to LRBT Free Eye Hospital in Gambat. LRBT hospitals for detailed examined the young girl and told the Though not too hopeful, he got his examination and surgery. parents that she could see again only eyes examined thoroughly. This was if her cornea is replaced, a procedure his first visit to an eye hospital and he that was yet to be introduced in the was surprised to hear the First corneal hospital. A few weeks later, they ophthalmologist say that his vision transplantation in received a call from the hospital that may be restored by Keratoplasty which LRBT had now introduced this involves transplanting a donor cornea the history of facility and Gulshan is going to be their in place of his opaque one. He was told first lucky patient. Her surgery was that they will receive a call as soon as Balochistan performed successfully and before a donated cornea is available. Shah leaving the hospital Gulshan exclaimed didn’t have to wait for too long. 3 cheerfully “ Now I will be able to play months later his prayers were finally with my siblings and go back to school answered and he received a call from thanks to the kind doctors, staff and LRBT to immediately reach LRBT’s donors giving me God’s greatest Karachi hospital for his surgery. gift – sight”

His surgery was performed successfully. It was the happiest moment of his life Congratulations on when he left LRBT, being able to see the completing eye care world once again; something he never dreamt would ever happen. 'Its fantastic training programs getting my sight back, I can't really describe it - it's beyond words. It is such 1. Doctors Qualifications a precious gift and you don't really Gulshan Nawaz, • Dr. Arslan Ahmed Malik – appreciate it until it is taken away. I’m first corneal Hospital deeply thankful to the staff and donors - FCPS Intermediate Module of LRBT who have transformed me from transplant patient • Dr. Samee Ullah – Lahore Hospital a burden into a productive member - FCPS Intermediate Module of society’. in Balochistan.

2. Microsurgical training at Reaching the LRBT Quetta is the first hospital in Lahore hospital unreachable Balochistan to introduce the facility The following doctors attended of corneal transplantation - a micro surgical training at our Lahore complicated surgical procedure where Hospital: As a part of our community outreach, a damaged or diseased cornea is • Dr. Javed Iqbal – Data Darbar 8 Eye Screening Camps were replaced by donated corneal tissue. Hospital, Lahore conducted at Karachi, , The lucky recipient was a 10 year old • Dr. Kamran Wazir – Mayo Hospital, Gujranwala, Talagang, Badami Bagh girl, Gulshan Nawaz, from a poor family Lahore (Lahore), Lodhran, Mehmood Kot, and in Quetta. Gulshan had dropped out Sheikhupura in collaboration with of school as she could not read or write 3. Training & Development Shell. We also conducted OPD as well owing to her eye disease. She got B.Sc. (Vision Science) as Surgery at ICI Khewra in the salt examined at various government Mr. Muhammad Asif Sheikh, Mr. Arshad range in Punjab and in Gwadar and hospitals but in vain. Her parents were Ali Bhatti and Mr. Muhammad Idrees Turbat in Balochistan. A total 6018 hurt and felt helpless every time they from our Korangi Hospital are patients were examined, out of which saw Gulshan sitting in a corner all undergoing a four year B.Sc. Vision 3511 were medicated, 1997 were alone. Then they found out about LRBT Science Course from Allama Iqbal refracted and 128 were referred to Quetta hospital, where Dr. Saeed Open University.

