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Building India's World-Class Eye Hospital

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Building India's World-Class Eye Hospital FEBRUARY 2014 # 05 Upfront In Practice NextGen Profession Just a quick dip: making Hot tips on anterior and Will you print out a Marketing your cataract/ stem cells in an acid bath posterior capsulorhexis new retina in the future? refractive practice 10 29 – 31 38 – 40 44 – 47 Building India’s World-Class Eye Hospital Gullapalli Rao tells the story of the LV Prasad Eye Institute 16 – 23 Strong Any nucleus from soft to hardest, any incision from 1.6 to 3.2 mm, fast, safe and the AC always stable. That’s easyPhaco®. CortexModeTM for precisely con- trolled cortical clean-up. HF capsulotomy for difficult cases. 1200 cuts anterior vitrectomy. Beautiful So easy to operate! DirectAccess® to any function without confusion. Programmable for 20 surgeons. Bright, easy to read display. A marvel of design, brings a friendly note in your OR. Unique Truly portable, 5 kg, fits in a pilot’s case. HFDS ab interno glaucoma function, the future of combined glaucoma surgery. Fantastic toe tip of flow control. Built-in compressor. Just plug to 90-230 V. For You Lets you enjoy most advanced surgery from low to highest volume in any set-up at controlled costs. www.oertli-catarhex3.com Breathtaking Ecknauer+Schioch ASW Online this Month Introducing 2.0 Our website has been revamped to help you discover the array of articles now archived there. Here, we introduce those features and extend an invitation to join our online community. First things first. Sign up here to become part of our ever-evolving online community. It’s free and takes less than 30 seconds. The new intelligent filter system takes you straight to the content you’re interested in. Manage your account Results instantly and choose how much populate. Not what information to share you’re looking for? Use with other users. different combinations of article type, technique, application, or date to correct results in real time. Don’t receive the print magazine? Need access to the Solutions pages? Change your subscription preferences. Access previous issues as they appeared in the magazine and download free PDF versions. Found something Our online Solutions library grows on a worth sharing? daily basis and focuses on the performance Make use of over and capabilities of products or techniques 300 social media View Comments in specific applications, as presented by channels. or read About the Author manufacturers. in the article window. Contents 12 50 16 03 Online This Month Upfront Feature 10 STAP in the Name of Love 16 How to Build a World-Class 07 Editorial Eye Institute The Philanthropic Ophthalmologist 11 This Month in Business Gullapalli Rao describes the By Richard Gallagher origins, development and impact 12 Google’s Glucose Gadget of the eye institute that he created in his home country, India. 08 Contributors 13 Questioning the “Critical Period” 14 Ranibizumab Reality Bites On The Cover In Practice 15 Ophthalmologists are Healthy, FEBRUARY 2014 # 05 Vintage ornamental pattern. Wealthy and Wise 26 The Perfect Anterior Capsulorhexis Upfront In Practice NextGen Profession Just a quick dip: making Hot tips on anterior and Will you print out a Marketing your cataract/ stem cells in an acid bath posterior capsulorhexis new retina in the future? refractive practice 10 29 – 31 38 – 40 44 – 47 Image courtesy of Getting the right shape and Building India’s World-Class Eye Hospital Gullapalli Rao tells the story of the LV Prasad Eye Institute 16 – 23 shutterstock.com. right size generates optimal optical outcomes, says Johan Blanckaert. 48 ISSUE 05 - FEBRUARY 2014 Editor Mark Hillen [email protected] Editorial Director Richard Gallagher [email protected] Graphic Designer Marc Bird [email protected] Managing Director Andy Davies [email protected] Director of Operations Tracey Peers [email protected] Publishing Director Neil Hanley [email protected] Audience Development Manager 29 Don’t Fear the Posterior Capsule Profession Tracey Nicholls Marie-José Tassignon argues that [email protected] a rethink on the surgical 44 Premium Practice Promotion Digital Content Manager approach to posterior Laura Hobbs illustrates how David Roberts capsulorhexis is required. patient engagement and [email protected] education help market 32 Great Expectations Fuel one’s practice. IOL Inclinations Are advances in IOL and 48 Educational Excellence Published by phacoemulsification technology – For Patients Texere Publishing Limited, driving demand for cataract Textbooks are so 20th Century. Booths Hall, Booths Park, surgery more than medical need? Mark Hillen looks at what 3D Chelford Road, Knutsford, Cheshire, electronic patient education WA16 8GS, UK systems can do. General enquiries: www.texerepublishing.com NextGen [email protected] +44 (0) 1565 752883 36 Cataract Benchmarking Sitting Down With [email protected] Mining the cataract literature to uncover who’s publishing what, 50 With Walter