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Inside pgs 0
Dr. Shroff's Charity Eye Hospital Caring for the community since 1914.
Dr Shroff's Charity Eye Hospital
DELHI: 5027, Kedarnath Road, Daryaganj, N Delhi-110002, India
Tel : 011-43524444 & 43528888 Fax : 011-43528816
GURGAON: 125/22, Bhanu House, Opposite to ITI Gate, Old DLF
Colony, MG Road Sector-14, Gurgaon, Haryana
Tel: 0124-4300556, 4300557, 4300558
ALWAR: 1st Floor, Plot# 138, Subhash Nagar
(After Railway Overbridge) Alwar, Rajasthan
Tel : 0144-5120559, 5120560, 5131960
RAMPUR MANIHARAN: (SAHARANPUR): Near Motherland School
Telipura, Delhi-Saharanpur, Rampur Mahiharan,Saharanpur
Uttar Pradesh, India. Tel.: 0133-6296300, 09219445510
MEERUT: Badhana Gate, Meerut, Uttar Pradesh, India
esign: Picture StreetD LAKHIMPUR KHERI: Sahajanpur Road, Near Garg Crusher
Dr Shroff's Charity Eye Hospital
P.O. Mohmedihi, Dist. Lakhimpur Kheri, Uttar Pradesh, India Tel.: 08899981166 A Brief History
Chief Executive Officer's Note
Highlights from the Year
To make a lasting impact on the eradication of blindness and deafness in India by providing Surgical Trends
quality care to all sections of the society. The Push towards Sustainability
! By ensuring early identification in the high risk segments! By creating awareness in the high risk segments ! By delivering quality services to the high risk segments ! By achieving significant volumes ! By building capacities of like minded organizations Training 24
To be the best tertiary Eye and ENT care Institution in Northern India providing quality care to people across all economic sections of the society.
! By creating, disseminating and applying knowledge across functions Continuing Medical Education
! By adopting best Financials and Compliance Report
practices and knowledge from Partners and Donors
! By setting standards The Specialists
in Ethics and Governance The SCEH Album, 2009
striving to take the benefits of medicine to the under served areas and population empathetic, affordable and patient first approach to medical delivery he year that was, 2009-2010, had special significance for all of us. End March 2009 marked the culmination of the three year strategic plan that we had set out for ourselves Tat the start of April 2006.
In retrospect, you will be happy to learn that the hospital made rapid strides in the 5 chosen focus areas (1) Development of Tertiary capabilities in chosen specialities (2) Develop Training capabilities in Ophthalmic and non-ophthalmic programmes (3) Increase the depth and the r. Shroff's Charity Eye Hospital was established in 1914.The institution has faced reach of community eye care initiative (4) Basic Research and (5) Low vision rehabilitation and many a challenge and undergone numerous transformations in this journey of over nine decades. What has however never changed is the continuous quest for medical Energized by the outcome of the previous planning process, a core team of 35 senior members excellence and the commitment to serve the underserved and thus fight the scourge of avoidable across medical and non medical functions was constituted to develop the strategic focus for the blindness that plagues the country.
next three year period 2010 to 2013. The participants were divided into smaller groups which in In the last decade, the institution has been working assiduously not only towards expanding the turn worked on the core themes of (1) Medical and Paramedical education, research and scope, and depth and quality of available services but also attaining self sufficiency through a training (2) Infrastructure and Equipment (3) Penetration in North India and developing cross subsidy model. It has focused on upgrading infrastructure, investing in state- of- the- art outreach models (4) Quality accreditation (5) Accountability and employee engagement and (6) technology, expanding into new geographies and investing in the best training possible - Brand Building. Concurrently, the speciality heads worked on 3 year development plans for the nationally and internationally - for its medical team. I am happy to say that this enormous exercise which commenced in September 2009 finally The outcome has been encouraging. Today the base hospital and the various satellite centres have culminated by March 2010, in the process uniting the internal stakeholders towards one become a beacon of hope for both the have's and the have not's and the brand has been able to common goal. I must highlight the fact that all the team members displayed tremendous achieve the recognition of being one of the best Super Speciality Eye and ENT hospitals offering commitment to the process and inspite of busy schedules, worked before and after working quality care in the country amongst patients and peers alike.
hours to develop the holistic document step by step.
