Take a pledge to donate your eyes
There are currently an estimated 15 million blind people in India. Corneal blindness accounts for 6.8 million people with vision less than 6/60 in at least one eye, and of these, about 1 million have bilateral corneal blindness. If the present trend continues, it is expected that the number of corneally blind individuals in India will increase to 8.4 million in 2010 and 10.6 million by 2020. Of these at least 3 million can be benefited by corneal transplantation. Thus, to effectively meet the ever growing demand, we need around 150,000 corneal transplants to be performed every year. The shortage of corneas is so acute that a majority of the patients requiring corneal transplantation are not fortunate enough to undergo the procedure within a reasonable period. Eye donation can be done by all people regardless of age, gender or race. Even spectacle wearers and people suffering from Diabetes and Hypertension can donate their eyes. You can give the gift of sight by pledging your eyes at the Eye Bank - however the consent of the next of kin is essential for making an eye donation.
OUR EYE BANK
Our Eye Bank is a most modern one and is working round the clock. The eye Bank activity has started since 2 October 2005. Eye Bank services have emerged as top in Pune region and third in Maharashtra state. Government of Maharashtra felicitated our Eye Bank for the work for maximum collection of eyes. It is very well equipped with cornea processing unit and Specular Microscope both tissue as well as live model. We can select better quality cornea with the help of specular microscope resulting in sucess rate of impact in patients. India has around 628 Eye Banks out of which in Sept. 2010 , H. V. Desai Eye Bank was chosen by Eye Bank Association of India (EBAI) for the accreditation.
Shri Kumarbhai Shah
India has around 628 Eye Banks out of which in Sept. 2010 , H. V. Desai Eye Bank was chosen by Eye Bank Association of India (EBAI) for the accreditation program along with 8 other Eye Banks of the country; the only one from Maharashtra. This program was undertaken by Sight Life,USA a collaboration institution of Eye Bank Association of America , along with EBAI to standardize and regulate the functioning of the various Eye Banks in India. The eye donation appeal has been done for awareness, but the credit should go to Shri Kumarbhai Shah, who has played major role in inducing eye donation.
Shri Harish Saxsena of Rotary club Pune central, Mr.Nagpal of Lodge Burnett 3284 EC, Mr. Dinoobhai Gandhi (Reliance Drishti) and our team of Advisers like Mr. Jitubhai Mehta, Mr.Pradeepbhai Munot have also contributed in big way.
- 24 hours round-the-clock service.
- Dedicated phone line (24 Hours ) +91-9850100200
- Structured procedure for procurement and corneal button processing with sterile precautions under laminar flow.
- Evaluation of donor tissue by Slit Lamp, Specular Microscopy.
- Appropriate serological screening of the donor blood sample.
- Preservation in storage media.
- A suitable patient is called upon and corneal transplantation surgery is performed as early as possible.
Pre and post therapeutic penetrating keratoplasty corneal melt
Pre and post optical penetrating keratoplasty for vascularized corneal scar
Pre and post DALK surgery for keratoconus
Pre and post DSEK for Fuchs’ endothelial dystrophy
Added special services like contact lens clinic providing therapeutic as well as cosmetic contact lens trial and also refractive surgeries like LASIK are also done.
Fellowship programmes are also being conducted by the department with 2 seats for long term(1 year) And short term(2 months)
Cornea Fellowship Program Format
During the training program-----
|Period of Training (Long term Fellowship)||Course Structure|
|1st month||General Ophthalmology OPD work ups + Training in Eye Banking + Eye Donation Calls to Be attended during the entire course of fellowship|
|2nd month||Training in Cornea OPD + Corneal Investigations + Microbiological Assessments (Smear preparations, culture methodology and interpretation for various corneal infections including bacterial, fungal, viral and parasitic)|
|3rd month||Cornea OPD work ups + Contact Lens Training + Wet Lab training for Keratoplasty (15 nos.)|
|Next 3 months||Cornea OPD work ups + Assisted Pterygium surgery (15 nos.) + Assisted Therapeutic Keratoplasty (10 nos.)|
|Last 6 months||Cornea OPD work ups + Independent Pterygium surgery + Therapeutic Keratoplasty (25 nos.)+ Assisted Optical Keratoplasty (5 nos.) + Assisted Amniotic Membrane Grafting.|
|Period of Training (Short term Fellowship)(An opportunity for hands-on surgery is not provided in the short-term fellowship. However trainees are encouraged to assist in all types of corneal surgeries)||Course Structure|
|1st month||Cornea OPD work ups + Microbiological Assessments.|
|2nd month||Cornea OPD work ups + Observation in OT of various Corneal Surgeries + Assisted Pterygium Surgery (10 nos.)|
The long-term fellow would be eligible for 21 days leave and short-term fellow would be eligible for 6 days leave during the training period. The fellows will have to serve a period of pro-rated extension in view of exceeding the permissible number of leaves.
Course content Detailed –Syllabus
Anatomy & Physiology-
The fellow will be trained in basic sciences of cornea and will be evaluated at the end of the month in the form of written MCQ’s / OSCE / Viva-voice and credit points will be awarded which will be taken into account at the end of the fellowship term.
The training program will include hands-on as well as expert training on interpretations of------- Microbiological assessment and Staining procedures, Keratometry, Corneal Topography, Specular Microscopy and tear film function tests.
The fellow will be taught to take slit-lamp images of anterior segment and corneal diseases for documentation purpose. He / she shall also maintain a detail record of the images database for further retrieval
The fellow will be given a manual of preferred OPD clinical practice in cornea which he/ she shall be well versed during the initial period of the fellowship. Medical treatment strategies for corneal infections, corneal immunological disorders, dry eye and ocular surface disorders, degeneration and dystrophy, complications of keratoplasty, complications of cataract surgery. The fellow will also undergo wet-lab training for attaining surgical skills.
Refer to Course structure
The fellow will undertake a research project for 1 year duration and complete it by the end of his / her tenure. The fellow will have to make at least one presentation of papers / case reports in state or all India level ophthalmology meets.
- Objective: To have a comprehensive and complete command over both medical and surgical skills in corneal practice.
- Case presentation: The fellow will present interesting cases / journal club / recent advances in corneal practice at regular intervals as departmental activity in the presence of corneal consultants and cornea fellows. The fellow will be awarded credit points which will be taken into account at the end of the fellowship term.
- Equipment & Instrument: The fellow will be allowed to handle all the equipments in the department only after he / she has been adequately trained to do so under the supervision of the concerned cornea consultant. He / she shall be equally responsible for any man-handling or any damage to any equipment during handling of the same.
The Cornea: Smolin and Thoft's
- Cornea: Jay H. Krachmer, Mark J. Mannis, Edward J Holland
- Corneal Surgery Theory, Technique and Tissue: Frederick S. Brightbill, Charles N. J. McGhee, Peter J. McDonnell
- Students : Candidates who have passed M.S, M.D, D.N.B., D.O, D.O.M.S will be considered for application for long term and short term fellowship.
- Institutes: Sponsored candidates from governmental / non governmental institutions who hold a valid degree in Ophthalmology will be considered for short-term fellowship program.
- Course capacity ( June – Starting date) : The duration for long term fellowship will be 1 year while the short term fellowship will be for 2 months. At any given time one short-term and one long term fellow would be undergoing the training program.