MEDICAL RESEARCH FOUNDATION OLD NO.18, NEW NO.41, COLLEGE ROAD, CHENNAI 600 006

ANNUAL REPORT & ACCOUNTS 2016 - 2017

1 MEDICAL RESEARCH FOUNDATION

To 23rd August 2017 The Members of the Medical Research Foundation NOTICE

NOTICE IS HEREBY GIVEN TO THE MEMBERS OF THE MEDICAL RESEARCH FOUNDATION THAT THE 39TH ANNUAL GENERAL MEETING OF THE FOUNDATION WILL BE HELD ON FRIDAY, THE 15th SEPTEMBER 2017 AT 5.00 P.M. AT BOARD ROOM, 2ND FLOOR, KAMALNAYAN BAJAJ RESEARCH CENTRE BLOCK, NEW NO 41, OLD NO 18, COLLEGE ROAD, CHENNAI 600 006.

AGENDA 1. To consider and adopt the Audited Income and Expenditure Account for the year ended March 31, 2017 and the Balance Sheet as at that date together with the Report of the Auditors thereon. 2. To consider and adopt the Annual report of the Foundation for the year 2016-17. 3. To appoint Auditors and to fix their remuneration for the year ending 31st March 2018. 4. To elect Members to the Board of Management in the vacancies caused by the retirement of the following Members, who being eligible offer themselves for re- appointment

Sl. No Name Category of Membership 1 Mr. Ashok Kumar Mehta Donor member 2 Mr. Mani S Subramonian Patron member 3 Mr. B. S. Taraporevala Patron member

5. To elect Members to the Board of Management in the existing vacancy.

Kindly make it convenient to attend the meeting.

G. RAMACHANDRAN Honorary Secretary Encl: 1. Explanatory statement for Item 4 of the Agenda 2. Audited Accounts for the year ended March 31, 2017

2 MEDICAL RESEARCH FOUNDATION

Explanatory statement for Item 4 of the Agenda

Their term of appointment expires on 29th September 2017. As per 11(v) of the Bye-laws of the Foundation read with Section 15(5) of the Tamil Nadu Societies Registration Act 1975, they are eligible for reappointment to the Board of Management. They have offered themselves for reappointment. As per rule no 10(c) of the Memorandum of Association and Bye laws of the Foundation, the 2 directors Mr. B. S. Taraporevala and Mr. Mani S. Subramonian who represent Sir Ratan Tata Trust and M/s. Jaslok Hospital and Research Centre respectively are eligible for automatic re-election. In the absence of any specific notice to the Foundation from these two organizations notifying change of their nominees, these 2 members will get elected automatically.

G. RAMACHANDRAN Honorary Secretary

3 MEDICAL RESEARCH FOUNDATION

SANKARA NETHRALAYA

MISSION STATEMENT QUALITY OBJECTIVES

The mission of Sankara Nethralaya is to To maintain the quality of ophthalmic provide Total Eye-care solutions of highest services in accordance with international standards to all sections of community through standards. a team of competent, committed and Effective utilization of infrastructure compassionate professionals in a patient- facilities including manpower. friendly environment. To ensure continued patients' satisfaction. Sankara Nethralaya is also committed to create a CENTRE of Excellence for ophthalmic professionals for continuously updating their To ensure high level of staff satisfaction knowledge through Education, Training, and and motivation. carrying innovative India centric Research to benefit the entire ophthalmic community. In all our undertakings we will be guided by the underlying philosophy of Sankara Nethralaya.

PHILOSOPHY QUALITY POLICY

Let the word Sankara of Sankara Nethralaya We pledge to meet the patients' requirements ever remind me and my associates His Holiness' by offering expert ophthalmic care with command that there be a missionary Spirit in compassion through a committed professional the project. team. Let the word Nethralaya constantly remind me We commit to achieve quality services through and my colleagues that the place of our work is the Quality Management System while an Alaya. Work will be our Worship which we complying with all applicable regulatory shall do with sincerity, dedication and utmost requirements. Love

4 MEDICAL RESEARCH FOUNDATION

BOARD OF MANAGEMENT 2016 - 2017

President Dr. S. S. Badrinath

Honorary Secretary Mr. G. Ramachandran

Honorary Treasurer Mr. N. Ranganatha Gupta Other Members of the Board 1. Mr. Ashok Kumar Mehta Member 2. Dr. Barwale B. R. Member 3. Mr. Govind V. Member 4. Mr. Jagdish M. Chanrai Member 5. Dr. Lingam Gopal Member 6. Mrs. Mallika Srinivasan Member 7. Mr. Mani S. Subramonian Member 8. Mrs. Nina B. H. Kothari Member 9. Mr. Parekh R. C. Member 10. Ms. Prabhavathy Seethapathy Member 11. Dr. Prema Padmanabhan Member 12. Mr. Ramakrishna C. Member 13. Dr. Ramasami T. Member 14. Mr. Rajaratnam S. Member 15. Ms. Rajashree Birla Member 16. Mr. Raju Barwale Member 17. Mr. Renganath N. D. J. Member 18. Mr. N. Sugalchand Jain Member 19. Dr. Surendran T. S. Member 20. Dr. Saravanan M. Member 21. Mr. Surendra M. Mehta Member 22. Mr. Taraporevala B. S. Member 23. Dr. Usha Zehr Barwale Member 24. Mr. Vaidyanathan V. Member 25. Dr. Vasan K. S. Member

5 MEDICAL RESEARCH FOUNDATION

Managing Director : Dr. K. S. Vasan

Medical Director Administration : Dr. Girish Shiva Rao

Director Administration : Ms. Akila Ganesan

Deputy General Manager (Finance) : Ms. Susila Girisan

Auditors : M/s. S. Viswanathan, LLP Chartered Accountants, Chennai

Bankers : HDFC Bank Ltd., State Bank of India

Registered Office : Old No.18, New No.41, College Road, Chennai - 600 006. Locations of Sankara Nethralaya:

Tamil Nadu Andra Pradesh

Main Hospital Sri Srinivasa Sankara Nethralaya Old No.18, New No.41, College Road, Chennai-600006. Central Hospital, K.T. Road (Near TTD Administration Bldg.) Tirupathi 517 501. Jagadguru Kanchi Sri Chandrasekarendra Saraswathi Nethra Nilayam 21, Pycrofts Garden Road, Chennai 600 006. Sri City Sankara Nethralaya (A Unit of Medical Research Foundation, Chennai) Sri City Medical Care Center,305, Dr. V. G. Appukutty Campus, North, 2nd street, Sector3, Sri City, Varadaiahpalem Mandal, Elite School of Optometry & Chittoor Dist, AP - 517541. C.U. Shah Sankara Nethralaya No.8, GST Road, St. Thomas Mount, Chennai 600 016. West Bengal Navasuja Sankara Nethralaya No.73, VenkataKrishna Iyer Road, Aditya Birla Sankara Nethralaya Raja Annamalaipuram, Chennai 600028. No.147, Barakhola, Mukundapur, E M Bypass, (Near Santhoshpur Connector Kolkata - 700 099.

Jaslok Community Ophthalmic Centre Sankara Nethralaya RSM Square 138, Rama Building ,Greams Road, Chennai 600 006. No.10, Raja Subodh Mallik Square Kolkata - 700013 Smt. T. K. Lakshmi Ammal and Smt. T.K. Alamelu Ammal Sankara Nethralaya Kamalnayan Bajaj Sankara Nethralaya New No 39. Old no. 19, 1st Main Road, Premises No.25-3333, Plot No. D J 16, Action Area – 2, Kolkata - 700156 East Shenoy Nagar, Chennai 600 030. The Sankara Nethralaya Academy - Vanagaram No 9, Vanagaram Road, Ayanambakkam, Chennai 600 095.

6 MEDICAL RESEARCH FOUNDATION

ANNUAL REPORT FOR THE FINANCIAL YEAR 2016-17

I have great pleasure in presenting the 38th Annual Report of the Medical Research Foundation.

FINANCIAL PERFORMANCE

The financial performance of the Foundation for the year 2016-17 is summarized below:

(Rs in Lakhs)

Description 2016-17 2015-16

INCOME

Hospital Collections 18022 15974

Grants and Other Income 2752 3248

Total Income 20774 19222

EXPENDITURE 18515 15651

Surplus before Depreciation 2259 3571

Depreciation 1650 1097

Net Surplus 609 2474

The Hospital Collection this year was higher by Rs.2048 lakhs compared to 2015-2016 with an increase of 13%. After meeting all the expenses including depreciation Net Income over Expenditure was Rs.609 lakhs compared to the Net Income over Expenditure of Rs. 2474 lakhs of 2015-16.

7 MEDICAL RESEARCH FOUNDATION

CASH FLOW (Rs in Lakhs) Description 2016-17 2015-16 Source

Cash flow from operations 609 2474

Add: Depreciation 1650 1097 Donations 1318 1091 NRTT Liability 446 Increase / Decrease In Current Liabilities 383 215 Total Sources 3960 5323

Applications Investment - Capital expenditure 786 379 Investment - Project (SNC&SNK) 1498 2515 Deferred credit towards Capex 314 189 Investment - RBI Bonds 110 144 ICICI Technology loan - Repayment 500 500 NRTT Advance payments - 107 Total Applications 3208 3834

Cash Surplus/(Deficit) 752 1489

Opening Cash Balance 5058 3569 Closing Cash Balance 5810 5058 Donations Donations received during the year amounted to Rs.1318 lakhs. The corresponding figures for 2015-16 were Rs.1091 lakhs. Out of total Donations, donation received towards corpus during the year amounted to Rs.94 lakhs, towards projects A Sivasilam Block Rs.218 lakhs and other donations during the year amounted to Rs 1006 lakhs. Fixed Assets Additions amount to Rs.545 lakhs which Equipments for updating of technology and replacements, Rs.241 lakhs against Mobile Eye Surgical Unit, Jamshedpur and Rs.1498 lakhs spent towards Final capitalization against AS Block in Chennai and Rajar Hat in Kolkata Investments Corpus fund Investments in RBI Bonds and Fixed Deposits as at 31st March 2017 is Rs.3923 lakhs compared to Rs. 3815 lakhs as at 31st March 2016.

8 MEDICAL RESEARCH FOUNDATION

OPERATIONAL PERFORMANCE

DESCRIPTION NUMBERS YEAR 2016-17 2015-16

OUTPATIENT CONSULTATION 737863 679965

MAJOR OUTPATIENT PROCEDURE 106089 97336

SURGICAL PROCEDURE 59529 55100

Treatment of Poor Patients The number of free surgeries in the FY 2016-17 was 20201 against 19107 in FY 2015-16. Number of free surgeries as a percentage of total surgeries done was 34% in the FY 2016-17 and 35% in the FY 2015-16. The revenue foregone through free services and waiver / concessions amounts to Rs.3720 Lakhs. Last year the corresponding amount was Rs.3560 lakhs.

DEPARTMENT ACTIVITIES EYE BANK The Details of Corneal Transplant services during the period April 2016 – March 2017 are as follows:

1. Total Number of eyes Collected: 1115 numbers

2. Total Number of Corneal Transplant surgeries performed: 586 No's

3. Amount Received from Reliance Dhristi Project towards performance of free corneal transplant: Rs. 3,12,000 (Rs. Three Lakh and twelve Thousand only)" pending amount 1,08000. (Rs. one lakh eight thousands only)

9 MEDICAL RESEARCH FOUNDATION

MOBILE EYE SURGICAL UNIT, JHARKHAND

Patients waiting at the Mobile Eye Surgical Unit Camp conducted at Jharkhand Navajbai Ratan Tata Trust had come forward to support to build another unit of Mobile Eye Surgical Unit (MESU) for the benefit of tribal people of Jharkhand. The Trust has also extended its support to cover the recurring expenses for a period of three years. Sankara Nethralaya in collaboration with IIT, Madras has built this second unit and deployed these units in the month of August, 2016. We have also trained and deployed the medical and non- medical staff required for the setup. The unit operates from Jamshedpur. Honourable Chief Minister of Jharkhand, Shri Raghubar Das, had launched these units. The team has so far screened more than 7000 indigent patients and performed 1275 cataract surgeries. The CSR team of Tata Steel is extending support in local logistics and mobilising patients for the camp.

10 MEDICAL RESEARCH FOUNDATION

QUALITY INITIATIVES

lNABH surveillance was cleared for SN Main in May 2017 lNABH accreditation Assessment is awaited for JKCN lREH is accredited with NABH lNABH accreditation process is under active initiation at NSN, SNK - both Rajarhat & Mukundapur branches

Other Quality initiatives across the Organization lPatients Feedback are systematically analysed and sorted patients issue to a greater extent. lPatient Safety Training is provided for all staff involved in direct patient care. lPatient Shadowing introduced to experience what patient is experiencing within the facility during their treatment journey. lFacility Audits done to ensure patient safety lEnsured to conduct Code Red & Code Blue mock drills.

IT & Systems Technology at SN is now increasingly becoming the backbone for qualitative and sustainable patient care. Realizing the potential SN IT closely works with users and works on various initiatives to bring in innovation and efficiency in their operations. The enhancements to the HMS / EMR software include the following: lStrengthening the patient feedback systems through adoption of Mobile applications and developing cloud based analytics for immediate analysis of the feedback. The feedback loop is completed through a simple workflow of the feedback to the users and closure of the issue lApplication for conduct of Medication management audit of prescriptions at the Pharmacy and it follow up with users lEnhancing Billing modules through more customized templates for varying corporate customers lA workflow driven software to automate Material ordering and quote evaluation and its digitization. lEnhancement to appointment modules for preferred language calling and time of calling. Automated personalized voice reminders for patient appointments in the language of their choice and at their preferred time of calling. lSustained enhancements to EMR to improve ease of use and functional enhancements lEnhancements to various reports for improved decision support.

11 MEDICAL RESEARCH FOUNDATION

SN continues to keep a constant vigil on the IT security and has been driving changes to build secure and trusted IT infrastructure. The risk assessment of digital threats is an ongoing exercise and appropriate defence is being carried out through policy intervention and enhanced security controls and specialized tools. The implementation of Ophthalmic EMR has been well accepted across the country. Newer addition to client foot print across the country include Chandra Prabha Eye Hospital, Assam, iCare Hospitals New Delhi, Suraj Eye Hospital Nagpur and Tilganga Eye Institute Khatmandu. CME IT 2016

SN's quality consultant Shri M.S. Jayaraman lights the auspicious lamp at the inaugural of TIET-2016 (Transforming Eye Care Through Technology)

Dr. S. S. Badrinath with delegates and organizers of TIET-2016

12 MEDICAL RESEARCH FOUNDATION

CME IT 2016 was successfully conducted on 19th Nov 2016. The idea of conducting the CME on IT is driven by the vision statement of Sankara Nethralaya - Creating Center of Excellence for ophthalmic professionals for continuously updating their knowledge through Education, Training, and carrying innovative India centric Research to benefit the entire ophthalmic community A decade of use of EMR at SN has seen evolving of the best practices into industry standard practices resulting in codification of it into robust award winning software. This has lead to the industry peers and users adopting the practices of SN in their practices and clinics. The technology conference provided a practical guide and view on the day to day problems in the use of technology for day to day working of an ophthalmic hospital and also provided an insight into the advances being made in the field of technology. The conference shared the practitioner's view of the benefits and best practices in topical areas and also provide an overview about the changes happening in the technology world and how to manage adopt the change besides providing benefits and enhanced value while servicing patients and other stakeholders. The conference had speakers from World leaders on technology which included Tata Consultancy Services, Microsoft, IBM and niche vendors speaking about transformation intiatives which included Cognitive computing, Machine Learning and algorithms, and other areas in digital transformation.

FUND RAISING ACTIVITIES

Dr. K. S.Vasan, Managing Director, Sankara Nethralaya greets Hon'ble Chief Minister of West Bengal Ms Mamata Banerjee at the inaugural function of the 'Kamalnayan Bajaj Sankara Nethralaya' at Rajarhat, Kolkata

13 MEDICAL RESEARCH FOUNDATION

Ms. Mamata Banerjee, CM of West Bengal inaugurates the Kamalnayan Bajaj Sankara Nethralaya at Rajarhat, Kolkata A massive 'State of the Art' Sankara Nethralaya unit was inaugurated at 'Rajarhat' located at the north eastern periphery of Kolkata, making it Sankara Nethralaya's third operation in the 'City of Joy'. Named as Kamalnayan Bajaj Sankara Nethralaya in memory and honour of the highly principled businessman, philanthropist and visionary, the facility would function as an advanced ophthalmic research center and academic wing besides providing high quality treatment to a large number of patients. A highlight of the facility is that an entire floor and two operation theatres are dedicated exclusively for cost free patients.

14 MEDICAL RESEARCH FOUNDATION

Members of 'Marina Runnerz' donate the contributions collected at the 'Marathon for Charity' to Dr. Chetan Rao It was a wonderful demonstration of the faith and confidence that Sankara Nethralaya enjoys from diverse groups of well wishers when the 'Prestige' group the nation's No-2 builder and promoter known for its landmark buildings, the Scientific Publishing Company the well known academic publisher and 'Marina Runnerz' a group of young runners dedicated to spreading the message of good health and raising funds for noble causes through their charity runs, donated significantly to support the institution's cost free services. While the Bangalore based builder made a monetary contribution, the publishing company donated two buses to facilitate the free transport of patients and the runners for charity donated a good part of the funds raised through their 'Marathon for Charity'.

Ms. Mallika Srinivasan and members of her family at the entrance of the auditorium named in memory and honour of her late sister, at the Sri A.Sivasailam Block The 'Temple of the Eye' laid the foundation for yet another 'State of the Art' eye care facility close to its main campus in Chennai, named as the Sri A. Sivasailam block in honour of the philanthropist, visionary, pioneer and nation builder, under the auspices of His Holiness Vijayendra Saraswati Swamigal the junior pontiff of the Kanchi Mutt, in the graceful presence of Ms. Mallika Srinivasan, Chairman and CEO TAFE and daughter of the late friend and well wisher of SN being honoured.

15 MEDICAL RESEARCH FOUNDATION

THE TEMPLE OF THE EYE expresses its love, gratitude and reverence to the Suswaralakshmi on her birth centenary.

Oscar awardee AR. Rahman has a word with the audience at 'Rahman Live 2017' a musical extravaganza held at the General Assembly, United Nations Organization as part of the Dr. M. S.Subbulakshmi birth centenary celebrations.