The future is full of still further challenges. On one hand, the institution is working towards The year 2009-2010 otherwise was marked with continuous progress across all facets of the attaining the goal of becoming one of the best Tertiary Care Hospital Brands in North India and organization, the details of which I invite you to read in the following pages.
on the other, expanding its reach to serve the millions unknown in the rural hinterlands. At the end, I would like to put on record my deepest gratitude for the family of donors, big and small, who continue to support and encourage our work and my appreciation for each and every member of my team spread across locations and functions for their dedication.
Chief Executive Officer ew Delhi: Established in 1914, this unit has now evolved into a tertiary level centre dealing with super speciality surgeries Eye and ENT surgeries, basic research, as well as a training centre dealing with both national and international candidates across ophthalmic and other related streams. It also serves as the headquarters of the Dr. Shroff's Charity Eye Hospital Network.
Secondary Centres Alwar: Was established as a satellite hospital in 2002 with the focus of doing large volume community oriented cataract surgeries. Over the years, it has evolved into a advanced secondary centre which apart from having basic diagnostic equipment and doing appreciable volumes also provides training in SICS technique.
! The hospital commissioned a secondary hospital at Rampur Maniharan, in Saharanpur district with Gurgaon: Established as a satellite clinic in 2006 with the focus of providing a quality alternative for the support of Combat Blindness Foundation, USA. comprehensive eye care to the satellite township of Gurgaon. Apart from cataract services, it also provides Glaucoma and Paediatric eye care services.
The construction of another secondary centre was begun in Lakhimpur Kheri with the support of Standard Chartered Bank, India Saharanpur: A fully community oriented satellite hospital was commissioned in early 2010 at Rampur Maniharan, in Saharanpur District of Uttar Pradesh This facility has been made possible by generous ! A collaborative project with Mathur Eye Clinic was commissioned in Meerut. Mathur Eye Clinic has support from Combat Blindness Foundation, USA.
been providing eye care services in Meerut region for the last 60 years and the focus of the collaboration is to provide a quality alternative for Comprehensive Eye Care in the region.
Lakhimpur Kheri: Work has started in early 2010 on the commissioning of another community oriented secondary hospital at Mohmedih, in Lakhimpur Kheri District of Uttar Pradesh. The Hospital is slated to ! A four year long project, "Controlling Refractive Errors" sponsored by ORBIS International ended. In go operational in the first financial quarter of 2010-2011 and is being developed with the aid of Standard the course of the project, 2,48,000 children across the age categories of 4 years to 16 years were Chartered Bank, India.
examined across four districts of Delhi. Further in the course of the project, 968 paediatric sight restoring surgeries were performed and approximately 22,000 children were benefited with spectacles. Meerut: In keeping with the focus of developing reach with efficiency, a collaborative arrangement has been put into place in Meerut District of Uttar Pradesh. The collaborating partner is Mathur Eye Clinic, ! The hospital successfully rolled out 8 new Vision centres spread across the districts of Saharanpur, which has been active in the region for the last 60 years. The collaboration has gone active from May, 2010.
Mewat, Alwar, Gurgaon and the state of Delhi.
! Funds for starting another 9 vision centres were released by "Seeing is Believing "; a joint initiative of Standard Chartered Plc and International Agency for Prevention of Blindness (IAPB).
Till date, the hospital has 15 Vision centres located across the geographies of Alwar district in Rajasthan, Mewat district in Haryana, Saharanpur district of Uttar Pradesh and urban slums of Delhi. These Vision ! About 2,00,000 people chose the Institute as a preferred centre of Eye and ENT care across its various centres report to the nearest Secondary/Advanced Secondary/Tertiary centre and have been created with locations at New Delhi, Alwar, Rampur, Meerut and Gurgaon.
the focus of providing quality primary eye care services to the under privileged and underserved rural ! In addition, over 70,000 people were provided primary eye care services through Vision centres and the more traditional eye camps across our community eye care intervention in the hinterlands of Rajasthan, Haryana, Uttar Pradesh apart from Delhi.
