TEJ KOHLI CORNEA INSTITUTE

April 2016

Despite the recent strides made in eye care, these services are generally limited to the urban areas and do not reach the needy population in remote rural areas. It is difficult to get a trained ophthalmologist to work in remote rural areas. Because of widespread poverty and poor transport facilities; it is equally difficult for the poor patients from rural areas to reach eye care facilities in urban centers.

Teleophthalmology: A peek into the future of Cornea care

A giant leap to bridge this gap has been taken by TKCI in the field of tele-ophthalmology. A tele-ophthalmic Robotic Slit Lamp has been developed inhouse, which will connect the patients from remote areas, having corneal ailments, to their Ophthalmologists and eye care providers in cities in real time.

In this Tele-ophthalmic Slit lamp Biomicroscope, all of the slit lamp functions, have been robotized by using the latest computerized milling techniques. This allows all the slit lamp functions to be remotely controlled from anywhere in the world by a simple internet connection and managed with any interface such as desk top, tablet or even a simple smartphone.

In social terms it makes eye care available to poor and needy patients in remote, rural areas who otherwise are not ever able to access eye care at urban eye centers.

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It’s different!!

The social ROI

Journey so far

Presently majority of the tele-ophthalmology concepts work on the concept of offline store-and-forward systems that capture medical data and then forward them to doctors.

However our system is an online system that provides real-time stereoscopic examination of eyes and consultation with a direct online communication channel between patients and ophthalmologists. This Tele-ophthalmology unit has been developed under technical guidance of Dr. Parel from Bascom Palmer Eye Institute, Miami, FL.

Even if we are able to benefit 2% of existing out patients at LVPEI network and provide access to 2% additional patients, the number of patients benefitted in a year would be about 12,000. Even if we save just about USD 10 per patient related to their travel, we will end up saving about USD 120,000 every year on a very conservative estimate. This in addition, saves about 150,000 man hours which is economically very valuable. Thus despite adding more people to eye care network, we save on the cost and effort.

Feb 15, 2016: We started working on this project for over a year now and we installed the first Tele-ophthalmic Slit Lamp at Paloncha Secondary Center in the Khammam District of Telangana State On 15th February, 2016.

This was the first teleophthalmic robotized slit lamp which has been installed in a rural setting as part of the first phase of Teleophthalmology Project across the LVPEI network.

March 21, 2016: The second unit has been placed in our Vision Centre at Chandrugonda (in Khammam district) on 21st March, 2016.

April, 2016: The third unit is ready to start functioning at the Apex Centre of LVPEI, Hyderabad.

The planThe network of first 3 centres (1 primary, 1 secondary and 1 tertiary) is now ready so as to set the ball rolling. Thereafter one new unit in a primary centre would be added every month so as to complete the networking of 10 centres by the year end. By the end of one year we should have the experience and data ranging from 6 to 12 months of a working tele-ophthalmic network across 10 centres.We would eventually be aiming to install 100+ such devices across as many centres across our network in the next three years.

1. Placing such slit lamps at the vision centres at the primary village level would function as screening tools whereby the patients can be seen in real time by the ophthalmologists stationed at secondary centres in nearby city and guided for treatment according to his eye ailment. This can also be used for follow up of patients treated at a secondary or tertiary centre.

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2. Such units at the secondary centres or city centre can be used by the ophthalmologists to take second opinion from the specialists at the tertiary centre in critical situations or may be for follow up of some clinically critical patients who cannot travel to the hospital.

3. Placing one such unit in the tertiary care units for the emergency rooms for consultation in emergency situations or simply for networking across the network.

The Team

The Teleophthalmology initiative is being led by a team of innovative engineers and passionate doctors. While Dr. Mukesh Taneja and Dr. Varsha Rathi have been driving the Teleophthalmic consulting units in secondary and vision centres across LVPEI network, Sriharsha, Ashutosh, Sanjay Kumar and Uttkarsha have worked diligently to bring this technology from Bascom Palmer Eye Institute, Miami to the LVPEI Network.

