Activity Report 2017 - 2018 Copyright © 2018 / All rights reserved Editors: Dr Sreedevi Yadavalli, Neha Hassija Design: Y Yedukondalu, N Kishore Kumar, N Ramgopal and C Sreenivasulu Assistance: Aarti Rawat, Shobha Mocherla and V Mounika Photography: SBN Chary and Naresh Gattu; Dr Srinivas Marmamula; and LVPEI Archives Donor Relations: Sam J Balasundaram, Mahaveer Jain and Jacob Printers: Pragati Offset Pvt. Ltd., Hyderabad Working towards preventing needless blindness and vision impairment Education Eye Bank Advocacy, Technology Policy & Clinical Care Innovation Planning

Rural & Vision Product Community Rehabilitation Development Eye Health Capacity Research Building Contents

Foreword Year at a Campus Vision Eye Research Capacity LVPEI’s Donor Board Glance News Rehabilitation Banking Building New Stories Members Frontiers

4 6 9 10 14 22 26 30 34 38 42 46 50 51 52 53 54 59 65

Rural and Advocacy Network Awards & Community and Policy Donor Map Honours Patient Care Eye Health Education Innovation Making Linkages Support Progress Near and Far

Notable progress along diverse functional task of creating a “Universal Eye Health areas and enhancement of partnerships Programme”, with funding of Rs 670 crores marked the year 2017-18, while “Institutes (about US $100 million) - indeed a great of Excellence” and “Primary Eye Care”, privilege and opportunity to create an eye the themes from our “Next 25” strategic health system for over 40 million people. initiatives, accelerated ahead. The Governments of Andhra Pradesh and Telangana too have allocated resources, The Tej Kohli Cornea Institute (TKCI), Child and we are involved in varying degrees in Sight Institute and Aurobindo Geriatric the planning, implementation, training Eye Centre continued to expand, with Foreword and evaluation of these programmes. TKCI launching programmes in Myanmar, Meanwhile within our network, the spread Cambodia, Oman, Liberia and Mexico. New of primary care vision centres continued institutes of excellence launched included with almost two new centres added each Brien Holden Institute of Optometry month. and Vision Sciences, Institute for Vision Rehabilitation, Centre for Cerebral A new development is the ability to take Visual Impairment in Vijayawada, and advanced, tertiary level care closer to rural Bio-Imaging Laboratory and Centre for doorsteps. Advanced surgical procedures Retinitis Pigmentosa and Allied Diseases in such as the latest partial thickness corneal Hyderabad. transplants, DMEK (Descemet’s Membrane Endothelial Keratoplasty) are now done In primary care, it is heartening to see the at secondary centres. We also adopted Governments of three states committing emerging technology for rural screening funds to eye care. In Odisha, Vice-Chair and tele-ophthalmology, improving Taraprasad Das has been made Chairman connectivity across the tiers of our pyramid. of the Empowered Committee with the

4 Two large scale children’s screening on research methodology, manuscript initiatives were funded by US AID and writing and biostatistics. We also had some Lavelle Fund of New York, the overall outstanding scientists visit us, including results providing valuable information for two Nobel laureates, and forged important better planning of services in the future. partnerships with Harvard Ophthalmology, RIKEN of Japan, and a UK-India programme. For the first time, we ventured into new geographies by launching a programme in As always, we have had several individuals the Republic of Liberia, in response to a call recognized for their excellence. The from their President. An eye centre offering Institute was ranked by both the “Times high quality comprehensive eye care was of India” and the “The Week” as the inaugurated in the capital city of Monrovia Best Eye Hospital in India. Our “Centre in July, with encouraging results. for Technology Innovation” continues to garner recognition. The various awards Our education academy focused on and honours are listed in the following leveraging technology and tools, and pages of the report, While we are thrilled enhancing quality while expanding reach, with the accolades, we are also conscious with special emphasis on comprehensive of the responsibility that comes with it. ophthalmology and residency training, besides capacity building of residency The generosity of our friends continued programmes and optometry schools. with two big individual contributions, one of them being the largest single More of our clinician faculty is allocating contribution till date. To them, and many greater time for research, a trend that others who shared their wealth in various augurs well for the future. The Institute has forms, we are indebted. As a friend of ours always promoted a culture of research, with - a High Court judge - very eloquently said, each faculty member allotted dedicated “You are becoming wealthier day by day. research time, thus helping build a great Every morning, millions of people must track record of peer reviewed publications. be showering their blessings on you when We are now working to enhance the quality they open their eyes. What other form of of publications through expert workshops wealth can equal that!”

Gullapalli N Rao Chair, Board of Trustees 5 New centres inaugurated April 2017 - March 2018 23 Vision Centres 2 Secondary Centres

Karnataka

Odisha Telangana LVPEI Eye Care Network LVPEI

Andhra Pradesh Karnataka

6 Total Centres: 195

1 Centre of Excellence Serves 50 million+ population 3 Tertiary Care Centres Each serves 5 million+ population

18 Secondary Eye Care Centres* 9 Partner Centres Each serves 500,000 – 1 million population 171 Primary Eye Care Centres** Each serves 50,000 population Vision Health Guardians Serves 5,000 population

* Secondary Centres ** Vision Centres ***Additionally, we have 2 urban city centres, in Hyderabad and Ballari As of March 2018

Govt of India has adopted LVPEI's Vision Centre and Eye Health Pyramid model for eye care service delivery Outpatients treated 13.16 Impact Surgeries performed 1.37 1987 to March 2018 Children reached 3.34

Rehabilitated 0.17 Villages reached 9617 26.04 Corneas harvested 84,297 People Served

Corneas distributed 46,372

Innovative stem cell based procedures 1633

Eye care professionals trained 20,046 50%+ services Publications 2302 provided free of cost, regardless of complexity PhDs awarded 46 Patents filed 2 Outpatients treated 13.16 Impact Surgeries performed 81 1.37 02 1987 to March 2018 hc 1,480,861 Children reached 3.34 raM outpatients served o t 7 t 153,110 615,565 surgeries reached through Rehabilitated 0.17 10 performed community eye 2 li 2 health initiatives Villages reached 9617 rp A 142 26.04 awards & honours Corneas harvested 84,297 People Served 279 publications 2,249,536 535 People served 17,836 Corneas distributed 46,372 presentations visually impaired rehabilitated Innovative stem cell based procedures 1633

Eye care professionals trained 549 20,046 trained 50%+ services 24,000 9691 delegates donor corneas Publications 2302 provided free of cost, participated in harvested *CMEs and other regardless of complexity programs 5775 PhDs awarded corneas 46 distributed Patents filed 2 * Continuing Medical Education 9 Awards & Honours Times of India and The Week magazine rank LVPEI as the Best Ophthalmology Hospital in India

10 • Bajaj Service Excellence Award • Indywood Medical Excellence Awards in the category of “Best Initiative for Eye Care” • Organization of Pharmaceutical Producers of India Health Access Award • Federation of Indian Chambers of Commerce and Industry - R&D Award • State Formation Day Award, Government of Telangana Awards • Institute for Vision Rehabilitation: Project of the Year, Project Management Institute India Awards received • LVPEI Center for Innovation wins the following accolades: (a) Bull’s Eye Dropper - for self instillation of eye drops, in Five Top Ideas transforming healthcare, BioAsia Conference (b) Best Innovative Idea award, Govt of Telangana State, Department of IT, Electronics and Communication (c) Pediatric Perimeter received Public Action Grant, Association for Research in Vision and Ophthalmology (d) Fittle, the world’s first 3D Braille printed puzzle, won a Bronze at the Eurobest awards in Healthcare category

Hitesh Agarwal Sayan Basu Goura Chattannavar Rohit Dhakal rd • Best poster, Uveitis Society of India • Editorial Board, Indian Journal of • 3 rank in Erudio quiz, Academic • Best scientific presentation poster, Ophthalmology achievers award Mohammad Javed Ali Dr EV Memorial Scientific Session, • Steering Committee, International • Honoured by naming a Gold Sai Naga Sri Harsha Ch Sankara Nethralaya KPro Study Group medal after his name ‘Dr Javed Ali • Young Innovator, second prize, Sourav Datta Gold Medal’ which will be given Shrikant Bharadwaj InnoHEALTH conference • Research training fellowship, annually for the best surgical • Section Editor, Optometry and Anthony Vipin Das Wellcome Trust-DBT India Alliance video by Society for Clinical and Visual Sciences, Indian Journal of • Chevening science and innovation Experimental Hypnosis Endoscopy Ophthalmology Anasua Ganguly leadership fellowship, UK Govt- Congress • (a) Best physical poster award Jay Kumar Chhablani Rolls Royce • All India Ophthalmological Society in oculoplasty (b) first prize in • Winner global video contest, - Indian Journal of Ophthalmology Sujata Das FDC Pixel AIOS quiz, All India American Academy of Silver Award • Lead Co-Convener, CII-Health Care Ophthalmological Society Ophthalmology and Life Science Panel, Odisha Ramam Atmakuri • Associate Editor, Acta Prashant Garg • Technology Member Advisory Ophthalmolgica Taraprasad Das • Rustom Ranji Oration Medal, Group, Global Project • YasuoTano Lecture, Asia Pacific Telangana Ophthalmic Society Preeti Patil Chhablani Management Institute Vitreo Retinal Society • Associate Editor, BMC Chandra Sekhar Garudadri • Chairman, Universal Eye Health Deepak Kumar Bagga Ophthalmology • Special recognition, World Program Empowered Committee, • Travel fellowship to attend Vision Glaucoma Association Subhabrata Chakrabarti Govt of Odisha 2017, International Society for Low • Dr S S Grewal Oration, North Zone • Special honour, global research Vision Research and Rehabilitation Vivek Pravin Dave Ophthalmological Society training initiative and reappointed, • Associate Editor, BMC D Balasubramanian global mentorship program, Naresh Gattu th Ophthalmology • 25 Anniversary Kothari Memorial Association for Research in Vision • Three honourable mentions for Oration, Ministry of Defence, India and Ophthalmology Tarjani Vivek Dave pictures, ACRS-ASOA Symposium & Congress Soumyava Basu • Special Recognition, World • Winner P Ramchander competitive • Section Editor, Uvea and Glaucoma Association free paper session, Telangana Inflammation, Indian Journal of Opthalmic Society Ophthalmology International Awards National Awards 11 Vijaya Gothwal Sciences Indumathi Mariappan Vishal Ramesh Raval • Diplomate in Low Vision (Research • Assistant Editor, Molecular Biology • Member, Task Force Committee on • Honor award, American Society of stream), American Academy of and Genetics, Indian Journal of Stem Cell Research & Regenerative Retina Specialists Medicine, Dept of Biotechnology, Optometry Ophthalmology GS Ramani Govt of India • Travel grant to attend Vision 2017, • Travel grant, World Glaucoma International Society for Low Ramesh Kekunnaya • Achievement award, Asia-Pacific Milind Naik Association Vision Research and Rehabilitation • Best Poster, European Society Academy of Ophthalmology Sanhita Roy th of Ophthalmic Plastic & Arushi Gupta • Local host President, 4 • Member, Editorial Board, Reactive Reconstructive Surgery • Winner, N Subramanya Reddy World Congress of Pediatric Oxygen Species Journal competitive free paper, Telangana Ophthalmology and Strabismus Raja Narayanan Virender Sachdeva Ophthalmic Society conference • Member, Macula Society • Clinical Research Fellowship in Srinivas G Abhinav Reddy Kethiri Ajay Nath Neuro-ophthalmology, Emory Eye • Pixoto Rising Star Picture Award • Best oral presentation award and • 100 Top HR Minds in India Award Center, Atlanta travel grant, Indian Eye Research 2018 instituted by the World HRD Shahna Shahul Hameed Sirisha Senthil Group - Association for Research in Congress • Travel fellowship, Association Vision and Ophthalmology - India • Second prize, video, World for Research in Vision and Tapas Ranjan Padhi Glaucoma Association Ophthalmology Rohit Khanna • Third prize in free paper category, Sujata Sharma • Section Editor, Community World ROP Congress Subhadra Jalali • Best poster, World Congress of Ophthalmology section, Indian • Mentor, ROP program Nigeria • Pabitra Basari Memorial award, Paediatric Ophthalmology and Journal of Ophthalmology under ROP NET, London School of Association of Community • Associate Editor, Cataract and Strabismus Ophthalmologists of India Hygiene & Tropical Medicine refractive surgery, editorial board, Savitri Sharma • Prof T Gopinathan Menon gold Bhavik Panchal BMC Ophthalmology • Achievement award, Asia-Pacific medal oration, Cochin Ophthalmic • Paper presentation travel grant by Academy of Ophthalmology Club Rashmi Krishnamurthy Science and Engineering Research • Board Member and Secretary, • Best paper, Glaucoma Society of Board, Asia Pacific Academy of Joveeta Joseph Ocular Microbiology and India Ophthalmology • Assistant Editor, Microbiology, Journal of Ophthalmology Immunology Group, USA Indian Journal of Ophthalmology Niranjan Pehere MD Idris Shareef Anil K Mandal • (a) Best poster in Pediatric Meha Kabra • Prof Clifton Schor certificate and • Winner, Swarup video session, Ophthalmology section (b) E • Developing country eye researcher prize for academic excellence Telangana Opthalmic Society T Selvam award for the best travel fellowship, Association (binocular vision course) poster presentation, All India for Research in Vision and Ashik Mohamed • Mrs. PG Nagalakshmi certificate Ophthalmological Society Ophthalmology • PhD in Vision Science, University of and prize for academic excellence • Editorial board, Indian Journal of New South Wales, Sydney (clinical internship) Swathi Kaliki • Member, Association for Research Ophthalmology • Achievement award, Asia-Pacific S Shivaji in Vision and Ophthalmology, Gullapalli N Rao Academy of Ophthalmology • E K Janaki Ammal national award Global Members Committee • Admitted into Order of Star of • Gold award, All India for Microbial Taxonomy, Ministry Africa, with grade of Commander, Ophthalmological Society - Indian Bhavatharini M of Environment and Forests, for exceptional performance and • Winner, Manoj Mathur Government of India Inderjeet Kaur contributions to Liberia competitive poster session, • Dr Subhas Mukherjee award • Associate Editor, Journal of • Lifetime Achievement award, Telangana Ophthalmic Society for contributions in the area of Genetics, Indian Academy of Cornea Society of India • Best paper, Keracon, Cornea reproductive biology, Association 12 Society of India of Clinical Embryologists of India Sachin Shukla Vivek Singh Mudit Tyagi Kiran Kumar Vupparaboina • Postdoctoral fellowship, Science • Young scientist award, Society • Rhett Buckler Award for best • India Travel Award, Association and Engineering Research Board, of Biological Chemists, School of video, American Society of for Research in Vision and Govt. of India & Indo-US Science Life Sciences, Jawaharlal Nehru Retina Specialists Ophthalmology and Technology Forum University Pravin Krishna Vaddavalli Vivek Warkad • Global challenge research fund to Arshi Singh • 7th Marahakim award Lecture, • Rashtriya Bal Swasthya attend Indo-UK Grant Application • Two awards in the free paper Conjoint Ophthalmology Karyakram award, National Planning Workshop on Infectious category (a) Dr R C Meher award Symposium, Kuala Lumpur Health Mission, Govt of Odisha Diseases (b) Prof BNR Subudhi award (post Pavan Verkicharla graduates and residents), Odisha Mukesh Taneja • Committee Member, International Awards State Ophthalmology Society • Best poster, Keracon, Cornea International Myopia Institute Society of India National Awards • Best poster, All India Ophthalmology Society