! The resource centre for the Community Based Rehabilitation Project, sponsored by CBM, Germany became fully operational. The SCEH Network
! 10,356 sight and hearing restoring and enhancement surgeries were done across various locations.
Of the above, 54 % surgeries were done free thereby honouring the mandate of minimum 50% free work that the Institute is committed to.
! Of the total 9,550 eye surgeries, 37% surgeries were handled by various sub-specialities; underlining our journey towards a Tertiary care Institution. ■ Vision Centre ! The Hospital Based Cornea Retrieval Programme (HCRP) continued its growth by not only increasing the coverage to 10 multi -speciality hospitals but also marked a 55% growth in tissues collected by closing the year at 336 tissues. ! The Quality Assurance Project with ORBIS International is nearing completion. The team has gained immense knowledge in the field and is on a constant endeavour to successfully implement the learnings. As on date the Institution offers the following clinical services under Eye and ENT Comprehensive Eye Care including Cataract Comprehensive Ear Services Cornea & Lasik Services Comprehensive Nose Services Glaucoma Services Comprehensive Throat Services Ocular Oncology and Aesthetic Services Paediatric Ophthalmology and Strabismus Services Vitreo-Retina Services Ancillary Clinics and Services
Anaesthesia Services Sleep and Snoring Clinic own the years, the Institution has remained committed to the founding principle of doing minimum 50% of the annual work Free for the benefit of the underprivileged and the down Vision Rehabilitation and Enhancement Dtrodden. At the end of financial year 2009-10, we had done 10356 surgeries out of which 5571 were done free thus achieving a benchmark of 54%.
In the last 5 years, the Microbiology Lab Institution has more or less doubled its total surgical output without impacting the founding principles.
consolidating its position as one of the best tertiary care eye institutes is underscored by the rising share of speciality surgeries in the total surgical The Push towards Sustainability Sustainability has been a continuing focus at 1600 the Institution. The Cross-subsidy model that 1400 was initiated in 2002 has started paying dividends and goes to underscore the fact that 1200 even with a commitment of 50% free work, it is possible to aim for sustainability.
Today, the institution meets about 85% of its operating expenses from internal accruals and is only dependant on external grants/ funds for funding free surgeries or capital acquisitions.
0 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2. Cornea & LASIK Services
Dr. Manisha Acharya 1. Comprehensive Eye Care and Cataract The cornea services have been building on its reputation over the years by continuously introducing cutting edge surgical techniques for the benefit of patients. Last year, the department introduced Corneal Collagen Crosslinking (CXL); a technique to prevent progression of Keratoconus conditions.
Dr. Manish Sharma Apart from seeing patients directly, the department also gets referrals from across the Hospital Network as well as from the greater ophthalmic community in North India. The clinic saw 4,159 patients this year.
Dr. Suneeta Dubey Dr. Sandeep Buttan Dr. Manisha C. Acharya Corneal Tear Repair Comprehensive Eye Care and Cataract is available at not only the base hospital but all across the network. In 2009-2010, the operational centres apart from the base unit were Alwar Secondary Centre and Gurgaon Clinic.
These services across the network not only deal with the paid clientele but also the free and the subsidized work.
The Cataract service apart from dealing with the more conventional lenses also deals with premium lenses such as Multifocal and Toric Intra Ocular. Comprehensive Clinic This year the clinic saw 73,403 patients. Working on a VISX S4 customvue platform, one of the most advanced excimer lasers, it did 506 LASIX surgeries in the year.
The department did free, 45% of its total surgical outcome.
Yatinder's Story: a successful chase of hope
Yatinder, 6 is an only child. He was born with Congenital Corneal Opacity in both the eyes. As a result, his eyes gave the appearance of cataract. His vision was very poor and his appearance made him unpopular in his community.