02 TREATING 36% OF ALL EYE PATIENTS IN O. T. Technician Course and Internal Control” organized by following topics were discussed with Mr. Imran Ahmed from Korangi PWTD on 5th May 2011 at Al-Noor the residents: Hospital is attending classes of a one Special Children’s School, Multan. year O. T. Technician Course at Sindh a. Dr. Zaheer uddin Aqil Qazi- Government Hospital, Liaquatabad, Dr. Rao M. Arif Khan from our Phacoemulsification for Beginners Karachi for the year 2011. Khanewal Hospital attended “ACLS b. Dr. Muhammad Tariq Khan- Workshop” at CPSP Lahore from 10th Intra- Ocular and Peri-Ocular Ophthalmic Technician Course to 11th May 2011. Injections/Use of Ophthalmic Ms. Mudassra Samiullah from CEHC Microscope. Karachi is undergoing a one year Dr. Syed Fawad Rizvi from our Korangi Ophthalmic Technician Course from Hospital was appointed as Examiner CPSP awarded a Certificate of Civil Hospital, Karachi for the for IMM (Ophthalmology) TOACS Appreciation to Dr. Zaheer uddin Aqil year 2011. Examination March-2011 at CPSP Qazi and Dr. Muhammad Tariq Khan Karachi on 14th May 2011. for being master trainers at Other Training Programmes Ophthalmic Surgical Skills workshop. Mr. Rashid Mehmood from CEHC Dr. Syed Fawad Rizvi and Dr. M. Vehari and Mr. Abdul Quddoos from Abdullah Khan from our Korangi Dr. Abdul Samad Khan, Dr. Washoo Mal, CEHC Kot Momin are undergoing Hospital were selected to deliver Dr. Sas Usama, Dr. Kanwal Latif and initial CEHC training whereas lectures on six different topics Dr. Saliha Naz from Korangi, Mr. Saqib Mehmood from CEHC Toba of Ophthalmology at Jinnah Dr. Asadullah from Mansehra, Dr. Abdul Tek Singh and Mr. Abdul Aziz from Medical College Hospital (JMCH), Saboor from Shahpur and Dr. Ashfaq ur CEHC Bandial attended a two week Korangi, Karachi. Rehman from Akora Khattak Hospital refresher training course at our attended skill development workshops Mandra Hospital. Dr. Khurram Azam Mirza (Consultant at CPSP. Ophthalmologist) of LRBT Lahore LRBT School of Ophthalmic Hospital proceeded to Singapore from 5. Conferences/Seminars Paramedicine 15th to 19th April 2011 to attend A symposium on “Dry Eye” was arranged In order to alleviate the shortage of the workshop on “Constellation on 16th April 2011 with the courtesy of skilled mid level health workers and Vitrectomy” at National Eye Hospital, Alcon at our Lahore Hospital. The to provide quality paramedics at our Singapore. symposium was supervised by hospitals, LRBT opened a School of Dr. Amjad Saleem Sahi (Consultant Paramedicine at its Tertiary Hospital The Ophthalmological Society of Ophthalmologist). All the doctors from in Korangi. The first batch of 20 Pakistan (OSP) arranged a monthly our Lahore Hospital attended. candidates is undergoing a one year meeting on 17th June 2011 at Lakson Ophthalmic Technician Course. Medical Trust, Sahiwal. Dr. Kashif Iqbal An Ophthalmic Conference was This course is accredited by Sind from our Lahore Hospital was invited organized by the Ophthalmological Medical Faculty. to deliver a lecture on “Basics and Society of Pakistan (OSP) at Bhurban Interpretation of OCT”. from 29th to 30th April 2011. Next year the School will also offer 2 Dr. Muhammad Tariq Khan, Dr. Amjad other courses: an Operating Theatre College of Physicians & Surgeons Saleem Sahi, Dr. Khalid Bashir, Dr. Tariq Technician Course and a Pakistan (CPSP) held a Primary Mehmood Qureshi and Dr. Jawad Butt Refractionists’ Course. An application Surgical Skills workshop on 14th June from our Lahore Hospital attended for accreditation has been submitted 2011 at its Regional Centre, Lahore. the conference and delivered lectures to Sind Medical Faculty. Dr. Zaheer uddin Aqil Qazi, Dr. on the following topics: Muhammad Tariq Khan, Dr. Tariq 4. Workshops/Appointments Qureshi, Dr. Muhammad Hannan, Dr. a. Dr. Muhammad Tariq Khan - Management of Endophthalmitis 6 staff members from our Punjab Jawad Butt and Dr. Fawad ur Rehman b. Dr. Khalid Bashir hospitals attended a lecture on from our Lahore Hospital were invited - Complicated Cataract with “Maintenance of Accounts, Budgeting to conduct the workshop. The Torsional Phaco

TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN 03 been completed ahead of schedule. We hope it will help us man the hospital with a full complement of doctors.

LRBT Quetta Hospital Repair & maintenance work at the Quetta hospital relating to painting, a fresh sewerage disposal line and roof treatment had begun in June and is expected to be completed by mid August.