Shri AR. Rahman shares a lighter moment with Dr. S. S. Badrinath, Dr. Vasanthi Badrinath and members of the SN OM Trust at the United Nations

16 MEDICAL RESEARCH FOUNDATION

Dr. M. S. Subbulakshmi was among Sankara Nethralaya's greatest friends, well wishers and supporters, a great friend Dr. S. S. Badrinath and his philosophy of service with love and a personal touch and his noble objective of eradicating blindness in the country especially through service to the poor and needy, she supported the institution significantly during its formative years. The singing legend gave a string of concerts across the country under the banner 'A Voice for Vision' which created a high level of awareness about the institution and empathy for its cause across the nation, the proceeds of the ticket sale were donated towards supporting the community eye care initiatives of the hospital, in a rare gesture of compassion and generosity she bequeathed the royalty on the sale proceeds of some of her best selling audio records to the nation, her voice continuing to support its cause long after she was no more. A highly grateful institution and its founder decided to express their love, gratitude and respect for one of the institution's greatest benefactors and immortal singer on her birth centenary falling in year 2016. A total of 12 musical concerts by exponents and maestros in their field of music were organized as 'Musical tributes' to the singing legend. The idea behind these concerts was to 1. Relive and revive the glory of MS Amma's immortal songs which would communicate her greatness to a new generation of rasikas and kindle their interest in Carnatic music. 2. Make music a vehicle of compassion and support to the needy, a principle that MS Amma followed all her life, by dedicating the sale proceeds of the tickets towards supporting cost free eye care to the poor and needy. Sankara Nethralaya and the Sankara Nethralaya Ophthalmic Mission Trust its fund raising arm in the USA organized 10 concerts across the USA as follows

Carnatic music virtuoso Ms. Sudha Ragunathan pays her musical tribute to the singing legend at Atlanta, USA

17 MEDICAL RESEARCH FOUNDATION lAsha Ramesh on July 10th, 2016 at San Jose California lAR Rahman at the UN General Assembly on the 15th August 2016 lSudha Ragunathan and troupe at Atlanta on 3rd September 2016 lSudha Ragunathan and troupe at Chicago on 10th September 2016 lSudha Ragunathan and troupe at Dallas on 11th September 2016 lSudha Ragunathan and troupe at Texas on 17th September 2016 lSudha Ragunathan and troupe at Maryland on 18th September 2016 lSudha Ragunathan and troupe at the United Nations on 2nd October 2016 lSusha Ragunathan and troupe at New York on the 2nd October 2016 lMaestro Manfred Honeck and Anoushka Shankar at New York on 5th November 2016

Sitar maestro Ms. Anoushka Shankar acknowledging the thunderous applause at the musical tribute, to the queen of melody, by the New York Philarmonic at the Lincoln Centre, New York

18 MEDICAL RESEARCH FOUNDATION

Well known Carnatic Vocalist Ms. Asha Ramesh paying musical tribute to Dr. M. S. Subbulakshmi at her birth centenary celebrations at San Jose, USA

Sankara Nethralaya paid its homage and thanksgiving to one of its greatest supporter and well wisher, singing legend Dr. M. S. Subbulakshmi on her birth centennial. The institution organized musical concerts by maestros in their field of music cross 8 US cities as a musical homage. These events raised enough funds to perform 3000 cost free cataract surgeries to indigent patients in India, a most befitting tribute to a noble singer who had bequeathed her divine voice to the alleviation of pain and suffering of the poor and needy. The crowning moments of the tribute were 'AR RAHMAN LIVE' a scintillating concert by Oscar awardee AR. Rahman on India's independence Day at the 'General Assembly' of the United Nations, to a packed multinational audience. The concert marked the 50th year of MS Amma's legendary concert titled 'A voice for peace' at the invite of the then secretary general Mr UThant. This was followed by a concert at the UN by Ms. Sudha Ragunathan and troupe on October 2nd being celebrated as world non-violence day. The concluding event was a western classical concert by the legendary New York philharmonic led by Maestro Manfred Honeck in accompaniment with well known sitarist Ms. Anoushka Shankar. The concerts were extremely well received not only by the Indian community in the USA but also by the local music lovers and patrons is evident by the fact that the 'Asia Society, Texas Centre' offered its hall at Houston totally cost free and its office members actively participated in organizing the event. It was a moment of great fulfilment to Sankara Nethralaya as the United Nations issued a postal stamp in commemoration of the centenary and the Governor of the State of Illinois. Mayors of the city of Houston, Pearland and Sugarland in Texas declared September 16th as 'MS Subbulakshmi Celebration Day.

19 MEDICAL RESEARCH FOUNDATION

The true fulfilment of the concert was undoubtedly the raising of sufficient funds which helped the host institution to perform 2000 cost free surgeries; nothing could have been a greater tribute and thanksgiving to a singer who had bequeathed her voice and life to the relief of the poor and suffering.

PRABHA ENDOWMENT The endeavor created by Ms. Prabha, Chief Executive Officer and Managing Director of M/s Petro Star Corporation LLC is being used for treatment of patients suffering from Ocular surface Disease.

HUMAN RESOURCES DEVELOPMENT The Employee's strength as on 31st March 2017 was 1464 (31st March 2016 - 1300) Particulars As on 31.03.2017 As on 31.03.2016 Consultants * 140 133 Executives & Optometrists 446 413 Staff 878 754 TOTAL 1464 1300 *Includes Ophthalmologists, Physicians and Anesthetists

Human Resources, with its effective organizational practices has contributed in maximizing employee performance levels and productivity in the Institution. Through its employee engagement and welfare programs, the department has constantly been motivating and enriching the employee's career progress. Sankara Nethralaya has always believed in recognizing the performance of employees through its excellent reward and recognition programs. The best Man & Woman employee of the year, the best Department and the outstanding performers in each department are chosen and rewarded at the Independence Day celebrations held every year. The recognition of the number of years of service put in SN is also given to commemorate the hard work and dedication of the employees of SN. Ms. Mahalakshmi S. and Mr. Venkatesan D. of the Nursing Department were adjudged the Woman and Man of the year 2016.

20 MEDICAL RESEARCH FOUNDATION

Shri Venkatesan receives the 'Man of the Year-2016' award from Chief Guest Dr. Mayilvahanan Natarajan at the Independence Day celebrations

Ms. Mahalakshmi recieves the 'Woman of the Year -2016' from Dr. Mayilvahanan Natarajan

21 MEDICAL RESEARCH FOUNDATION

IT Development was chosen as the Best Department for the year 2016.

Chief Information Technology Officer Shri S. Chandramouli receives the 'Best Department of the Year- 2016' award from Dr. Mayilvahanan Natarajan

Jubilant members of the IT Department with Dr. S. S. Badrinath and SN's quality management guru Shri M. S. Jayaraman

22 MEDICAL RESEARCH FOUNDATION

Employee Satisfaction Surveys were conducted to understand employee morale and job satisfaction levels across all departments of SN. Academically brilliant children of employees who have scored 80% and above were given merit awards on Republic Day to further motivate them. The 21st in-House Cricket match for Dipankar Chatterjee cup was organized in July'17 which saw huge participation from the employees.

Jubilant winners of the 'Dipankar Chatterjee Cup'

The SN family celebrated the Foundation Day, Republic Day, Sports Day & the International Women's Day with all joy and enthusiasm. Doctor's Day was also celebrated with and to mark their special day, sweets were distributed to all the doctors at SN.

23 MEDICAL RESEARCH FOUNDATION

AWARD AND RECOGNITION TO OUR PRESIDENT & CHAIRMAN EMERITUS DR. S. S. BADRINATH lVision 2020: The Right to Sight – India Visionary Award on 3.6.2017 at Raipur

Senior Consultant Dr. R. R. Sudhir accepting 'The Right to Sight – India Visionary Award' on behalf of Dr. S. S. Badrinath, from Shri Faggan Singh Kulasthe, Honourable Minister of State for Health & Family Planning

24 MEDICAL RESEARCH FOUNDATION

SANKARA NETHRALAYA'S SERVICE AT TIRUPATI THROUGH SRI SRINIVASA SANKARA NETHRALAYA

The Sri Srinivasa Sankara Nethralaya (SSSN) which was established in the year 2009 by Sri Srinivasa SankaraNethralaya Trust by TirumalaTirupati Devastanam (TTD). This center has screened more than 11,424 new patients and has performed 2,519 cataract surgeries during the financial year 2016 -17. (FY 2015 -16: 11,124 new patients and 1,659 surgeries). Mission for Vision Trust is also playing a major role in mobilizing patients for free cataract surgeries at SSSN. SankaraNethralaya is also exploring the possibilities of expanding the services offered at SSSN in the near future, with support from TTD.

ABOUT OTHER CENTRES OF SANKARA NETHRALAYA

1. Kamalnayan Bajaj Sankara Nethralaya, Kolkata, West Bengal:

This new facility at Rajarhat, Kolkata was inaugurated by Ms Mamata Banerjee, Honorable Chief Minister of West Bengal, on 27th February 2017. Since then this center has shown tremendous growth prospects. All the services under this facility are fully functional now and we hope with this expanded facility, we would be in a position to cater to the ever growing demand for our services in the eastern region. The Hospital has been named as Kamalnayan Bajaj Sankara Nethralaya in honor and memory of the Gandhian Industrialist, whose family made a huge grant towards its creation.

2. Aditya Birla Sankara Nethralaya, Kolkata, West Bengal:

Aditya Birla SankaraNethralaya has grown further in its stature by catering to more number of patients through its base hospital and as well through its community outreach programs. And this year happened to be a record year for the team at ABSN, due to their untiring efforts. This center has screened more than 90,000 new patients and has performed 11,663 surgeries during the financial year 2016 -17. (FY 2015 -16: 78,209 new patients and 10,352 surgeries). With regard to community surgeries, the center has performed 3,572 free surgeries for FY 2016 -17 against 3,331surgeries during FY 2015-16.

3. SankaraNethralaya, Sricity, Tada, Andhra Pradesh:

Our center at Sri City, catering to the needs of industrial workers and also the needs of the villagers living around this upcoming industrial town, has rendered services to more than 5,600 patients and has performed 197 cataract surgeries during the financial year 2016-17.

25 MEDICAL RESEARCH FOUNDATION

CSR supporters in FY 2016 -17 lThe funding support received towards education, during previous year, from Glaxo Smith Kline Pharmaceuticals Ltd., Mumbai, will be used for the same set of students in this year also. lBesides, we also received CSR funding support to our community services from the following Corporates:

1. L&T Technology Services Pvt. Ltd., Chennai

2. L&T Limited, Mumbai

3. BorgWarner Morse Systems India Pvt. Ltd., Chennai

4. Ibis Hotels, Chennai

5. Synergy Maritime Pvt. Ltd., Chennai

6. St. Gobain Glass India Ltd., Chennai

7. J G Hosiery Private Limited, Kolkata

8. Amrutanjan Health Care Limited, Chennai

9. Infogain India Private Limited, Mumbai

10. Computer Age Management Services, Chennai

11. Sundaram BNP Paribas Home Finance Limited, Chennai

12. Tata Consultancy Services, Mumbai

13. The Clearing Corporation of India Ltd., Mumbai

14. Royal Sundaram General Insurance Co., Ltd., Chennai

15. The Peerless General Finance & Investment Company Limited, Kolkata

26 MEDICAL RESEARCH FOUNDATION

CONCLUSION

The Foundation has recorded yet another satisfying performance with the net surplus increasing by 12% and the total income by 8% compared to last year. The hospital at Rajarhat was inaugurated on 27the February 2017 and has come into regular operation. The progress on the Thane project is slow due to various reasons and we are awaiting allotment of further piece of land for the full development of the facility. The IIT, Madras and SankaraNethralaya co-product of Mobile Eye Surgery unit (MESU) is in operation for the last 4 years in Tamilnadu. This year with the donation and initiative of Navajbai Ratan Tata Trust one more MESU unit came about in Jharkand and completed successfully several camps in the tribal areas.

The year also witnessed the birth centennial celebrations of music legend Smt. M. S. Subbulakshmi celebrated by Sankara Nethralaya across 8 Cities in United States with Music concerts by Smt. Sudha Raghunathan. To commemorate the Independence Day and also the concert of Smt. M. S. Subbulakshmi at the U N General Assembly, Maestro Mr. A. R. Rahman conducted a music concert at the same General Assembly venue for a selected international invitees and diplomats. The music concerts and programme of Mr. A. R. Rahman were well attended and were a tremendous success and should pave a way for further improving the efforts of Sankara Nethralaya for vision care.

Sankara Nethralaya is continuously reinforcing its position as a premier institution in quality eye care. As emphasized by the Founder Visionary, Dr. S. S. Badrinath, Nethralaya is growing on all the 4 focus areas of Ophthamalic Care, Free Treatment to poor patients and Teaching, Training and Fundamental Research. VRF also has performed creditably during the year with more publications to their credit in premier journals and getting into lot of collaborative joint research programmes with premier organisations in India and abroad.

The SN Academy will play a significant role in the coming years and will turn out significant number of qualified personnel in the cause of Eye Care Delivery System in addition to being a revenue earner for Sankara Nethralaya.

Threats & Concerns

Consistent efforts of the various consultants have improved the overall performance amicably. Utilisations of our State of the art facilities have improved. The revised compensation structure for staff and consultants were agreed upon and implemented. Sankara Nethralaya standards of eye care have been accredited with NABH certification and international recognition. However the increased presence of other eye care institutions though is a good for the society, may pose a threat and reduce the utilization levels of the hospital facility.

27 MEDICAL RESEARCH FOUNDATION

New Projects

Thane Municipal Corporation has already allotted 2 acres of land for building state of art Eye Care hospital. As per the design developed, we require additional land about 0.75 acres, allotment of which is under progress. The MOU for the land which has been entered will be suitably modified to include the additional land. The lease of army land in St.Thomas mount has been extended by another 33 years. The plan approval for construction of the community hospital there,has also been obtained and the work will commence soon.

Human Relations

The Founder, Dr S S Badrinath and Dr Vasanthi Badrinath are the real force behind this great institution, continuously guiding and monitoring the progress of the institution in every sphere. Their concerted actions in the continuous development of Consultants and their professional management style with succession plans have started yielding results. The Vice Chairman, Dr T S Surendran, Medical Directors / Senior Consultants DrPrema Padmanabhan, DrTarun Sharma, Dr Pramod Bhende and Dr L Vijaya, Dr J Biswas all share a common vision as that of the Founder, Dr S S Badrinath, which helps to continue the successful functioning of the Organisation.

Quality administrative support is provided by Dr K S Vasan, the M.D., ably assisted by Ms. Akila Ganesan, Director Administration and Ms Susila Girisan, DGM – Finance, Mr V Vaidyanathan, Board Member continues to render his expert guidance to ensure the smooth functioning of the Organisation. Dr Girish Siva Rao has joined as Medical Director - Administration and has been elected as the Vice President of MRF. He is an alumini of Sankara Nethralaya and earlier was Director at Ganpathi Nethralaya in Jalna till recently.

Our entire para medical and administrative staffs are an important link between the patients and the institution. They ensure the smooth functioning of the Organization. Regular training classes are being held to some of these groups.

I record with gratitude the support of the dedicated Board of Management who despite their other priorities have always come forward to advise the Institution whenever needed even at very short notices.

Our auditors, since the beginning of this institution, M/s S. Viswanathan & co. are carrying out their assignment as a service to a non-for-profit organization for a token compensation. I record with appreciation the personal involvement of the partners Mr. C. N. Ramachandran and Mr. Chella Srinivasan. The internal auditors Mr. S. A. Bhatt are also very dedicated in their service to us. I thank them for their personal involvement in our case.

28 MEDICAL RESEARCH FOUNDATION

SWAN, the women auxiliary wing of our organization is continuing their good service to Sankara Nethralaya. Their contributions to the welfare of indigent patients treated at Nethralaya are praise worthy. I salute these dedicated ladies guided by Ms. Surekha Ben, Mrs. Appukutty, Mrs. Haridas and many more.

Our bankers, HDFC and SBI, are very considerate in taking up our requests and delivering their service very promptly to us. I thank them for their support.

Lions club collaborate with us in a continuous manner on various sight-related projects. Lions International recognizes our dedicated service to the poor in a very satisfactory manner. Lion M. V. Raghunathan himself a very great donor , Lion G. V. Raman a great motivator, the ever present Lion S. N. Hari Narayanan are all part of us.

I thank them on behalf of our entire organization for their help in taking care of our indigent patients. Mission for Vision Trust, Tulsi Trust, Shridi Sai Trust, Singhvi Trust are all committing funds continuously, supporting the free services rendered by us.

G. Ramachandran

Hony. Secretary

29 MEDICAL RESEARCH FOUNDATION

ACADEMICS Number of people trained by Sankara Nethralaya in Ophthalmology so far are: A total of 1979 Ophthalmologists trained in vision subspecialties after completion of their Post Graduation

DO : 97

DNB : 187

B.S. Optometry : 610

M Phil Optometry : 112

MSMLT (BITS, PILANI) : 96

Ph.D Optometry : 8

*Ph.D (Ophthalmology) : 3

** Ph.D(Microbiology, Biochemistry : 44 Genetics, Pathology) FRCS Edinburgh : 47

(*Ph.D from BITS University –1(Glaucoma) & The Tamilnadu Dr. M.G.R. Medical University –2(Ophthalmology) (** Ph.D from BITS University – 34, The Tamilnadu Dr.M.G.R. Medical University – 3 SASTRA University, Thanjavur - 4 & Deakin University, Australia – 3)

Other Programs in Academics Total No of Students completed their Program Ophthalmology Fellowship Programme : 39

Cataract Fellowship : 38

DO : 2

DNB : 8

B. S. Optometry : 29

M.Phil Optometry : 6 Ph.D (July 2016 – June 2017) : 4

Paediatric fellows : 2

External Internship : 4

30 MEDICAL RESEARCH FOUNDATION

THE SANKARA NETHRALAYA ACADEMY As an academic wing of Sankara Nethralaya, TSNA offers quality healthcare education at an affordable cost, to the general public. Several programs in various disciplines are offered in collaboration with a few reputed universities. Our pedagogy includes hands on training for skill development and also imparting value education.