The family is of modest means. His mother is no more and his father is a migrant He was brought to Dr. Shroff's Charity Eye Hospital and the team concluded that a cornea tissue transplant was the only hope. Post the surgery, the team did Yatinder, the day everything possible so that the young boy gained back his confidence and began SCEH team diagnosed to manage himself like other children his age. Yatinder is now craving to join him. Corneal transplant school. This is one of the various happy stories that unfold at SCEH everyday. was the only hope. 4. Ocular oncology and Aesthetics:
As one of the fastest growing clinics in the hospital, the Oculoplasty clinic improvised its offerings this year and metamorphosed into the Ocular Oncology and Aesthetics Clinic. The team now runs parallel clinics for cosmetic/ aesthetic procedures such as the Botox Clinic and a dedicated Minor OT. Eye Cancers are routinely taken care of and the hospital has become a hub of referrals for all of North India. The team saw over 1,200 patient this year. 43% of all its work was done free of cost. 3. Glaucoma Services
Oculoplasty 2009-10 Entropion Correction LLPtosis Levator Resection Dr. Suneeta Dubey Dr. Monica Gandhi Dr. Baswati Prasanth Glaucoma as a speciality is moving away from surgical to more of early detection and medical management. This is reflected in the output for the year. The service again receives referrals from across North India as well as the Institute's own network. The clinic saw 5,431 patients this year.
Case in Point: a miracle and a lesson in hope
Equipped with a Gold Standard 22 year old Basanti hails from Jharkhand. That she had only slight Humphrey's Field Analyzer as well as an vision came to fore very soon. And by the age of 2 and a half years, OCT machine, it is one of the best equipped clinics in the hospital.
she became blind.
Last year, the sub-speciality added another Her plight worsened when her left eye swelled up and pained feather to its cap by introducing "Tube badly. Local doctors kept trying their best but consistent failures Implant with Parsplana Insertion"; an Trab with Phaco with IOL snatched all hope from the family. innovative technique to combat refractive Trans Scleral Cyclo Photocoagulation Tube Shunt Implantation Glaucoma Basanti was sent to Blind School in Delhi, and was prescribed glaucoma. Of its total surgical load, the Trab with Mitomycin painkillers for life.
speciality did 44% free.
The community outreach team identified her at a screening programme they organized in December 2009 in the school. She A life saved: The story of Mehvis
Basanti married Mr. Rajendra Kumar, a was diagnosed with Staphyloma- Benign tumor of the eye. The Mehvis, 6 years old girl was brought to us with a complaint of severe pain and teacher at National Association of Blind specialists sadly concluded that her sight can never be restored back.
in March, 2010. Life has also turned a redness in both eyes. On examination, her intraocular eye pressure was found to new leaf for her. However, the tumored eye was removed to relieve her of the be very high (54 of the right eye and 50 of the left eye). She was diagnosed with incessant pain and chronic swelling. Basanti feels that the experience has given her a new lease of hope advanced glaucoma and advanced developed cataract of both eyes which needed immediate surgical intervention. and, … life.
She underwent glaucoma surgery of the right eye on 9 Feb, 2010 and of the left eye on 23rd Feb, 2010. She also underwent cataract surgery of the right eye on 23 Feb, 2010 and the left eye on 27 Feb, 2010. Mehvis, packing up for All her surgeries went successfully as she regained vision from 6/18 and 6/36 to home, a day after the 6/9 of both eyes with glasses. Her intraocular pressure of eyes has come down to last surgery. 14 of the right eye and 16 of the left eye. Now she has been advised glasses and has been saved from becoming totally blind. The family is ecstatic that she can get back to school and grow up to be an independent individual. Continuing with its pathbreaking track record, the team launched the following cutting edge surgical techniques in FY 2009-10. Dr. Manisha Agarwal = Aniridic scleral fixated intraocular lens implantation (SFIOL) for patients lacking a lens and the iris in their eyes.
Dr. S. P. Chaudhury = Microincision vitrectomy surgery (MIVS) which is a sutureless Dr. Ritesh Narula surgery for retinal diseases such as diabetic retinopathy, macular hole, retinal detachment etc.