Proud Moment for LVPEI Family Dr Gullapalli N Rao was inducted into the 'Ophthalmology Hall of Fame' instituted by the American Society of Cataract and Refractive Surgery (ASCRS) at Los Angeles on 6 May 2017. Dr Virender Sangwan presented the glass obelisk to him.

13 Kallam Anji Reddy Campus

It is less than 3 years since we moved doorsteps of the patients in these remote into the Velamati Sowbhagyvathamma rural areas. Building for our patient care services, with Our Chairman often brings up the the help of the generous support that we differentiating factor between a Hospital received from our various donors. With and an Institute. The difference being this, we expanded our physical facility by that an Institute is also responsible for 150 percent, and witnessed an increase of creating, practicing and disseminating new 36% in our outpatient volumes and 22% in knowledge. Yet again, our team of doctors surgeries. lived up to that expectation by authoring ‘Togetherness’ is one of our core values 242 research papers and also reaching out and the behavior that defines this value is to 2400 trainees through our continuing ‘we are all together as one so that all may education programs. see’. Towards this goal the team of our As we step into the new financial year, doctors dedicated their time to work in our we rededicate ourselves to our values of 18 Secondary Centres. This not only helped excellence, equity, togetherness, and to in increasing the capacity of the teams at work towards patient first with integrity, so the centres, but also made tertiary and that nobody goes needlessly blind. advanced tertiary care available at the

G Chandra Sekhar Vice Chair, Director, Kallam Anji Reddy Campus, Hyderabad

14 Highlights

The millionth paying patient was seen at LVPEI’s flagship Hyderabad campus on 5 September 2017. The patient is a farmer by profession, and hails from a remote village in West Bengal. Initiation of new services: • Centre for Retinitis Pigmentosa and Allied Diseases (C-REPID), supported by Sri Nataraja Foundation, Chennai. • Bio-Imaging Laboratory, supported by Cognizant Foundation. • Emergency ambulance service, supported by Deccan Cements Limited. An eponymous Chair of Contact Lens was created in honour of Prof Deborah Sweeney, Associate Provost for Research at the Western Sydney University in Australia. A delegation of researchers from the University of New South Wales, Australia visited to explore multi-disciplinary collaborations. The Jasti V Ramanamma Children’s Eye Care Centre celebrated its 20th anniversary in December 2017.

15 Mithu Tulsi Chanrai Campus

We witnessed a significant growth in our Department of Physics, IIT, Bhubaneswar, patient volumes this year – 11% increase with the Kalinga Institute of Biotechnology in outpatients and 17% increase in (KIIT) as the bio-incubator. surgeries performed. For the benefit The Government of Odisha has recognized of our economically disadvantaged MTC Campus as a resource centre for patients, with support from the Infosys the treatment of congenital cataract and Foundation, ‘Ashray’, a facility to provide retinopathy of prematurity. The first CII accommodation to patients for overnight (Confederation of Indian Industry) Odisha stay was inaugurated. To provide advanced Healthcare and Life Sciences panel meeting pathology services, Aperio Digital was hosted by LVPEI Bhubaneswar where Pathology was initiated as part of the representatives from various city based Ocular Pathology Services. hospitals discussed issues pertaining to Suryasnata Rath’s project to develop an the health care delivery system in the city innovative device to provide minimally and the need to have a common platform invasive, cost-effective treatment to unite all the health care institutes in for chronic dacryocystitis, has been Odisha. recommended for the Biotechnology As we step into yet another promising year, Innovation Grant at the Biotechnology we are confident that with the fantastic Industry Research Assistance Council. team that we have, we will continue to Other members of the team also won scale newer heights. research grants in collaboration with the

Sujata Das Campus Director, Mithu Tulsi Chanrai Campus

16 Highlights

The first CII (Confederation of Indian Industry) Odisha Healthcare and Life Sciences panel meeting was hosted by LVPEI Bhubaneswar, where representatives from various city based hospitals discussed issues pertaining to the health care delivery system in the city and the need to have a common platform to unite the health care institutes in Odisha. Ashray, a 17 bedded night-stay facility for non-paying patients, supported by Infosys Foundation, was inaugurated. Dr Sivakumar R Rathinam of Aravind Eye Hospital, Madurai visited and delivered the 8th C S Bhaskaran Lecture. Prof G V S Murthy, Director, Indian Institute of Public Health, Hyderabad delivered the Bijayananda Patanaik Memorial Lecture.

17 GMR Varalakshmi Campus

Once again, LVPEI GMR Varalakshmi our patient experience, we established campus witnessed an eventful year with two elegant examination rooms for the the inauguration of the new operation Sight Saver patients and a magical waiting theatre complex, a part of the Aurobindo area and examination rooms for children. Geriatric Eye Care centre, on July 7, 2017. Several educational programs, aimed at We welcomed four new faculty, Dr Sayali enhancing the skills and knowledge of Sane and Dr Siddharth Yadav in the Cornea our ophthalmology fellows from across and Anterior Segment service, Dr Bhavik the network, were conducted at GMRV Panchal in the Vitreo-retina service and campus and were well appreciated by all Dr Sanket Deshmuk in the Glaucoma the attendees. In addition, to increase the service. Their contributions have added awareness in the society at large, we were significantly to the patient care, education involved in spreading the message about and research components. Our team now childhood blindness, glaucoma and corneal comprises of almost 200 staff members. donation. The new year promises to be just This year, we saw over 115,000 patients as exciting and fun-filled as the previous in the outpatient department and one. operated over 12,000. In order to enrich

Merle Fernandes Director, G M R Varalakshmi Campus, Visakhapatnam

18 Highlights

The Aurobindo Geriatric Surgical Centre was inaugurated during the 11th anniversary celebrations of the campus, 7 July 2017, by Dr Kambhampati Hari Babu, Member of Parliament and Sri K Nityananda Reddy, Vice-Chairman, Aurobindo Pharma Limited. Eye care awareness talks were organized by the team for students of different schools in Visakhapatnam. A special eye screening program was organized for the children of SOS village centres located at Bheemunipatnam and Pedda Waltair in Visakhapatnam.

19 Kode Venkatadri Chowdary Campus

The Kode Venkatadri Chowdary campus is As is typical of any growing organization, in its 7th year of operations and celebrated we undertook several new initiatives last its anniversary on 16 February 2018. While year. I will like to draw your attention to two writing this foreword, I would like to make of these: the inauguration of the Centre for a special mention of a couple - Edward Cortical Visual Impairment and the creation Hickman Brown and Soona Brown. The of a state-of-the-art Eye Bank facility. couple supported the creation of the David Additionally, to cater to the increasing Brown Children’s Eye Care Centre at our number of outpatients at the campus, four campus. They not only helped in setting new examination rooms were added to the up the centre, but also made it a point to existing infrastructure. Highlights for the visit the centre every year to spend time year were the setting up of the most modern and motivate the team. Edward left this laser refractive surgery unit, enhanced care world in 2017, but has left behind lots of for retinoblastoma patients and upgrading fond memories for us to cherish. He will the ocularistry service. Aligned to our continue to guide us in our journey ahead. value of excellence with equity, these new On behalf of our entire organization, I will initiatives and infrastructural upgradation like to pay our tribute to him through this will help us cater to more people in need of foreword. eye care, and provide them with a “wow” experience.

Prashant Garg Director, Kode Venkatadri Chowdary Campus, Vijayawada

20 Highlights

The Centre for Cerebral Visual Impairment was formally launched at LVPEI's KVC campus at Vijayawada on 13 October 2017. This centre is one of its kind in the country, and provides interdisciplinary care to children with brain damage in accordance with their overall development including vision, motor, sensory and auditory development. It has been supported by Mr Subbarao Chalavadi from the USA who gifted this to his parents Mrs and Mr Chalavadi Krishnamurthy, on the occasion of their 50th wedding anniversary. Upgrading infrastructure and introducing new services: • 1 new clinic and 4 additional examination rooms have been added • ERG equipment for retina and neuro- ophthalmology diagnosis • Fully equipped retinoblastoma treatment • Fully equipped ocularistry set-up with a full time ocularist, for the first time in Andhra Pradesh • Complex maxillofacial surgery in collaboration with max-fax surgeon • Orbital decompression surgery for thyroid eye disease

21 Patient Care Services

‘Expansion’ was the highlight of patient care needs. We are proud that close to 50% care this year. Following the addition of of our outpatient care, and a quarter of our new facilities at Hyderabad, we increased surgeries, are done in villages and small our physical capacity by at least 25% in all towns of these states. Additionally, through three tertiary care centres at Bhubaneswar, our visiting specialty faculty, our services Visakhapatnam and Vijayawada. The have spread beyond cataract surgery and expansion has helped us cater to additional refractive error correction. patient volumes, without compromising But the most noteworthy of our expansion on the quality of care. The expansion did was the introduction of our eye health not stop with the cities. We added 23 system in another continent and country Vision Centres in villages and 2 Secondary - Liberia in West Africa. A few years ago Centres in small towns. The institute now we had agreed to help the Government operates through 195 locations (171 Vision of Liberia. After an initial delay because Centres, 18 Secondary Centres, 2 City of unexpected calamity, we succeeded in Centres, 3 Tertiary Centres and 1 Centre of putting together a system and practice of Excellence). quality and equitable eye care in this nation. With these facilities spread over 4 states We are certain that this collaboration will - Telangana, Andhra Pradesh, Odisha and usher in a new standard of eye care in Karnataka, we touch the lives of over 1.48 Africa. million people who trust us with their eye