Inaugural session of the seminar conducted on “Emerging Trends in Laboratory Diagnostics”

REGULAR COURSES lM Optom, MSc (Medical Laboratory Technology), MHA - TN Dr. MGR Medical University lMBA (Hospital & Healthcare Management) - Hindustan University lBSc (Medical Laboratory Technology) - TN Dr. MGR Medical University lBSc (Ophthalmic Dispensing & Vision Science) - Periyar University lBBA (Hospital & Healthcare Management) - Hindustan University

31 MEDICAL RESEARCH FOUNDATION

FELLOWSHIP COURSES lFellowship in British Dispensing Opticians lAssociation of British Dispensing Opticians, UK lWork Integrated Fellowship in Clinical Optometry lFellowship in Clinical Optometry /Low Vision /Contact Lens /Binocular Vision /Vision Therapy/Neuro Optometry

OTHER COURSES lContinuing Optometry Education lContinuing Medical Education lPost Graduate Program in Hospital Management lPost Graduate Program in Optical Retail Management lCertificate Course in Hospital Infection Control lCertificate Course in Hospital Management lCertificate Course in Hospital Finance Management lCertificate Course in Hospital Quality Management

PERFORMANCE HIGHLIGHTS lThere is a steady increase in student intake for all courses l100% pass as well as placements in BSc (MLT) of 2013-16 and also in MBA (HHCM) of 2014-16 lIntroduced a special kind of program called Work Integrated Fellowship in Clinical Optometry lAwarded scholarships for deserving poor students partially supported by CSR initiatives of few corporate like GSK lOrganized seminars and conferences /workshops on trending topics in Optometry, Laboratory & Management disciplines lOrganized free eye screening camps involving student volunteers for the benefit of school children and public around TSNA campus lOrganized skill development programs in Optical Retailing supported by Titan Eye Plus lOur students excelled with exemplary performance in few events organized by other institutions lOrganized Faculty Development Programs for internal faculty on teaching methodology lReached final stage in obtaining Government Order (NOC) as required by TN Dr. MGR Medical University lTSNA faculty attended as resource persons, in various events, organized by other institutions

32 MEDICAL RESEARCH FOUNDATION VIDYASAGAR INSTITUTE OF BIOMEDICAL TECHNOLOGY & SCIENCE (VIBS) VIBS was established on 25th October 2006 to promote research including fundamental research and foster biomedical technology and science in Basic Medical Sciences. EDUCATIONAL ACTIVITY OF VIBS I Ph.D. PROGRAMME: 1.NUMBER OF Ph. D. AWARDEES: - (July 2016 – June 2017) = 4 (BITS PILANI-3, Tamilnadu Dr.MGR Medical University, Chennai -1) a. Number of candidates obtained Ph.D from BITS, PILANI = 3 S.No. Candidates Name Title Supervisor External Date of Examiner Viva-Voce Examination

1. Ms. Shabna A. “In vitro evaluation of Dr. H. N. Madhavan Dr.Rajesh 18th (ID No:2010PHXF443P) the scope of an (Senior Professor & Kannagi from July (L & T Microbiology indigenously produced Director of L & T CMC Vellore. 2016 Research Centre) Poly hydroxy Microbiology alkanoate based co- Research Centre) polymer developed from Pseudomonas MNNG-S in cell culture and virology"

2. Ms. S. Vidhya “Understanding the Dr.K.N.Sulochana Dr. Dibi Sarkar, 25th (ID No: Role of Adiponectin in (Supervisor, Dr.Suman Kapur, July 2010PHXF039P) Proliferative Diabetic R.S.Mehta Jain Dr Vidya Rajesh 2016 (R.S.Mehta Jain Retinopathy; Design Department of from BITS, and Development of Biochemistry & Cell Hyderabad Department of Therapeutic Biochemistry & Cell Molecules” Biology) campus. Biology)

Ms S.Srilekha “Genetic Analysis of Dr. N. Soumittra Dr. Chitra 23rd (ID No: Consanguineous South Associate Professor, Kannabiran, March Indian Families with 2017 3. 2011PHXF427P) (SN ONGC Scientist, from (SN ONGC Department Leber Congenital Department of L.V.Prasad Eye Amaurosis and Genetics & Institute, of Genetics & Retinitis Pigmentosa Molecular Biology) using Homozygosity Molecular biology) Hyderabad. Mapping” b. Number of Candidates obtained Ph.D from TN Dr.MGR Medical University,Chennai =1

4. Mr. M. Arun “Design and Dr.K.N.Sulochana Prof P.Goutham 21st (ID No: EXII (1) development of (Supervisor, of Anna July 28210/2011) modulators for lysyl R.S.Mehta Jain University, Prof 2016 (R.S.Mehta Jain oxidase to regulate Department of Eswaran from ocular angiogenesis” Department of Biochemistry & Cell New Delhi Biochemistry & Cell Biology) Biology)

33 MEDICAL RESEARCH FOUNDATION

II) 1. NO. OF CANDIDATES SUBMITTED Ph.D FINAL THESIS & AWAITING FINAL VIVA: ( N=5) (SASTRA University, Thanjavur - 3, Tamilnadu Dr.MGR Medical University, Chennai -1, Deakin University, Australia -1 )

S.No. Candidates Name Title Supervisor Date of Final 23 submission of Ph.D. Final thesis (I) SASTRA UNIVERSITY, THANJAVUR : (N =4)

Mr. Madhu Beta "Biology of Occular Dr. S. Krishna Kumar, 5th 1. (ID.No. PH 509) tumors and Biomakers (Professor & HOD, L & T May (Stem cell for Retinoblastoma” Ocular Pathology department 2016 Laboratory) & Incharge of Nano Biotechnology & Stem cell biology departments)

2. Mr. S. Sivasankar “Anti EMT activity of extracts Dr. N. Angayarkanni, 5th (ID No. PH 525) of Triphala and its active Professor & Head, May (R.S.Mehta Jain constituents Chebulagic acid, (R.S.Mehta Jain Department 2017 Department of chebulinic acid and gallic acid of Biochemistry & Cell in Retinal pigment epithelium Biochemistry & Cell and anti-angiogenic activity in Biology) Biology) retinal capillary endothelium: an invitro study”

3. Mr. Ravikanth Danda “Identification of Novel Dr. S. Krishna Kumar, 5th (ID No: PH 510) therapeutic target molecules (Professor & HOD, L & T May (Stem cell in Retinoblastoma” Ocular Pathology department 2017 Laboratory) & Incharge of Nano Biotechnology & Stem cell biology departments) (II) TAMILNADU Dr. MGR MEDICAL UNIVERSITY : (N =1)

4. Mr. R. Saravanan “Identification, molecular Dr.K.N.Sulochana, Professor, 17th (ID No: EXII (1) cloning and characterization (R.S.Mehta Jain Department April 28209/2011) of differentially expressed of Biochemistry & Cell 2017 (R.S.Mehta Jain proteins in the serum of Biology) Department of patients with Eales' disease” Biochemistry & Cell Biology) (III) DEAKIN UNIVERSITY, AUSTRALIA : ( N = 1)

5. Mr.Prasanna Kumar 'Tumor-specific Professor Jagat Kanwar, 15th (ID No: 213510168) Oligonucleotide-toxin Deakin University, Australia May (Department of Nano chimeras for targeted gene (Supervisor) & 2017 Biotechnology) therapy” Dr.J.Narayanan, Senior Scientist, Department of Nano Biotechnology (Co-Supervisor)

34 MEDICAL RESEARCH FOUNDATION

1.PRE-SUBMISSION Ph.D THESIS / SYNOPSIS SUBMITTED : (N= 2) ( 2 - SASTRA University, Thanjavur) SASTRA UNIVERSITY, THANJAVUR: 2

S.No. Candidates Name Title Supervisor Date of Draft 23 Thesis submission

Mr. N. Murugan "NGS based Study on Genome, Dr.J.Malathi 11th 1. (ID No: PH 625) Drug resistance, Virulence Associate Professor (L & T February (L & T Microbiology Mechanism of Multi Drug Microbiology Research 2017 Research Centre) Resistant Pseudomonas Centre) aeruginosa and its molecular diagnosis to In silico drug discovery” 2. Ms. D. Sudha, “Genetics and molecular Dr.A.J.Pandian, 11th (ID No: PH 589) characterization of X-linked Professor February (SN ONGC Department retinoschisis (XLRS)” (SN ONGC Department of 2017 of Genetics and Genetics and Molecular Molecular Biology) Biology)

III.Total No. of Candidates undergoing Ph.D programme under 5 different Universities (4 Indian + 1 International (Deakin University, Australia):(N = 21)

S.No BASIC MEDICAL BITS, SASTRA The Tamilnadu ANNA DEAKIN SCIENCES Pilani University, Dr.M.G.R.Medical University University DEPARTMENTS,VRF, (1) Thanjavur University,Chennai Chennai Australia KNBIRVO BLOCK (N=21) (15) ( 1 ) (3) ( 1 ) 1. L & T. Ocular - 3 - 1 - Pathology Dept (N=4) 2. Nano Biotechnology - 1 - 1 1 Department (N=3) 3. SN ONGC Department 1 1 - - - of Genetics & Molecular Biology (N=2) 4. Core Laboratory (N=1) - - - 1 - 5. R.S. Mehta Jain - 7 1 - - Department of Biochemistry and Cell Biology (N=8) 6. Centre for - 3 - - - Bioinformatics (N=3)

35 MEDICAL RESEARCH FOUNDATION

IV. MASTER OF SCIENCE (MS BY RESEARCH) PROGRAMME 1. NUMBER OF MASTER PROGRAMME IN RESEARCH AWARDEES (MS in Research) : - (July 2016 – June 2017) ANNA UNIVERSITY, CHENNAI ( N=1)

S.No Candidate Name Title Supervisor Joint Date of Final Supervisor Viva-voce examination

1. Ms. Sivapriya S Study of Dr.S.Ashok kumar, Dr. J.Narayanan 26th (ID No: 1323528702 identification of Assistant Senior Scientist, December (L & T Ocular biomarkers for Age Professor, Centre Dept., of Nano 2016 related macular Pathology for Biotechnology, Biotechnology, degeneration. Department) Anna University, Vision Research Chennai Foundation.

2. NUMBER OF CANDIDATES PURSUING MS PROGRAMME IN RESEARCH:(N=2) ANNA UNIVESITY, CHENNAI : (N = 2)

S.No Candidate Name Title Supervisor Joint Registration Supervisor Month & Year

1. Mr. Ranjith kumar R “3D cancer tissue Dr.Tamilselvan, Dr.Sailaja V. January (ID No: growth on Asst.Professor, Elchuri, Associate 2017 17145281102) graphene sponges Centre for Professor, Dept.,of for cancer drug Biotechnology, Nanobiotechnology therapy” Anna University, Chennai

2. Mr. Hemanth R. ”Circulating Dr. Devasena T, (Applied& awaiting January (ID No: exosomal miRNA Associate communication) 2017 17145281106) in serum as Professor, Centre Dr.S.Krishnakumar, biomarkers for for Nanoscience & HOD of L & T Retinoblastoma” TechnologyAnna Ocular pathology, University, Nano-biotechnology Chennai Depts.,

36 MEDICAL RESEARCH FOUNDATION

V. OTHER EDUCATIONAL ACTIVITIES CONDUCTED AT VIBS : Short term Research Projects for PG students in Biological sciences : 20 students underwent VIBS – Short term projects from “December 2016- April 2017” in the 5 Basic Medical Sciences departments, as part of their academic programme from 5 Engineering Colleges & 3 Arts &Science Colleges.

S.No. Basic Medical Sciences Department No. of students (20) 1. L & T Microbiology Research Centre 4 2. R.S. Mehta Jain Department of Biochemistry & Cell Biology 8 3. Centre for Bioinformatics 4 4. SN ONGC Department of Genetics & Molecular biology 1 5. Department of L & T Ocular Pathology 1 6. Department of Nano Biotechnology 1 7. Department of Core Laboratory 1

VI. One month Hands-on Summer Training Programme in Biomedical laboratory sciences for Postgraduate Science students of Arts & Science Colleges:

Students who have completed the Hands on Summer Training program with their faculty

37 MEDICAL RESEARCH FOUNDATION

23 Post graduate students from 6 Arts and Engineering Colleges & 1 Research Institution underwent Hands on Summer Training programme from “8th May to 26th May 2017” in the following 3 Basic Medical Sciences departments.

S.No. Basic Medical Sciences Department No. of students (23) 1. L & T Microbiology Research Centre 11 2. R. S. Mehta Jain Department of Biochemistry & Cell Biology 06 3. SN ONGC Department of Genetics & Molecular biology 06

VII. Specific Training programmes on specialized/advanced Techniques such as PCR/PCR RFLP, RT- PCR, ELISA, HPLC etc. In the year 2016 – 2017, 26 students underwent Special Training programme in the Basic Medical Sciences departments from 12 Arts & Sciences & Engineering Colleges.

S.No. Basic Medical Sciences Department No. of students (26) 1. Nano Biotechnology (3) & L &T Ocular Pathology Department (4) 07 2. SN ONGC Department of Genetics & Molecular biology 11 3. R. S. Mehta Jain Department of Biochemistry &Cell Biology 02 4. Centre for Bioinformatics 01 5. L & T Microbiology Research Centre (4) & SN Referral Laboratory (1) 05

38 MEDICAL RESEARCH FOUNDATION Independent Auditor's Report

To the Members of MEDICAL RESEARCH FOUNDATION for the year ended 31st March 2017. Medical Research Foundation Report on the Financial Statements We have audited the accompanying financial Statements of MEDICAL RESEARCH FOUNDATION which comprises the Balance Sheet as at 31 March, 2017, and the Income and Expenditure account for the year then ended, and a summary of significant accounting policies and other explanatory information. Management's Responsibility for the Financial Statements Management is responsible for the preparation and presentation of these financial statements that give a true and fair view of the financial position, financial performance of the foundation in accordance with the Accounting Standards. This responsibility includes maintenance of adequate accounting records in accordance with the provisions of the Act for safeguarding the assets of the foundation and for preventing and detecting frauds and other irregularities; selection and application of appropriate accounting policies; making judgments and estimates that are reasonable and prudent; and design, implementation and maintenance of adequate internal financial controls, that were operating effectively for ensuring the accuracy and completeness of the accounting records, relevant to the preparation and presentation of the financial statements that give a true and fair view and are free from material misstatement, whether due to fraud or error. Auditor's Responsibility Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with the Standards on Auditing issued by the Institute of Chartered Accountants of India (ICAI) .Those Standards require that we comply with ethical requirements and plan and perform the audit to obtain reasonable assurance about whether the financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and the disclosures in the financial statements. The procedures selected depend on the auditor's judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the foundation's preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances but not for the purpose of expressing an opinion on whether the foundation has in place an adequate internal controls system over financial reporting and operating effectiveness of such controls. An audit also includes evaluating the appropriateness of the accounting policies used and the reasonableness of the accounting estimates made by the management, as well as evaluating the overall presentation of the financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. Opinion In our opinion and to the best of our information and according to the explanations given to us, the financial statements give the information required by the Act in the manner so required and give a true and fair view in conformity with the accounting principles generally accepted in India. a) In the case of the Balance Sheet, of the state of affairs of the Foundation as at March 31, 2017 b) In the case of Income and expenditure account, of the Excess of Income over expenditure for the year ended on that date; For M/s. S.VISWANATHAN, LLP Chartered Accountants Regn No.: 004770S / S200025 Chella K. Srinivasan Place : Chennai Partner Date : 22.08.2017 Membership No.:023305

39 MEDICAL RESEARCH FOUNDATION

BALANCE SHEET AS AT 31st MARCH 2017

PARTICULARS SCHEDULE AS AT 31.03.17 AS AT 31.03.16

Rs. Rs. Rs. Rs. LIABILITIES CORPUS FUND DONATION u/s 35AC As per Last B/S 263476563 249853312 Add: Donations received during the year- Corpus 9430000 13623251

272906563 263476563

SIR RATAN TATA TRUST CORPUS FUND SRTT CORPUS FUND 62765816 62765816 MRF CORPUS FUND 52031507 114797323 52031507 114797323

GENERAL FUND I 1942100056 1758800653 EARMARKED FUNDS II 70748703 112383250 NON CURRENT LIABILITIES ICICI TermLoan (TI-Project) 250000000 300000000 Gratuity Liability 76864757 53528359 Leave Encashment Liability 54672099 381536856 38926569 392454928

Current Liabilities & Provisions III 177636181 223191287

TOTAL LIABILITIES 2959725682 2865104003

ASSETS FIXED ASSETS IV Gross Block As on 31.03.2016 3260191148 2332671602 Depreciation 1500872968 1335891613 Net Block 1759318180 996779988 Fixed Assets not put in use 233165885 Capital Work in Progress 1229669 466935360 Net Fixed Assets as on 31.03.2016 1760547849 1696881233

Investments V 392375944 381419852

Current Assets VI 806801890 786802919 TOTAL ASSETS 2959725682 2865104003

We declare that the particulars furnished above are true and correct to the best of our knowledge and belief.

RANGANATHA GUPTA N. Examined and found correct as per the books maintained RAMACHANDRAN G. Hony. Treasurer by Medical Research Foundation (Regd.) Chennai. Hony. Secretary M/S. S. VISWANATHAN, LLP DR. S. S. BADRINATH Chartered Accountants DR. VASAN K. S. President 17, Bishop Wallers Avenue (west) C I T Colony, Mylapore, Chennai 4 Managing Director DATED : 22.08.2017

40 MEDICAL RESEARCH FOUNDATION

INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31.03.2017

P AR TICULARS 31.03.2017 31.03.2016 Rs. Rs. INCOME SCHEDULE

Hospital Collections 1802181189 1597421575 Donations for meeting Running Cost 113958377 159007081 Grants 57884276 12001594 Interest 44556270 55679875 Other Income 58877011 98063891

TOTAL 2077457123 1922174016

EXPENDITURE

Salaries, Wages & Employee Benefits VII 724585453 641940168 Hospital Expenses VIII 909835898 753257441 Administration Expenses IX 214247937 166489102 Interest X 2875343 3384247

TOTAL 1851544631 1565070958

Surplus before Depreciation 225912492 357103058

DEPRECIATION 164981354 109664850

INCOME OVER EXPENDITURE 60931138 247438208

We declare that the particulars furnished above are true and correct to the best of our knowledge and belief.

RANGANATHA GUPTA N. RAMACHANDRAN G. Hony. Treasurer Hony. Secretary

DR. S. S. BADRINATH DR. VASAN K. S. President Managing Director

Examined and found correct as per the books maintained by Medical Research Foundation (Regd.) Chennai.