The team successfully completed one year 5. Paediatric Ophthalmology and Strabismus
of the VIEW-2 clinical trial for a new drug for the treatment of age related macular With a patient load of more than 15000 odd patients, it is by far the degeneration. The team also started busiest sub-speciality at the Institute. This year the clinic saw 15,881 providing laser treatment and Fundus Parsplana Vitrectomy children this year. In terms of both the referral work that it gets and the Fluorescein Angiography test facilities at ability to handle complex cases, the department has been going from the Alwar satellite Hospital which are the Intravitreal Injection Dr. Manish Sharma one high to the other. This year, 40% of all its work was for the first in the whole of the district.
underprivileged. Dr. Varshini Shanker This year, the team saw 8,742 patients and 49% of all its work was for patients seeking free or highly subsidized treatment.
SICS with AV with PCC with IOL Paediatric 2009-10 Probing and Syringing A Nazrana of hope
Nazrana, 13 hails from Rajasthan. Her father is an unskilled labourer at a shoe factory and earns only enough to afford two square meals a day for the family of six. Now living in a Banjara colony of Delhi, she approached SCEH at one of its routine screening camps and complained of very low vision and inability to see anything after it becomes dark. Rahul- Rescinding the writ of destiny
The doctors have diagnosed that she suffers from Retinal detachment of one eye and the other eye also has very less vision due to an old eye injury. She has 5 year old Rahul had Congenital Cataract in both the eyes, and also suffersfrom epileptic fits since birth. The family that is of modest means was determined to not undergone Scleral Buckling to manage the retinal detachment in her right eye Nazrana, the teenager leave him to the vagaries of destiny. They searched and explored various avenues. and Laser Barrage to manage the left eye. Her vision has been restored. has finally got her sight That surgery was the only option for their little one deeply shook them.
Nazrana is very happy to get back to her school again and fulfill her ambition of When they contacted SCEH, the team was able to counsel them. Meeting various becoming a teacher when she grows up.
other parents and children visiting the campus for the surgery or follow-ups reassured them.
Rahul with his mother, He was successfully operated, first for his Left eye on 23/12/09 and then for his the morning after his second surgery. right eye on 20/01/10. With regular follow-ups and sessions with the medical team, the child is now fixing and following the light.
Hopefully, he will be able to lead a healthy & normal life like other children of his age.
ye Care Services) The objective of the Anaesthesia department is to provide and promote quality anaesthesia to patients undergoing Eye and ENT procedures with state of the art equipment Dr. Parul J. Dutta The team's contribution in any surgery is vital. The number of General Anaesthesia cases it conducted in this FY is 996. Like in any other speciality, the Anaesthesia service handles cases with best-in-class equipment and technique, and need to be innovative to handle surprises and unique cases. The team trained all personnel interacting with patients i.e. nursing staff and doctors on- handling medical emergencies and on providing basic life support. The candidates were provided hands on There has been a concerted effort to build up the sub-specialities under training also. The group's response has been rewarding. ENT in the last couple of years and the trend continued in the last year also. 36,032 people availed the services of the ENT Clinic this year. Of these 750 people needed to be treated surgically. 2,704 people needed 2. Contact Lens Department
paramedical/ rehabilitative help such as -with our in house Audiometry Dr. Neeraj Chawla sessions. 120 people needed Impedance treatment and a 130 people availed the in house Speech Therapy services. 62 were dispensed Apart from fitting contact lenses as cosmetic device, the team dispenses customized hearing aids. Thus here too the focus is more on rehabilitating the patient in the most specialized lenses for Corneal Ectasic Disorders, Post Penetrating Optom. Abhilekh Aneja effective way rather than using incisive techniques. Keratoplasty etc, and even in children for therapeutic purposes. In FY Optom. Shyama Devi 2009-10, various kinds of new lenses were introduced: The team routinely runs camps in Delhi and adjoining territories. This year a new 'Voice Clinic' was launched where Laryngoscopy is conducted to examine the voice box and determine the causes of various speech disorders and other problems. =ROSE K2 IC & PG contact lenses for management of irregular corneas
The team also runs its pioneering Headache Clinic and Sleep & Snoring Clinic daily- as per patient's = Innovative scleral contact lenses for severe deformed corneas and dry eye
convenience. Their holistic approach has been lauded at various forums and the figures also make the Paediatric contact lenses
Clinic a domain leader in Delhi. This year it saw 29,732 patients.