Taraprasad Das Vice Chair, Patient Care Policy

22 population reached Eye Care Services 2,249,536 across the network outpatients services provided at 1,480,861 no cost to the patient 63% surgeries female 153,110 46% reached through community eye care children

615,565 14% 23 Centre of Excellence Kallam Anji Reddy Campus, Hyderabad Outpatients Surgeries

Tertiary Centres 288,478 39,107

138,042 64,937 25,830 426,520

Mithu Tulsi Chanrai Campus, Bhubaneswar outpatients 779,554 103,459 11,883 39,560 9915 21,798 143,019

116,667surgeries GMR Varalakshmi Campus, Visakhapatnam

85,538 10,055 29,528 115,066 6158 16213 2618 Kode Venkatadri Chowdary Campus, Vijayawada international 59,429 5720 7999

94,949 35,520 patients 13,719

Paying Non-Paying

Analysis of Surgical Procedures

Trauma Cornea Glaucoma Continues to be the Cornea transplants world leader in corneal transplants Strabismus Anterior Segment 181innovative Others stem cell-based procedures Ocular Surface Refractive Surgery Oculoplasty Retinal and VitreoRetinal Cataract

24 0% 10% 20% 30% 40% 50% 577,675 children reached

78% provided services at no cost to them

193,688 outpatients

19,940 surgeries ROP Retinopathy of Prematurity 364,047 screened identified reached through children's 6840 1950 eye health initiatives laser sessions surgeries 604 391 Refer pages (604 eyes operated; (391 eyes operated, Vision rehabilitation data - 29 early stage) injections included; Rural eye health data - 33 advanced stage) 25 Liberia eye health initiative - 52 Vision Rehabilitation

It was heartening to see the year unfold and children with visual impairment, and to with a lot of accomplishments and success enable them to exercise their rights freely. stories of clients rehabilitated at the Community outreach activities are a key Institute. We reached out to 17,836 people component of our service delivery model and provided them with low vision and and currently these services have been rehabilitation services, thus enabling them integrated in 16 of the LVPEI’s secondary to live a life of dignity and independence. centres, thus enabling their reach right at We constantly strive to facilitate inclusive the doorstep of the community. Over 1700 work opportunities for our clients, and this people have benefited from these services. year 36 people in various sectors such as The accomplishments of the year are a banking, IT, service, etc were provided reflection of the dedicated efforts putin gainful employment. 32 people were by the team. As we embrace yet another rehabilitated through self employment year full of opportunities, we are geared up opportunities such as petty shops, cattle to scale new heights, to touch more lives, rearing, etc in the rural communities. At and to enable them to achieve their full both regional and national level, various potential. advocacy initiatives are part of our ongoing efforts to reach out to marginalised people

Beula Christy Head of Services Institute for Vision Rehabilitation

26 Institute for Vision Rehabilitation

Knowledge and Experience Sharing through Advocacy, Events and Training

A series of programs and training sessions were carried out for the clients and their family members.

Parent Support Forums: Empower parents and caregivers to provide a nurturing environment to their 12 programs 925 beneficiaries wards.

Adult Rehabilitation workshops: Provide training in mobility and orientation, independent life skills such as 96 workshops 768 beneficiaries cooking, financial and computer literacy, technology, etc.

Integrated fun and summer camps: Provide an interactive platform to people with visual impairment and their family 5 programs 740 beneficiaries members to socialize and learn.

Assistive Technology workshop: Training on the latest assistive technological devices and softwares available 3 workshops 198 beneficiaries for people and children with low vision and vision loss.

Program for children with special needs: Assessments in the areas of speech, vision, cognitive and sensory motor skills 4 programs 140 beneficiaries are done and interventions planned accordingly for children. Creating a strong work force of rehabilitation personnel

A major obstacle in providing quality low vision care, especially in the developing countries such as India, is the absence of a trained workforce of rehabilitation personnel. A series of specialized training programs were organized for rehabilitation specialists, including community workers. Additionally, training and awareness programs were also organized for various stakeholders involved in the education of children with special needs. Training Types of training programs Beneficiaries Low vision Awareness Program (LAP) for eye care professionals 2 70 National seminar on Community-Based Rehabilitation for eye care managers 1 75 Community-Field Assistant training program 4 78 School teachers' training program on classroom management for special needs 1 120 children

Our Volunteers, our support system 883 Volunteers 5733 hours devoted 12 136 44 other scribe 3905 services writers readers recorded audio text books

The gamut of activities carried out at the Institute would have been impossible without the dedicated efforts of our volunteers who have contributed in terms of their Time, Talent and Treasure. Our volunteers are from different age groups and various walks of life. 28 The Award Winning Community Based Rehabilitation Project at Adilabad The first of its kind project, that integrated low vision and rehabilitation services for the early intervention group of children through community based rehabilitation in the district of Adilabad, Telangana, funded by Sight First - Lions Clubs International Foundation, received the prestigious Project Management India (PMI – India) award for the year 2017. 1733 people with incurable blindness were provided rehabilitation that included early intervention for children with multiple disabilities. The three year-long project covered a total population of 900,000 people. Impact 17,836 rehabilitated

16,134 1702 availed low benefited from vision and vision community rehabilitation outreach services services 10,606 7230 Follow up 1020 New clients clients 682 Centre based Community based

1111 benefited from the 4924 clients provided skill 36 provided gainful low vision and other assistive based training employment 37% Adults devices prescribed to them 3365 people who availed 32 provided with self 63% Children 3595 clients supported the service of HelpLine for the employment opportunities through early intervention visually impaired services 29 Rural and Community Eye Health

For the last 20 years, we have been directly impact the lives of over a million reaching out to communities, most often people and their families, who otherwise the neglected and the unreached, and would have been unidentified victims are making quality eye care accessible of visual impairment. Deployment of and affordable to them. Additionally, technology through tele-consultations and systematic research for the improvement teleopthalmology has enabled us to make and advancement of eye health care quality eye care more accessible for the services is an ongoing endeavour. community. The year witnessed the expansion of LVPEI’s Complemented by dynamic governance, eye care network, with 2 Secondary and 23 motivated teams, sophisticated technology Vision Centres. The program of developing and the right people at the right place, we robust ‘primary eye health’ in the states of have evolved into an efficient eye health Andhra Pradesh, Telangana and Odisha is care service delivery component of LVPEI. one of our major strategic thrusts and we We are always indebted to all our donors are happy to report that we are progressing and institutions spread across the globe rapidly on this. for giving their infinite support to make this possible. As we step into yet another Through our rural eye care network, promising year, we are driven by our comprising 18 secondary and 171 Vision manifesto of ensuring that nobody is denied Centres, and our various community eye care and everybody is empowered to screening programs, we were able to enjoy their right to sight.

Dr Rohit C Khanna Director, Gullapalli Pratibha Rao International Centre for Advancement of Rural Eye care

30 Gullapalli Pratibha Rao International Centre for Inaugurations Advancement of Rural Eye care (GPR ICARE)

Secondary th 2 Centres 18 Secondary Centre Bijayananda Patnaik Eye Centre

Pabitrdiha, Keonjhar, Odisha The land for the centre has been gifted by the late Dr Bijayananda Patnaik Natco Eye Centre and his wife Dr Rajinder Kalsi Patnaik. The construction and the equipment th Kothur, Ranga Reddy, Telangana 17 are supported by Combat Blindness International, USA through a generous Secondary Centre gift from the Jack Deloss Taylor Charitable Trust, USA. The centre is supported by Natco Trust.

Many of our secondary centres are now equipped to provide complex surgical eye care to patients such as corneal transplant, squint, occuloplasty, etc.

Vision 2 3Centres 23 Vision Centres were inaugurated in the states of Telangana and Andhra Pradesh. Major support was extended by RayBan Foundation, TOMS-Seva Foundation, Sai Life Sciences Ltd, OneSight Foundation, Indian Metals and Ferro Alloys, Members of Parliament Local Area Development Scheme (MPLADS), funds of Hon'ble Minister Sri YS Chowdary, Sujana Foundation and Lions Club Uravakonda (AP). Additionally, support was also extended by a few key individuals from the local community. For LVPEI’s eye care network refer page - 6

Conventional instrument Drone slit lamp instrument Technology Enabled Care

Secondary Centres: Five of our secondary centres are equipped with the Drone Robotic Slit lamp. Through this, the doctor sitting at the LVPEI Hyderabad campus can examine a patient at the secondary centre and provide treatment advice.

31 Vision Centres: Using Community Level the EyeSmart Tab Programs: application, the Vision A WhatsApp group has Technician clicks been created where pictures of the anterior the Vision Technicians segment of the eye and involved in school eye shares it with doctors at health/children's eye the secondary, tertiary health initiatives click and advanced tertiary pictures, share them with centres, and receives the expert doctors and expert advice. receive instant advice.

• Receive expert advice from doctors right at their doorstep How is technology helping our • Save on travel cost and time patients at our rural centres? • Cut down on referrals for further care

18 59 Projects Projects Research Projects in Community Eye Health 14 179 Publications Publications April 2017 - March 2018 1996 - 2018 March

32 Prevalence, Causes and Risk Factors for Blindness and Low Vision in Children in Krishna District of Andhra Pradesh, India (completed) Supported by: Lions Clubs International Foundation, SightFirst research grant and Hyderabad Eye Research Foundation Assessing the trends in prevalence and causes of visual impairment in the south Indian state of Telangana (completed) Supported by: Lions Clubs International Foundation, SightFirst research grant and Hyderabad Eye Research Foundation HOMES - Hyderabad Ocular Morbidity in Elderly Study (ongoing) Supported by: Wellcome Trust / DBT India Alliance

Other Major Projects Children's Eye Health Initiative (ongoing) Supported by: United States Agency for International Development - USAID, Lavelle Fund for the Blind, Inc, USA. and Sun Pharma Disability Inclusive Community Eye Care (ongoing) Supported by: Christoffel-Blindenmission, Germany

53% Rural Eye Health Outreach female 9617 Population reached 11% 22 villages Children districts covered

364,047 Children's eye health initiatives children reached 324,120 Outpatients 343,218 Outpatients 177,300 Door-to-door surveys 35, 211 Surgeries 100% outpatient services people reached provided at no cost to the 43% outpatient and 67% surgical services 74,218 Community screening programs provided at no cost to the patients patient people reached Vision Centres Community Eye Care Secondary Centres 100% services provided at no cost to the people

461 people were trained in community eye health through various short-term and long-term training programs in community eye health. 33 Eye Banking

It gives me immense pleasure to write of sites and initiation of dialogue with this year's foreword for eye bank related the Regional Institue of Ophthalmology, activities. In the year 2017-18 we achieved Guwahati. We are optimistic that such several milestones, as you will see in the model eye banks will initiate the whole data presented in the annual report. I process of reorganizing the eye banking would like to draw your attention to two network in our country, and will finally take important developments, the most notable us to the destination of being self sufficient being that nearly half of the transplantable in donor cornea availability. corneas were distributed to corneal It is so satisfying that a journey we began surgeons outside the LVPEI network. in 1989 has resulted in creating a model This reflects our commitment toward of eye banking that the community at eradication of corneal blindness and our large believes is the right model for belief that community eye banking is the developing nations. Uncompromising right model for eye banking to be effective. commitment, continuous focus on quality The second one is the new partnership with and numbers, innovation, partnership with The Hans Foundation. Under this, LVPEI other organisations, and support from will be developing model eye banks in the our donors, and friends, has made this North East, Uttarakhand and Uttar Pradesh. journey possible. We are indebted to all The process began in the last quarter of the contributors. the year 2017-18 with the identification

Prashant Garg Head, Eye Banking Services

34 Ramayamma International Eye Bank corneas k Hyderabad 6687 collected r o

w Drushti daan Eye Bank t corneas Bhubaneswar 1263 collected e

N 9691

Mohsin Eye Bank total corneas k corneas

Visakhapatnam collected

n 1131 collected

a

B

Tej Kohli Eye Bank

e corneas

y Vijayawada 610 collected E

2989 corneas distributed to LVPEI surgeons; 2786 were McCarey-Kaufman (MK) Medium, cost effective solution is distributed to surgeons outside LVPEI network. used for storage and preservation of donor corneas at LVPEI. 2516 corneas were used for training and 1400 corneas 30,005 vials of MK medium were produced and 32,221 vials were not suitable for transplants. supplied to Eye Banks in India and a few outside India.

The youngest corneal transplant patient this year was a Amniotic Membranes (AM)for ocular surface reconstructive child aged 2 months and the oldest corneal transplant surgery is also produced in-house. patient was aged 90 years. 2690 vials of AM were produced and 2683 AM supplied to surgeons within and outside LVPEI.