M/S. S. VISWANATHAN LLP Chartered Accountants 17, Bishop Wallers Avenue (west) C I T Colony, Mylapore, Chennai 4 DATED:22.08.2017

41 MEDICAL RESEARCH FOUNDATION

SCHEDULES TO BALANCE SHEET AS AT 31st MARCH 2017

PARTICULARS AS AT 31.03.2017 AS AT 31.03.2016

Rs. Rs. Rs. Rs. SCHEDULE 1

GENERAL FUND As per Last B/S 1758800653 1412393137 Add: Donations received during the year 122368265 98969307 Add: Excess of Income Over Expenditure 60931138 247438208 Total General Fund 1942100056 1758800653 SCHEDULE II

EARMARKED FUNDS Sir Ratan Tata - Phase III 30962 30657 SN Mahema Devadoss Endowment Fund 1266373 1266373 Sri Ramdoss Bhavani Nethralaya Endowment 100000 100000 Dhingra Family Trust - Fund 1000000 1000000 Trent Ltd 1500000 1500000 Titan Industries Ltd 1477959 GlaxoSmithkline Pharmaceuticals Limited 1327500 2324000 Orbis Project 186439 Grant Advance - H T Parekh Foundation 1980096 10000000 Navajbai Ratan Tata Trust 13357333 44684261 Infosys Foundation 50000000 50000000 Total Earmarked Funds 70748703 112383250

SCHEDULE III

CURRENT LIABILITIES & PROVISIONS Sundry Creditors - Suppliers 124695378 115886237 Sundry Creditors - Bills payable 5754453 11846878 Sundry Creditors - (Deferred Payment) 10113583 41412935 Salary Payable 1551206 9118399 Security Deposit - Contractors 2224359 9091923 Security Deposit - Others 20000000 20000000 Contingency Fund 1909075 1817165 Provision for VAT Liability 10540187 10540187 Others 847940 3477563 Total Current Liabilities & Provisions 177636181 223191287

42 MEDICAL RESEARCH FOUNDATION

SCHEDULES TO BALANCE SHEET AS AT 31st MARCH 2017

PARTICULARS AS AT 31.03.2017 AS AT 31.03.2016

Rs. Rs. Rs. Rs. SCHEDULE V

Investments SRTT Corpus 55000000 55000000 SRTT Corpus - Interest 8513816 63513816 7765816 62765816

MRF Corpus 45000000 45000000 MRF Corpus - Interest 7625188 52625188 7031507 52031507

Corpus Fund-PS Foundation 5000000 5000000

SN Mahema Devadoss Endowment Fund 5060000 5060000

Other Corpus Investments 266176940 256562529

Total Investments 392375944 381419852

SCHEDULE VI

CURRENT ASSETS Cash & Bank Balances Cash in Hand 6012926 3797927 Bank Balances - in Savings Account 38342416 30943372 - in Fixed Deposits 536677223 581032565 471104291 505845590

Loans & Advances 51063697 96118368 Deposits 14526946 12461543 Inventories 14268063 23055604 Sundry Debtors 60200459 52868301 TDS Receivable 51402363 31276651 Interest Receivable 13688770 45322279 Prepaid Expenses 20619027 19854583 Total Current Assets 806801890 786802919

43 Rs. 88885 37250 342662 1229669 4174643 6627688 as at 36348313 47574059 42882374 21324904 260040549 744314064 454725696 140837093 31.03.17 1759318180 1760547849 Rs. BLOCK Schedule - IV TION 98761 53214 NET 342662 as at 4029543 5460425 22492493 22151495 10733965 29799172 31.03.16 996779988 260040549 268000683 233165885 264518930 109058097 466935360 1696881233 - - Rs. 342615 247554 as at 1121011 69304089 14477961 57278562 36891509 20650308 31.03.17 255228895 778171883 117813057 149345524 1500872968 0 0 9876 15964 otal 692568 T 6414408 5670584 5183178 1656922 30598293 10718442 2016-17 89221569 14799550 164981354 164981354 TION 540 THE 3918 3378 Deletion FOR YEAR 2016-17 Rs. DEPRECIA 9876 THE 15964 692568 RESEARCH FOUNDA 6414408 5670044 5183178 1656922 FOR 89218191 30598293 14799550 10718442 Depreciation 164977436 YEAR 2016-17 - - Rs. ill T 342615 237678 1105047 62889681 31708331 31.03.16 13785393 51607978 18993386 134545974 224630602 688950314 107094615 1335891614 Rs. MEDICAL 336439 685277 as at 1158261 58216413 27277995 18652604 31.03.17 105652402 260040549 999542959 165387116 290182617 100160936 1232897580 3260191148 2332671602 - - Rs. 23166 17880 160518 210103 167009 1125289 6503636 1002875 6645483 1476714 1732547 19045494 19065220 Deletions 595616593 233165885 ASSETS Rs. 6215 13511 19726 590906 Deletions ear 2016-17 During the Y rogress Rs.595616593/- capitalised during the year 2016-17 595616593 233165885 FIXED - - Rs. 23166 17880 as at 167009 160518 203888 1002875 6645483 1463203 1732547 1125289 6503636 ork in P Deletions 31.03.2016 19045494 18454587 0 0 0 - Rs. 837668 2824185 2016-17 28493329 46578546 26407678 15774117 93844574 20270228 Additions 129910902 510393427 275960094 927539272 GROSS BLOCK Rs. 500188 9400579 1184387 21505326 31188135 15282288 43875446 2nd Half 325893002 195712617 569478387 ADDITIONS Rs. 337480 2824185 4902352 1st Half 14589730 31296258 49969128 98722767 20270228 80247477 19092750 ADDITIONS 358060885 184500425 Rs. aluation 685277 359605 as at 1176141 87114721 73963361 17975454 48945932 24453810 01.04.16 261043424 495795015 958414200 137060796 244729360 466935360 233165885 2257872521 Cost V 2351717095 rogress" % 5% 20% 15% 20% 15% 15% 10% 10% 20% 30% 20% ork in P IN USE TIONS TY Y PUT Assets not put is use Rs.151349152/- capitalised & W ALLA MARCH, 2017 INST ear Y BOOKS WORK-IN-PROGRESS including Capital W Y ARE & MACHINER ASSETS NOT - 31ST AL AL EQUIPMENTS AL OT Note: Fixed OT revious DESCRIPTION LAND LEASEHOLD PROPER BUILDING EQUIPMENTS & INSTRUMENTS PLANT EDP OFFICE EQUIPMENTS FURNITURE & FIXTURES ELECTRICAL LIBRAR VEHICLE MESS / CANTEEN EQUIPMENTS SOFTW T P CAPIT FIXED "T

44 MEDICAL RESEARCH FOUNDATION

SCHEDULES TO INCOME AND EXPENDITURE ACCOUNT

PARTICULARS 31.03.2017 31.03.2016

Rs. Rs. SCHEDULE - VII

SALARIES, WAGES & EMPLOYEE BENEFITS Salaries & Wages 486787257 447527467 Contribution to Provident Fund 21503023 18395252 Staff Welfare Expenses 93453338 77515408 Contribution to Superannuation Fund 9813205 8208457 Professional Fees 113028630 90293584 724585453 641940168

SCHEDULE - VIII

HOSPITAL EXPENSES Drugs & Consumables 576875829 472501207 Power, Fuel & Water 69484428 74154884 Repairs & Maintenance 167596156 118214859 Insurance 3173254 2820991 Lab Expenses 25606466 24240359 Rent, Rates & Taxes 67099765 61325141 909835898 753257441

SCHEDULE - IX

ADMINISTRATION EXPENSES Information Techonology Expenses 19796741 18057369 Academic Expenses 47841022 38760864 Communication Expenses 6235727 5785213 Printing & Stationery 11630844 10077322 Vehicle Expenses 11355901 8546206 Security Services 23685347 18709762 Camp Expenses 5572798 5818523 Travelling and Conveyance 5259443 4414480 Books & Perodicals 2566830 2836107 Publicity Expenses 4786561 3059481 Conference 29233926 33178477 Loss On Sale Of Assets 500 32399 Subscription/Membership 1334010 619286 Function Expenses 30648803 5455624 Legal & Audit Fees 877068 789592 Bank Charges 7748955 5548194 Management Consultancy Expenses 1526081 1868585 Miscellaneous Expenses 4147380 2931618 214247937 166489102

SCHEDULE - X INTEREST Interest on ICICI Term Loan 2875343 3384247 2875343 3384247

45 MEDICAL RESEARCH FOUNDATION

SUB SCHEDULES TO BALANCE SHEET AS AT 31st MARCH 2017

PARTICULARS AS AT 31.03.2017 AS AT 31.03.16 Rs. Rs. Rs. Rs. 1. CASH AND BANK BALANCES

Cash in hand 6012926 3797927 Bank Balances (i) Savings Bank Account Andhra Bank 590596 570865 Indian Overseas Bank - College Road 54600 3757776 State Bank of India - Guindy 754022 4871291 State Bank Of India - Nungambakkam 4186018 1617801 State Bank Of Mauritius -Cathedral Road 1175706 85045 HDFC Bank - Mount Road 118761 114136 HDFC Bank - Nungambakkam 2396015 3295495 HDFC Bank - Corpus-Nungambakkam 9439271 1001624 HDFC Bank - Kolkata 8608632 2189190 HDFC Bank - CA-Nungambakkam 471453 1934594 ICICI Bank - Nungambakkam 856065 483116 Development Credit Bank Ltd - Nungambakkam 1667791 507004 HDFC Bank - SRTT MRF-Nungambakkam 31899 30657 State Bank Of India - Tada 3004238 1248245 IOB-Mahema Devadoss Endowment Fund-SN-College Road 2553856 2454433 Citi Bank - Mount Road 105254 105254 City Union Bank - Purasawalkam 351167 298496 IDBI Bank Ltd - Greams Raod 41697 1320412 State Bank of India - Mukundapur 1935326 1068657 HDFC Bank - Nungambakkam - NRTT 47 38342416 3989281 30943372

(ii) Fixed Deposits 460389849 376104291 (iii) Fixed Deposit - HTP Foundation - 10000000 (iv) Fixed Deposit - Infosys Foundation 50000000 50000000 (v) Fixed Deposit - Voltas 5843899 5000000 (vi) Fixed Deposit - NRTT 20443475 536677223 30000000 471104291

581032565 505845590 2. LOANS & ADVANCES Employees' - Loan 9196616 11060872 Advance for Purchases/Contracts 20152970 49615933 Rent Advance 21714111 27545517 Others - 51063697 7896047 96118368

3. DEPOSITS T.N.E.B 13368535 10895997 Telephone 272270 272270 Others 886141 14526946 1293276 12461543

46 MEDICAL RESEARCH FOUNDATION

NOTES FORMING PART OF ACCOUNTS FOR THE FINANCIAL YEAR ENDED 31.03.2017 I. ACCOUNTING POLICIES 1.The Foundation follows mercantile system of accounting and recognizes Income and Expenditure on accrual basis. 2.Financial Statements are prepared under historical cost convention. 3.The Fixed Assets of the Foundation are valued at cost less depreciation. 4.Inventories have been valued at Cost. 5.The Foundation's contribution to various schemes of retirement benefits such as Provident Fund and Superannuation Fund are charged to the Income and Expenditure Account every year. 6.The expenditure on unavailed leave of employees allowed to be encashed by them as per rules of the foundation. 7.Gratuity and Leave Encashment provision have been created on the basis of actuarial valuation. 8.Donation and Grants received towards Capital Purchases are accounted under Capital Fund. 9.Donations received for Community Services accounted under Income Statement. II. Schedules I to VI of the Balance Sheet and Schedules VII to X of the Income and Expenditure Account form an integral part of the Balance Sheet. III. Previous year figures have been regrouped wherever necessary to conform to current year's classification. IV. Following the demonetization, Government had permitted the hospitals, medical shops, public transport, petrol pumps etc., to continue to accept “Specified Bank Notes” till 30th December 2016, Hence Foundation had accepted the “Specified Bank Notes” from the patients and the details of “Specified Bank Notes” held and transacted during the period from 8th November 2016 to 30th December 2016 as provided in the Table below:-

Count SBN's Total Amount in Rs.

15453 1000 15453000 21189 500 10594500 Total 26047500

V. Statutory Audit fees Rs.1,18,000/-

RANGANATHA GUPTA N. RAMACHANDRAN G. Hony. Treasurer Hony. Secretary

Dr. S. S. BADRINATH Dr. VASAN K. S. President Managing Director M/S. S. VISWANATHAN LLP Dated : 22.08.2017 Chartered Accountants

47 MEDICAL RESEARCH FOUNDATION HONOURS & AWARDS lSankara Nethralaya has been awarded the Best Single Specialty Hospital (Ophthalmology)' for the year 2015-16 at the ICICI-Lombard CNBC-TV-18 India Healthcare Awards in August 2016. Dr. Pramod Bhende received the award from the Honourable Chief Minister of Maharashtra, Shri Davendra Fadnavis at Mumbai. lSN's team of Dr Gondhale Harshal Pradeep, Dr Pranoti Nagevekar and Dr More Pritesh Sakharam participated in the CME on Ocular Imaging and Dr More Pritesh Sakharam won the 'Runner Up' prize at the quiz. lDr S Meenakshi has been selected as a Member of the ICO's Teaching & Teachers courses & Resources committee for a period of 2 years. lDr S Meenakshi has been nominated as a Member Representing South Asia, Ethics Bureau of World Society of Pediatric Ophthalmology & Strabismus. lSankara Nethralaya received the Certificate of Merit Award for its quarterly newsletter 'Eyelights' at the highly prestigious 'ICE Awards – 2016' (Internal Communications Excellence Awards) at Mumbai. lDr Rajeswari Mahadevan has been appointed as the 'Asia Pacific Regional President', International Association of Contact Lens Educators. lMs Jameel Rizwana H and Ms Rashima A, received the “Australia Endeavour Executive Fellowship Merit Award 2016”. lDr Nisar Sonam Poonam received the 'Runner up' prize for the paper presentation on “Epibulbar Schwannoma” at the EYECAN 2016, held at LVPEI, Hyderabad on 9th July 2016. lDr Aditya Verma and Mr Sumeer Singh H received the 'Best Poster Award' (Best Case Report) for their poster presentations on "Demonstration of microemboli with FFA (Fundus fluoresceine Angiogram) in a case of proliferative retinopathy secondary to falciparum Malaria" and “Management of Macular Edema with Branch Retinal Vein Occlusion in Polycythaemia”at the Retina Summit 2016 Conference held at Chennai from 14th to 15th July 2016. lDr Chanda Gupta and Ms Durgasri J received the Best Poster Award (Best Case Study) for their poster presentations entitled, “Correlation between the volume of macular edema on SD-OCT with the ischemic areas on FFA in Spectralis, in treatment naive diabetic macular edema patients” and “Distance and Near Vision Changes following Intravitreal Anti-VEGF in Center Involving Diabetic Macular Edema in Phakic Eyes” respectively at the Retina Summit 2016 Conference held at Chennai on 14th & 15th July 2016. lDr Mohomed Shahid Alam received the 'Nataraja Pillai Best Free Paper Award' for his paper on '3- D Ocular Prosthesis Fabrication' at the SN Alumni Meet held on 17th July 2016.

48 MEDICAL RESEARCH FOUNDATION lDr Nandini Sankaranarayanan received the Best Paper Award for her poster presentation on “Surgical outcomes following treatment of glaucoma in congenital” and Dr Shika Bassi received the Best Video Runner up Award for her video presentation on “Cataract surgery in Challenging situations” at the 64th Annual Conference of Tamil Nadu Ophthalmic Association Meeting at Vellore from 5th to 7th August 2016. lDr M K Janani received the First prize for the oral presentation on “Effect of lignocaine concentration on human fibroblasts growth in eyes undergoing trabeculectomy: An in-vitro study” at the “World Congress of Ophthalmic Anaesthesia” held on 4th September 2016. lDr Parthapratim Datta Majumdar received the “Dr K R Dutta Award” for Best Paper on “Hypotony in Uveitis” presented at the Eastern India Ophthalmological Congress (EIZOC) at Patna from 24th to 25th September 2016. lDr Vathsalya received the “Dr. C. Gupta Award” for Best Poster on “Prostaglandin Associated Periobitopathy: The Orbital Angle” at the 27th Annual Conference of Oculoplastic Association of India, Vadodara on 4th October 2016. lDr Varsha Backiavathy received the “Dr. M. Subramanyam Award” for Best Paper on 'Orbital Abscess - A 15 year review at a tertiary eye care centre' at the 27th Annual Conference of Oculoplastic Association of India, Vadodara on 4th October 2016. lDr Shweta S Agarwal received the Best Poster Award for the poster presentation on “Comprehensive approach to ocular sequelae of STS- experience over a decade” at the American Academy of Ophthalmology Meet 2016, Chicago from 15th to 18th October 2016. lDr S Meenakshi received the “Dr R N Gandhewar Award” at the Annual Conference of Vidharbha Ophthalmic Society, Nagpur held from 21st to 23rd October 2016 and gave a talk on “Small steps and giant leaps: Advances in the field of Pediatric Ophthalmology and Strabismus”. lDr Rajeswari Mahadevan, was conferred with a Fellowship at the American Academy of Optometry (AAOPT) 95th Annual Meeting held at Anaheim, California from 9th to 12th November 2016. lDr J Biswas was conferred with “Dr. G. Venkatsamy Endowment Award” for his outstanding contribution to the field of Uveitis and Ophthalmology at the Annual Meet of the Uveitis Society of India held at Colombo, Sri Lanka, on 26th and 27th November 2016. lDr T S Surendran released the Preferred Practice Pattern in Pediatric Ophthalmology Book on behalf of ORBIS and received the first copy from Rajasthan Govt. Speaker at the American Academy of Pediatric Ophthalmologists Society (APOS) Conference along with Strabismus & Pediatric Ophthalmological Society of India, held at Jaipur held from 2nd to 4th December 2016. lDr T S Surendran received the “Best Teacher Award” at the 5th Margazhi Ophthalmic Fest conducted by MM Eye Hospital, Chennai, on 18th December 2016.