This initiative is also supported by the grant from Grand Challenges Canada, an organization funded by the Government of Canada.

And as Dr. Mukesh Taneja says, “This is just the beginning of a new era in ophthalmology.”

References:

1. Taneja Mukesh et al: Comparative functional evaluation of a stereoscopic robotized teleophthalmic drone slit lamp with conventional slit. ARVO-2014

2. N. Tanabe et al: A Remote Operating Slit Lamp Microscope System - Development and its Utility in Ophthalmologic Examinations. Methods Inf Med 2011; 50: 427–434

3. Zhuo Wei et al A Secure and Synthesis Tele-Ophthalmology System. Telemedicine and e-health Vol. 14 (8) • October 2008 833- 845

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Necessity is the mother of invention: Development of in-house economical Photo Slitlamp

What good could have come out of an equipment breakdown and the medical device company demanding a heavy service charge to even send their engineers to have a look at the equipment? Well, the Biomedical team at LVPEI lead by Ashutosh Ricchariya decided to create their own Photo slitlamp at a cost which is at one - tenth of the existing ones in the market!!

Ashutosh and his team have developed a small clip on camera device which can be used with a slit lamp or fundus camera and other equipment and its software is integrated with our EMR! It takes just 4 steps to operate this device.

The purpose of developing this device was not only to reduce the cost, maintenance and avoid service delays but also to offer an end to end solution which is integrated with our software.

Roadmap to development is as follows1. Market Analysis: Photo slit lamps available in the market such as Topcon and Haag Streit cost around

$10000 to $12000. Software integration, updates and AMC are add on charges on a yearly basis.2. Design: Existing models were studied and the best and latest features added to design a prototype3. Simulation or design optimization was done to improve on the initial prototype4. Validation was done by comparing with the current devices in the market5. Prototyping: Currently installed the device in Cornea OPD in KAR campus6. Voice of Customer: Currently the feedback from the Cornea consultants is being collated7. Launch: The plan is to launch this device costing a mere $1000 in all our 133 centres in next 1 year

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TKCI Monthly Report April 2016

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Clinic Visits and Surgical Procedures for Patients with Corneal Diseases Across the Network

NetworkOutpatient visits Surgical procedures

Paying Non-paying Total Paying Non-Paying Total

Kallam Anji Reddy Campus, Hyderabad 891 510 1401 181 167 348

Bhubaneswar Campus, Bhubaneswar 231 87 318 21 29 50GMR Varalakshmi Campus, Visakhapatnam 293 153 33 42

Kode Venkatadri Chowdary Campus, Vijayawada 115 91 206 21 44 65

Rural Secondary Care Centres 480 434 914 71 84 155

Primary Eye Care Vision Centres 224Total 2010 1499 2839 618

Male Female Below 16 years Above 16 years

Profile of Patients Across the Campuses

24%

76%

41%

59%

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Corneas Collected Ramayamma International Eye Bank, Hyderabad

Hospital Cornea Retrieval Program 300Volunteered 64Affiliate Centres 188Total 552Corneas Utilized 227Surgeries at respective Campus 163To other LVPEI Campuses 28To Surgeons Outside LVPEI 36Training & Research 240Total 467Unsuitable for surgery 85

Eye Bank Statistics

The youngest corneal transplant patient this month was a child aged 4 months and the oldest corneal transplant recipient was aged 85 years.