35 Setting New Records  Ramayamma International Eye Bank (RIEB) at LVPEI Hyderabad reached Recognized as one of the the milestone of distributing more than 1000 precut tissues in a single year (distributed 1030 precut lenticules to surgeons across the country). top centres of Excellence  Record of distributing the highest number of corneas to surgeons in India (outside LVPEI network) in Eye Banking by SightLife

A series of awareness activities on eye donation were carried out across the LVPEI network as part of the 32nd National Eye Donation Fortnight, 25 August - 8 September 2017, including awareness Hospital talks, rallies and other similar forums. Cornea Retrieval Program (HCRP) expanded to centres at Anantapuramu and Nellore in Andhra Pradesh.

HCRP initiated in 25 hospitals till date. The Ramayamma International Eye Bank initiated HCRP in 1990 to focus on deaths that occur at hospitals and encourage eye donations by motivating the donor families.

 The Tej Kohli Eye Bank at Vijayawada moved into a new facility with state-of-the-art laboratory for the preparation of precut tissues.  Corneas were provided at LVPEI’s secondary centres at Paloncha, Nellore and Sattenapalli in Andhra Pradesh to perform corneal transplants.  Drushti daan Eye Bank at Bhubaneswar received quality certification from SightLife, USA.  LVPEI and The Hans Foundation are entering into a partnership to establish eye banks in the states of Assam, Uttar Pradesh and Uttarakhand in India. 36 Training 35 ophthalmologists and 29 other cadres of eye banking personnel from all over India and abroad were provided training in eye Testimonials banking techniques.

I just got a phone call from Dr Jeffrey J. Ing, and he was absolutely delighted with the quality of tissue that he received, saying that it was equivalent to the quality he gets from SightLife in the USA. In particular, he said that We are thankful the DSAEK cuts were beautiful, and that they were even better than what he has seen from some USA eye banks. He was skeptical of procuring tissues locally, but you made To the donor families him your raving fan. Caroline Hoover To all our cornea donors and their families, who gave the precious gift of sight to Vice President of Clinical Operations somebody who was deprived of vision. - SightLife Surgical To our partner eye donation centres A Total of 3214 donor corneas were collected from 40 centers that are part of LVPEI’s eye banking network affiliates: Balaji Eye Care Trust, Anantapuramu (30); Basaveswara Teaching & General Hospital, Gulbarga (4); Chiranjeevi Charitable Trust, Hyderabad (109); Cuddapah Eye Bank, Kadapa (4); DBCS, Govt General Hospital (Vol), Anantapuramu (20); DBCS, Govt. General Hospital (HCRP)*, Anantapuramu (221); DBCS, Regional Eye Hospital (Vol), Kurnool (36); DBCS, Regional Eye Hospital (HCRP)*, Kurnool (637); District Blindness Control Society, Nalgonda (2); District Hospital, Mahabubnagar (2); Goutami Eye Institute, Rajahmundry (69); Govt. General Hospital, Nellore (4); Govt. General Hospital, Guntur (10); Kamineni Institute of Medical Sciences, Narketpally (8); Khammam Eye Bank, Khammam (32); Lions Club of Cherial, Cherial (4); Lions Club of Godavarikhani, Godavarikhani (4); Lions Club of Godavarikhani Spoorthy (2); Lions Club of Kamareddy, Kamareddy (2); Red Cross Eye Bank, Lions Club of Karimnagar Charitable Eye Hospital, Karimnagar (315); Lions Club of Kesamudram, Kesamudram (16); Lions Club of Mahabubabad, Mahabubabad (8); Lions Club of Mancherial, Mancherial (2); Lions Club of Ramagundam, Ramagundam (2); Lions Club of Suryapet Eye Hospital, Suryapet (32); Lions Club of Thorrur, Thorrur (8); Lions Eye Hospital, Bodhan (83); Megur Eye Center, Bidar (1); Modern Eye Hospital, Nellore (123); Modern Eye Hospital & Research Center, Ongole (21); Mullapudi Venkatarayudu Eye Center, Tanuku (28); Pavani Eye Hospital, Jagitial (8); Regional Eye Hospital (HCRP)*, Warangal (954); Regional Eye Hospital (Vol), Warangal (22); Rotary Eye Hospital, Vuyyur (12); Sai Jyothi Netradaana Foundation, Adoni (46); Santhiram General Hospital, Nandyal (30); Sri Yerra Balaramamurthy Konaseema Eye Bank, Ambajipeta (62); Smt. R.R. Lions Eye Hospital, Nidadavole (180); Sudarsani Eye Hospital, Guntur (28); Sukhabhogi Seva Samithi, Mancherial (2); SVRR Govt General Hospital (HCRP)*, Tirupati (24); SVRR Govt. General Hospital (Vol), Tirupati (3); Yanam Eye Bank, Yanam (4). Highlighted are top 5 Major Contributors *RIEB run HCRP Centers 37 Education

In line with LVPEI’s pyramid model of eye Ophthalmology residents from 13 medical care service delivery, our focus was on colleges in Andhra Pradesh, Telangana and building a strong work force of eye care Odisha are linked to our ECHO (Extension professionals across all cadres. Providing for Community Healthcare Outcomes), need based training to help build capacity an online training program where of the various institutions that approach various subspecialty training sessions are us for their training needs, is our constant conducted by the LVPEI faculty. While we endeavour. continued to invest in the digitalization of our training program to maximize our reach One such strong collaboration that we and benefit trainees worldwide, a series of have is with John F Kennedy Memorial continuous professional development and Medical Center, in Monrovia, Liberia. A evaluation programs were organized for significant development was the enhanced building the capacity of the internal team. capacity of the team managing the Liberia 2018 being a consolidation year for LVPEI, Eye Centre there, right from optometrists, our focus will be to further strengthen vision technicians, nurses, and doctors. The our internal training programs for larger way forward is to initiate an ophthalmology impact. residency program in that country.

Avinash Pathengay Director, Academy for Eye Care Education

38 Academy for Eye Care Education 549 485 National 64 International

Total through various long term and Trained short term training programs

The training encompassed all cadres of eye care professionals in various domains

Ophthalmology Eye Banking Optometry Others Vision rehabilitation Community and Public 39 Health 29 CMEs (Continuing Medical Education programs) were organized 24,000+ delegates from across India and the world were trained

Feedback from two prominent delegates

Wonderful meeting! I was privileged and honoured to participate. Dr Alex V Levin, Chief, Pediatric Ophthalmology and Ocular Genetics, Wills Eye Hospital

I enjoyed the discussions and the formats that you employed to ensure audience participation. Dr N Venkatesh Prajna Chief, Department of Medical Education, Aravind Eye Care System

A series of 6 exit competency training programs were organized in International Collaborations various subspecialties for the ophthalmology fellows to promote Training of the candidates was skill based training and problem solving approach to various clinical routed through the following scenarios. collaborations: Practicing ophthalmologists from various partner hospitals at Jorhat, Gurgaon, Delhi and Moradabad in India and our collaborative • World Health Organization, partners in Myanmar, Liberia and Nigeria participated in the online Geneva training program - ECHO, Extension for Community Healthcare • European School for Advanced Outcomes. Headed by LVPEI’s Tej Kohli Cornea Institute’s faculty, it Studies in Ophthalmology, focuses on case based discussions and didactic lectures on corneal Switzerland ulcers. Simultaneously, subspeciality lectures are organized by LVPEI • The Queen Elizabeth Diamond faculty through this platform for ophthalmology resident students Jubilee Trust, London from various medical colleges in Telangana, Andhra Pradesh and • International Council of Odisha. Ophthalmology, California Clinical Pearls - JAM: Just a Minute, which was initiated in 2016, concluded in September 2017 with the 365th clinical pearl. Catalysed • Wills Eye Institute, into single 60 seconds email learning, they received an overwhelming Pennsylvania response from ophthalmologists across the world. Soon, the • University of Rochester, New Academy will be back with a new avtar of JAM. York 2 Endowment and 16 guest lectures were organized across the • University of New South Wales, network for our trainees, faculty, staff and invited audience of Australia eminent professionals from all walks of life. • John F Kennedy Memorial A series of continuous professional development training programs Medical Center, Liberia. were conducted for the internal employees throughout the year. Being completely new to ophthalmology, LVPEI has taught me everything right from learning how to examine a patient, to how to make a diagnosis, and how to manage a patient. My thesis guide, Dr Nikhil S Choudhari, guided me and always motivated me to do better. I have 3 publications with him and I also won the best paper award at the Telangana Ophthalmological Society meet last year. The credit for this goes to all the consultants at LVPEI who have taught us so well. Dr Ketaki Gaitonde, Recent Graduate of Ophthalmology Resident Program Ketaki

I joined LVPEI as a field worker in 2013. Looking at the commitment that I showed towards my work, I was given the opportunity to grow further and was enrolled in the one-year vision technician course. Today I work at the Kismathpur Vision Centre (Hyderabad) of LVPEI. I find the work that I do very fulfilling both personally and professionally. At LVPEI we have a very conducive environment for learning and are provided with a platform to constantly upgrade our knowledge and skills. Rajashekar Bullolla, Vision Technician

I come form a very remote village called Lonjo in Jharkand. Due to family reasons I could not study beyond my 10th grade and was really worried about my future. I always wanted to be a nurse and so when I came to know about the Ophthalmic Nursing Assistant course offered by LVPEI, it was a gateway for me to achieve my dreams. I am enjoying my training and the best part of it is when I am posted in the Operating Theater and get to assist the doctors performing occuloplasty surgeries. That time I really feel that I am contributing to the success of the surgery. I am now looking forward to completing my training and starting work professionally. The journey so far has been a great learning experience, where I feel that everybody I met at the Institute has taught me something or the other. Anjali Sundi, Opthalmic Nursing Assistant Trainee

41 Research

The Prof. Brien Holden Eye Research Centre the past year, apart from several research (BHERC) is dedicated to basic and clinical papers published in reputed journals like research into eye diseases and vision- Nature Genetics, Ophthalmology, Stem threatening conditions. Starting from case Cells, Lancet Global Health, American J reports of interesting clinical observations Ophthalmology, Frontiers in Immunology, to unraveling the genetic basis of various Scientific Reports etc., the faculty has also eye diseases, their prevalence in the distinguished itself by receiving several population, identifying pathogens of awards and grants, and by participating the eye, the best modes of treatment, in national and international conferences. understanding the molecular basis of BHERC has also played host to several ocular diseases, the physics of vision and distinguished speakers during the year, developing outside-the-box technologies including two Nobel laureates, and for eye care, the repertoire of research worth mentioning is our efforts to attract at BHERC, encompasses it all. More students to our research projects through importantly, our agenda inter-woven into our “Eye Opener” program that brought the fabric of research, is to develop methods together scientists and students from four to rehabilitate the vision impaired and colleges in the city of Hyderabad. We hope blind, innovate devices and instruments for that with the existing zeal and enthusiasm, eye care, and to understand the outcomes BHERC would become the one-stop centre of eye care from the patient’s point of for eye care and ocular research. view. All this makes LVPEI unique. During

S Shivaji Director Prof Brien Holden Eye Research Centre (BHERC)

42 Prof Brien Holden Eye Research Centre

279 in peer Publications reviewed journals

58 Research Grants 42 Basic 13 Clinical 3 Public Health

Key Symposia and Workshops

The Eleventh Annual Antonio Champalimaud Symposium on 28 January 2018 marked 10 years of the LVPEI - Champalimaud Foundation collaboration. The keynote lecture was delivered by Prof Masayo Takahashi from Riken, Japan and the pioneer of Stem cell transplantation Dr GN Rao, Founder-Chair, LVPEI and Dr Leonor Beleza, President, Champalimaud Foundation presenting the Champalimaud Oration award to Prof Takahashi. techniques, on ‘Regulatory System for regenerative medicine”. Additionally, there were talks by Prof Martin Chalfie, 2008 Nobel laureate in Chemistry from Columbia University, and Prof Brigitte Roeder from University of Hamburg and the Leibniz prize winner.

Nobel Laureate Prof Martin Chalfie (Centre), Dr S Shivaji, Prof Brigitte Roeder (Left) with Director of Research and Prof D Balasubramanian, Dr G Chandra Sekhar, Vice-Chair, LVPEI Director Emeritus, BHERC, LVPEI 43 The Indo-German Leopoldina-INSA Symposium on the challenges and new approaches related to the study of stability vs. plasticity in the brain, was organised with support from Indian National Science Academy and the German Academy of Sciences Leopoldina. The faculty included Professor Brigitte Roeder of the University of Hamburg, Germany and Professor Neeraj Jain of the National Brain Research Centre, India.