49 MEDICAL RESEARCH FOUNDATION lDr Geetha Krishnan Iyer won the First Prize for video presentation on “Melt Medley” at the Keracon Conference held at Pune from 15th to 17th December 2016. lDr Arushi Anil Kumar Goyal received the Second Prize for video presentation on “Boston type 2kpro surgical technique” at the Keracon Conference held at Pune from 15th to 17th December 2016. lMr Viswanathan S was awarded Ph.D. Degree by the Anglia Ruskin University, Cambridge, UK for his thesis entitled “Near work induced transient Myopia (NITM) among Indian subjects”. lDr Vikas Khetan was conferred with “P Siva Reddy International Award” at the All India Ophthalmological Society Meeting at Jaipur held from 16th to 19th February 2017. lDr Vikas Khetan recieved the First ever, Best Reviewer Award for IJO at AIOS 2017. lDr Pukhraj Rishi received “C N Shroff Award” at the All India Ophthalmological Society Meeting at Jaipur from 16th to 19th February 2017. lDr Muna Bhende received the “IJO Platinum Award” at the All India Ophthalmological Society Meeting at Jaipur held from 16th to 19th February 2017. lDr Ekta Rishi was conferred with “IJO Gold Award” at the All India Ophthalmological Society Meeting at Jaipur held from 16th to 19th February 2017. lMs Jameel Rizwana received the Australia Award - Endeavour Alumni Ambassador for 2017 for the Endeavour Fellowships presented by the Australian High Commissioner to India at New Delhi on 3rd March, 2017

50 MEDICAL RESEARCH FOUNDATION

RESEARCH PUBLICATIONS PUBLISHED: lPukhraj Rishi, Ekta Rishi, V. V. Koundanya, G. Mathur, Geetha Iyer and Bhaskar Srinivasan. “Vitreoretinal Complications in Eyes With Boston Keratoprosthesis Type I.” Retina, Mar 2016. Vol.36, No.3, pp.603–610. lS. Srinivasan, N. S. Choudhari, M. Baskaran, R. J. George, B. Shantha, and L. Vijaya. “Diurnal intraocular pressure fluctuation and its risk factors in angle-closure and open-angle glaucoma.” Eye, Mar 2016. Vol. 30, no. 3, pp. 362–368. lR. Roy, K. Saurabh, D. P. Chandrasekharan, P. Sharma, and C. Vyas, “Bilateral focal choroidal excavation in cone dystrophy,” Clinical & Experimental Optometry, vol. 99, no. 2, pp. 198–199, Mar 2016 lLaxmi Gella, Rajiv Raman, Tarun Sharma. “Imaging drusens using Spectral Domain Optical Coherence Tomography” Saudi Journal of Ophthalmology, Apr 2016, Vol. 30, No. 2, pp. 88–91. lKhor CC, Do T, Jia H, Nakano M, George R, Abu-Amero K, Duvesh R, Chen LJ, Li Z, Nongpiur ME, Perera SA, Qiao C, Wong HT, Sakai H, Barbosa de Melo M, Lee MC, Chan AS, Azhany Y, Dao TL, Ikeda Y, Perez-Grossmann RA, Zarnowski T, Day AC, Jonas JB, Tam PO, Tran TA, Ayub H, Akhtar F, Micheal S, Chew PT,Aljasim LA, Dada T, Luu TT, Awadalla MS, Kitnarong N, Wanichwecharungruang B, Aung YY, Mohamed-Noor J, Vijayan S, Ronnie George, Balekudaru Shantha, Lingam Vijaya, Sarangapani S, Husain R, Jap A,Baskaran M, Goh D, Su DH, Wang H, Yong VK, Yip LW, Trinh TB, Makornwattana M, Nguyen TT, Leuenberger EU, Park KH, Wiyogo WA, Kumar RS, Tello C, Kurimoto Y, Thapa SS, Pathanapitoon K, Salmon JF, Sohn YH, Fea A, Ozaki M, Lai JS, Tantisevi V, Khaing CC, Mizoguchi T, Nakano S, Kim CY, Tang G, Fan S,Wu R, Meng H, Nguyen TT, Tran TD, Ueno M, Martinez JM, Ramli N, Aung YM, Reyes RD, Vernon SA, Fang SK, Xie Z, Chen XY, Foo JN, Sim KS, Wong TT, Quek DT, Venkatesh R, Kavitha S, Krishnadas SR, Soumittra N, et al. “Genome-wide association study identifies five new susceptibility loci for primary angle closure glaucoma” Nature Genetics 4 Apr2016. doi: 10.1038/ng.354. lGayathri R, Coral K, Sharmila F, Sripriya S, Sripriya K, Manish P, Shantha B, Ronnie G, Vijaya L, Angayarkanni N. “Correlation of Aqueous Humor Lysyl Oxidase Activity with TGF-ss Levels and LOXL1 Genotype in Pseudoexfoliation.” Current Eye Research. Apr 2016;41(10):1331-8. lM Jagadeesan, Vikas Khetan, A Mallipatna. “Genetic perspective of retinoblastoma: From present to future.” Indian Journal of Ophthalmology, May 2016. Vol.64, No.5, p.332. lSudipta Das, Pramod S. Bhende, and Dennis SC Lam. “The Latest Updates and Management of Endophthalmitis,” Asia-Pacific Journal of Ophthalmology, May 2016. Vol. 5, no. 3, pp. 167–170. lRajiv Raman, Singh H. Sumeer, Ramya Appanraj, Malathi Jambulingam, Muna Bhende, MS, Rupak Roy, MS, Tarun Sharma. “Five-year Incidence and visual Outcomes in Postintravitreal Injection Endophthalmitis.” Ophthalmology. May 2016, Vol.123 No.5, 1162-1164.

51 MEDICAL RESEARCH FOUNDATION lK S Delhiwala, I P Vadakkal, K Mulay, Vikas Khetan and M R Wick. “Retinoblastoma: An update.” Seminars in Diagnostic Pathology, May 2016. Vol.33,no.3, pp.133–140. lTarun Sharma, A. Fong, T. Y. Lai, V. Lee, S. Das, and D. Lam. “Surgical treatment for diabetic vitreoretinal diseases: a review.” Clin. Experiment. Ophthalmol., May 2016. Vol. 44, no. 4, pp. 340–354. lGupta, K. Delhiwala, R. G. Raman, T. Sharma, S. Srinivasan, and V. Kulothungan. “Failure to initiate early insulin therapy - A risk factor for diabetic retinopathy in insulin users with Type 2 diabetes mellitus: Sankara Nethralaya-Diabetic Retinopathy Epidemiology and Molecular Genetics Study (SN-DREAMS, Report number 35).” Indian Journal of Ophthalmology, Jun 2016; 64(6):440-5. lL. Vijaya, Asokan R, Panday M, Choudhari NS, Sathyamangalam RV, Velumuri L, George R. “The Prevalence of Pseudoexfoliation and the Long-term Changes in Eyes With Pseudoexfoliation in a South Indian Population,” Journal of Glaucoma, Jun 2016. Vol. 25, no. 6, pp.e596–e602. lRathini Liliam David, Shantha B, Ronnie J. George, Parveen Sen, and Vijaya L. “Management of Elevated Intraocular Pressure Associated With Subluxated/ Dislocated Lenses by Combining Trabeculectomy With Adjunctive Mitomycin C With Lensectomy, Vitrectomy, and Scleral Fixation of Intraocular Lens,” Journal of Glaucoma, Jul. 2016. Vol. 25, no. 7, pp. e686–e690. lRupak Roy, Saurabh Kumar, Dhileesh P Chandrasekharan, Avirupa Ghose, Preeti Sharma. “Multimodal imaging in multifocal pattern dystrophy simulating fundus flavimaculatus.” Indian Journal of Ophthalmology, Jul 2016. Vol.64, no.5, p. 395-396. lEkta Rishi, Pukhraj Rishi, Tarun Sharma, and Nagesha CK. “Infusion flow related retinal breaks in 25G vitrectomy.” Acta Ophthalmol. Jul 2016. lSabyasachi Sengupta, Utsab Pan, and Vikas Khetan. “Adult onset retinoblastoma.” Indian Journal of Ophthalmology, Jul 2016. Vol. 64, no. 7, p.485-491. lSrilekha Sundaramurthy, Meenakshi Swaminathan, Parveen Sen, Tharigopala Arokiasamy, Swati Deshpande, Neetha John, Rupali A Gadkari, Ashraf U. Mannan, Nagasamy Soumittra. “Homozygosity mapping guided next generation sequencing to identify the causative genetic variation in inherited retinal degenerative diseases.” Journal of Human Genetics. Jul 7, 2016. doi: 10.1038/jhg.2016.83. lVA Ramkumar, Sumita Agarkar, and Bipasha Mukherjee. “Nasolacrimal duct obstruction: Does it really increase the risk of amblyopia in children?” Indian Journal of Ophthalmology, Jul 2016. Vol. 64, no. 7, p. 496-9. lBipasha Mukherjee, Nirav Dilip Raichura, and Md. Shahid Alam. “Fungal infections of the orbit.” Indian Journal of Ophthalmology, Jul 2016. Vol. 64, no. 5, p.337-345. lKumar Saurabh, Rupak Roy, Debmalya Das, and Aneesha Lobo. “Eyelid excoriation and erythema with nepafenac eye drop.” Indian Dermatology Online Journal, Aug 2016. Vol.7, no.4, p.324- 325.

52 MEDICAL RESEARCH FOUNDATION lPukhraj Rishi, Abhinav Dhami, and Jyotirmay Biswas. “Biopsy techniques for intraocular tumors.” Indian Journal of Ophthalmology, Aug 2016. Vol.64, no.6, p. 415-421. lL. Vijaya, R. Asokan, M. Panday, and R. George, “Is prophylactic laser peripheral iridotomy for primary angle closure suspects a risk factor for cataract progression? The Chennai Eye Disease Incidence Study.” British Journal of Ophthalmology, vol. 101, no. 5, pp. 665–670, August 2016. lPandey, S. Balekudaru, D. V. Venkatramani, A. E. George, V. Lingam, and J. Biswas. “Incidence and Management of Glaucoma in Vogt Koyanagi Harada Disease.” Journal of Glaucoma, Aug 2016. Vol.25, no. 8, pp.674–680. lEkta Rishi, Pukhraj Rishi, V. Sharma, V. Koundanya, and R. Athanikar. “Long-term outcomes of combination photodynamic therapy with ranibizumab or bevacizumab for treatment of wet age-related macular degeneration.” Oman Journal of Ophthalmology, Aug 2016. lNeha Shrirao, Mona Khurana, and Bipasha Mukherjee. “Prostaglandin-associated periorbitopathy.” Indian Journal of Ophthalmology, Aug 2016. Vol.64, no.6, p. 459. lChokkahalli K Nagesha, Jaydeep Avinash Walinjkar, and Vikas Khetan. “Choroidal neovascular membrane in a treated choroidal hemangioma.” Indian Journal of Ophthalmology, Aug 2016. Vol. 64, no. 8, p. 606-608. lJaya Singh, Avshesh Mishra, Arunachalam Jayamuruga Pandian, Ashwin C. Mallipatna, Vikas Khetan, Suguneswari, Pukraj Rishi, Sarangapani Sripriya, etal. “Next-generation sequencing- based method shows increased mutation detection sensitivity in an Indian retinoblastoma cohort.” Molecular Vision Aug 2016; 22:1036-47. eCollection 2016 lPukhraj Rishi, N. Raka, and Ekta Rishi, “Analysis of Potential Ischemic Effect of Intravitreal Bevacizumab on Unaffected Retina in Treatment-Naïve Macular Edema Due to Branch Retinal Vein Occlusion: A Prospective, Interventional Case-Series,” PLoS One, Sep. 2016. Vol. 11, no.9. lSangeetha Srinivasan, S. Shetty, V. Natarajan, Tarun Sharma and Rajiv Raman. “Development and Validation of a Diabetic Retinopathy Referral Algorithm Based on Single-Field Fundus Photography.” PLoS One, Sep 2016. lRajiv Raman, Sangeetha Srinivasan and R. Nagarajan. “Structural and functional retinal abnormalities in type 2 diabetes with obstructive sleep apnea.” Sleep Breath, Sep 2016. Vol. 20, no.3, pp.1005–1007. lSrividya Neriyanuri, Sudha Dhandayuthapani, Jayamuruga Pandian Arunachalam, Rajiv Raman. “Phenotypic characterization of X-linked retinoschisis: Clinical, electroretinography, and optical coherence tomography variables.” Indian Journal of Ophthalmology, vol. 64, no. 7, p. 513-517, Sep 2016. lEkta Rishi, Pukhraj Rishi, Bindu Appukuttan, Mahesh Uparkar, Tarun Sharma, and Lingam Gopal. “Coats' disease of adult-onset in 48 eyes.” Indian Journal of Ophthalmology, Sep 2016. Vol. 64, no. 7, p.518-523.

53 MEDICAL RESEARCH FOUNDATION lDhandayuthapani Sudha, Irene Rosita Pia Patric, Aparna Ganapathy, Smitha Agarwal, Shuba Krishna, Srividya Neiyanuri, Sarangapani Sripriya, Parveen Sen, Subbulakshmi Chidambaram and Jayamuruga Pandian Arunachalam. “Genetic studies in a patient with X-linked Retinoschisis coexisting with developmental delay and sensorineural hearing loss.” Ophthalmic Genetics, Epub-Sep 2016: P: 1-7. lMainak Bhattacharyya, Kirti Singh, Monica Chaudhry, Rajeshwari Mahadevan, Rajesh Sinha, Umang Mathur, Varsha Rathi. “Contact lens fitting in Keratoconus.” Delhi Journal of Ophthalmology, Sep 2016, Vol.27 No: 1: 66-73. lSathya Priya C, Sheela N, Parveen Sen, Sripriya S. “Bardet-Biedl Syndrome: Genetics, molecular pathophysiology and Disease management.” Indian Journal of Ophthalmology, Sep 2016; 64(9):620-627. doi: 10.4103/0301-4738.194328. Review. lRishi Ekta, Rishi Pukhraj, Therese K Lily, Ramasubban Gayathri, Biswas Jyotirmay, Tarun Sharma, Pramod Bhende, Pradeep Susvar, Mamta Agarwal, Amala Elizabeth George,Kushal Delhiwala and Vishal Rajan Sharma. “Culture and Reverse, Transcriptase Polymerase Chain Reaction (RT-PCR) proven Mycobacterium tuberculosis Endophthalmitis: A Case Series.” Ocular immunology and inflammation, Sep 2016:1-8. lGeetha Iyer, Bhaskar Srinivasan, Shweta Agarwal, and A. Tarigopula. “Outcome of allo simple limbal epithelial transplantation (alloSLET) in the early stage of ocular chemical injury.” British Journal of Ophthalmology, Oct 2016. Vol. 101, no. 6, pp. 828–833. lPukhraj Rishi, Ekta Rishi, Muna Bhende, Vishvesh Agarwal, Chinmayi H Vyas, Meenakshi Valiveti, Pramod Bhende, Chetan Rao, Pradeep Susvar, Parveen Sen, Rajiv Raman, Vikas Khetan, Vinata Murali, Dhanashree Ratra, Tarun Sharm. “Comparison of photodynamic therapy, ranibizumab/bevacizumab or combination in the treatment of myopic choroidal neovascularisation: a 9-year-study from a single centre,” British Journal of Ophthalmology Oct 2016. Vol.100, No.10, pp.1337–1340. lAlam MS, Poonam NS, Biswas J, Krishnakumar S. “Epibulbar schwannoma: a case report and review of the literature.” Can J Ophthalmol. Oct 2016; 51(5):e155-57. lSumita Agarkar, Roshani Desai, Malathi Jambulingam, Singh H. Sumeer, Rajiv Raman. “Incidence, management, and visual outcomes in pediatric endophthalmitis following cataract surgery by a single surgeon.” Journal of AAPOS Oct 2016; 20(5): 415-418. lSamuel, R. K. Kanwar, J. R. Kanwar, V. Khetan, and S. Krishnakumar. “A Study of Gene Expression of Survivin, its Antiapoptotic Variants, and Targeting Survivin In Vitro for Therapy in Retinoblastoma,” Journal of Pediatric Hematology/Oncology, vol. 38, no.7, pp.e230–e242, Oct. 2016. lJameel Rizwana H, Archayeeta Rakshit, Neeraj Kumar Singh, Meenakshi Swaminathan, Ronnie George, Suman Kapur, Mitchell Scheiman, Krishna Kumar Ramani. “Binocular vision anomalies and normative data (BAND) in Tamil Nadu: report 1.” Clinical & Experimental Optometry, Oct 2016. Vol.100, no.3, pp.278–284.

54 MEDICAL RESEARCH FOUNDATION lGhose, Pramod Bhende, and Jyotirmay Biswas. “Efficacy of reduced dose of intravitreal triamcinolone acetonide in a case of active serpiginous choroiditis.” Indian Journal of Ophthalmology, Nov 2016. Vol.64, no.9, p.681-682. lKannadasan Anand Babu, S.R Bharathidevi, Sarangapani Sripriya, Parveen Sen, Vadivelu Jaya Prakash, Appukuttan Bindu, Natarajan Viswanathan, Narayanasamy A. “Serum Paraoxonase activity in relation to lipid profile in Age-related Macular Degeneration patients.” Experimental Eye Research Nov 2016; 152:100-112. lJameel Rizwana H, Archayeeta Rakshit, Neeraj Kumar Singh, Ronnie George, Meenakshi Swaminathan, Suman Kapur, Mitchell Scheiman, Krishna Kumar Ramani. “Prevalence of non- strabismic anomalies of binocular vision in Tamil Nadu: report 2 of BAND study.” Clinical and Experimental Optometry, Nov. 2016. lNikhil Choudhari, Vanita Pathak-Ray, Sushmita Kaushik, Prateep Vyas, and Ronnie George. “Prevalent practice patterns in glaucoma: Poll of Indian ophthalmologists at a national conference,” Indian Journal of Ophthalmology, Dec 2016. Vol. 64, no. 10, p. 715-721. lParthopratim Dutta Majumder, Jyotirmay Biswas, Asra Ambreen, Rowayda Amin, Zahedur Rahman Pannu, and Ahmed Magdy Bedda. “Intravitreal dexamethasone implant for the treatment of cystoid macular oedema associated with acute retinal necrosis.” Journal of Ophthalmic Inflammation & Infection, Dec 2016. lParthopratim Dutta Majumder, Sowkath Ali, and Jyotirmay Biswas. “Optic disc granuloma with epididymitis: a diagnostic challenge.” Journal of Ophthalmic Inflammation & Infection, Dec 2016, 7(1):12. lDipankar Das, Varsha Ramachandra, Saidul Islam, Harsha Bhattacharjee, Jyotirmay Biswas, Akanksha Koul, Panna Deka, Apurba Deka. “Update on pathology of ocular parasitic disease.” Indian Journal of Ophthalmology, Dec 2016. Vol.64, No.11, p. 794-802. lR Indhushree RM, K Coral, N Angayarkanni, R Punitham, BM Subburathinam, R Krishnakumar, PP Santanam. “Visual functions of workers exposed to organic solvents in petrochemical industries.” Indian Journal of Occupational and Environmental Medicine. Dec 2016;20(3):133-7. lMd. Shahid Alam and K V Praveen Kumar. “Clozapine-induced cataract in a young female.” Journal of Pharmacology & Pharmacotherapeutics, Dec 2016. Vvol. 7, no. 4, p. 184-186. lMd. Shahid Alam and Swati Agarwal. “Presumed isotretinoin-induced extraocular myopathy.” Journal of Pharmacology & Pharmacotherapeutics, Dec 2016. Vol. 7, no. 4, p. 187-189. lRajalakshmy A R, Malathi J, Madhavan H N, Bhaskar S, Iyer G K. “Internalisation of hepatitis C virus core protein by human conjunctival fibroblasts.” Indian Journal of Medical Microbiology, Dec 2016;34:536-8. lDhanashree Ratra, D. Chandrasekharan, P Aruldas, and Vineet Ratra. “Concurrent retinitis pigmentosa and pigmented paravenous retinochoroidal atrophy phenotypes in the same patient.” Indian Journal of Ophthalmology, Dec 2016. Vol. 64, no. 10, p. 775-777.