595 people availed the services of this clinic this year. 33% of the surgeries conducted this year were either free or at highly subsidized costs. Making Magic Happen
Mastoid Exploration Sunil, 21 had an advanced case of Keratoconus. He could hardly see and was dependent on his parents. An attempted graft in Right Eye had failed, and he had been advised a Corneal transplant in left eye. He Endoscopic Endonasal DCR & Sinus Surgery wasn't decided about getting it done. He approached SCEH. The Cornea team that works in close Adeno Tonsillectomy collaboration with the Contact Lens team recognized that the team could help Sunil.
The Contact lens team gave a trial of scleral contact lenses in left eye and the lenses did magic. His vision improved to 6/6, i.e. normal vision. 4. Vision Therapy Clinic
Vision Disorders can affect patients' over all potential. And for this reason they begin focusing on the symptoms, unable to spot the real problem. Optom. Prem Kumar Singh For example, many children experiencing academic difficulty may have Optom. Bhanu Mehta a visual dysfunction in addition to their primary reading or learning dysfunction. And most often these go undetected even during typical school vision screenings. The Vision Therapy clinic treats children with amblyopia, i.e. Lazy Eye, accommodative problems, oculomotor problems etc. through various visual exercises and counsel. The patients are given the option of exercises at home with the help of Home Kits, eliminating the need to 3. Vision Enhancement and Rehabilitation Clinic (VERC)
visit the hospital for continued therapy. This is among a handful of comprehensive centers in the entire country 453 patients availed the services of the clinic in In-house Sessions that have the capability to treat all the aspects of Low Vision. The objective of this Optometry sub-specialty is to integrate low vision individuals in the Home-kits dispensed Optom. Soniya Srivastava society. This involves training in adaptive techniques, counseling support and fitting and dispensation of optical and non-optical devices.
The center comprises of two services: Vision Enhancement and Vision The "unbelievable" treatment
Just thinking about the school day he had ahead of him was enough to bring on a bad mood. Reading Vision Enhancement trains the patients in the use of vision enhancing tools and equipments that can be was a struggle for Gaurav, and his grades were below average. And on top of this his homework used to handled by the patients in their daily lifestyle and mainstream them into the society. The Vision Rehabilitation take three to four hours every night. A thorough examination at SCEH revealed that Gaurav's vision Clinic puts the patients through rigorous exercise schedule such that their vision can be rehabilitated and was normal, but eyes were not properly teaming together. This explained why Gaurav used his finger restored. Together this team has given a new lease of hope to countless number of people for whom as a marker when reading, read slowly, had poor reading comprehension and sometimes confused or surgery is not an option. 2020 people availed the reversed letters or words. services of the clinic this year. Gaurav was offered Vision Therapy sessions for managing his problem. His parents had never heard of this type of vision problem before, and found hard to believe that the problem could be corrected with Reaching for the Sky
Vision Therapy exercises. His exercises included Vectogram, Prisms and lenses, Aperture Rule, Flippers, Mirror Stereogram and home exercises with Brock String and Fusion cards. Gaurav used to The joy of Sheela and her parents was one of the most rewarding experiences for the enjoy his therapy as it was so different from other treatments. Here he got to play games, do puzzles team at VEC. Sheela has secured 75% marks in 6 standard. and coloring in the form of exercises which was very joyful for him. After few months of Vision Sheela came to us in 2009 reporting very low vision. She was diagnosed with Therapy exercises, now he enjoys reading, his homework does not take as long as it used to, and he Microphthalmos and Uveal Coloboma. The only possible recourse was rehabilitative made the good grade in the school! therapy. A pair of glasses was not enough to remove her reading and writing handicap and blackboard work difficulties. So, she was trained in the use of various Low Vision Devices to help her with her schoolwork. Sheela's dreams getting Today, Sheela is ready to reach for the sky and accomplish all her dreams. The good new wings at the VEC. news is that she will do all this independently with the visual devices by her side! It is Sambhav (possible)
Sambhav was noticed by one of SCEH's team members who was visiting the Blind- School where he
Sambhav had been diagnosed with Optic atrophy with Nystagmus at birth and has been on epileptic medications since. He lives in a joint family of modest means. 3 schools had already refused to take him- citing various reasons. As a result his family was forced to believe that 'sambhav is a blind boy', he wasn't expected or even allowed to try visual tasks, and was put on Braille which he never learnt either.