LRBT Mandra Hospital For the convenience of patients, the entrance to the new OPD complex has been made with tuff tiles and a guard room has also been added. The entire roof treatment of the OPD complex has also been completed. Its formal opening is expected to take place post Ramadan. c. Dr. Tariq Mehmood Qureshi Controlling Immediate Post- - Prophylaxis of Endophthalmitis Operative Anterior Uveitis After LRBT Lar Hospital d. Dr. Jawad Bin Yamin Butt Cataract Surgery in Cases of Construction of a new doctors’ - Management of Suprachoroidal Phacomorphic Glaucoma”. accommodation for a married doctor Hemorrhage and two unmarried doctors was completed recently. The need for this 6. Recognition Coping with the ever- addition in accommodation was in Dr. M. Saeed Khan, in charge of our growing patient view of the dearth of residences in the Quetta Hospital, was awarded a premises of the hospital. Doctors had “Certificate of Appreciation” in volume to travel long distances everyday to be recognition of our voluntary services present to examine and treat patients in time. This difficulty has been towards the flood affected people of LRBT Pasrur Hospital: resolved for the convenience of Balochistan during 2010, by In an effort to make doctors readily the patients. International Association of Lions available considering the location of Clubs, District 305 N-2, Pakistan. LRBT Akora Khattak Hospital 7. Research Work With an increase in major surgeries at our Akora Khattak Hospital, the waiting period for the poor patients was being Dr. Muhammad Hasnain and Dr. Abdul extended due to infrastructural Rehman of our Shahpur Hospital limitations. In order to address this conducted a study which was issue a new and larger Operation published in Pak J Ophthalmol 2010, Theatre is being constructed. After its Vol.26 No.3. The topic of research was commissioning it is expected that the “Comparative Study of Effectiveness our hospitals in rural areas and related backlog will be substantially reduced. of Subconjunctival Injection of logistical issues, accommodation for The new Operation Theatre is expected Dexamethasone Versus Intracameral unmarried doctors which was to be ready by end October, 2011. Injection of Dexamethasone in expected to be ready by August, has

04 TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN Seeing is believing – • As part of its training programme, Fawad Hasan Fawad (Former Ms.Rubina Tayyab of the National Secretary Health, Punjab) to visit visits to LRBT School of Public Policy, brought a the LRBT Korangi Hospital on April Hospital senior officals team, headed by Mr. 18th, 2011. Following a detailed tour of the Hospital the following comments were penned down by him: “What a moving experience to see a trust institution working across the entire country with such commitment & dedication. The number of patients that we personally saw and met and the level of professional care as well as patient satisfaction with each one of them was such a pleasant surprise. I think each one of us is moved to work both in our individual and collective capacities to support the work of the organization. As for the facilities of the hospital, one can only say “Par excellence”. We would look forward to increase our cooperation”

• Dr. Hussain Elhanami & Dr. Tariq Al Visit of rotarians on 28.03.11 Jumna from Kufa University, Al- Saddar, Najaf, Iraq visited LRBT Korangi Hospital on May 31st, 2011 and their comments were: “Impressed, inspired and enlightened for all the great effort and thoughtful organized work I have seen in this place. Wishing them all the best.”

• Dr. Abdul Hannan, Chairman WHO, visited LRBT Hospital Lahore on April 4,2011.

• Rotarians visited the LRBT Lahore Hospital and their comments were:

• Mr. Rick Manganello, Rotary District Governor D-7870 said “From time to time, caring Rotarians conduct “Eye Missions” to countries with need. In a few A team of 20 probationary officers of Civil days they help a few deserving Services visited LRBT Lahore Hospital. persons. This marvelous facility goes far more day in and

TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN 05 day out. The gift of vision you give, A team consisting of 20 Probationary Exploration and Production Inc. changes lives, gives hope and Officers of the 38th CTP, Civil Services donates equipment for LRBT builds peace in the world.” Academy, visited LRBT Lahore Hospital Tando Bago Hospital on 11th & 12th May, 2011. Their remarks • Mr. Rachel Williams, Rotary District were: “It was a sight for sore eyes to see Literacy-7930, Boston said “Thank a NGO wholly committed to provide free BP Pakistan Exploration and Production you for this wonderful facility. We medical care on compassionate grounds. Inc. in continuation of their support to can feel the joy of those who work The fact that it is training the future eye LRBT had offered to add some medical here! This is a rewarding place for specialists of Pakistan is commendable. equipment urgently required at our Tando those who participate! Wonderful Considering the charitable nature of the Bago Hospital so that patients could be place/wonderful people”. trust, it is pleasing to know that the better served. An operating microscope, Hospital owns state of the art equipment.” an auto refractometer and an appalanation • Mr. Helen/Mrs. Lon Penna, Rotary tonometer has been approved by their District 7190-NY,USA said “Thank Our big-hearted management which shall soon be delivered you for doing such wonderful work to us. We are grateful to BP for their for the population of Pakistan”. supporters unwavering support. It pays to care! BP Pakistan