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Training No of Trainees Course Duration

Eye Bank Technician 1 Three months

Eye Bank Technician 2 One month

Total 3

McCarey-Kaufman’s Medium for Corneal Preservation

Amniotic Membrane for Ocular Surface Reconstructive Surgeries

MK Medium DistributionMK Medium Production

2370

1463

Amniotic Membrane Distribution Amniotic Membrane Production

265

184

Eye Bank Training

Product Development

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Low Vision & Vision Rehabilitation - Profile of Cornea Clients

Centre Paying Non Paying Total

Dr PRK Prasad Centre for Rehabilitation of Blind and Visually Impaired (Vision Rehabilitation Services) 8 13 21

Meera & L B Deshpande Centre for Sight Enhancement (Low Vision Services) 13 16 29

Services break-up Vision Rehab Adult Child

Male Female Male Female

Counseling 3 4 0 2

Early Intervention 1 3 1 1

Educational Guidance 1 3 0 1

Vocational Guidance 0 1 0 0

Skills Training 0 2 0 0

Assistive Software 2 3 0 0

Support Services 1 4 0 2

Below 16 years Above 16 yearsMale Female

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39

16

34

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Received 154 samples from cornea and anterior chamber in the month of April. The break up is as follows.

Corneal Pathology Services Data

Non Paying Paying

40

50

60

0

10

54

42

14 15 14

25 25

8

20

30

Corneal Buttons Conj Tissue Misc Tissues Special Stains

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Jhaveri Microbiology Centre - CorneaReport of April 2016

CLINICAL MICROBIOLOGY: (Bacteriology, Mycology, Parasitology, Virology)

Clinical samples from 236 patients who presented at the cornea clinic were processed for the diagnosis of bacterial, fungal and parasitic infections of the cornea. The various samples processed included the following:

In vitro culture based diagnosis using different samples of the cases is shown in percentages in the figure below. Some samples showed growth of more than one type of organism, which explains the combined percentage to be more than 100.

A total of 13 corneal scrapings were processed for viral etiology as below:1. Immunofluorescence assay positive for HSV-1/11(9%)2. PCR for HSV -3/11(27.3%)

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When 26 year old Rahul Jinwal from Mumbai was sleeping near the main doorway of his house in October 2013, a berserk individual sneaked up on him and poured acid into his nose and eyes. This bizarre incident left him with vision loss in both his eyes. For Rahul who used to work as a bodyguard and bouncer, life changed overnight. With his dreams shattered, it was only the loving support of his parents and sisters kept his devastating thoughts at bay.

The positive turning point in his life was when he met Dr Virender Sangwan from LVPEI, Hyderabad. He assured him that all was not lost and convinced him to undergo Boston Keratoprosthesis surgery to restore some vision in

his one eye. Rahul also recalls with fondness the convivial relationship he had with his “God-like” surgeon Dr Bhupesh Bagga, whose surgical hands gave him back that promised vision. Assisted with his mother, Rahul is now able to walk short distances, use his mobile and also socialize with his neighbours. Through an informal patient support group, as a role model patient he is also providing support to other victims of acid attack.

When little Vedanta Balasai hailing from Latur was in preparatory school, he developed severe body rashes all over his body, referred to as Stevens-Johnson Syndrome, resulting from a medication that was given to him for fever. This damaged his cornea and fused his melted eyelids. When local doctors failed to treat the problem, he was advised to seek treatment at LVPEI, Hyderabad. Dr Bhupesh Bagga reassured the parents that there was still hope and all vision was not lost. A two-step surgical treatment to first cover the cornea with amniotic membrane was followed up a couple of months later by mucous membrane graft, where the inner skin from the lower lip was tacked onto the inner eyelids to allow the eyes to open and shut smoothly.

Six months later when Vedanta came for a follow up check with vision restored in both his eyes, it was a sight to see him running across the corridors, singing rhymes and reading numbers and alphabets on his father’s mobile. “I have seen God in the form of Dr Bhupesh Bagga. With my son’s vision restored I am relieved now and hopeful of a bright future for him. Owing to my financial condition, the surgery was provided free of cost. I wonder what we would have done, if LVPEI was not there for us,” says the teary eye father Mr Balasai Darade.