UK-India Researcher Links workshop was organized in collaboration with British Council, Royal Society of Chemistry and Newton Bhabha Fund, with Prof Sheila MacNeil, University of Sheffield and Dr Virender Sangwan, LVPEI as mentors. It focused on providing a good understanding of the unmet or clinically challenging problems that exist in treating loss of vision due to corneal problems, to budding chemists and biomaterial scientists from UK and India. Eye Opener-II was organized for the students from Hyderabad based M.Sc colleges to orient them about the various research projects carried out at the institute and motivate them to pursue research in eye care as a career.

Prominent Visitors

Professor Bruce Alberts (University Professor Sarah Coupland, of California, San Francisco, CA, Department of Molecular USA), Former President, US & Clinical Cancer Medicine, National Academy of Sciences, University of Liverpool, UK, and Former Chief Editor, “Science” visited LVPEI and had fruitful visited the research facilities at the interactions with the LVPEI centre, and also delivered the 31st scientists on topics such as eye Foundation Day lecture. tumors, genetics and stem cell 44 biology. Prof Erwin Neher, Nobel Prize winner in Physiology or Medicine, accompanied by his wife, visited Power Picture LVPEI and appreciated the work being done.

LVPEI team of clinicians and scientists interacted with the Prime Minister of India, Hon’ble Sri Narendra Modi during their visit to the Champalimaud Centre in Lisbon.

Research Labs and Focus Areas

• Champalimaud Translational Centre for Eye Research • Kallam Anji Reddy Molecular Genetics Laboratory • Sudhakar and Sreekanth Ravi Stem Cell Biology Laboratory • Jhaveri Microbiology Centre & Saroja A Rao Immunology Laboratory • Biochemistry Laboratory • Ophthalmic Pathology Laboratory • Clinical Research • Vision Psychophysics Laboratories • Allen Foster Community Eye Health Research Centre • LVPEI Center for Innovation 45 Innovation

With the LVPEI Center for Innovation abnormalities and diagnose related eye completing five years of its existence, this disorders, has been taken up by CYIENT, year was very productive and witnessed our founder donor through, CE marketing. innovative technology being implemented The Engineering group led by Dr Ashutosh across the LVPEI eye care network. Richhariya continues to make break- Raghu Gullapalli joining us as the Executive through progress in using sophisticated Director has further strengthened the in-house developed technologies to make capacity of our already dynamic team of eye care more accessible and affordable engineers, researchers and scientists. His for all. Innovative methods have brought vast experience will help us focus more down the maintenance cost of some of on emerging technologies, product and the clinical equipment that is used in business development, and democratizing patient care. A significant achievement of eye healthcare. was the production of a special type of lenses (PROSE lens), in collaboration with Some very innovative and cost effective Boston Sight Foundation, to treat patients products were introduced this year. FITTLE, with complex corneal conditions. Ours is a teaching tool for the visually challenged, the only facility in India and the second in in collaboration with Ravensburger the the world after Boston to produce these world's largest puzzle maker from Germany, lenses. was launched. The Folding Foropter (FoFo) was re-launched in its new avtar and is We are confident that in the coming currently being used across our network, year, with the endless opportunities and as also by several other organizations, for possibilities that it offers, we will continue mass eye screening. The production of to maximize our potential and create larger Pupil+, which helps to measure pupillary impact.

Virender Singh Sangwan Director, LVPEI Center for Innovation

46 LVPEI Center for Innovation

To provide affordable, effective and customized contact lenses to patients with complex ocular surface disorders, a state-of-the-art BostonSight Lens Manufacturing Lab has been set-up with support from Boston Foundation for Sight. Inaugurated in September 2017, it is the first facility outside Boston, and the second facility in the world Engineering to manufacture Boston Scleral lenses. • Full-fledged production started in January 2018 • Served over 150+ patients • Lenses are being provided to patients across the LVPEI network and other premier eye hospitals across India • An ‘Intensive PROSE training’ program has been initiated for practitioners across the country, in fitting and dispensing these lenses

Funded by AT&T, Voice Interactive Engine for Visually Impaired (VIEVC) is an in-house developed technology to assist the visually impaired in navigating the world, especially their work-place. It can perform the following functions with a voice command (which marketed solutions such as Cortana and Dragon cannot do): • Email sending • Email reading • PDF reading • MS document - creation, reading and deletion. In phase II, speech recognition AI (Artificial Intelligence) will be developed to further enhance its utility and efficiency.

Born out of the Engineering team member Sandeep’s own experience of living with degenerative retinal pigmentosa, Eye Renk has been designed to help the visually impaired to easily differentiate between various ocular medications. It qualified for the final round of the international Holman prize, which funds blind and low vision people pursuing ambitious goals.

With a vision to bridge the gap between rural and urban eye-care, LVPEI's telemedicine network added four more centres in 2017. The network connects 10 rural centres spread across Telangana, Andhra Pradesh, Orissa and Maharashtra, to experienced specialists at LVPEI's Hyderabad based Centre of Excellence. This initiative has delivered around 650 remote consultations so far. 47 The team has collaborated with the Institute's vitreo-retina specialist Dr Jay Chhablani todevelop an algorithm to measure changes in the choroidal vasculature. The algorithms are being used for age related macular degeneration, high- myopia, central serous retinopathy and retinal LED Light source for Slit lamp: To reduce the cost and pigmentosa in clinical studies. LVPEI's specialists effort of equipment maintenance for Slit lamps, the are paving the way for the use of the Choroid as halogen lamps used in them have been replaced by a diagnostic tool in early diagnosis of high burden an LED light source. This has made it 90 times cheaper eye diseases and a surrogate marker for disease and 6 times more long lasting. 80 such slit lamps have monitoring. This work has resulted in 9 peer- already been installed in the network. reviewed publications. Technology

Eva is an extension of the Holo Eye Anatomy, being developed as a virtual classroom At the India Today Conclave Next 2017, Microsoft CEO, on a 3D platform to help medical students learn both practically and theoretically, Satya Nadella invited Dr Anthony Vipin Das to talk about the various concepts of the human eye and methods of treatment including but how LVPEI is using mixed reality and artificial intelligence not limited to anatomy, microbiology and surgery. The content library for Eva is in medicine for diagnosis and predictive analysis, and also expanding through the collaborative effort of expertise in different areas throughout for studying eye anatomy. the LVPEI network. Folding Foropter, an effective, easy to use, low-cost refractive error screening device designed in-house, was launched in a completely new avatar this year. The device has been exhaustively clinically validated on 4000 patients. Around 400 devices have been supplied to the Telangana Government, Essilor and Johnson and Johnson for patient screening campaigns in India, the Asia Pacific and some regions of Africa. The project was showcased and well 48 received at the TEDxGateway, Mumbai 2018. Pediatric Perimeter, an LVPEI patent, was built to quantify the visual fields in infants with diseases such as retinopathy of prematurity and congenital glaucoma. The first clinical validation study for the device was published in TVST journal this year and it stood as one of the Top 3 trending articles. The device was also one of the Top 5 finalists in IMC, Chamber of Commerce and Industry-Inclusive awards in 2017.

Portable binocular device Pupil + to quantify and measure pupillary and neurological responses to light stimulus, will soon be deployed for clinical validation across the LVPEI network. The product was presented at the World Congress of Optometry 2017 and was received very well by all the delegates.

Fittle 3D printed puzzle, developed in partnership with Serviceplan and Ravensburger, makes education for visually impaired children more accessible and engaging. It is an innovative and affordable way for blind and visually impaired people to learn and discover new things. 49 Capacity Building

Hospitals supported till date Since 1994 LVPEI has been working with partner eye care National: International: hospitals, with support from 250 12 development agencies, and is providing them with strategic Success stories Ongoing projects and technical assistance to establish standardized systems of patient care, National: International: 14 2 human resource management, financial sustenance, hospital Chandra Prabha Eye Hospital, Jorhat, Assam LVPEI – SCALE Impact management and community  The hospital, in association with Operation Eyesight eye care. Universal, has initiated a vision centre in the remote underserved area of Majuli island in the Brahmaputra river; Supported by Seva Foundation, through the project Strengthening the Kothalguri Gaon village there has now been declared Capacity and Learning to Effectively Deliver Quality Eye Care (SCALE), avoidable blindness free LVPEI is helping build the capacity of 14 hospitals across India.  The hospital has also started a centre dedicated to community ophthalmology, education and research • Compared to last year, the hospitals have shown a growth of 27% in their outpatient services and 12% in the cataract surgeries performed. • Overall, as compared to the baseline performance, 104% growth has been witnessed in outpatient services and 50% in cataract surgeries.

SCALE Review Meeting at Raipur

As part of global sight initiative and to helpJawaharlal Rohatagi Eye Hospital at Kanpur, Uttar Pradesh build an eye care network to make primary eye care accessible to the people there, LVPEI facilitated the establishment of four vision centres, supported by SEVA Foundation. 50 Advocacy and Policy Making Advocating for equitable and efficient eye care to all sections of society

LVPEI representation in national and global level advocacy committees: Dr Taraprasad Das, Vice-Chair, LVPEI, has been designated:  Chairman, Universal Eye Health Program - an initiative by  LVPEI Bhubaneswar is the official partner for the National Health Government of Odisha to minimize the avoidable blindness Mission - Odisha State Health and Family Welfare department to numbers in the State provide best quality pediatric eye healthcare to children in the  President, VISION 2020 India, the Right to Sight, which is the state of Odisha. global initiative for the elimination of avoidable blindness, a  Call Netra - 18002002211, an initiative by LVPEI’s Tej Kohli Cornea joint programme of the World Health Organization and the Institute, aims at creating awareness about various eye diseases International Agency for the Prevention of Blindness. among the general public, specifically in the rural areas. It was launched by Sri M Venkaiah Naidu, Honorable Vice President and Creating awareness Sri Banvarilal Purohith, Governor of Tamil Nadu. To create awareness in the general public, a series of activities were  Senior representatives from LVPEI's community eye care team were organized throughout the network on important commemorative weeks key contributors to the following important consultation meetings: associated with glaucoma, children's eye care, diabetic retinopathy, eye cancer, etc. • WHO's National action plan for achieving universal eye health in India • WHO's Training in assistive technology for community level 2741 327 755 workers in India awareness awareness school and • WHO's Global Vision consultation meeting generation generation anganwadi • National Task Force meeting for operational guidelines for programs at programs at teachers Integration of ophthalmology services in comprehensive the community the school sensitized level level primary health care • 13th annual conference of Vision 2020 on inclusive eye care services for all • International conference on evidence in global disability and health by the Public Health Foundation of India and the International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine • Review meeting by Maharashtra Government on the digital village project at Harisal, where LVPEI has facilitated a primary eye care centre  LVPEI is a global partner for 'Our Children Vision' campaign initiated by Brien Holden Vision Institute to improve access of quality eye care for children. 51 Footprints in Liberia, West Africa

xxxxxPaying

Outpatients Surgeries

July 2017 - 24% March 2018 at no cost to 27% 6495 at no cost to The formal inauguration of The Liberia Eye Center at the John the patient 478 the patient F Kennedy Memorial Medical Center in Monrovia, Liberia on 24 July 2017 by the then President of Liberia, Her Excellency Dr Ellen Johnson Sirleaf, has marked a significant milestone in the partnership between LVPEI and the Government of Liberia. Training people from the • For the first time, LVPEI has been directly involved in the 8 Liberia centre management of a centre outside India. (from various cadres) • With the support received from the Lions Club International trained at LVPEI Hyderabad Foundation, Operation Eyesight Universal and OneSight, the latest medical equipment were brought in. • In addition, LVPEI ophthalmologists and optometrists are permanently deployed there; subspecialty doctors from LVPEI Hyderabad visit the centre on a periodic basis to treat complex cases. Making inroads in Amaravati, Andhra Pradesh • It is also providing guidance and assistance in human resource planning, recruitment, training and in developing and implementing LVPEI signed an MoU with the a countrywide community eye health programme. Government of Andhra Pradesh • Initiated the three year ophthalmology residency program, which to support the eye health facilities involves rotation at Liberia Eye Centre and LVPEI Hyderabad for at Amaravati, the state capital of medical students, in collaboration with the Liberia College of AP. Recently the institute was Physicians and Surgeons. allotted 12 acres of land in the region to establish an Institute of • A new education program for technicians and health workers will Excellence in Global Eye Health be launched shortly. 52 there. Linkages The team at LVPEI is actively involved with reputed national and international organizations across India and the world through collaborations and partnerships in various domains of  eye care to build a stronger and wider network of eye care service delivery.