55 MEDICAL RESEARCH FOUNDATION lRajesh Pioneer Sangameswaran, Gajendra Kumar Verma, Narayanan Raghavan, Jayaraj Joseph, Mohanasankar Sivaprakasam. “Cataract surgery in mobile eye surgical unit: Safe and viable alternative.” Indian Journal of Ophthalmology, Dec 2016. Vol. 64, no. 11, p.835-839. lJyotirmay Biswas, Mohmmad Salman Kazi, Vishvesh Ashokkumar Agarwal, Md. Shahid Alam and K Lily Therese. “Polymerase chain reaction for Mycobacterium tuberculosis DNA detection from ocular fluids in patients with various types of choroiditis in a referral eye center in India”. Indian Journal Ophthalmology, Dec 2016, vol. 64, no. 12, p. 904-907. lJameel Rizwana H, Revathy Mani, Archayeeta Rakshit, Srikanth Ramasubramanian, Smita Vittal Praveen. “Natural history of idiopathic abducens nerve paresis in a young adult.” Journal of Optometry. 2016 Oct-Dec; 9(4): 264–268. lBipasha Mukherjee and Md. Shahid Alam. “A rare case of pachydermoperiostosis associated with blepharoptosis and floppy eyelids,” Indian Journal of Ophthalmology, Jan 2017. Vol.64, no.12, p.938-940. lDotan G, Khetan Vikas, Marshall JD, Affel E, Armiger-George D, Naggert JK, Collin GB, Levin AV. “Spectral-domain optical coherence tomography findings in Alström syndrome.” Ophthalmic Genetics, Jan 2017. lSujata Guha, S. Shah, K. Shah, P. Hurakadli, D. Majee, and S. Gandhi. “A comparison of cycloplegic autorefraction and retinoscopy in Indian children.” Clinical and Experimental Optometry, Jan 2017. Vol. 100, no. 1, pp. 73–78. lR. Kharel, V. Iyer, V. Noronha, P. Dutta Majumder, and J. Biswas, “Role of high-resolution computerized tomography chest in identifying tubercular etiology in patients diagnosed as Eales' disease.” Journal of Ophthalmic Inflammation & Infections, Jan 2017. lSangeetha Srinivasan, G. Swaminathan, V. Kulothungan, Tarun Sharma, and Rajiv Raman, “The association of smokeless tobacco use and pack-years of smokeless tobacco with age-related macular degeneration in Indian population,” Cutaneous & Ocular Toxicology, Jan 2017. Vol. 36, no. 3, pp.253–258. lParveen Sen, Muna Bhende, R. Sachidanandam, N. Bansal, and Tarun Sharma. “Reduced-fluence photodynamic therapy and anti-vascular endothelial growth factor for polypoidal choroidal vasculopathy in an Indian population.” Indian Journal of Ophthalmology, Jan 2017. Vol. 64, no. 12, p. 908. lC. K Nagesha, Pukhraj Rishi, and Ekta Rishi. “Vitrectomy for vitreopapillary traction in a nondiabetic 16-year-old girl.” Oman Journal of Ophthalmology, Jan 2017. Vol. 10, no. 1, p. 38- 39. lMd. Shahid Alam and P. Devi Nivean. “Early onset bilateral juvenile myasthenia gravis masquerading as simple congenital ptosis.” GMS Ophthalmology Cases, Jan. 2017. lNeeraj Kumar Singh, Revathy Mani, Jameel Rizwana Hussaindeen. “Changes in stimulus and response AC/A ratio with vision therapy in convergence insufficiency.” Journal of Optometry, Jan 2017.

56 MEDICAL RESEARCH FOUNDATION lSrividya Neriyanuri, Shahina Pardhan, Laxmi Gella, Sakshyar Saumya Pal, Suganeswari Ganesan, Tarun Sharma and Rajiv Raman. “Retinal sensitivity changes associated with diabetic neuropathy in the absence of diabetic retinopathy.” British Journal of Ophthalmology, Jan 2017. lSaijyothi Venkata Aluru, Agarwal Shweta, Srinivasan Bhaskar, Krishnan Geetha, Rajappa M.Sivakumar, Tatu Utpal, Prema Padmanabhan, Narayanasamy Angayarkanni. “Tear Fluid Protein Changes in Dry Eye Syndrome Associated with Rheumatoid Arthritis: A Proteomic Approach”. The Ocular Surface Jan 2017, Vol.15 No.1 Pages 112-129. lMuna Bhende, Aashraya Karpe, Sukanya Arunachalam, Lily Therese, Jyotirmay Biswas. “Endogenous endophthalmitis due to Roseomonas mucosa presenting as a subretinal abscess”. Journal of Ophthalmic Inflammation & Infection, Jan 2017.7:5. lSudha K Ganesh, Parveen Sen, and H. Sharma, “Late dislocation of in-the-bag intraocular lenses in uveitic eyes: An analysis of management and complications.” Indian Journal of Ophthalmology, Feb 2017. Vol.65, no. 2, p.148-154. lPrema Padmanabhan, Rachapalle Reddi Sudhir, Rama Rajagopal, Natarajan Radhika, Geetha Iyer, Bhaskar Srinivasan, Niveditha Narayanan, Meena Lakshmipathy, Shweta Agarwal. “Corneal Collagen Cross-Linking for Keratoconus in Pediatric Patients—Long-Term Results,” Cornea, Feb 2017. Vol. 36, no. 2, pp.138–143. lJain R, Sharma N, Basu S, Iyer Geetha, Ueta Mayumi, Sotozono C, Kannibiran C, Rathi VM, Gupta N, Kinoshita S, Gomes JA, Chodosh J, Sangwan VS. “Reply: amniotic membrane transplantation in Stevens-Johnson syndrome.” Survey of Ophthalmology, Mar 2017. Vol. 62, no. 2, pp. 249–250. lP. D. Majumder, A. Ghosh, and J. Biswas, “Infectious uveitis: An enigma.” Middle East African Journal of Ophthalmology, Mar 2017. Vol.24, no.1, pp. 2–10. lKumar Saurabh, Rupak Roy, P. Sharma, D. P. Chandrasekharan, K. Deshmukh, and C.Vyas. “Age- related Changes in the Foveal Bulge in Healthy Eyes.” Middle East African Journal of Ophthalmology, Mar 2017. Vol. 24, no. 1, pp. 48–50. lPukhraj Rishi, Ekta Rishi, and Santhosh Devulapally. “Cholesterolosis Bulbi.” JAMA Ophthalmology, Mar 2017. lLaxmi Gella, Rajiv Raman, S. S. Pal, Suganeswari Ganesan, and Tarun Sharma. “Contrast sensitivity and its determinants in people with diabetes: SN-DREAMS-II, Report No 6,” Eye, Mar 2017; 31(3): 460–466. lRajesh G, Rajeswari Mahadevan. A pilot study compared the structural changes in meibomian glands and dry eye symptom scores in daily soft contact lens wearers - Contact lens spectrum. Contact Lens Spectrum, Mar 2017, Vol: 32, page(s): 36, 38, 39. lPradipta Bhattacharya and Rajeswari Mahadevan. "Quality of life and handling experience with the PROSE device: an Indian scenario.” Clinical & Experimental Optometry Mar 2017. lSrividya Neriyanuri, Chetan Rao, and Rajiv Raman. “Structural and Functional Characterization of Benign Fleck Retina Using Multimodal Imaging.” Retinal Cases & Brief Reports, vol. 11, no. 2, pp. 186–190, 2017.

57 MEDICAL RESEARCH FOUNDATION lDutta Majumder P, Burugupalli K, Menia NK, Ganesh SK, Biswas J. “Pattern of Uveitic Hypotony in a Tertiary Eye Hospital in India”. Ocul Immunol Inflamm. 2017 Mar 20:1-5. lSachidanandam R, Ravi P, Parveen Sen. “Effect of axial length on full-field and multifocal electroretinograms.” Clin Exp Optom. 2017 Mar 7. BOOKS PUBLISHED BY ESO: l“Law & Optometry – A guide for vision care professionals and Optometry students in India” by Advocate B.Vijayakumar, ESO faculty lESO's Guidelines for School Children's vision testing by Ms. Anuradha N, ESO Lecturer and vision screening coordinator lContact lens fitting for patients after Refractive Surgery - 2nd Edition of Ready Reckoner in Ophthalmology, 2016, Dr. Rajeswari Mahadevan.

COMPLETED PROJECTS: lAssessment of change in near contrast sensitivity in Diabetes Mellitus patients with and without Diabetic Retinopathy [Dr Rajiv Raman] lValidation of Computer-Aided Diagnosis (CAD) of diabetic retinopathy from retinal photographs in real-world situations-Phase 1 [Dr Rajiv Raman] lCR : 5201 Echo Ionic Silicone Hydrogel 6-month Extended Wear Investigation [Dr M Rajeswari] lBlur detection threshold and adaptation in Spectacle wearers: Follow up study [Dr Krishna Kumar R] lVisual fatigue solutions [Dr Krishna Kumar R] PH.D RESEARCH THESIS: lNear Induced Transient Myopia among myope and non-myope in Indian population [Mr Viswanathan Guide: Dr Peter Allen]

DNB THESIS PROJECTS: lComparative study of contact lenses:Rigid gas permeable,scleral and toric lenses in the management of keratoconus [Dr Suraj Nayak; Guide: Dr N.Radhika]

lA study on Pediatric Orbital Fractures-Clinical Presentations and Management Outcomes [Dr Atanu Barh; Guide: Dr Bipasha Mukherjee]

lSS- OCT Features of Polypoidal Choroidal Vasculopathy [Dr Yadav Hitesh Mahendrasingh; Guide: Dr G Suganeswari]

lEtiology, clinical profile, management and outcome in a tertiary eye care centre [Dr Arul Das P; Guide: Dr S Sudarshan]

lTo Evaluate Clinical Features and Treatment Outcomes of Choroidal Melanomas at a Tertiary Eye Care Centre [Dr Saili Garge; Guide: Dr Vikas Khetan]

58 MEDICAL RESEARCH FOUNDATION

DNB THESIS PROJECTS: lA study of the IOP lowering effect of selective laser trabeculoplastry [Dr Prabhat Nangia; Guide: Dr Ronnie Jacob George] lClinical characteristics results of neuroimaging and outcome in patients with abducens nerve palsy [Dr Harshit Vaidya; Guide: Dr S Meenaskhi] lOutcomes of retinal reattachment surgery in eyes with retinochoroidal coloboma [Dr Deven Dhurandhar; Guide: Dr Ekta Rishi] lAnatomical and functional outcome of pars plana vitrectomy for rhegmatogenous retinal detachment in high myopia [Dr B Keerthi; Guide: Dr Promod Bhende] lDry eye systemic associations age and gender correlations [Dr Ankush Gondchawar; Guide: Dr Niveditha Narayanan]

M.PHIL OPTOMETRY THESIS :

lTo evaluate the clinical changes in Stevens Johnson syndrome and sjogren syndrome [Ms P S Shobha Guide: Dr Geetha Iyer]

lA pilot study on ocular microbial flora in symptomatic and asymptomatic contact lens wearers [Ms Geetha K, Guide: Dr M Rajeswari]

lAssessment of meibomian gland functioning in symptomatic and asymptomatic daily contact lens wearers [Mr G Rajesh, Guide: Dr M Rajeswari]

lTo correlate clinical measures with objective measurements in symptomatic and asymptomatic convergence insufficiency [Somreeta Das Guide: Ms. Jameel Rizwana H]

lValidation of Extended probability analysis in Humphrey visual field for Glaucoma [Mr Rajesh N; Guide: Dr Ronnie George]

lCorneal epithelial structure and function in Diabetes Mellitus [Ms Ashwini.K; Guide: Dr R R Sudhir]

59 MEDICAL RESEARCH FOUNDATION

ONGOING PROJECTS lA Phase 3, Randomized, Masked, Controlled Clinical Trial to Study the Safety and Efficacy of Triamcinolone Acetonide Injectable Suspension (CLS-TA) for the Treatment of Subjects with Macular Edema associated with Non-Infectious Uveitis [Dr Jyotirmay Biswas] lStudy No. 045-15: A Prospective, Multicenter Clinical Study to Assess Safety, Immunogenicity and Efficacy of Ranibizumab (Intas Pharmaceuticals Limited) for the Treatment of Wet AMD (Age Related Macular Degeneration) [Dr Dhanashree Ratra] lAn observational, multi-center, open, study assessing the efficacy and safety of Ranibizumab intravitreal injections (IVI) of in patients with visual impairment due to Macular edema secondary to retinal vein occlusion (RVO) [Dr Jaydeep Avinash Walinjkar] lCRFB002DIN04: A multi-center, open-label, observational study to evaluate the efficacy and safety of intravitreal injections (IVI) of Ranibizumab in patients with visual impairment due to Diabetic Macular Edema (DME) [Dr Mohammad Arif Mulla] lA Multi-Center, Open-Label, Randomized, Crossover, Aqueous Humor Bioequivalence Study of Loteprednol Etabonate Ophthalmic Suspension 0.5% (Sun Pharmaceutical Industries, Ltd.) and Lotemax® (Loteprednol Etabonate Ophthalmic Suspension 0.5%; Bausch & Lomb, Inc.) in Subjects With Indicated Bilateral Cataract Surgery. [DR R R Sudhir] lTreating refractory Glaucoma with High Intensity Focused Ultrasound. A safety study of HIFU in Indian Patients [Dr. Ronnie George] lValidation of Computer-Aided Diagnosis (CAD) of diabetic retinopathy from retinal photographs in real-world situations-Phase 2 [Dr Rajiv Raman] lEarly improvement in visual functions after anti-vegf in Center involving Diabetic Macular Edema [Dr Rajiv Raman] lAssessment of Near Contrast Sensitivity in various Ocular diseases [Dr Rajiv Raman] lTo evaluate prevalence of dry eye following retinal surgery [Dr Dhanashree Ratra] lVisual Rehabilitation using video game stimulation and teleophthalmology- a pilot study [Dr Dhanashree Ratra] lREACH- Refractive error among children [Dr. T.S. Surendran] lImpact of dichoptic training on motor fusion in amblyopia [Ms Jameel Rizwana H] lAnalysis of auditory cues of visually impaired [Ms. Sarika] lAnalysis of distance perception by visually impaired using auditory cues [Ms. Sarika] lA system for measurement of amblyopia and strabismus – specific quality of life using item banking and computer adaptive testing (Eye-tem bank) [Ms Jameel Rizwana H]

60 MEDICAL RESEARCH FOUNDATION lAssessment of Accommodative Microfluctuation in Accommodative Infacility Pre and Post Vision therapy [Ms Jameel Rizwana H]Evaluating the effectiveness of a Dot Pattern Visual Cognition Task for the assessment of visual sequencing and visualization aptitude in elementary school children [Ms Jameel Rizwana H] lDiagnostic accuracy of indigenously developed computer based binocular vision testing and efficacy of computer based vision therapy [Ms Jameel Rizwana H] lIncidence of undetected binocular vision anomalies among microsurgical ophthalmology trainees at a tertiary care centre in India [Dr. Meenakshi S] lComparison of methods of accommodation control for refractive error assessment in Indian children [Dr. Meenakshi S]

PH.D RESEARCH PROJECTS :

lPrevalence of Binocular Vision anomalies among school children in rural and urban Tamilnadu [Ms. Jameel Rizwana Hussaindeen Guide: Dr Krishna Kumar R]

lEffect of UV radiation on Eye [Ms. Rashima Guide: Dr. Ronnie George]

lInnovative approaches in improving spectacle compliance and referral compliance in school vision screening [Ms. N. Anuradha Guide: Dr. Krishna Kumar. R]

lVisual demands in Chennai schools [Ms. Kalpa N, Guide: Dr. R.R. Sudhir]

lLow vision intervention in individuals with retinal diseases [Ms. Sarika G; Guide: Dr. Rajiv Raman] DNB THESIS PROJECTS :

lAssessment and correlation of change in retinal sensitivity, central retinal thickness and visual acuity in diabetic macular edema after Anti-Vascular Endothelial Growth Factor Treatment [Dr. Prabrisha Banerjee; Guide: Dr. Dhanashree Ratra]

lSurgical outcomes in Primary Congenital Glaucoma: External trabeculotomy versus external trabeculotomy plus trabeculectomy with or without antimetabolites [Dr. N. Vidhya; Guide: Dr. B. Shantha]

lMicroperimetric Analysis of Retinal Sensitivity in Patients with Rhegmatogenous Retinal Detachment [Dr. Chintan Dilip Desai; Guide: Dr. Chetan Rao]

lClinical Profile of Parafoveal Telangiectasia [Dr. Pathare Nikita Vivek; Guide: Dr. Susvar Pradeep]

lOptical Coherence Tomography Characterization of Macular Edema Due to Uveitis and Other Etiologies [Dr. Jayshree; Guide: Dr. Amala Elizabeth George]

lShort term changes in intraocular pressure after phacoemulsification + IOL implantation in Glaucomatous and normal eyes [Dr. Pankaj Jeswani; Guide: Dr. Ronnie George]

61 MEDICAL RESEARCH FOUNDATION

lSS-OCT features and ocular perfusion pressure in patient with Central Serous Chorioretinopathy [Dr. Pritesh More; Guide: Dr. Pukhraj Rishi]

lEvaluation of risk factors causing post-operative pain in corneal surface ablation surgeries and comparison of keratometry based customized base curve bandage contact lenses and non- customized base curve bandage contact lenses in post-operative pain management [Dr. Smita Ghosh; Guide: Dr. R R Sudhir]

lOutcomes and complications of lamellar keratoplasty [Dr. P. Soumya; Guide: Dr. Rama Rajagopal]

lLongitudinal study analyzing the Factors affecting Visual Outcomes in an Indian pediatric population with High Hypermetropia [Dr. Varshini Ramesh; Guide: Dr. Meenakshi S]

lOutcomes of congenital ptosis correction with silicone sling [Dr.K. Gowri Pratinya; Guide: Dr. Prashant Oberoi]

lBacterial Keratitis: Etiology, microbiological profile and outcome in a tertiary centre [Dr. Madhuri V Thallam; Guide: Dr. Meena Lakshmipathy]

lTo study the long term stability and complications of scleral fixated intraocular lens over a period of 10 years [Dr. Nimisha Sharma; Guide: Dr. Ekta Rishi]

lComparison of efficacy of ivta versus intravitreal antivegf in patients with cataract and csme having phacoemulsification [Dr. Shebin S; Guide: Dr. Shikha R Bassi]

lSpectral domain optical coherence tomography and fundus fluorescein angiography features in patients with diabetic macular edema in Indian population [Dr. Chanda Gupta; Guide: Dr. Parveen Sen]