Wrobel, CEO/ Distribution: where, and in what language. President, and Reinhard Rubow, The Ophthalmologist distributes 17,934 printed copies and 7,295 and CFO, Retina Implant AG. electronic copies to a targeted 38 Inkjet Interventions European list of industry Keith Martin envisages a future in professionals. which healthy stem cells are sprayed ISSN 2051-4093 on during retinal surgery. Precision We don’t need to tell you Our range of capsulorhexis the benefi ts of single-use. forceps are among the fi nest surgical instruments in the As a surgeon, you know the world. importance of using precise, Like all our products they undamaged instruments. are single-use, guaranteeing patient safety and precision, When you work with every time. something as delicate as the human eye, brand-new makes Just some of the benefi ts perfect sense. we said we wouldn’t mention. +44 (0) 870 3000 555 ASCRS – Boston Booth 205—207 www.malosa.com ophthalmologist working.indd 4 14/01/2014 12:03 The Philanthropic Ophthalmologist Editorial Be it battling blindness one patient at a time or changing global healthcare policies, ophthalmologists demonstrate admirable altruism. phthalmologists seem to have it all – according to the Medscape Physician Lifestyle Report 2014. Out of 26 medical specialties, ophthalmologists figure among the healthiest, wealthiest and happiest, and rank highest overall in lifestyle satisfaction (see the article on page 15). OI hope that the feel-good factor extends beyond the United States, where the survey was performed, to embrace the ophthalmology community across the globe; I have a feeling that it does. One facet of lifestyle that the report did not delve deeply into is philanthropy; if it had, it is likely that ophthalmologists would have excelled in this category too. Deep within ourselves, we all have a desire to care for, nourish, develop and enhance the lives of less fortunate fellow humans. For most people, that urge is satisfied by giving money and/or time to the causes closest to their hearts. For physicians, the contribution can be much more impactful and rewarding. In the case of ophthalmologists, the impact and reward are off the charts. Nine out of 10 people who are visually impaired live in developing countries; in eight out of 10 cases, that visual impairment could be avoided or cured. This explains why so many ophthalmologists spend part of their vacation time in developing countries, removing cataracts and performing other surgical procedures in an almost production-line manner. These traveling ophthalmologists have a transformational effect upon the lives of every patient that they treat. It’s a great humanitarian gift, requiring a combination of years of postgraduate ophthalmology training and funding from organizations like Sightsavers and The Fred Hollows Foundation. Unfortunately, despite best efforts, the problem remains a massive one, with most of the people who would benefit from surgery not being treated. Another interpretation of the philanthropic ophthalmologist is provided by Gullapalli Rao. His narrative of building the LV Prasad Eye Institute in Hyderabad, India is this month’s feature, and it is stirring stuff (see page 16). Over half of the institute’s patients are treated free of charge – a proportion that rises further in the rural outreach centers. Battling blindness in developing countries is something that is being attacked from both ends. Efforts like the WHO and IAPB’s VISION2020 initiative have established infrastructure and systems for the treatment of diseases that can lead to avoidable blindness, like cataracts or ocular infections. Those running these efforts also demonstrate a great sense of kinship with their fellow man. Health, wealth and happiness are what we all want in our lives. It seems that a great number of ophthalmologists also go out of their way to share this good fortune with others. Long may it continue! Richard Gallagher Editorial Director Contributors Gullapalli Rao The LV Prasad Eye Institute, a world-renowned eye hospital in Hyderabad, India, is the brainchild of Gullapalli Rao. Rao left India in 1974 to train in the USA; despite enjoying his time there immensely, he returned home in 1986 to pursue his dream. In this issue, he recounts the origins of the hospital and describes his motivation, his hopes for the future and the potential to apply the institute’s approach in the US. See page 16. Marie-José Tassignon With four patents that have been implemented in clinical practice, Marie-José Tassignon is a keen proponent of the need for ophthalmologists to understand physiology and the physics of optics. She is Chief and Chair of the Department of Ophthalmology of the Antwerp University Hospital – an institute where she is also Medical Director. One of her patents, for a bag-in-the-lens IOL, features in her article on rethinking the surgical approach to posterior capsulorhexis, which can be found on page 29. Johan Blanckaert Johan Blanckaert is a surgeon with an appreciation of beauty.
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