53 OneSight strengthening eye care at the root level

OneSight is an independent non-profit whose founding global sponsor is Luxottica Group – an independent non-profit body working to eradicate the vision care crisis. OneSight’s association with LVPEI started in the year 2014, Our aim is to eradicate the which resulted in capital support for the establishment of 28 Vision Centres vision care crisis from every corner of in the underserved areas of Guntur, Nellore and Chittoor Districts of Andhra the world, and when it comes to reaching Pradesh. Additionally, they have supported the training program for Vision out to the most affected regions in the new Technicians and an Optical Dispensing lab for LVPEI’s Bausch and Lomb School territories, it becomes a huge challenge. Having of Optometry. a complementary services system like that of Their contribution has powered LVPEI’s initiative of reaching out to the masses LVPEI working with you makes it convenient, at the root level in rural areas. With these 28 Vision Centres, the Institute has systematic, comprehensive and reliable. We served to the primary eye care needs of over 1.4 million population that has are assured that we are doing the right acted as a significant pedestal to refer patients to the most appropriate level thing in the right direction. of treatment. Their support has also resulted in developing the vocational - Mony Iyer, OneSight opportunity for the local youth in these areas.

We are equally grateful to our other partners who extended support this year for the establishment of the Vision Centres in the states of Telangana and Andhra Pradesh - TOMS-Seva Foundation, Sai Life Sciences Ltd, Indian Metals and Ferro Alloys, Members of Parliament Local Area Development Scheme (MPLADS) funds of Hon’ble Minister Sri YS Chowdary, Sujana Foundation and Lions Club Uravakonda (AP). Additionally, a few key individuals from the local community also helped with their significant contribution.

54

Over two decades of togetherness

The seeds of a lasting relationship with the Kothapalli family were sowed more than two decades ago when the late Mr Kothapalli Rama Rao invited the LVPEI team to establish a world-class Lions Eye Hospital at Nidadavole with an ambition to provide high-quality eye care services to the needy from surrounding rural areas, which LVPEI accepted readily. Later, this experience contributed significantly to developing the institute’s own rural eye health model. Later, Mr Kishore Kothapalli, funded the Kothapalli Rama Rao Ophthalmic Surgical Centre in the memory of his late father. The state-of-the-art surgical centre stands tall - Mony Iyer, OneSight as a tribute to the late Mr Kothapalli Rama Rao and is a symbol of the Kothapalli family’s long-term association and confidence in LVPEI’s mission of eliminating avoidable blindness. More recently, Mr Kishore Kothapalli committed himself to a substantial contribution for the development of LVPEI’s upcoming facility “Institute of Excellence in Global Eye Health” in the new state capital of Andhra Pradesh, Amaravati.

Preventive intervention to eradicate reversible blindness is a strong possibility with LVPEI and we, as a family, are blessed to be a part of this future journey. - Mr Kishore Kothapalli

55 “Self-sustainable eye care service model” with Seva & TOMS

Seva Foundation is a global non-profit organization that is transforming lives and strengthening communities by restoring sight and preventing blindness for the past 4 decades. Their association with LVPEI commenced in 2008, when Seva supported LVPEI through capacity building programs to expand the scope of eye care treatment to the most underserved people in India. With LVPEI, Seva works with hospitals across India to improve the volume, Today, LVPEI is one of Seva’s major partners in India, helping them mentor 13 eye care hospitals quality and efficiency of eye care in to deliver high quality eye care, in order to accomplish the goal of 1 million additional eye care the most affected communities. Given surgeries by 2020, under the Global Sight Initiative. our partnership with LVPEI, we are LVPEI’s partnership with Seva led to another meaningful association with TOMS. TOMS is known confident of a bright future in which no one goes unnecessarily blind. for their initiative of “One-for-One Giving” to sight programs, under which they provide eye care to someone in need for each pair of TOMS eyewear they sell. Since the eye care program - Heidi Chase, Seva began, TOMS, Seva and their partners have provided more than 500,000 eye care services. Recently, TOMS, Seva and LVPEI have committed to ensuring that these services last far into the future by investing in vision centers. To date, 4 vision centers have started operation thanks to the collaboration of Seva, TOMS and LVPEI. 56 The Nannapaneni family - a legacy of philanthropy

Sri Venkaiah Chowdary Nannapaneni, Chairman and Managing Director, NATCO Pharma Limited, a visionary and a humanitarian, believed that no patient should go without medicine or treatment due to economic constraints. His belief inspired him to start NATCO Pharma with a vision of “making specialty medicines accessible to all.” Today, they are market leaders in general oncology, and are known for their path-breaking new discovery of drugs at affordable prices. The alliance between NATCO Group and L V Prasad Eye Institute first bloomed over two decades ago, when Sri Venkaiah Chowdary Nannapaneni came forward to support LVPEI’s endeavours to eliminate needless blindness. This effort brought out self-reliance in the affected people and communities. In the recent past, they supported LVPEI’s 17th Secondary Care Centre, the ‘NATCO Eye Centre’ at Kothur in Ranga Reddy District. Each time they came forward to support any of LVPEI’s initiatives, they were stronger than before. More recently, this philanthropic legacy scaled a new high when Mrs. Swathi and Mr. Rajeev Nannapaneni, Vice Chairman & CEO, NATCO Pharma Limited, made the biggest ever contribution in a single installment till date. This indeed is a trailblazer in Indian philanthropy for young industrialists. The latest proceeds have strengthened the efforts of The Child Sight Institute at LVPEI in the areas of children's screening programs, free treatment, and surgeries and providing free spectacles to I am very happy to be associated with LVPEI and I am needy children. Last year, 138,799 children were served through sure this contribution would help in transforming lives. the Institute. Path-breaking research to aid young children, with - Rajeev Nannapaneni innovative approaches to cure blindness and visual impairment, is another avenue benefited by this support. 57 The Bijayananda Patnaik Eye Centre - An epitome of philanthropic convergence

The extension of LVPEI’s frontiers continued further with the inauguration of the network’s eighteenth secondary eye care centre, The Bijayananda Patnaik Eye Centre in Keonjhar, North Odisha. Inaugurated on 1 March 2018, it is a true tribute to the Late Dr Bijayananda Patnaik who was greatly known for his contribution of introducing many high class methodologies in Retina specialty treatment in India. This centre has a special significance as it is the product of the exceptional philanthropic spirit of multiple ophthalmologists - donation of ancestral property in the heart of the town by Dr Rajinder Kalsi Patnaik in memory of her late husband, Dr Bijayananda Patnaik, both renowned Retina specialists of New Delhi; and with funding through the Combat Blindness International of Madison, Wisconsin, USA, founded by Professor Suresh Chandra, another renowned Retina specialist. We are also deeply indebted to Dr Catherine Taylor of Jack Deloss Taylor Charitable Trust, USA, for providing significant funding in memory of her father Jack Deloss Taylor that made this centre a reality. With primary focus on half a million people around Keonjhar, one of the five tribal regions of Odisha state, accessibility and affordability of quality eye care is no more a challenge for the people in this area.

58 Founding Organizations Hyderabad Eye Institute Indo American Eye Care Society Thanking Our Donors Founding Trustees Founding Trustees Major Founding Donors Dr Gullapalli N Rao, Chair Dr Gullapalli N Rao, Chair Mr L V Prasad, India Mr A Ramesh Prasad Prof Brijen Gupta, Secretary Mrs Gullapalli Pratibha Rao, Prof V Ramalingaswami Dr Y Mruthyunjaya, India Dr Narla Tata Rao Treasurer Mr A Ramesh Prasad, India Mr K P Prasad Dr H V Janardhan Mr K Rama Rao Dr Manuel del Cerro Dr Jeff Harris Founders Brien Holden Vision Institute, Mrs Kokil & Mr S K Pathak, Dr Krupakar P Thadikonda, Dr Paul Dubord / Eyesight Orbis International, USA Australia Dubai USA International, Canada Lions Club International Operation Eyesight Universal, Mr Satish Yeachareddy/ Y Ms Jyoti & Mr Vikram M Mrs Ramanamma & Dr Jasti V Foundation, USA Canada Mahabaleswarappa & Sons, Thapar, Karam Chand Thapar Rattaiah, USA Carl Zeiss, Germany Dr Kallam Anji Reddy, India India & sons, India Mr Bijay Mandhani, India Swarna Bharat Trust, India Mr Kode Satyanarayana & Mr Nimmagadda Prasad Mr Kishore K Kothapalli, India Mr Gangadhar Prasad & Mr Dr Saradapurna & Dr Sriram family, India Foundation, India Mr D N Budhrani/ Naraindas Sashidhar Prasad Kilaru, USA Sonty, USA Champalimaud Foundation, Mr G Mallikharjun Rao/ G M Morbai Budhrani Trust, India Dr P R K Prasad, USA Ms Shakti & Dr Dorairajan Portugal R Varalakshmi Foundation, Savitri Waney Charitable Trust, Family of Mrs Meera & Mr L B Balasubramanian, India Mr V C Janardan Rao, India India UK Deshpande, India Dr Padmaja & Dr G Chandra Bausch & Lomb, USA Mrs Padma & Mr Subba Rao Jagdish M Chanrai Mrs Smita & Mr Sanjay Sekhar, India Mr Sudhakar Ravi & Mr Makineni, USA Seva Foundation, USA Deshpande, USA Mrs Vijaya L Ramam, India Sreekanth Ravi, USA Christoffel Blindenmission Sun Pharma Laboratories Ltd, Mrs Meghna & Mr Vinay Dr Savitri Sharma & Dr Sightsavers International, UK (CBM), Germany India Deshpande, India Taraprasad Das, India Lavelle Fund for the Blind, Inc, Mrs Soona and Mr Edward Microsoft, India Mrs Rewati & Dr Madan Mr Ravi Reddy, USA USA Brown, France B H P Billiton, Australia Maha, UK Mr O Naresh Kumar, India Mr Ashok Devineni/ Nava Mr M H Dalmia/ OCL India Aurobindo Pharma Limited, Mr V Nannapaneni Chowdary/ Mr B V R Mohan Reddy / Bharat Ventures, India Limited, India India NATCO Pharma Limited, Cyient Limited, India Tej Kohli Foundation, UK Narotam Sekhsaria Latter-day Saint Charities, USA India Mr K Varaprasad Reddy Mr B R Barwale & Mr R B Foundation, India Miriam Hyman Memorial N T P C Foundation, India Mr Goparaju Varaprasada Rao Barwale, India Trust, UK SightLife, USA & Anuradha, India