A new lease of life

Ensnaring Stevens-Johnson Syndrome

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Akhil, 20, a college student from Vuyuru, Krishna District, Andhra Pradesh, came for a general check up two years ago to LVPEI’s KVC Campus, Vijayawada. He was diagnosed with keratoconus in both his eyes - a condition affecting youngsters with a progressive bending and irregular protrusion of the cornea. It can only be treated with the use of special contact lenses, and in cases where the condition worsens; a surgery needs to be performed. Mr Satish Mogili, Contact Lens Consultant, prescribed him with special contact lenses to restore his vision. Vision in his right eye continued to deteriorate and a surgery was performed to slow down the progression of his eye condition. This involved detailed follow-up and repeated trial sessions for special contact lenses. The family today is overjoyed with the results. With vision restored in both his eyes, his mother is happy that now he will no longer have to wear spectacles that are cosmetically not very appealing.

Akhil overcomes his struggle with keratoconus

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Sanjeev Lonare, 30, can today talk with ease about the various diagnostic procedures that he handles as a Technician at the Cornea Diagnostics in LVPEI. It is hard to believe that he started his career 14 years back as a security guard at LVPEI’s Kismatpur Campus in 2002.

When Sanjeev joined LVPEI, he was on the payrolls of the security agency to which the security services of LVPEI were outscored. Four years later when the agency’s contract ended, Sanjeev had earned a name for himself in the institute so he was able to apply and be selected as an In-Patient Ward Assistant at the institute. Being extremely good with the way he handled patients and based on patient feedback, four times in his 7 year long career in the in-patient ward, he was awarded as the best employee of the month.

But his urge to progress further in his career didn’t subside. When there was an opening for a technician in Cornea Diagnostics, he applied and was the only one to be selected among the seven applicants, after a rigorous interview. “Initially I took some time to learn the various procedures involved. But with the guidance I received from my colleagues and seniors, and with the help of the training I underwent, I picked up everything,” recalls Sanjeev. Today Sanjeev even trains the new entrants to his team. The fact that he does not have even one single late remark in his long career at LVPEI, is testimony to how disciplined Sanjeev is about his work! It is only because of his sheer determination, hard work and a strong desire to progress further in his career that he has reached where he is today and still has a long and promising career ahead of him. “There is so much still that I want to learn. I want to keep myself updated with the evolving technologies in diagnostics,” says Sanjeev.

My LVPEI Journey

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Dr Virender Sangwan ranked among the top 10 medical researchers in India• Dr Virender S Sangwan has

been ranked as one of the top 10 medical researchers in terms of publications in India by a study conducted by the Department of Science and Technology. The bibliometric study was done to study the international comparative performance of India’s research base for a period of 2009-2014. Dr Sangwan who has around 100 publications to his credit in the stipulated period has been ranked fourth in Medicine in India.

Awards & Honours

Dr Merle Fernandes• Invited Speaker, OPSIS CME, Raipur,

Chattisgarh, April 3, 2016: • Invited Speaker, Ocular Surface CME, Warangal

Ophthalmic Association, Warangal, April 10, 2016:

• Invited Speaker, CME, Kakinada Ophthalmic Association, Kakinada, April 24, 2016: “Ocular Surface Disease and Glaucoma”.

Dr Mukesh Taneja• Delhi Ophthalmology society, 15 April 2016; 1)

invited speaker 2) Free paper.

Dr Muralidhar R• Invited faculty, 67th annual DOS conference

DOSCON 2016: Ophthalmic panorama, April 15 - 17, 2016, New Delhi.

• Invited faculty, at “Epoch 2016. Essentials of pediatric ophthalmic chirurgies: Two day workshop on surgical aspects of pediatric ophthalmology with live surgery organized by M.M. Joshi eye institute, Hubli, Karnataka.