When he was assessed by the team, we found out that he has difficulty in his hand-motility (probably that's why he was facing difficulty with Braille), Gripping, holding, in hand manipulation etc. The family was counseled to shift the child from Blind School to a local mainstream school. With just 2 months of free biweekly sessions at the VRC, Sambhav began to hold a pen and write from A to K and 1 to10, he recognized all colours and shapes. Next plan is to shift him on computer training with JAWS at the in campus UJAGAR computer centre for disabled. 8. Opticals
The Optical business is a key revenue contributor both at the base as well as satellite units. In 09-10, the team worked night and day to open up supply streams to Vision centres in remote geographies that were being set up. 5. BOTOX Clinic
Botulinum toxin more commonly known as Botox can be used to manage different types of squints, particularly in paralytic cases where 9. Eye Banking
Dr. Manish Sharma double vision is quite troublesome, apart from cosmetic/aesthetic Number of cornea collected and utilized this financial year shot up by 55% to 336 and 134 respectively purposes. Botox injection is a 5 minutes procedure done mostly in a thereby making it arguably one of the fastest growing and one of the leading eye banks in North India. single sitting in Outpatient clinic or Minor OT under topical anesthesia. The initiative is supported by ORBIS International. There are minimal side effects if any, and are temporary.
As a pioneer of the concept of Hospital Based Botox starts working within 3-7 days. 47 people had to SCEH Eye Bank's Track Record (2004 to 2010) Cornea Retrieval Programme (HCRP), it is be given Botox injections this year. This includes Squint already a proud partner of 10 HCRP hospitals patients besides those needing it for cosmetic purposes. including Maharaja Agarsen Hospital, Jaipur Golden Hospital, Action Balaji Hospital, MGS 6. Prism Clinic
Hospital, Sanjay Gandhi Hospital, Tirath Ram Shah Hospital, Saroj Hospital, Fortis Hospital- Formally launched in FY 2009-10, this clinic examines patients with Noida, Artemis Hospital- Gurgaon & complaints of chronic Diplopia (double vision ) and consequent difficulty Puspanjali Hospital- Ghaziabad, Thus now, the Optom. Prem Kumar Singh in daily life, poor cosmetic appearance of the squint, or having to adopt an SCEH Eye Bank is touching the frontiers of abnormal head posture (head turn or tilt) in order to view a single image. Optom. Tapojjwal Pal NCR. Collaborations with more are in An Optometrist specialized in Prism therapy does a thorough orthoptic examination and appropriate trial prisms are used in order to help the patient adapt to the prisms. The patient may have to remain in the clinic Under the HCRP initiative, trained 'Grief for 4-6 hours to enable us to optimize the prisms. Prisms can be prescribed either as glasses or in the form of Counselors' approach the relatives of patients stick on prisms or Fresnel prisms- wherein high powers can also be prescribed with minimal distortion of on the critical list and sensitize them on the issue of corneal donation. In the event of demise of the patient vision. This helps the patients in switching back to their and subsequent acceptance of the relatives and family, a competent team comprising of an routine life by giving relief from Diplopia and abnormal Ophthalmologist and a technician tries to reach the spot as soon as possible. It is pertinent to note that the head posture. Prisms may also be used to optimize the tissue has to be harvested within a maximum of 6 hours from death and that means that the teams are on a result of squint surgery. 24 hour stand by.
