Dhanashree for helping with counselling and admission process of patients selected for the live surgery

Ghansyam Singh was of great help in planning for the audiovisual requirements. In spite of glitches in the last moment we were able to put a great show. He was instrumental in selecting the correct vendor and also negotiating appropriately. Thank you Ghansyam Ji for all the support.

This success is a collective effort of every individual who were part of Refractive Surgery 360.

My apologies if I missed mentioning anyone.

We once again proved our values TOGETHERNESS & EXCELLENCE.

Please follow us on facebook (https://www.facebook.com/refractivesurgery360/) for further updates.

Best Regards,

Dr Jagadesh Reddy

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