OCCUPATIONAL OPTOMETRY RESEARCH PROJECT: lImpact of vision correction and vision therapy on productivity and vision related quality of life of the small scale and cottage industry workers [Dr. R. Krishna Kumar]

62 MEDICAL RESEARCH FOUNDATION

PARTICIPATION IN CONFERENCES lDr Mamta Agarwal attended the Hyderabad Ophthalmology Association Meeting at Hyderabad, on 3rdApril 2016 and made a presentation on “Scleritis”. lDr Muna Bhende attended the Egyptian VR Society Annual Meeting, Cairo, 13th to 15th April 2016. She was a Panelist & Presenter of “Challenging imaging cases” and made a presentation on “Unravelling OCT terminology & swept source OCT”. lDr Parveen Sen, Dr Prema Padmanaban, Dr Muna Bhende, Dr Mamta Agarwal, Dr Biswas J and Dr Shweta Agarwal participated in the 67th Annual Conference of Delhi Ophthalmological Society, New Delhi, from 15th to 17th April 2016. Dr Parveen Sen gave a presentation on “Electrophysiology” & “Pediatric retinal detachment”; Dr Prema Padmanaban on “Early detection” & “Corneal epithelial barrier function: Clinical evaluation and relevance”; Dr Mamta Agarwal on “Retinal vasculitis”; Dr Biswas J on “Multifocal serpiginous choroiditis” & “Peer reviewed publications” and Dr Shweta Agarwal on “Innovative surgical techinique for fornix formation with flexi symblepharon ring” and “Current trends in management of acute chemical injury”. lDr Meenakshi S participated in the Essentials of Pediatric Ophthalmologic Chirurgie, Karnataka from 22nd to 24th April 2016, and she made presentations on “Traumatic cataract” and “Art and science over corrections”. lDr Rama Rajagopal attended the Annual Meeting of American Society of Cataract and Refractive Surgery at Los Angeles, from 6th to 10th May 2016. She gave presentations on “Pediatric PK with VR procedure outcome” and “Dysplasia Vs carcinoma – Clinical profile and surgical outcome”. lDr Vikas Khetan attended the Association for Research in Vision and Ophthalmology (ARVO) Conference, Seattle, USA, from 1st to 15th May 2016. He made a poster presentation on “Anterior chamber seeds in retinoblastoma, is it an indication for chemotherapy” and he made a paper presentation on “Early delivery of at risk retinoblastoma children”. lDr Shantha B participated in the 12th European Glaucoma Society Congress 2016 held at Prague from 19th to 22nd June 2016. She made a poster presentation on “Prevalence, incidence and risk factors for glaucoma and outcomes of surgical management in aniridia”. lDr Ekta Rishi, Dr Pukhraj Rishi, Dr Shikka Bassi, Dr Geetha Iyer, Dr Niveditha Narayanan, Dr Prema Padmanabhan, Dr Mamta Agarwal, Dr Amala E George, Dr Sudharshan S and Dr Ronnie George attended the Indian Intraocular Implant & Refractive Surgery Convention on 2nd and 3rd July 2016 at ITC Grand Chola, Chennai. Dr Ekta Rishi gave presentations on “Cataract surgery with a VR perspective and help from vitreous cutters”, “Cataract surgery – Uveitis & Retinal surgeon perspective” & “Glue fixation of dislocated IOL”; Dr Pukhraj Rishi on “VR surgery in eyes with permanent keratoprosthesis”; Dr Shikka Bassi on “Toric surprises” & “Potpourri challenging videos”; Dr Geetha Iyer on “Management of acute chemical injuries”; Dr Niveditha Narayanan made on “Pitfalls in the techniques of toric IOL markings”; Dr Prema Padmanabhan on “Fuchs endothelial corneal dystrophy – a new look at an old disease”; Dr Mamta Agarwal on “Cataract surgery in Vogt Koy anagiharadas syndromes/ sympathetic Ophthalmia… The possibilities”; Dr Amala George on “Cataract surgery in rheumatoid arthritis… not so painful” , Dr Sudharshan on “Cataract surgery in HIV… not so different” and Dr Ronnie George on “Cataract surgery – Uveitis & Glaucoma…real challenge”.

63 MEDICAL RESEARCH FOUNDATION lDr Vikas Khetan attended the CME program organized by Kasturba Medical College, Manipal, on 2nd and 3rd July 2016 and he gave a presentation on “History of retinoblastoma”. lDr Vikas Khetan attended the Eye Cancer 2016 at L V Prasad Eye Institute, Hyderabad, on 9th July 2016 and he gave a presentation on “Unusual cases” and judged free papers. lDr Ronnie George and Dr Vijaya L participated in the Asia Pacific Glaucoma Congress at Thailand from 13th to 16th July 2016. Dr Ronnie George made presentations on “The APGS Guidelines: Epidemiology” & “Gaze Tracking Based Perimetry in Glaucoma” and Dr Vijaya on “Laser and surgical treatment of XFG” & “Surgery after failed trabeculectomy”. lThe Department of Shri Bhagwan Mahavir Vitreo Retinal Services of Sankara Nethralaya organized Retina Summit 2016 from 14th to 15th July 2016 at ITC Grand Chola, Chennai. The meeting received a very warm response with the number of participants being around 276. l“A day with Prof. Amod Gupta” – one day CME on Challenging Case Scenario was organized by the Department of Uvea & Intraocular Inflammation, Sankara Nethralaya on 16th July 2016 and 180 ophthalmologists participated in the programme. lSankara Nethralaya organized the 27th SN Alummi Meet on 17th July 2016 at V.D. Swami Auditorium and 180 members participated in the event. lDr Geetha Iyer and Dr Prema Padmanabhan, participated in the Eye Advance 2016 at Mumbai, from 17th to 19th July 2016. Dr Geetha Iyer gave presentations on “Management of acute chemical injury” & “Keratoprosthesis abroad overview” and Dr Prema Padmanabhan on “The corneal endothelium revisited”, “Unilateral keratoconus – does it exist” & “Co-existing ectasias of the cornea: diagnosis & management”. lDr Biswas J participated in the Indian Eye Research Group (IEGR)-ARVO-India Chapter 23rd Annual Meeting, from 30th – 31st July 2016, at LVPEI, Hyderabad. He gave a presentation on “Tubercular uveitis and retinal vasculitis (Eales' Disease)”. lDr Vikas Khetan attended the Telangana Ophthalmology Society Meeting at Hyderabad on 5th August 2016 and he gave a presentation on “Retinoblastoma”. lDr Tarun Sharma, Dr Sumita Agarkar, Dr Radhika N, Dr Parivardhini A, Dr Sripriya Krishnamoorthy, Dr Geetha Iyer Krishnan, Dr Biswas J, Dr Ronnie George, Dr Shantha B, Dr Amala E George, Dr Sudha K Ganesh, Dr R Srikanth, Dr Sudhir R R, Dr Nandini Sankaranarayanan and Dr Shikha Bassi attended the 64th Annual Conference of Tamil Nadu Ophthalmic Association at Vellore from 5th to 7th August 2016. Dr Tarun Sharma made a presentation on “Surgical Management and prophylaxis”; Dr Sumita Agarkar on “Visual acuity assessment in children” & “Complications in squint”; Dr Radhika on “Pre-operative assessments & patient counseling”. Dr Parivardhini gave a presentation on “Management of trabeculectomy complications” and made a poster on “A rare case of Miller Fisher Syndrome”. Dr Sripriya Krishnamoorthy made a presentation on “Management of malignant glaucoma” and a poster on “Management of DM detachment following cataract surgery”. Dr Geetha Iyer Krishnan made a presentation on “Chemical burns”; Dr Biswas on “Decoding the Uveitis Mesh”; Dr Ronnie George on “Evaluating a glaucoma patient”, “What else should you look for in a glaucoma patient” and “Ëstimated burden of disease in Tamil Nadu”; Dr Shantha on “Beyond tubes & trabs”; Dr Amala George on “Panuveitis – a diagnostic challenge”; Dr Sudha Ganesh on “Viral retinitis”; Dr Srikanth on “Use of technology in pediatric eye conditions” and Dr Sudhir on “Lasik – Refractive course”, “How to read & review scientific articles”. Dr. Nandini made a poster presentation on “Surgical outcomes following treatment of glaucoma in congenital” and received the Best Paper Award for the same. Dr. Shika Bassi made a video presentation on “Cataract surgery in Challenging situations” and received the Best Video Runner up Award.

64 MEDICAL RESEARCH FOUNDATION lFifteenth Dr E Vaithilingam Memorial Scientific Session was successfully conducted by the Elite School of Optometry on 6th and 7th of August 2016 at Sri V D Swami Auditorium. Around 325 delegates participated including 103 delegates from 12 different schools of Optometry located across the country. lDr Suganeshwari G, Dr Pradeep S and Dr Muna P Bhende participated in the American Society of Retina Specialists (ASRS) Meet held at San Francisco, from 9th to 14th August 2016. Dr Suganeshwari made a poster presentation on “Proliferative retinopathy in scrub typhus - The forgotten mighty mite”; Dr Pradeep on “Outcomes of Peripheral 360° relaxing retinectomy in complicated retinal detachments” & “Our experience with T-Shaped Wedge Implant as Macular Buckle for posterior staphyloma associated myopic maculopathy: A Case Series”; Dr Muna Bhende on “Traumatic Macular Hole in paediatric age group” & “Efficacy and Safety of Multiple Ozurdex injections in RVO and DME”. lDr Biswas J, Dr Suchitra Pradeep, Dr Mamta Agarwal attend the 9th International Symposium on Uveitis, from 18th to 21st August 2016 at Dublin Dr Biswas gave a presentation on “Aetiopathogenesis of tubercular retinal vasculitis” and a poster presentation on “Swept source optical coherence tomography in various stages of VKH”; Dr Suchitra Pradeep made a poster presentation on “Utility of high resolution ultrasound biomicroscopy in the diagnosis and treatment of complicated cataracts secondary” and Dr Mamta Agarwal on “Clinical profile of ocular herpetic infections in a tertiary care center in India”. lDr Meenakshi S and Dr Mamta Agarwal participated in the National Post Graduate CME Programme at Taj Connemaral Chennai, from 18th to 20th August 2016. Dr Meenakshi gave presentations on “Evaluation of Squint”, “Exodeviation & Esodeivation”, “Management of Squint” & “Paralytic & Restrictive Strabismus” and Dr Mamta Agarwal on “Scleritis”. lDr Iyer Geetha Krishnan participated in the Tear Film and Ocular Surface Conference at France from 7th to 10th September 2016. She delivered an invited talk on “Unique challenges and unmet needs for the treatment of ocular surface disease – India (South Asia)”. lDr Prema Padmanabhan participated in the XXXIV Congress of the European Society of Cataract and Refractive Surgeons (ESCRS) at Denmark, from 10th to 14th September 2016. She made a poster presentation on “Corneal biomechanical properties assessed by corneal visualization scheimpflug technology (Corvis ST): comparison between two eyes of patients with unilateral keratoconus and with normal control”. lDr J Biswas attended the Annual Meeting of Uveitis Society of West Bengal at Kolkata on 11th September 2016. He delivered guest lectures on “Algorithm of Retino-choroditis”, “Approach to Retinal Vasculitis”, “Application of PCR in Uveitis” and “Biopsy Pathology in Uveitis”. lDr A. Parivadhini participated in the CME on Glaucoma & Treatment, Erode, on 18th September 2016. She made presentations on “Optic Nerve head changes and documentation” and “Indications for surgery and pre operative preparation”. lDr Parthapratim Datta Majumdar participated in the Eastern India Ophthalmological Congress- (EIZOC) from 24th to 25th September 2016, at Patna and he received the Dr K R Dutta Award for Best Paper for his poster presentation on “Hypotony in Uveitis” and gave a presentation on “Management of Non-infectious uveitis”. lDr T S Surendran attended the CME Program on Pediatric Ophthalmology at Giridhar Eye Institute, Cochin, on 2nd October 2016 and gave a lecture on “Four decades of strabismus”.

65 MEDICAL RESEARCH FOUNDATION lDr. Vathsalya Vijay and Dr. Varsha Backiavathy attended the 27th Annual Oculoplasty Association of India (OPAI), on 4th October 2016 at Baroda. Dr. Vathsalya received the Dr. C. Gupta Award' for Best Poster for her poster presentation on “Prostaglandin Associated Periobitopathy: The Orbital Angle”. Dr. Varsha received the 'Dr. M. Subramanyam Award' for 'Best Paper” for her poster presentation on “Orbital Abscess- A 15 year review at a tertiary eye care centre”. lDr Shweta S Agarwal and Dr Dhanashree Ratra attended the American Academy of Ophthalmology Meet 2016 at Chicago from 15th to 18th October 2016. Dr Shweta Agarwal received the Best Poster Award for the poster presentation on “Comprehensive approach to ocular sequelae of STS- experience over a decade” and gave presentations on “Long term outcome4 of MOOKP – 13 year study” & “IC: Type 1 Kpro”. Dr Dhanashree Ratra made a poster presentation on “Effect of brilliant Blue G on cellular stress response in retinal pigment epithelial cells in vitro”. lDr Kavitha Kalaivani and Dr Sudarshan S participated in the Association of Community Ophthalmologists of India (ACOIN 2016) at Trichy on 22nd October 2016. Dr Kavitha Kalaivani gave a presentation on “Paediatric HIV” and Dr Sudharsan on “IRU and drug related lesions in HIV”. lDr Ronnie George participated in the Indian Railway Ophthalmologist Association Meeting at Chittarajan on 22nd October 2016 and he gave presentations on “Management of Glaucoma” and “Managing a failed filter”. lDr Ronnie George attended the 10th General Assembly of International Association for the Prevention of Blindness at Durban, South Africa from 27th to 30th October 2016. He gave presentations on “The burden of glaucoma: how will we handle the massive increase in those affected?” and “ORBIS “Eye Know”. lDr Parveen Sen, Dr Vikas Khetan, Dr Radhika N and Dr Bipasha Mukherjee attended the NUH Eye International Congress 2016 at Singapore, from 3rd to 5th November 2016. Dr Parveen Sen made presentations on “Scleral fixated IOLs in ocular trauma” & “Preventing and managing complex proliferative vitreoretinopathy in posterior segment trauma”; Dr Vikas Khetan on “Intravitreal chemotherapy - pros & cons & considerations”; Dr Radhika N on “Repair of Brittle cornea” and Dr Bipasha Mukherjee on “Nasolacrimal duct in orbitofocial fracture”. lDr Radhika N and Dr Rama Rajagopal participated in the ISOT Conference 2016, Singapore from 4th to 5th November 2016. Dr Radhika gave a presentation on “Tectonic PK in fragile cornea” and Dr Rama Rajagopal made a poster presentation on “Trauma following PK risk factors and outcome”. lDr Shantha B, Dr Mona Khurana, Dr Trupti Sudhir Patil, Dr Vineet Ratra and Dr Sushmita S participated in the 26th Annual Conference of the Glaucoma Society of India at Kangra from 4th to 6th November 2016. Dr Shantha gave presentations on “Challenges in Post VR Glaucoma”, “Endo cyclophotocoagulation: When is it a procedure of choice “ & “Diagnosis and management of glaucoma following keratoprosthesis”; Dr Mona Khurana on “Endoscopic cyclophotocoagulation: Is it good for the management of refractory glaucomas”; Dr Trupti Sudhir Patil on “IC: Post penetrating keratoplasty glaucomas: How would I evaluate, what would I do?”; Dr Vineet Ratra on “Malignant Glaucoma: How would I treat” and Dr Sushmita on “Management of Malignant glaucoma” & “Diurnal variation in intraocular pressure among normal individuals in a tertiary care center”.

66 MEDICAL RESEARCH FOUNDATION lDr Prema Padmanabhan participated in the Keratoconus Theatre Conference 2016 at Bangalore from 5th to 6th November 2016. She made presentations on “How do I define progression?” & “Haze post CXL”. lDr Biswas J attended the West Bengal Ophthalmology Society Meeting at Kolkata on 18th & 19th November 2016 and gave a talk on “Algorithm of diagnosis and management of Choroiditis”. lDr. Geetha Krishnan Iyer, Dr. Arushi Anil Kumar Goyal, Dr. Anuja Ketan Desai, Dr N Radhika and Dr Geetha Iyer Dr Shweta Agarwal and Dr Rama Rajagopal attended the Keracon Conference from 15th to 17th December 2017 at Lavasa City, Pune. Dr. Geetha Krishnan Iyer made a video presentation on “Melt Medley” and received the First Prize, for the same. Dr. Arushi Anil Kumar Goyal made a Video presentation on “Boston type 2kpro surgical technique” and received the Second Prize. Dr. Anuja Ketan Desai made a poster presentation on “Oomycete Keratitis – Pythium insidiosum case series”; Dr N.Radhika gave a presentation on “Subconjuctival parasite”; Dr Geetha Iyer on “MOOKP, Temprano OKP & Type II Kpros in advanced OSD”; Dr Shweta Agarwal on “Keratoprotheses in bilateral ocular burns” and Dr Rama Rajagopal on “Interesting cases of Neoplasia”. lDr Sudha K Ganesh, Dr Sudarshan S and Dr Amala E George participated in the 16th Annual Meeting of Uveitis Society of India with Annual Meeting of Retina Association of Srilanka at Colombo from 25th to 27th November 2016. Dr Sudha Ganesh gave presentations on “Parasitic ocular infestations: Ocular & Orbital systicercosis” & “Tubercular Uveitis – challenging case presentation”; Dr Sudarshan S on “Rare case scenario in HIV”, “Usefulness of QuantiFERAN Gold test in Ocular TB” & “Pre-operative inflammatory control controversies” and Dr Amala George on “Ocular inflammation with systemic inflammatory diseases”, “Case of diagnostic challenge” & “Diagnostic work up in Uveitis”. lDr Suganeswari G participated in the 4th North Bengal Indian Medical Association Doctors & 10th Tea Garden Doctors Conference, from 3rd to 4th December 2016 at North Bengal. She gave Dr Amitava Paul Oration lecture on “Current trends in management of diabetic retinopathy, role of ophthalmology in medicine”. lDr Parveen Sen, Dr Lingam Gopal, Dr Dhanashree Ratra, Dr Rajiv Raman, Dr Pukhraj Rishi and Dr Jaydeep Avinash walinjkar attended the Vitreo Retinal Society India Conference from 1st to 4th December 2016 at Chandigrah. Dr Parveen Sen gave presentations on “Surgical outcomes of small gauge vitrectomy in stage 4 and 5 retinopathy of prematurity” , “Electrophysiology in retinal diseases: The underlying currents” & “Retrolental fibroplasia: “what lies beneath”; Dr Lingam Gopal on “Refractory AMD-does switching among anti-VEGF agents helps in recalcitrant cases”; Dr Dhanashree Ratra on “Swept source optical coherence tomography study of retinal and choroidal morphology in Stargardt disease”& “Does switching of anti-VEGF agents in AMD help?”; Dr Rajiv Raman on “Steroids in DME”, “Steroids – current role in the Anti-VEGF Era”& “Automated algorithm for DR”; Dr Pukhraj Rishi on “Intra-aterial chemotherapy for retinoblastoma: Two year results” & “Ocular metastases from systemic malignancies” and poster presentation on “Combined antero-posterior approach in surgical management of iris- ciliary body fungal granuloma with excision biopsy, irido-cyclectomy and vitrectomy” and Dr Jaydeep Avinash walinjkar made a poster presentation on “Unusual presentations of bilational Rhegmato-Genous Retinal Detachment (RRD) in children after trivial blunt injury in one eye.