Patrons Mr Seshanna Chennawar, India Dr Mullapudi Harishchandra Kundalia / Radiant Thakker & Family), India Canadian International Ms Sudha Ghatrazu, India Prasad, India Corporation Pvt Ltd, India Mrs Rajashree & Mr Vikram Development Agency, Mr L D Jhaveri, Japan Dr C Sudha & Dr Nageswara Mrs & Mr Rao Remala, USA Prasad, India Canada Mrs Guna & Dr Somasekhara Rao, India Mrs & Mr B D Sureka (Hartex Mr Bob Ohlson, Canada Combat Blindness Foundation, Rao Mukkamala, USA Mrs Uttara Devi & Mr B V Rao, Rubber Pvt Ltd), India Alcon, USA USA Mr Narayan Rao Patil, India India Mr Madhu & Mr Mahesh Allergan, USA International Federation of Eye Mrs & Mr Prasad Potluri, India Mrs Preeti & Mr Ashok Thakker (Kantilal & Javerben Biocon Foundation, India Banks, USA 59 Intraocular Care Pvt Ltd, India Optometry Giving Sight, Mr Adnan Mahmood, India Mrs & Dr D Rama Naidu, India Veena Devi Singhania Trust, I T C Ltd, India Australia Mr T R Prasad, India Dr Kodali Varaprasad, India India K L N Prasad Trust, India Pharmacia, Sweden Mr Vellanki V Rao, India Mission for Vision, India J K Papers, Ltd, India Merck Foundation, USA V S T Industries, India Mr K Chandramouli Reddy, OneSight, USA Venkat Jasti, India Open Society Institute, USA World Diabetic Foundation, India Santen Pharmaceutical Co. Indian Oil Corporation, India Denmark Mrs Amrit Sujan, India Ltd, Japan Supporters A P J Abdul Kalam, India Mani & C S Sastry, India Ravindranath General Medical Sir Ratan Tata Trust, India Abid Ali Khan, India Fowler Westrup (India) Ltd, MBG Commodities Pvt ltd, Associates Pvt Ltd, India Sunita & Praveen K Gottipalli, Adi Godrej, India India India Rayban Sun Optics India USA Andhra Bank, India Fred Hollows Foundation, Merck, Sharp and Dohme, USA Private Limited, India Suven Trust, India Anju & Mahender K Patodia, Australia N Madhavi & N V Sastry, India Rotary Club International Tantia Group of Companies, India HIL Limited, India Novartis, India Foundation, India India AT&T Global Business Services Infosys Foundation, India ORACLE Rotary Club of Hamburg, Thembey & Mhatre, India India Private Limited, India International Eye Foundation, Parin Vakharia, in memory of Germany Titan Company Ltd, India Automotive Manufacturers USA late Olive Swoboda, India Rotary Club of Hyderabad, United States Agency for Ltd, India Johnson & Johnson, India R P Mody / Hindusthan India International Development, Basharat Ali / Tameer K Uma Rama Rao, India Engineering & Industries Rudra Appala Raju, India USA Consulting Associates, India K V J Subba Raju, India Limited, India S Ranganathan Charitable Usha Kumar, India Bhanumurti Kuchibhotla, India Krishna & Vinod K Neotia, R Raghu Rayala, India Foundation, India Vatsala & Vijay Sri Ram, India BHEL-GE Gas Turbine Services India Raghu Mody / Hindustan S Venkateswara Rao, India (Summit Furnitures, India) Pvt. Ltd, India Lalitesh Katragadda, India Composites LTD, India Saroja & A Narasing Rao, USA Vinita & Swaroop Kolluri, USA Bio Medix Optotechnik & Laurus Labs Limited, India Rajkumar Seksaria / Shri Seva Foundation Volta Impex Pvt Ltd, India Devices Pvt Ltd, India Madanlal Harbahajanka, India Kudilal Govindram Seksaria Shiwlal Chandrakala Devi Willam Blair Kite, New Zealand Dilip B Desai, India Madhu & Sunil Saigal, India Foundation, India Sarda Charitable Trust, India Contributors A Adinarayana, India Allergan India Private Limited, Arundathi Bor thakur, India Bharat Biotech International Chintan Mehta, India A Sashi Mohan, India India Asharam Foundation, India Ltd, India CBM India Trust A Bheem Reddy Memorial Amit Castings Pvt Ltd, India Ashok Kumar Malpani, India BHEL-GE Gas Turbine Services Chittoda Investment and Trust, India Amit J Dolakia, India Ashwani Khurana, India Pvt. Ltd, India Trading Pvt. Ltd, India A S Chowdhri Nava Bharat Andrea Stern & Larry Hulbert, Asia Cornea Foundation, Biju Patnaik, India Chitturi Sujatha, India Foundation, India Australia Singapore Bina & Dr T Gopal Rao, India Consolidated Products Aarti and Siddarth Anil K Thakar, India Asia Engineering Co, India Biomed Technologies, India Corporations, India Velakacherla Annapurna & Dr Durga Das B C Mohanty & Sons Pvt Ltd, B V S S R Murthy, India Constance & J V Aquavella, Abhay J Shah, India Narla, USA India C B R Forum, India USA Acer Engineering Pvt Ltd, India Anne Adinarayana, India B Srinivasula Setty India C P Mehta, India Coopervision, USA Adani Enterprises Ltd, India Arjun Valluri, USA B Surya Kumari, India Can Kids... Kids Can, India Coromandel Fertilizers Ltd, Ajit Pandurang Rangnekar, Arun Sharma, India Babubhai K Patel, Kenya Carl Zeiss India Bangalore Pvt. India India Aruna Kumari & Ram Kumari, Bala Deshpande, India Ltd, India Covidien Engineering Services Alcon Laboratories (India) Pvt. USA Balaji Trading Co, India Champaben & Champalal Pvt. Ltd, India Ltd, India Aruna Kumari & Ramamurthy Bank of India, India Nahata, India D J Vyas, India Alkaloids Corporation, India Nagubadi, USA Charities Aid Foundation, India D K Somani, India 60 D N Kumar, India Gunnam Subba Rao Trust, Kakarla Subba Rao, India Misereor, Germany D Seetha Ramaiah, India India Kakatiya Cement Sugar & Lucid Medical Diagnostics Pvt. Mitsuaki Aoki, India Daleepdhal Umaljatwani Harmony Foods Pvt. Ltd, India Industries, India Ltd, India Mphasis Limited, India Dandu Harish Varma, India Hema Malini Arni, India Kala Gopalakrishnan, India Lyla & Ramachandra Rao Murali K Divi, India De Heer, The Netherlands Hindustan Calcined Metals Kallianji Chaturbhuj, India Yerneni, USA N Laxmi, India Deccan Cements Limited, Pvt. Ltd, India Kamala & L N Taneja, India M Sakuntala, India Nalini & Ratnam V Mullapudi, India Hindustan Composites Kamala Dalmia Charity Trust, M V R Murthy / East Coast USA Deepak Fertilizers & Limited, India India Development Foundation Nalini Seksaria, India Chemicals, India Homas Mammen Medical, Kameswari Devi Dwarapalak, M V V Raja Sekhar, India Narendra Kumar Mor, India Despatel Land Developers Pvt. India India Maa Kuthari Charitable Trust, National Litho Printers, India Ltd, India Humphrey Instruments, USA Kanuri Santhamma, India India Nikhil Dujari, India Devansh P Visarshini, India Hyundai Motors India Kapoor Charitable Foundation, Nikhil Gokhale, India Dhirendranath Dwivedy, India Engineering Pvt. Ltd, India USA Madanlal Patodia Charitable Nilanjan Joardar, India Dintyala Udaya Kumar, India I M Thapar, India Kathanji Chaturbhuj Trust, India Nirmal Kumar Bagaria & E S P I Industries & Chemicals I V Raghu Kumar, India Sanatorium Trust, India Madhu S Kapoor, India Sunita Bagaria, India Pvt. Ltd, India Indian Metals & Ferro Alloys Katherine & C S Reshmi, USA Magma Fincorp Limited, India Nissar Ahmed Siddiqui, India Emami Foundation, India Ltd, India Katragadda Bhagat Singh, Mahboob Ahmed, UAE Nurbanu & Amir Hemani, Embee Corporation, India Indian Orthocane Surgicals India Mallikarjun Kencha, India India Emerald Chemicals, India Ltd, India Kavita Nampalli, Australia Manav Jalan, India Okoro Desmond Osohen, Eva & George F Hilton, USA Indian Vision Institute, India Kedia Agrotech Pvt Ltd, India Mani & Sudarsana Rao Nigeria Evita Fernandez, India INFOR (India) Pvt. Ltd, India Keshava Narayan Tilak Akkineni, USA Om Prakash Tibrewala, India Eye Bank Association of India, Inservia Innovations Pvt. Ltd, Khalifa Al Khalifa, Bahrain Manjula & Rajender Bansal, OneSight Foundation, USA India India Khan Bahadur Babukhan USA OneSight India Foundation, Eye Yon Medical Ltd, Israel Jagadish Gullapalli, India Foundation, India Manthena Satyanarayana India F D C, India Jain Roadways, India Khimji-K.D. & Sons Private Raju, India Operation Eyesight Universal, Fullerton India Credit Co Ltd, Jayantilal Kadakia, India Limited, India Mary & Manmadha Rao Canada India Jayashree Anumolu, India Kokil Pathak, UAE Kasaraneni, USA Operation Eyesight Universal, G A Choudary / Surya Jaysinh Sakharam Konkar, Konan, Japan Matta Vamsee Krishna, India India Charitable Trust, India India Koshi Lalgehi, India Meda Narasimhulu & Co, India Orson Holdings Company G Chandra Sekhar, India Jeevan S. Ahuja, USA Krishna D Pinisetti, India Meena & Brahmaji Mutyala, Limited, India G Kathuria, India Jiv Daya Foundation, USA Kuchakulla Sowbhagya, India USA Oshiwara Land Dev Co Ltd, G N B Tech, USA Joyalukkas Foundation, India L Dadlani, India Meenalochani & Mr V India G Saradha, India Jyothsana Akkineni, India Lalitha & Mr V Venkata Raghunathan, India P Jaya Bharati, India Ganapathrai Tibrewala Trust, K Damodar Reddy, India Subramanyam,India Mehta Investment & Trading, P K Bakshi, India India K Madhukar Reddy, India Lalitha, India India P K Business Enterprise Ltd, Gangabhishan Bhikulal Int Ltd, K Pratap Reddy, India Lalithamba Panda, India Merle Fernandes, India India India K Sivarama Krishna, India Letz Change Foundation, India Metrochem API Private P K Kanoria, India Ghangabhishan Bhikulal, India K Sudhakar Reddy, India Lions Clubs International Limited, India P K Sai Prakash, India Giridharilal Sanghi & Bajrang K V R Choudary, India Foundation, USA Micro Vision, India P Narendra & P Mahendra, Girvar Singh, USA K Aruna, India London School of Hygiene & Milmet Laboratories Pvt. India Githa Pisupati, India K Nanda Kumar, India Tropical Medicine, UK Limited, India P Rama Devi, India Gunnam Sarada Devi, India K Vasantha Rao, India Lotus Wireless Technologies Miriam Hyman Memorial P V K S Varma, India K Vijai Sarathy, India India Pvt. Ltd, India Trust, UK Pabba Shankaraiah, India

61 Padma & Prasad Guntupalli, USA Rita & Bill Bourne, USA Development Society (SEEDS), India Tolaram Ratanlal Goenka Trust, India Padma & V Neelakanta Rao Dantu, Rithwik Projects Private Limited, India Sohani Charitable Trust, India Trigeo Technologies Pvt. Ltd, India India Rohit Hegde, India Somasheila Murthy, India Tulsian Charitable Trust, India Palle Rama Rao, India Roshan M Patel, India Sowjanya Kilaru, USA Tyle Family Limited Partnership, USA Parasakti Cement Industries Ltd, India RSB Charitable Trust, India Sreedevi & Suresh Challa, India Uma Aisola, India Paresh Karia, India Rustom D Ranji, India Sreedevi Penmetcha, India Uma Rao & Ram Mohan Rao (N Pershad Sanghi, India RVR Projects Private Limited, India Sri Aruna Auto Service Limited, India Venkataswami Chetty Charitable Persistent Foundation, India S R K Consultants, India Sri Krishna Jewellery Mart, India Trust), India Personnel Search Services Pvt. Ltd, S R L Diagnostics, India Sri Rama Raju Charitable Trust, India Union Bank of India, India India S R L Ltd, India Sri Ramdas Motor Transport, India Universal Cine Traders Pvt. Ltd., India Pharm Aromatic Chemicals, India S S R Koteswara Rao, India Sri Rameswar Ram Charities, India University of Hamburg, Germany Pinnamaneni Poly Clinic, India S Srinivasan, India Sridevi Penmetcha, India University of New South Wales, Pinnamaneni Trivikrama Prasad, India S V Saikumar St Jude Medical India Pvt. Ltd, India Australia Pola Radhakrishna, India Sagar Business Private Limited, India State Bank of India, India University of Nottingham, UK Polymer Technology Inc, USA Sai Sri Printers, India Subhabrata Chakrabarti, India University of Sheffield, UK Prabha & Surya Prakash, India Sajid Ali, USA Subhadra and Subhash Kaul, India Uppuluri Chowdary, USA Prafulla & Harnath Babu Koneru, USA Salarpuria Jajodia & Co., India Sudershan Drugs & International Ltd, Usha Gopinathan, India Prakash Chandra Mohanty, India Sangeeta Wagh, India India V Anasuya Devi, India Prashant Garg, India Santen Inc., USA Sudhir Prakash / Darshanlal Anand V Rajeswri, India Pravin Kumar Tandlay, India Santosh Honavar, India Prakash & Sons Pvt. Ltd, India Vaibhav Empire Pvt. Ltd, India Prema & H V Janardhan, USA Saranya & Bapineedu Gondi, USA Sudhir R Doshi, India Veeramachineni Sarojini, India Purushottam Lal Agarwal, India Sarva Kalyan Kosh, India Sua Devi Poddar Charitable Trust, India Vemulapalli Sarojini, India Radha & Mr G G Vaidya, India Sasanala Bhavani Sirisha, India Sujatha & Dr Y A Kesava Rao, USA Vemulapalli Sunitha, India Radhabai Palnitkar Medical Education Sashi & Ravinder Sharma, USA Sunil Kumar Singh, India Vijay Laxmi Inani & Jagdish Chandra Society, India Satish, India Supra Enterprises, India Inani, India Rajashree Pinnamaneni, India Satyam Enterprises, India Swadesh Kapoor, India Vijaya Kumari & Anil K Mandal, India Rajendra Prasad Bhatt, USA Shalini Rao & Justice M N Rao, India Swarna Kumari & Dr N U Rao, India Vijaya L Ramam, India Rajendra Y Angle, India Sham Sunder Kanoria, India Syamala & C S Bhaskaran, India Vijaya Nagar Bio Tech Ltd, India Rakesh Chandra Tripathi, India Shanta & Rajendra Prasad Challa, India Synchrony International Services Pvt. Vijayakumar Chilakapati, USA Ramakrishna Kode, India Shanta Biotech Pvt Ltd, India Limited, India Vijaychandra N Cantol, India Ramakrishna Poddar Smarak Nidhi, Shantilal Jain, India Synergies Castings Limited, India Vijaydurga Beverages, India India Sheshi & Mr Ravinder Sharma, USA T L Prasad, India Virender S Sangwan, India Ramchandra Jadhav, India Shilendra Swarup, India T Lakshmi Jhunjhunwala, India Vision Care, India Ramesh Chand Agarwal, India Shobha & Aashish Boghani, India/USA T N C Rangarajan, India Western Transport Agency, India Ramesh Chandra V Doshi, India Shrinivasan Shesha Iyengar, India T Padmanabhan, India Y Mruthyunjaya, USA Ramesh Kekunnaya, India Shyam Choudary, USA T S R Anjaneyulu, India Y Madanamohana Rao, India Rampion Eyetech Pvt. Ltd, India Shyam Prabhaker, USA Tariq Basheer, UAE Youdan Marketing, India Rao Vallabhaneni, USA SICE India Private Limited, India Tear Lab Corporation, USA Zen Quality Assurance Pvt. Ltd., India Rashmi & Dinesh Chawla, USA Sight Life Tech Mahindra, India Zurich Financial Services, UK Ratna Tulasi & B R Yelamanchili, USA Siris Ltd, India The Davars & Unnavas Family, Australia Ravela Timbers, India Sitamma & Rattayya Vallurupalli, India & India Retina Associates Eye Foundation, Smt Indukuri Shakaramma (Indu The Hans Foundation, India India Projects Ltd), India Thomas Minner, USA Richa & Lal Gehi, India Social Empowerment and Economic Tirupati Traders, India 62 Support During the Year Australia Israel Singapore University of Nottingham University of New South Wales Eye Yon Medical Ltd Asia Cornea Foundation University of Sheffield Germany Portugal United Kingdom (UK) United States of America (USA) University of Hamburg Champalimaud Foundation London School of Hygiene & Tropical Santen Inc. Medicine Tear Lab Corporation