Our Generous donors

Name of Donor Amount in Rupees Graham Layton Trust 15,709,530.42 Programme Co-Ordinator CDP P & DD 12,000,000.00 Sight Savers International 6,200,000.00 The Fred Hollows Foundation 4,612,744.00 Pakistan Bait-ul-Mal 4,218,000.00 Mr. Zaki uddin Khalifa 4,050,000.00 Subhan Food Industries 4,010,821.00 Anonymous Donors - Karachi 2,898,566.08 Punjab Welfare Trust For The Disabled 2,877,000.00 Human Concern International 2,550,463.00 Mr. Imran Hussain 2,210,000.00 The British Asian Trust 2,076,287.64 Shell Pakistan Ltd. 2,000,000.00 International Develop. &Relief Foundation 1,729,296.85 Mrs. Surriya Gilani 1,589,390.00 LRBT America Inc. 1,050,444.45 Infaq Foundation 1,000,000.00 International Tubular Services 1,000,000.00

06 TREATING 36% OF ALL EYE PATIENTS IN PAKISTAN Name of Donor Amount in Rupees Mr. Aref Zarouni 936,232.00 Hamza Foundation 900,000.00 Mr. Samee-ul-Hassan 600,000.00 Boxes Donations 598,694.00 PAPCO 557,000.00 Annonymous 546,674.00 Waheed Asghari Memorial Trust 500,000.00 Mr. Riaz Ahmed Rana 500,000.00

And our anonymous donors along with others who gave less than Rs. 500,000/-

Partnership of Rs. 12 million was given to us on 13th ICI has been organizing Eye Surgical May 2011 after satisfactory monitoring workshops every month since May 1991 Agreements and evaluation was carried out through in collaboration with LRBT. This is ICI’s the PPP cell’s field visits followed by an longest running health care initiative. This The partnership agreement between overview of our performance by the workshop provides free eye treatment to LRBT & the Govt. of Sindh which Community Development Board the general public including OPD commenced on the 15th of November Planning and Development Department, consultations, major and minor surgeries 2010 for a period of one year to conduct Govt of Sindh. The project is progressing and refractions. These clinics are held for 18750 cataract surgeries has so far smoothly and according to schedule, to three days each month. To date, 129,932 resulted in restored vision of 10,238 poor the satisfaction of both the parties. patients have been treated in OPD, 12,586 blind people in Sindh. In this project the major and minor surgeries have been Government of Sindh has committed to Other Activities performed and 19,667 people have provide Rs. 37.5 million to LRBT for been refracted. performing these surgeries in all four of our Sindh Hospitals. The first tranche of Monthly Eye Surgical Workshop Rs. 15 million was received on 15th of ICI Pakistan Soda Ash Khewra November 2010 while the 2nd tranche in collaboration with LRBT.

RESTORING SIGHT CHANGING LIVES

• Rs. 2,382 is the cost of 1 Sight Restoration Cataract Surgery with Intra-Ocular Lens Implant

• Rs 23,208 is the cost of a Vitero Retinal Surgery

• Rs 6,770 is the cost of 1 child’s Sight Restoration Surgery The Layton Rahmatulla Benevolent Trust (LRBT) 37-C, Sunset Lane No. 4, Phase II Extension, DHA, Karachi-75500 Phones: 021-35396600-5 (6 lines) Fax: 021-35396606 Email: [email protected] Website: www.lrbt.org.pk Performance Data

1,600,000 OPD Visits 110,000 Major Surgeries 1,500,000 100,000 1,400,000

1,300,000 90,000

1,200,000 80,000 1,100,000 70,000 1,000,000 900,000 60,000 800,000 50,000 700,000