67 MEDICAL RESEARCH FOUNDATION lDr B Shantha attended the American Association for Pediatric Ophthalmology and Strabismus Conference at Jaipur from 2nd to 4th December 2017and she gave a presentation on “Ahmed glaucoma valve in the management of pediatric glaucoma”. lDr Vinata Muralidharan participated in the Asia-Pacific Vitreo-Retina Society Conference held at Bangkok, from 8th to 10th December 2016. She gave a presentation on “Tramatic cyclodialysis cleft management: An International case series” and made poster presentations on “Outcomes of vitreous surgery for complications of proliferative diabetic retinopathy in type I diabetes subjects < 30 years of age” and “Intraocular Gnathostomiasis: management of six cases” lDr J Biswas participated in the 32nd Annual Conference of Odisha State Ophthalmological Society, Bhubaneswar on 10th December 2016 and gave a talk on “Diagnostic and therapeutic challenges in uveitis”. lDSEK Skills Transfer Course Workshop was conducted by the Cornea Department , Sankara Nethralaya & Sight Life from 5th to 7th January 2017 and the total number of participants were 22. lDr Rajiv Raman participated in the Medical Retina Summit, Bhopal Ophthalmic Association Meeting at Bhopal on 7th January 2017. He gave presentations on “Management of DME” and “How to get the best use of OCT”. lDr Meenakshi S, participated in the East Zone Teachers in Ophthalmology Program, at Bhubaneswar, on 15th January 2017 and she gave presentations on “Adult learning principles (with audience participation)”, “How to make your lectures more effective”, “Teaching in busy outpatient clinics”, “Teaching during surgery”, “Online resources for teachers”, “How to assess your PG's performance in the OPD/Clinic”, “Assessment of surgical performance of the PG”, “Can a PG assess the faculty?” and “Giving effective feedback: New thinking”. lDr J Biswas, Dr Sudha K Ganesh, Dr Amala E George, Dr Suchitra Pradeep, Dr Sudarshan S and Dr Arshee S Ahmed attended the Uvea-3600, Aravind Eye Hospital, Madurai, from 27th to 30th Jan 2017. Dr Biswas gave a presentation on “Immunosuppressant's in non-infectious uveitis”; Dr Sudha Ganesh on “How not be carried over by lab reports and treat the patient clinically” & “Scleritis diagnosis and management”; Dr Amala George on “Ocular inflammation with systemic inflammatory disease” & “Endogenous Endophthalmitis”; Dr Suchitra Pradeep on “Herpetic uveitis and ARN” & “UBM in uveitis”; Dr Sudarshan on “Newer presentations in HIV/AIDS patient on HAART”, “Usefulness of Mantoux in uveitis” & “Intravitreals in uveitis” and Dr Arshee Ahmed made a case presentation on “Case of syphilitic uveitis in an immunocompromised young male patient presenting with diagnostic dilemma”. lDr Pradeep S attended the Creative Workshop on Vitreo Retinal Disease Management at Bangalore, on 04th February 2017 and gave presentations on “Macular Buckle –Our experience at SN” and “Panelists for case presentation”. lDr Vikas Khetan was conferred with “P Siva Reddy International Award”; Dr Pukhraj Rishi received “C N Shroff Award”; Dr Muna Bhende received the “IJO Platinum Award” and Dr Ekta Rishi received the “IJO Gold Award” at the conference. Dr Vikas Khetan also received the IJO Best reviewer award at the AIOS 2017. lMs Vanitha attended the Workshop on Histo-techniques at Anand Diagnostic Laboratory, Bangalore, on 19th March 2017.

68 MEDICAL RESEARCH FOUNDATION lDr Kavitha Kalavani, Dr Meenakshi S, Dr Pradeep S, Dr Aditya Verma, Dr Suganeswari G, Dr Muna Bhende, Dr Pukhraj Rishi, Dr Ekta RIshi, Dr Vikas Khetan, Dr Pramod S Bhende , Dr Lingam Gopal, Dr Shweta Agarwal, Dr Ambika S, Dr Mamta Agarwal Dr Sudarshan S , Dr Biswas J, Dr Amitabh Kumar, Dr Sujata Guha, Dr Akila Ramkumar, Dr Vineet Ratra, Dr Jeyalakshmi Govindan, Dr Kumar Ravi, Dr Kumar Saurabh and Dr Md Arif Mulla attended the All India Ophthalmological Society Meeting at Jaipur from 16th to 19th February 2017. Dr Kavitha Kalavani gave presentations on “IC: Pediatric cataract surgery” & “Early Vs late eye at IOL in infants”; Dr Meenakshi on “IC: What after residency?” & “Teachers in Ophthalmology – Lead instructor teaching in OR clinical assessment”; Dr Pradeep on “IC: Basic vitrectomy techniques”, “IC: Controversies in acute posterior segment trauma” & “Outcomes of 360 degree RR in complicated retinal detachment”. Dr Aditya Verma made a presentation on “Inflammation vs Infection” and a poster on “To differentiate a “Pseudo Excavation” from a true focal choroidal excavation in a case of CSR”; Dr Suganeswari gave a presentation on “CME in hereditary and degenerative disorders”; Dr Muna Bhende on “Unusual conditions causing/mimicking CME”, “Clean vs infected injuries – controversies”, “Postoperative retinal detachment” & “Fluid gas exchange & PFCL- not no simple”; Dr Vikas Khetan on “Masquerade Syndrome”, “Classification of RB” & “IOFB – Controversies”; Dr Pramod Bhende on “Tractional CME” & “Membranes and ILM – Do you go after them all”; Dr Lingam Gopal on “Fluid at the macula – detection & significance”, “Laser & tamponade – how best to keep the retina” & “Managing coloboma with retinal detachment”; Dr Shweta Agarwal on “Pythium Keratitis – Clinical profile and measures to reduce recurrence”; Dr Ambika on “Patient with unexplained vision loss”; Dr Mamta Agarwal on “CME due to inflammation and surgery”, “Intermediate uveitis – how would you manage?”, “Cataract surgery in a scarred/opaque cornea” &, “Infectious and non-infection uveitis”; Dr Sudarshan on “Necrotisign retinopathies – what all can cause?”; Dr Biswas on “VKH with and without complications-management approach” & “Ocular sampling in uveitis”; Dr Amitabh Kumar on “Hypopyon anterior uveitis – how do you go about it?” and Dr Sujata Guha on “Pediatric cataract surgery in difficult situation – How different to go about?”. Dr Akila Ramkumar made a poster presentation on “Ocular manifestation of Noonans Syndrome”; Dr Vineet Ratra on “Shall I do tube or Trab: insights from TVT study” and Dr Kumar Ravi on “Povidone iodine induced periocular dematistis” Dr Jeyalakshmi Govindan gave a presentation on “A case of Retinitis Pigmentosa with Idiopathic intracranial hypertension”; Dr Kumar Saurabh on “CME due to vascular and neovascular pathologies” and a poster on “Clinico-microbiological profile of post cataract surgery endophthalmitis and role of PCR in the management” & “Yag laser membranotomy: A novel treatment for sub-internal limiting membrane hemorrhage” and Dr Md Arif Mulla made a poster presentation on “Ocular myasthenia associated with pigmentary retinopathy and coat's response – A rare association”.

69 MEDICAL RESEARCH FOUNDATION

IN HOUSE CONFERENCE

Retina Summit 2016

National and International dignitaries at the Retina-2016, a topical seminar organized by SN

The Guru of Vitroretina Dr SS.Badrinath with participants of the Retina- 2016

The Retina Summit was designed to be a theme based meeting so as to have a comprehensive discussion on a subject in one and half days. The theme of this meeting was “Diabetic retinopathy and Retinal VenousOcclusion.” The subject was chosen as the diabetes prevalence in India is around 69 million according to recent estimates in 2015 and diabetic retinopathy as a complication of diabetes is on the rise. The other subject in focus was Retinal venous occlusion which is nowadays seen in younger individuals due to rise in the lifestyle disorders like obesity, dyslipidemia, hypertension and diabetes. The scientific sessions were moderated by Sankara Nethralaya faculty and each session had a quiz session with voting at the start and at the end of the talks which analysed the knowledge enhancement of the audience.

70 MEDICAL RESEARCH FOUNDATION

There were six international speakers and Attendance Details twelve national speakers. The International Speakers were: Total Registrants 175 Faculty 21 l Dr. Srinivas Sadda Consultants 28 l Dr. Usha Chakravarthy Fellows 40 Optometrists 8 l Dr. Arup Das Scientists 2 l Dr. Anita Agarwal Others 2 Total 276 l Dr. Adnan Tufail l Sri Madabushi The National Speakers were: l Dr. Atul Kumar l Dr. Mangat Dogra l Dr. Mahesh P. Shanmugam l Dr. R. Kim l Dr. S. Natarajan l Dr. Raja Narayanan l Dr. Dwaipayan Bharadwaj Host Speakers: l Dr. Lingam Gopal l Dr. Pramod Bhende l Dr. Muna Bhende l Dr. Dhanashree Ratra l Dr. Rajiv Raman

Proud hosts and jubilant participants at the conclusion of the Retina -2016

71 MEDICAL RESEARCH FOUNDATION

Posters There were 46 posters in Retina summit and the posters were judged by the international faculty and national faculty and awards were given to the Best poster Case Study and Best poster Case Report. Best Case Study lMs Durgasri Jaisankar Distance and Near Vision Changes following Intravitreal Anti-VEGF in Center Involving Diabetic Macular Edema in Phakic Eyes lDr Chanda Gupta Correlation between the volume of macular edema on Spectral Domain Optical Coherence Tomography (SD-OCT) with the ischemic areas on Fundus Fluorescein Angiography (FFA) in Spectralis in treatment naive Diabetic Macular Edema patients lMadanagopalan V G Systemic Factors in Central Retinal Vein Occulusion: An analysis of their influence on visual acuity Best Case Report lDr Aditya Verma Demonstration of microemboli with FFA (Fundus fluoresceine angiogram) in a case of proliferative retinopathy secondary to falciparum malaria. lMr Sumeer Singh H Management of Macular Edema with Branch Retinal Vein Occlusion in Polycythaemia lDr Pradeep Sagar Treat or not to treat – Dilemma !!!! lDr Karthikeya R Bilateral concurrent combined central retinal vein and artery occlusion lDr Anumeha Priyadarshini Branch Retinal Artery Occlusion with Non Clinical Branch Retinal Vein Occlusion after scuba diving The Retina Summit 2016 was well appreciated for the format of the meeting, the quality of discussions and the facilities at the meeting. Particular praise was accorded to the food and the venue and of course the hospitality of Sankara Nethralaya.

72 MEDICAL RESEARCH FOUNDATION

Clockwise – Proud winners of white paper presentations in a jubilant mood, participants observe the proceedings in rapt attention, Participants study the posters exhibited at the venue with great interest, Dr Parveen Sen, Senor Vitroretina Consultant assisting dignitaries

73 MEDICAL RESEARCH FOUNDATION lThe Major highlights of the meeting lThe use of LED screen with “Watch out” provided for excellent screening of presentations even when viewed at a distance. lThe inaugural function was a unique event with a theme that was " Guru Devo Bhava" with speakers sharing the values they imbibed from the Gurus which shaped their thoughts and lives including their careers." lThe highlight of the evening function was live painting by National Talent Mr. Vilas Nayak who is well known for the speed at which he paints on stage, live in front of an audience. lTravel grants in the form of waiver of stay at the venue was awarded to 7 Vitreoretina fellows who had recently finished fellowship. lThe one and a half day meeting received 15 Credit points from the Tamil Nadu MGR University. lThe Meeting was designed as a Go-Green initiative to minimise use of paper.

Dr Vasanthi Badrinath lights the auspicious lamp at the inaugural of the Retina-2016 as Dr SS.Badrinath looks on

74 MEDICAL RESEARCH FOUNDATION

DISTINGUISHED VISITORS lDr Aung Tin, Dr. CC Khor and Dr. Jay Ji - Ye Wei from the Institute of Molecular and Cell Biopsy, Singapore Eye Research Institute, Singapore, visited our foundation on 9th April 2016. lDr Richa Verma, Lecturer in Vision Science, School of Medicine – Optometry and Faculty of Health, Deakin University, Australia visited our foundation on 30th April 2016 and gave a lecture on “Isolating outer and inner retinal contribution to Human Electroretinogram (ERG)”. lProf Mo Jalie, Association of British Dispensing Opticians (ABDO), United Kingdom visited our foundation on 21st May 2016 and gave a guest lecture on “Recent Trends in Ophthalmic Dispensing”. lProf Amod Gupta visited our foundation on 16th July 2016 and delivered a special lecture on “An interactive CME on Uveitis and Intraocular Inflammation”. lProf John Robson, Senior Research Professor of Vision Science, University of Houston College of Optometry & Gonville & Caius College, Cambridge, visited our foundation on 19th August 2016 and gave a guest lecture on “Contrast Sensitivity in a Clinical Context: A little history and a new approach”. lMr Justin from Genome Institute of Singapore visited the Bioinformatics lab on 3rd August 2016. lDr Timothy Lai, Honorary Clinical Associate Professor, Dept of Ophthalmology & Visual Science, Chinese Univ. of Hong Kong. Hong Kong, visited the research laboratories on 26th August 2016. lDr Namrata Sharma from AIIMS Delhi visited our foundation and gave a talk on “Diagnosis and management of microbial Keratitis”on 21st September 2016 lShri K B Jayaram Reddy's sons from Koramangala, Bangalore, donors of VI Floor, Kamalnayan Bajaj Research Centre, visited the foundation on 17th October 2016. lMaj Gen JKS Parihar, Director General of Armed Forces Medical Services, Ministry of Defence, New Delhi visited our foundation on 21st October 2016. lDr Arup Chakrabarti from Chakrabarti Eye Care Centre, Trivandrum visited our foundation on 11th November 2016 and delivered a lecture on “Complications in Cataract Surgery”. lDr Jai Shankar, Chairman-International Medical Graduate Subcommittee, The Royal College of Ophthalmologists, London visited our foundation on 09th November 2016. lDr S Ramakrishnan, Senior Consultant Rheumatologist, Apollo Hospital, Chennai visited our foundation on 12th November 2016 and delivered a guest lecture on “Biologics basics and applications in Uveitis and other Inflammatory disease of the Eye”.

75 MEDICAL RESEARCH FOUNDATION lDr Sundaramoorthy, Professor of Medicine, Madras Medical College, Chennai, visited the research laboratories on 15th November 2016. lDr K Murali, Interventional Neuroradiologist, MIOT Hospital, Chennai, visited our foundation on 18th November 2016 and delivered a lecture on “Interventional neuro- radiology applications in neuro-ophthalmology”. lDr A S Karthikeyan, Consultant Pediatric Ophthalmologist and Ocular Geneticist CMER (Shenzhen), Dennis Lam Eye Hospital, Shenzhen, China visited our foundation on 17th November 2016 and gave a talk on “Genotype phenotype correlation in ocular disease”. lDr Jesse L Berry, MD, USC-CHLA, Keck School of Medicine, USA visited our foundation on 21st November 2016 and delivered a lecture on “Ocular Oncology”. lMs Nandita Chopra, South Asia Representative for National Institutes of Health (NIH), at US Embassy, New Delhi, visited the research laboratories on 1st December 2016. lDr Mishra Kavita, Head, UCSF Proton Radiation Therapy Centre of Uveal Melanoma, USA visited our foundation on 15th December 2016 and delivered a lecture on “Stereotactic Radiation in Uveal Melanoma”. lDr Chitra Ramamurthy from The Eye Foundation visited our foundation on 19th December 2016 and gave a talk on “Toric Intraocular Lens”. lProf Vasudevan Lakshminarayanan from University of Wateloo, Canada visited our foundation on 20th December 2016 and delivered a talk on “Evaluation of Optics”. lDr A V Ramanan, Paediatric Rheumatologist at Bristol Royal Hospital for Children, UK, visited our foundation on 21st December 2016 and gave a lecture on “Biological in Uveitis”. lDr R N Banerjee, Consultant Pharmacist, Formerly Chief Pharmaceutical Chemist, Moorfields Eye Hospital, London visited the research laboratories on 27th January 2017. lDr Srinivasan Paramasivam from Apollo Hospital, Chennai visited our foundation on 03rd February 2017 and delivered a lecture on “Vascular Intervention around the Orbit”. lProf Jon Watson, Dean School of Medicine and Prof Jagat Kanwar, Faculty of Health, Deakin University, Australia visited the research Laboratories on 28th February 2017. lDr Krishnakumar Venkateswaran, from M/s Tatwam Research Foundation, California visited the research laboratories on 28th Feburary 2017. lDr Aparna Ramasubramanian, Assistant Professor, University of Louisville, USA visited our foundation on 04th March 2017 and gave a talk on “Paradigm shift in the management of Retinoblastoma”. lMr Jawahar (Jay) Malhotra, publisher of Indo American News, USA visited our foundation on 30th March 2017.

76