Presentations

• Bandela PK, Satgunam P, Garg P, Bharadwaj SR. Corneal Transplantation in Disease Affecting Only One Eye: Does It Make a Difference to Habitual Binocular Viewing? PLoS One. 2016 Mar 3; 11(3):e0150118. (Co-author)

• Garg P; Roy A. “Postoperative care of small incision cataract surgery” in “Manual small incision cataract surgery technique” edited by Bonnie Henderson (First and corresponding author)

• Chaurasia S, Ramappa M, Mishra D. Long-term outcome after superficial keratectomy in an infant with epidermolysis bullosa. J AAPOS. 2016 Apr 21

Publications

• Stevens Johnsons Syndrome: The Role of an Ophthalmologist. Jain R, Sharma N, Basu S, Iyer G, Ueta M, Sotozono C, Kannibiran C, Rathi VM, Gupta N, Kinoshita S, Gomes JA, Chodosh J, Sangwan VS. Surv Ophthalmol. 2016 Jan 29. pii: S0039-6257(16)00003-5. doi: 10.1016/j.survophthal.2016.01.004. [Epub ahead of print] Review.

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1. Detection of virulence factors in the Candida isolates from ocular infections (Joveeta Joseph, Bhavani Sontam, Savitri Sharma):Fifty Candida isolates were subjected to the following phenotypic methods.

a. Esterase assay was done for 50 Candida isolates using the medium incorporated with Tween 80. All the isolates along with the C.albicans ATCC 90028 showed positive result for the production of esterase. (Virulence factors tested include catalase, coagulase, phospholipase, esterase, proteinase).

b. Genomic DNA of 15 Candida cultures was isolated. Gel electrophoresis was performed for confirmation of presence of DNA. Primers sets corresponding to various virulence genes have been ordered.

2. Staphylococcus spp. from ocular infections: Fluctuations in vitro susceptibility to fluoroquinolones over a decade (Joveeta Joseph, Bhavani Sontam, Bhupesh Bagga, Savitri Sharma)The manuscript (first draft) has been written up and the same is being presented at ARVO 2016 as poster.

3. In-house Project on “Biofilm in Candida species isolated from eye infections” (Ranjit Konduri, Shivaji Sisinthy, Savitri Sharma)

• To study differential gene expression between ocular biofilm and non biofilm producing Candida albicans, hot phenol method was used to isolate RNA.

• Confocal images for Candida albicans biofilm formation were taken at different time intervals.

ON GOING PROJECTSMicrobiology

Dr Sunita Chaurasia• Invited faculty at DOSCON 2016-April 15-17th

Dr Virender Sangwan• Keynote address in 67th annual DOS conference

DOSCON 2016: Ophthalmic panorama, April 15 – 17, 2016, New Delhi

Dr Somasheila Murthy

• Organiser, “UVEITIS and ocular inflammation”, Hyderabad Ophthalmologist society 3rd April

• Invited faculty, DOS annual meeting, April 16-17

Dr Prashant Garg

• Attended the program on “Introduction to Extension for Community Health Outcomes (ECHO)” held in Albuquerque, New Mexico, USA

Dr Savitri Sharma

• Invited Speaker: CME on Microbiology - An update, Kamineni Academy of Medical Sciences and Research Centre, LB Nagar, Hyderabad, on April 2, 2016.

• Oral presentation of “Diagnosis of Ocular Infections” at the Bi-Monthly meeting of Twin Cities Microbiologists on 9th April, 2016.

Dr Joveeta Joseph

• Conducted a Ocular quiz at the Bi-Monthly meeting of Twin Cities Microbiologists on 9th

April, 2016.• Co-organised Bi-Monthly meeting of Twin Cities

Microbiologists along with Dr Savitri Sharma at L V Prasad Eye Institute, April 2016.

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4. Phylogenetic analysis of Candida (Ranjit Konduri, Kalyana Chakravarthy, Savitri Sharma)The ITS sequences of last 7 clinical isolates of Candida were deposited to NCBI and accession numbers were obtained. Phylogenetic analysis was done with all 50 isolates of Candida using MEGA6. Three dendrograms using 3 different methods (ML, NJ and ME) were constructed by taking closest type strains of the isolates. Phylogenetic analysis showed clustering of all 50 isolates into 8 groups in all the 3 trees. Major cluster was formed by C. parapsilosis.