Abu Dhabi Limited Gurgaon Deepak Kumar Ltd Tariq Basheer Kusum Jalan & Ram Avtar Jalan Letz Change Foundation G Chandra Sekhar M Madhavi Latha Adilabad Rabi Prasad Das OneSight India Foundation G Srikrishna M Rammohan Rao A Bheem Reddy Memorial Sachin Ramchandra Jadhav (Trust) Greeshma Ravi M S Arvind Kumar Trust Sagar Business Private Limited Tej Kohli M Madhavi latha M V V Raja Sekhar Sri Ramchandra Jadhav Hyderabad Pravin Kumar Tandlay Mahtab S Bamji Bahrain Vision Care A S Chowdhri Nava Bharat Rajini Devarajan Matta Vamsee Krishna Khalifa Al Khalifa Foundation Sukla Mitra Meenakshi Kothapalli Royal Charity Organisation Canada Operation Eyesight Universal A V Rama Rao Sruthi Srinivasan Metrochem API Private Limited Bangalore Eye Sight International Abhirami Venkatesh Haragopal K Krovvidi Microsoft India (R&D) Pvt.Ltd Anuradha Shanth Kumar Ateeq Ur Rahaman Agarwal Rubber Limited Hema M Srinivas Monica Kothari Ramakrishna Kode Ajit Rangnekar HIL Limited N L Narasimham Chennai Satya Hari Prasad Ajitha Pavuluru Homas Mammen Medical NAR Infra Pvt Ltd Appasamy Associates Sua Devi Poddar Foundation Allergan India Private Limited Hy-Magnetics Private Limited Naveen Ramaka Cognizant Foundation AT&T Global Business Services Amaresh Konamneni Hyundai Motors India Operation Eyesight Universal Darshan Dollu India Private Limited Amrutha Sales Corporation Engineering Pvt. Ltd (India) SRNG Field Management and Carl Zeiss India Bangalore Pvt. Anand Nagloor I Sriman Narayana P Madhu Sudan Reddy Consultancy Private Limited Ltd Anantha Nageshwara Infor (India) Pvt. Ltd P Rama Rao V Harihara Subramanian Christoffel Blindenmission Anisingaraju Ramakrishna Jayashri Viswanathan Padmini Gopalakrishnan India Vision Institute The Indian Society of the Arun Sharma K Nanda Kumar Pinapala Udaya Bhaskara Rao Church of Jesus Christ of the Dhaka Ashok Kumar Malpani K Ravindranath Prasad Media Corporation Pvt. Latter Day Saints Zeeshan Kingshuk Huq Atmakuri Venkata Ramam K H Sunita Ltd Alcon Laboratories (India) Pvt. Dubai B Kinnera Murthy K Premaleela Pragati Offset Pvt. Ltd Ltd Kokil Pathak Bhanumurti Kuchibhotla K Vijai Sarathy Pragati Pack India Pvt. Ltd ORACLE Prashant Bhatia BHEL-GE Gas Turbine Services Kala Gopalakrishnan Pravin Kumar Tandlay Titan Company Limited Raees Ahmed Rohile Pvt. Ltd Kamini Mirchandani Pulin Agarwal Ballari East Godavari Brigitte Roeder & Friends Kasavaraju Tanmay Rajeev Nannapaneni Pola Radhakrishna Medicherla Bhairava Murthy Ch Surya Prakash Kiran Kumar Royadu Rajesh Kumar Kothapalli Hindusthan Calcined Metals S V V S N Varma Chandna Anita Kishore K Kothapalli Rajini Devarajan Pvt.Ltd V K Raju Covidien Engineering Services Komonduri Shantha Devi Ramakrishna Chaitanya Konda Pvt. Ltd Korwar Deepti Ramakrishna Vooda Bhadradri Kothagudem district Faridabad Cyient Limited Koteswara Rao S S R Rehan Noronha Nava Bharat Ventures Limited V K Mittal D Balasubramanian Kothai Rangachari Research Wallet Services Pvt Bhubaneswar Guntur D Seetharamaiah Laurus Labs Limited Ltd Inservia Innovations Pvt.Ltd N Gandhi D V R Seshadri Lions Clubs International ResMed India Pvt Ltd Jagdish Chandra Rout Deccan Cements Limited Foundation Rithwik Projects Private Khimji-K D & Sons Private Deepak Sukh Lucid Medical Diagnostics Pvt. Limited 63 Shivaji Sisinthy Orson Holdings Company Limited Sadbhavana Trust Your Cause Shri Balaji Iron Foundry Pvt. Ltd Salarpuria Jajodia & Co. Vikramaditya Mohan Thapar Vadodara Shrikant Rajangam Bharadwaj Shashi Kant Mahajan Noida Bimal Mehta Sreedevi Penmetcha Sushil Kumar Khetan Nikhil Dujari Vijayawada Srikanth Achanta Vasavi Narla S Sambasiva Rao Pune Srutha Keerthi Valluri Sridevi Lucknow Jayant Lunawat St Jude Medical India Pvt. Ltd Visakhapatnam Rakesh Chandra Tripathi Jaysinh Konkar Subhadra Jalali Bojji Duraiswamy Sunil Kumar Singh Marina Marina Sudhakar Chinthawar Gajuwaka Hospitals Private Limited Malaysia Persistent Foundation Suhasini Ravipati Harmony Foods Pvt Ltd World Health Organization Sukla Mitra Rajasthan I V Raghu Kumar Surya Kaladhar Madhavapeddi Mumbai Bhagwan Devi Agarwal Integral Trading & Logistics Sushila Harilal Shah Akshay Ravi Rayban Sun Optics India Private K Vasantha Rao Swapnika Pulimamidi Ashoka Alpha Advisers LLP Limited Lotus Wireless Technologies India Pvt Swathi Badakere Balaji Trading Co. Raipur Ltd Synchrony International Services Pvt. Beena M Thakkar Nandan Steels and Power Ltd Manthena Satyanarayana Raju Behram Rustom Sethna Limited Singapore Orbit Power Technics Geeta Arjun Bhatia T N C Rangarajan Pang Chia-Li Padmaja Hospital T Padmanabhan Koshi Lal Gehi Ramesh Babu Bobbili Tenali T S R Anjaneyulu Mahesh K Thakkar Robbi Srinivas Vajja Subba Rao Tarumani Kalyanalakshmi Mission for Vision RVR Projects Private Limited Therubali Tech Mahindra Mukunda Prabala S Mohan Kumar Indian Metals & Ferro Alloys Ltd Uma Parameswaran Nalini Seksaria Sri Rao Auto Agencies V S G Chandra Sekhar Naraindas Morbai Budhrani Trust United Kingdom (UK) Syamala Kallury Vijaya L Ramam Pharm Aromatic Chemicals LetzChange Foundation Synergies Castings Limited Practical Financial Services Pvt. Ltd Miriam Hyman Memorial Trust Jaipur V B Muralikrishna Chukkala Rajendra Y Angle UK Online Giving Foundation Bhoruka Charitable Trust Vadapalli Venkata Satyanarayana Rupali Gupte United States of America (USA) Vizianagaram Japan Samir Kumar Sinha Combat Blindness International Buddha Raju Jagannadha Raju Santen Pharmaceutical Co., Ltd Shree Govindram Seksaria Charity Trust Divakar Jandyam G L Mandhani Charitable Trust Karimnagar Swapnil Bhalekar Jaminikant Samantaray Narayana Murthy Raju Upadrashta Venkata Sudhakar Veena Bharat Patel Jeevan S Ahuja Pothinindi Kanaka Durgamma Kashmir New Delhi JIV Daya Foundation Charitable Trust Bhagwati Devi Bhagwati Devi K L Ponamgi Pyndah Radha Dayal Poonam Gupta CanKids...KidsCan Lions Clubs International Foundation Warangal Charities Aid Foundation NVIDIA Foundation Khammam Bolli Laxmi Thulasi Lakshmi Venugopal One Sight Abburi Rama Rao S Laxmi Poonam Gupta Rajendra Prasad Bhatt Kolkata Sheila Sangwan Sunil Chauhan West Godavari Jayanti Sen Social Empowerment and Economic Tyle Family Limited Partnership Dandu Harish Varma Kamdhenu Udyog Pvt. Ltd Development Society (Seeds) United States Agency for International G Satyanarayana Madanlal Patodia Charitable Trust Sruthi Srinivasan Development Magma Fincorp Limited The Hans Foundation Venkat Purushotham Monimoy Ghosh Usha Kumar Savitri & S L Kumar Vijai Kumar Nirmal Exim Pvt. Ltd 64 Boards of Management

Hyderabad Eye Institute Hyderabad Eye Research Foundation

Chairman Chairman Gullapalli N Rao Ajit Rangnekar Hyderabad Hyderabad

Members Secretary / Treasurer Ramesh Prasad Gullapalli N Rao Hyderabad Hyderabad

Sunil K Singh Members Lucknow Vijayalakshmi Ravindranath Bengaluru B V R Mohan Reddy Hyderabad Uday B Desai Hyderabad Anil Bhansali Hyderabad V Raghunathan Bengaluru Evita Fernandez* Hyderabad Virander S Chauhan New Delhi Nirmal K Ganguly New Delhi Rajendra Achyut Badwe Mumbai Ramakrishna Ramaswamy New Delhi Gullapalli Pratibha Rao Hyderabad Rajeev Nannapaneni Hyderabad Shivaji Sisinthy (Ex-Officio) Hyderabad Gullapalli Pratibha Rao Hyderabad

A Sai Prasad * Till December 2017 Chennai To find out more about L V Prasad Eye Institute and its programs, services, and facilities, or to find ways to support the institute, please write to us at [email protected] or visit www.lvpei.org

Kallam Anji Reddy Campus Mithu Tulsi Chanrai Campus Hyderabad Patia, Bhubaneswar, Orissa +91 040 39892020 +91 0674 3989202 [email protected] [email protected]

GMR Varalakshmi Campus Kode Venkatadri Chowdary Campus Visakhapatnam Tadigadapa, Vijayawada +91 0891 3984555 +91 0866 3062020 [email protected] [email protected]