The Himalayan Cataract Project (HCP), along with the Tilganga Institute of Ophthalmology, are working with the government of Myanmar to improve the nation's eye care system. As part of this work, in March, Himalayan Cataract Project Co-Founders Drs. Sanduk Ruit and Geoff Tabin, along with partners from the Yangoon Eye Hospital, completed a cataract and corneal surgical training workshop. Over a 10-day period, 30 ophthalmologists and 20 ophthalmology residents gained valuable surgical skills. Over 700 surgeries were completed at two locations (Yangoon and Taunggyu), including 11 corneal transplants. Patients ranged from 4 years to 106 years old.
Additionally, HCP and Tilganga have discussed the development of a Cornea Eye Bank in Myanmar with local partners. Myanmar currently receives a far fewer number of cornea donations than what is needed. The development of a local eye bank would be a tremendous step towards curing corneal disease throughout the country.
Meanwhile in Nepal in March, Dr. Geoff Tabin participated in a four-day, hands-on cornea training workshop at the Tilganga Institute of Ophthalmology in Nepal. Dr. Tabin worked alongside four Nepali and one Indian corneal specialist to practice new techniques, review procedures, and provide ongoing assessment and training. In 2014, the eye bank had its most successful year with more than 550 corneas made available for transplant.
And in India Dr. Govind Paudyal and his team from the Tilganga Institute of Ophthalmology returned to Jagadguru Kripalu Chikitsalaya Charity Hospital in Mangahr, India, to work with local surgeons on a four-day cataract campaign. Working with local ophthalmologists, Dr. Paudyal’s team completed a total of 894 cataract surgeries and six other eye surgeries.
In December, Himalayan Cataract Project's partner in Nepal, the Tilganga Institute of Ophthalmology's outreach team organized an Outreach Microsurgical Eye Clinic (OMEC) in Nuwokot, Nepal. The team screened 3,763 patients and provided 306 cataract surgeries. The outreach team included trainees from Myanmar, Ethiopia and Australia. Each year the Tilganga outreach team provides close to 10,000 surgeries outside of the main hospital in Kathmandu.
In October, HCP's co-founder, Dr. Sanduk Ruit, led a team from Tilganga to manage outreach cataract events in Bhutan and northern India. The group worked with local surgeons and paramedical staff in both locations. A total of 388 cataract surgeries were provided; 257 in Bhutan and 131 in northern India.
In Bhutan, Dr. Ruit and Royal Highness Princess Kezang Wangmo Wanhchuk jointly inaugurated the Eye Bank at the National Referral Hospital in Thimphu, which will serve corneal patients and play an important role in addressing corneal blindness in Bhutan. To read more about the Eye Bank, please visit this link: http://www.kuenselonline.com/bhutan-embarks-on-eye-bank-venture/#.VMj3bmTF8Sg.
The Himalayan Cataract Project (HCP) has been busy in the recent months in the Himalayas.
HCP Co-Founder Dr. Sanduk Ruit and an outreach team from Tilganga Institute of Ophthalmology, HCP's flagship partner in Nepal, provided sight restoring cataract surgery in September at the Leh Hospital in Ladakh, India. Ladakh — “land of high passes” — is a mountainous region of India and is one of the most sparsely populated regions in the state. This was a second visit by Dr. Ruit and his team, who provided 208 surgeries to patients. To read more about Dr. Ruit's first visit, please visit this link.
Just a month earlier, Dr. Ruit and his team held an outreach event in Yangon, Myanmar. Dr. Ruit's team worked with local eye care professionals, and together they provided 445 surgeries. The team held an additional outreach event in the town of Myeik, where 225 surgeries were provided.
In Nepal, the Hetauda Community Eye Hospital (HCEH), one of Tilganga's 12 eye care centers, conducted a screening workshop for more than 500 prisoners at the Bhimpedi Jail. Seven patients were referred for surgery and 25 pairs of glasses were prescribed and provided.
Former Himalayan Cataract Project trainee, Dr. Dechen Wangmo, Bhutan’s first and only pediatric ophthalmologist, is taking advantage of the constellation vitrectomy machine purchased for Dr. Bhim Rai's retinal practice to facilitate cataract surgery for a five month old boy with congenital cataracts. Dr. Rai is also a former HCP trainee.
“It really made a difference in the post op compared to the old machine we had. The parents are very happy and grateful to HCP and the department. I had explained to them about how you all have helped us and how it has translated into better patient care and outcomes.” —Dr. Dechen Wangmo
The training and equipment that HCP provides to doctors, like Drs. Wangmo and Rai, is crucial in developing a sustainable health care system that functions effectively over the long-term with minimal external involvement.
In outreach news, the Hetauda Community Eye Hospital (HCEH) in Nepal conducted an eye screening workshop for more than 500 prisoners at Bhimphedi Jail outside of Hetauda, referring seven cataract patients for surgery and prescribing 35 pairs of glasses - 12 pairs purchased immediately. HCEH is upgrading its community screening programs to include refraction, and providing glasses instantly.
While the number of cataract cases has been reduced in the region, cases of refractive error have increased. Eyeglasses provide low-cost, effective help with refractive error; and the proceeds from sales of eyeglasses help to offset the costs associated with free patient care for all eye ailments.
Also in Nepal, the newly-constructed Phaplu Community Eye Center opened in June, 2014. Since 2003, it has provided eye care to more than 30,000. In the first half of 2014, Tilganga Institute of Ophthalmology (HCP's partner in Nepal), with HCP support, conducted seven Outreach Microsurgical Eye Clinics (OMECS) in Nepal and one in India, providing 1,811 cataract surgeries.
The Tilganga Institute of Ophthalmology, HCP’s legacy partner in Nepal, recently organized an Outreach Microsurgical Eye Clinic (OMEC) in the Upper Mustang region of Nepal, one of the world’s most remote places. Upper Mustang is hidden in the shadows of the Himalayas and for centuries was isolated from the rest of Nepal. Tilganga began working in this region in 2009.
During this most recent campaign, sight was restored to an elderly woman who had been blind for eight years and trekked to the campaign on horseback, accompanied by her 21-year-old grandson. Following bilateral surgery, the patient could see her grandson’s face, and proudly walked back to her home.
Another outreach event was held In early April by the Phaplu Community Eye Center (CEC), in the Solukumbo region of Nepal. 1,498 patients were examined and 80 cataract surgeries were provided. Run by a five-person staff, the Phaplu CEC is overseen by Tilganga and realized a 6% increase in patient care in 2013. The Himalayan Cataract Project is supporting the construction of the two-story, six-room community eye center, with help from the Nancy Allison Perkins Foundation, as the original Phaplu CEC had outgrown its facility. Construction is expected to be completed by June 2014.
Project Reports on GlobalGiving are posted directly to globalgiving.org by Project Leaders as they are completed, generally every 3-4 months. To protect the integrity of these documents, GlobalGiving does not alter them; therefore you may find some language or formatting issues.
If you donate to this project or have donated to this project, you will get an e-mail when this project posts a report. You can also subscribe for reports via e-mail without donating or by subscribing to this project's RSS feed.