5. Biofilm formation in ocular Escherichia coli (Ranjit Konduri, Shivaji Sisinthy, Savitri Sharma)3D images were constructed for Biofilm at different time intervals (24, 48, 72 h) using Imaris software at CCMB. To compare the genetic relationship between ocular, type strain and other pathogenic E. coli isolates, 16s rRNA gene was amplified. Sequencing to be done.

6. The Human Gut and Eye Microbiome: An insight into eye infections. (Shivaji Sisinthy, Kalyana Chakravarthy, R Jayasudha, Savitri Sharma)(a) Sample collection (eye, gut): Uveitis: AC fluid-2, vitreous-1, conjunctival swab-1; SJS: conjunctival swab-3, stool-1; Controls undergoing cataract surgery: AC fluid-3, conjunctival swab-1, stool-1. (b) Eye microbiome: Sample collection and DNA extraction protocol were standardized from conjunctival swabs. Conjunctival swab was collected using two different swabs- cotton and Isohelix swabs from the infected eye of a patient who is both smear and culture positive for fungus and used for DNA extraction using two protocols of Qiagen- DNA isolation from buccal swabs and from body fluids, and the DNA yield was compared by quantifying with nanodrop. ITS and V3V4 PCRs were also performed for the DNA extracted from swabs. DNA was extracted from 8 corneal scraping samples

of fungal keratitis patients. DNA yield was similar with both kinds of swabs. ITS amplification was positive, but V3V4 was negative from the swab DNA and is being standardized.

7. Melimine antimicrobial contact lens study (Parthasarathy, Nagaraju, Savitri Sharma)

1. A batch 10 contact lenses were coated with Mel-4 peptide (21 Mel-4 peptide, 19 control)

2. Six repeats of serial dilution with S. aureus L2260/15 was performed with different OD (0.2, 0.3 & 0.4) values to check which OD value provides 108 CFU.

3. One batch (Batch 2) of 2 Mel-4 coated and 3 control lenses were submitted for amino acid analysis to CDFD. The results of the analysis showed Mel-4 coated lenses had 15.75 µg/lens and control lenses had 0.45 µg/lensimmobilized amino acids.

8. Corneal inflammation and risk factors Study (Nagaraju, S. Chakrabarti, Savitri Sharma)

1. Interleukins have been shortlisted to identify polymorphisms and their risk factor in cases of inflammatory diseases.

2. Drafting IRB application to submit in the month of May 2016

9. Susceptibility of Pythiuminsidiosum isolates from fungal keratitis to antibacterial antibiotics (Savitri Sharma, K Manjulatha)Eighteen isolates have been tested against 9 antibiotics such as linezolid, azithromycin, chloramphenicol, tetracycline, tigecycline, minocycline, mupirocin, doxycycline and clarithromycine.

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In the age of big data, medical research, epidemiological studies,statistical analysis and hospital management systems can not thrive without finding a way to analyze vast and often hugely varied reams of information both quickly and intelligently.

In fact, making use of insights derived from that data, in real time—even as transactions occur on our EMR systems — will very soon be possible.

Management team of TKCI has been working diligently with the Eyesmart EMR team to bring this power to analyse real time data to all the stakeholders of TKCI.

The link below is a curtain raiser to the future of the real time data analytics that TKCI will soon embark upon!!