600,000 40,000

500,000 30,000 400,000 20,000 300,000

200,000 10,000

100,000 0 July to Sep 10 Oct to Dec 10 Jan to Mar 11 Apr to Jun 11 YTD 0 July to Sep 10 Oct to Dec 10 Jan to Mar 11 Apr to Jun 11 YTD Last Year 26,609 35,997 40,051 41,839 144,496 Last Year 400,139 468,459 539,665 559,730 1,967,971 Current Year 492,950 563,750 551,853 599,618 2,208,171 Current Year 27,626 37,289 37,971 45,823 148,709

70,000 Minor Surgeries Major Surgeries April to June 2011

60,000 Total Major Surgeries 45,823 Total Cataract Surgeries 42,382 (92.49 of Total Major Surgeries)

50,000 Cataract Surgeries with IOLs 41,488 (97.89% of Total Cataract Surgeries)

40,000 SICS with IOL, 11,034 , 24.08%

30,000 Cataract Phaco with IOL,18,332,40.01%

20,000 Secondary IOL, 170 , 0.37%

Others, 3,441,7.51% 10,000

Cataract without IOL, 762 ,1.66% Cataract Phaco without - IOL,132,0.29% July to Sep 10 Oct to Dec 10 Jan to Mar 11 Apr to Jun 11 YTD ECCE with IOL,11,952 ,26.08% Last Year 14,789 15,059 17,555 17,843 65,246 Current Year 14,070 13,676 15,801 16,540 60,087

CUMULATIVE SUMMARY SINCE INCEPTION TO 30 June 2011

Rashidabad Bari Kot TANDO AKORA Shahpur GAWADAR TURBAT ENT Hospital KORANGI LAHORE (Tando Adam GAMBAT LAR (Kala Kalay QUETTA MANDRA MANSEHRA KHANEWAL Pasrur Arifwala SIBI KHEWRA (ICI) 01/02/87 to BAGO KHATTAK 25/05/93 to Saddar (MALC) (MALC) Surgeries TOTAL 01/06/08) 28/07/08)

Commencement Date 26 Oct 1986 14 May 1987 02 June 2008 15 Nov 1985 20 Mar 1988 15 Feb 1999 20 Oct 1990 15-Dec-08 23 Oct 2000 5 Nov 2004 15 Mar 2005 8 Nov 2005 2 Jan 2006 17-Mar-08 15-Dec-08 1 Jul 2003 May 1991 15 Nov 1985 15 Nov 1985 15 Nov 1987

Total OPD Patients 3,991,898 4,531,707 1,204,719 1,368,393 1,123,621 954,511 1,229,654 922,355 807,228 611,579 416,641 298,777 352,521 205,846 209,563 93,978 130,331 28,766 12,967 283 18,495,338

Total Surgeries 498,974 383,357 169,966 131,810 171,993 127,292 138,880 144,423 72,023 90,979 66,610 32,353 39,177 28,025 18,802 6,631 12,401 3,196 1,188 279 2,138,359

Total 4,490,872 4,915,064 1,374,685 1,500,203 1,295,614 1,081,803 1,368,534 1,066,778 879,251 702,558 483,251 331,130 391,698 233,871 228,365 100,609 142,732 31,962 14,155 562 20,633,794

Pakistan: • The Layton Rahmatulla Benevolent Trust (LRBT) 37-C, Sunset Lane No. 4, Phase II Extension, DHA, Karachi-75500 Name: Phones: 021-35396600-5 (6 lines) Fax: 021-35396606 Email: [email protected] Profession: Website: www.lrbt.org.pk (Exempt under Section 61 of IT Ordinance 2001) Address: United Kingdom: • Graham Layton Trust 24 Bedford Row, London WC1R 4TQ, UK. Tel: 44 (0) 30 3040 1688 Email: [email protected] Website: www.glt.org.uk (Registered Charity No. 290464).

U.S.A: Telephone: Fax: • LRBT – America 66 Charles St. #445, Boston, MA 02114, USA. Email: Website: www.lrbtamerica.org Amount Donated: (Exempt under Section 501 (c) (3) of Internal Revenue Code). Zakat / Fitrah / Sadqah etc. Canada: • International Development and Relief Foundation (Account LRBT) 2 Berekely St., Suite 210 Toronto, ON M5A 4J5 Canada. (All donations are tax exempt)