The team educated many doctors, optometrists and volunteers on various aspects of Eye Banking during this year. Besides batches from SCEH and IGNOU, practitioners and CMOs from other states also Apparently owing to a road accident, Raj (name changed) developed double vision. His body balance was in doldrums. Without constant utilized this service.
support or supervision, it was difficult and dangerous to even move about. It also conducted regular training programmes in HCRP Hospitals, Schools and NGOs. Besides this, it After a long search for treatment, he chanced upon SCEH. The team also trained the following Eye Donation Counsellors in short term 1 month long modules: examined various treatment options and concluded that the only hope was with the Prism Clinic. After various trials, the team settled on Fresnel Ms. Rozi Zia, Amroha (Uttar Pradesh) Prisms for him. He has recovered fully from his Diplopia/ double vision problem and the team is now counseling and training the patient in the Ms. Annu, Rohtak (Haryana) kind of exercises he needs to do to recover and restore his body balance. Ms. Divya, Bahadurgarh (Haryana), Mrs. Kamlesh, Jind (Haryana), 7. Audio-Vestibular Lab
Mr. Umeshwar Dayal, Shroff Eye Centre (Delhi) This service is dedicated to providing comprehensive high quality hearing The Eye Bank is now also beginning to associate healthcare for individuals of all ages. The lab has the facilities of Pure Tone with various Research Studies. Mr. Michael Chaudhary Audiometry, Impedence Audiometry, BERA (Brain Stem Evoked Response Audiometry) and VNG (VideoNystagmoGraphy). In children less than 5 years of age or in mentally challenged individuals we use BERA as a special investigation tool. The advantage of BERA is that the results are not dependent on patient's After the investigations the audiologists provide comprehensive management and rehabilitation for patients with hearing impairment.
Interspecific differences in determinants of plant species distribution and the relationships with functional traits
Journal of Ecology 2012, 100, 950–957 Interspeciﬁc differences in determinants of plantspecies distribution and the relationships withfunctional traits Masahiro Aiba*†, Hino Takafumi and Tsutom Hiura Tomakomai Research Station, Field Science Center for Northern Biosphere, Hokkaido University, Takaoka,Tomakomai 053-0035, Japan 1. Environmental control and dispersal limitation are both essential processes in plant communityassembly and species distribution. Although numerous studies in the past decade have examinedtheir importance as determinants of community composition, remarkably little is known aboutinterspeciﬁc differences in the importance of these two processes.2. To quantify these interspeciﬁc differences, we compared the importance of environmental fac-tors and space as correlates of species distribution among 24 understorey plant species in a Japanesecool–temperate forest by performing variation partitioning at the species level. Speciﬁcally, wehypothesized that the importance of environment and space differs among species, and these differ-ences can be partly predicted from the functional traits and ⁄ or phylogenetic identity of each species.3. The unique contributions of both environment and space were signiﬁcant in the community-levelanalysis. However, at the species level, the relative and absolute sizes of the unique contributions ofenvironment and space differed considerably among the 24 species. Environment and space werenot necessarily signiﬁcant variables explaining the distribution of many species.4. No signiﬁcant relationships were found between the unique contribution of environment and thefour functional traits tested, that is, dispersal mode, seed mass, plant height and speciﬁc leaf areaamong the 24 species. In contrast, the unique contribution of space was signiﬁcantly larger in specieswith no dispersal mechanisms than in animal-dispersed species. No signiﬁcant phylogenetic signalwas detected for the unique contribution of environment or space, suggesting that importance ofenvironmental control and dispersal limitation as determinants of species distribution is evolution-arily labile.5. Synthesis. Our results suggest that the relative and absolute importance of different processes ofcommunity assembly (i.e. environmental control and dispersal limitation) differs remarkablyamong species even within a single community. These interspeciﬁc differences may be explained inpart by interspeciﬁc differences in dispersal mode.