Hope you will enjoy this feature!

http://bit.ly/1pRNhAf

The Power of Power BI

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Somasheila MurthyHead, Cornea and Anterior Segment Services Consultant, Uveitis Service

Prashant GargDirector, Eye Banking

Consultant, Cornea & Anterior Segment Services

Virender S SangwanDirector, SRUJANA Centre for Innovation, Centre for Regenerative Ophthalmology and Clinical Research Consultant, Cornea and Anterior Segment, Ocular

Immunology & Uveitis Services

Sujata DasDirector & Taraprasad Das Chair

of Ophthalmology Medical Director, Drushti daan Eye Bank

G N RaoFounder-Chair

Merle FernandesDirector, L V Prasad Eye Institute,

GMR Varalakshmi campus, Visakhapatnam

Mukesh TanejaConsultant, Cornea &

Anterior Segment service

Bhupesh BaggaConsultant, Cornea & Anterior

segment service

Srikant Sahu Consultant, Cornea &

Anterior segment service

Sanhita Roy Scientist, Saroja A Rao

Immunology Laboratory

Meghna VarmaAssociate Director, Tej Kohli Cornea Institute

J V RaghavaConsultant, Cornea &

Anterior segment service

K MaheshConsultant, Cornea &

Anterior segment service

TEAM

COR NEA

Sunita ChaurasiaConsultant, Cornea & Anterior Segment, Refractive and Pediatric Cornea services,

Medical Director of the Ramayamma International Eye Bank

Pravin Krishna VaddavalliDirector, Tej Kohli Cornea Institute

Consultant, Cornea & Anterior Segment Service

S ShivajiDirector of Prof Brien Holden

Eye Research Centre,Prof D Balasubramanian Chair of Research

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Shrikant Bharadwaj Scientist and Associate Director - Optometry

Subhabrata ChakrabartiAssociate Director – Research,

Brian Holden Eye Research Centre

Vijaya K GothwalHead - Meera & L B Deshpande Centre

for Sight Enhancement, Senior Faculty - Bausch & Lomb School of Optometry

C Jagadesh ReddyConsultant, Cornea, Anterior

Segment & Refractive Services

Chitra KannabiranScientist, Kallam Anji Reddy

Molecular Genetics Laboratory

D BalasubramanianDistinguished Scientist and Director

Emeritus, Prof Brien Holden Eye Research Centre

Dilip Kumar MishaConsultant, Ophthalmic Pathology

Laboratory

Aravind RoyConsultant, Cornea & Anterior

Segment Service, KVC, Vijayawada

Varsha RathiConsultant, ICARE

Indumathi MariappanResearch Scientist, Sudhakar &

Sreekanth Ravi Stem Cell Biology Laboratory

Inderjeet KaurScientist, Kallam Anji Reddy

Molecular Genetics Laboratory

Joveeta JosephMicrobiologist, Jhaveri

Microbiology Centre

Muralidhar RamappaConsultant, Paediatric Cornea &

Anterior Segment services

Rohit C KhannaDirector, Gullapalli Pratibha Rao

International Centre for Advancement of Rural Eye care (GPR ICARE)

Savitri SharmaDirector, Laboratory Services -

LVPEI network

Sayan BasuConsultant and Scientist, Cornea and Anterior Segment Services

Vivek SinghScientist, Sudhakar &

Sreekanth Ravi Stem Cell Biology Laboratory

Beula ChristyHead, Dr PRK Prasad Centre for Rehabilitation of Blind and Visually Impaired, Senior Faculty -

Bausch & Lomb School of Optometry

May GriffithLinkoping University, Sweden

Ashuthosh RicchariyaAssociate Director and Head

Institute of Translational Research, Engineering and Advancement of Technology

Faculty-Srujana (center of innovation)30

To know more about us, reach us at: T: +91 40 3061 2445/46 F: +91 40 2354 8271E: kar-communications@lvpei.orgwww.lvpei.org

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HyderabadKallam Anji Reddy CampusL V Prasad Marg, Banjara HillsHyderabad - 500 034Telangana, India

BhubaneshwarPatiaBhubaneshwar - 751 024Odisha, India

VisakhapatnamGMR Varalakshmi Campus11-113/1, Hanumanthawaka JunctionVisakhapatnam - 530 040Andhra Pradesh, India

VijaywadaKode Venkatadri Chowdary CampusTadigadapaVijayawada - 521 137Andhra Pradesh, India

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