Vision at Work

Worldwide, more than 285 million people are vision impaired.

90% of these people live in the developing world. 80% of this blindness is curable.

L V Prasad Eye InstituteIndia

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Excellence Equity Efficiencyl l l

Medical science is a collaborative activity. LVPEI reaches across institutional and national boundar-ies to form links with others engaged in eye care, creating productive and stimulating partnerships that span the globe.

These have led us from strength to strength in many areas, from patient care and training to advocacy and health policy reform to frontline research that tackles questions of relevance for vision care in the region and beyond.

LVPEI’s mission to provide excellent, equitable and affordable eye care to all sections of society has led to the development of the Eye Health Pyramid model of service delivery, with permanent infrastructure and trained human resources to take eye care to the most underserved and remote populations.

The Worldof LVPEI

L V Prasad Eye InstituteExcellence, Equity & Efficiency in Eye Care

Collaborating Centre forPrevention of Blindness

L V Prasad Eye Institute

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National LinkagesACE Experiences Asia Pvt Ltd (DiD), Hyderabad • Action on Disability and Development India, Bengaluru • Ali Yavar Jung National Institute for the Hearing Handicapped, Secunderabad • Anthropological Survey of India, Kolkata • Aravind Eye Hospital System, Madurai • Armed Forces Medical Services, Hyderabad • Banaras Hindu University, Varanasi • Bhabha Atomic Research Centre, Mumbai • Bharat Petroleum Corporation Limited, Mumbai • Bioinovat Research Services Pvt Ltd, New Delhi • Biomedical Foundation of India, Mumbai • Bio-Medix Optotechnik & Devices Pvt Ltd, Bengaluru • Birla Institute of Technology and Science, Pilani • Blind People’s Association, Ahmedabad • Calcutta University, Kolkata • CBR Forum, Bengaluru • Centre for Cellular and Molecular Biology, Hyderabad • Centre for DNA Fingerprinting and Diagnostics, Hyderabad • Centre for Human Genetics, Bengaluru • Charities Aids Foundation India, New Delhi • C L Gupta Eye Institute, Moradabad • Consolidated Products Corporation Pvt Ltd, New Delhi • Council for Advancement of People’s Action, New Delhi • Council of Scientific & Industrial Research, Government of India, New Delhi • Department of Biotechnology, Government of India, New Delhi • Department of Science & Technology, Government of India, New Delhi • District Blindness Control Society, Hyderabad • Dr Reddy’s Laboratories, Hyderabad • Essilor India Pvt Ltd, Bengaluru • Eye Bank Association of India, Hyderabad • Fullerton India Credit Company Ltd, Mumbai • GE Volunteer Funding, Hyderabad • Guru Nanak Dev University, Amritsar • Holy Cross College, Tiruchirappalli • Indian Council for Medical Research, New Delhi • Indian Institute of Chemical Biology, Kolkata • Indian Institute of Information Technology, Hyderabad • Indian Institute of Science, Bengaluru • Indian Institute of Technology, Chennai • Indian Orthocane Surgicals, Chennai • Indian Statistical Institute, Kolkata • India Vision Institute, Hyderabad • Indira Gandhi National Open University, New Delhi • Institute of Health Systems, Hyderabad • International Human Resource Development Centre, Coimbatore • Jammu University, Jammu • JPM Rotary Eye Hospital, Cuttack • JP Singh Associates, New Delhi • Kode Venkatadri Chowdary Charitable Society, Vijayawada • Mahindra Satyam Foundation, Hyderabad • Medfort Hospitals Private Limited, Chennai • Micro Vision, Ahmedabad • Microsoft, Hyderabad • Milmet Laboratories Pvt Ltd, Ahmedabad • Narotam Sekhsaria Foundation, Mumbai • National Association for the Blind, Mumbai • National Institute for Mentally Handicapped, Secunderabad • National Institute for the Visually

Handicapped, Dehradun • National Institute of Mental Health and Neuro Sciences, Bengaluru • National Institute of Mental Health, Hyderabad • National Institute of Nutrition, Hyderabad • Nava Bharat Ventures Ltd, Hyderabad • Nimmagadda Foundation, Hyderabad • NTPC Foundation, New Delhi • Quality Care India Pvt Ltd (Care Hospital), Hyderabad • Reliance Vision Express Pvt Ltd, Bengaluru • Sadguru Netra Chikitsalaya, Chitrakoot • Sankara Nethralaya, Chennai • Sarva Shiksha Abhiyan, Hyderabad • Sir Ratan Tata Trust, Mumbai • Society for the Elimination of Rural Poverty, Hyderabad • State Council of Education Research and Training, Hyderabad • Thakur Hari Prasad Institute for Research and Rehabilitation of Mentally Handicapped, Hyderabad • The Calcutta Medical & Research Institute, Kolkata • The Helen Keller Institute for Deaf and Deafblind, Mumbai • University of Hyderabad, Hyderabad • VEBART Trust, Visakhapatnam • VIMTA Laboratories, Hyderabad • Vision For India, New Delhi • Vision Research Foundation, Chennai • VISION 2020: The Right to Sight, India • Voice and Vision, Mumbai

International LinkagesAbbott Medical Optics, USA • Adventus Technology Inc., USA • Aidmatrix Foundation, Inc (i2 Foundation), USA • Alcon, USA • AMO Groningen BV, The Netherlands • Allergan, USA • Arabian Healthcare LLC, UAE • B P Koirala Institute of Health Sciences, Nepal • Bartimeus, The Netherlands • Bausch & Lomb, USA • BHP Billiton, Australia • Brien Holden Vision Institute, Australia • BRISC CARR Group Limited, Canada • Bristol Eye Bank, Bristol Eye Hospital, UK • Cambridge University, UK • Canadian International Development Agency, Canada • Canadian International Service Organisation, Canada • Carl Zeiss, Germany • Case Western Reserve University, Australia • Centre for Eye Research & Technology, Australia • Centre for Eye Research Australia, Australia • Centre for Sight General Hospital, Sri Lanka • Centre of Excellence in Molecular Biology, Pakistan • Champalimaud Foundation, Portugal • Children’s Hospital of Florida, USA • Children’s Hospital of Philadelphia, University of Pennsylvania, USA • Christoffel Blindenmission, Germany • Cicendo Eye Hospital, Indonesia • COIL, United Kingdom • Combat Blindness Foundation, USA • Cornea & Contact Lens Research Unit, Australia • Dr Wahidin Sudiro Husodo General Hospital, Indonesia • Duke University, USA • Eyesight International, Canada • Flaum Eye Institute, University of Rochester Medical Center, USA • Flinders Medical Centre, Flinders University, South Australia • Fred Hollows Foundation, Australia • Fund Incorporated, Australian Federation of University Women (AFUW) and Queensland branch, Australia • General Hospital, Sri Lanka • Harvard University, USA • Institute of Eye Research, Australia • International Agency for Prevention of Blindness, UK • International Association for Contact Lens Educators, Australia • International Center for Eye Care Education, Australia • International Federation of Eye & Tissue Banks, USA • Islamia Eye Hospital, Bangladesh • Johns Hopkins University, USA • Jules Stein Eye Institute, University of California, USA • Keeler, United Kingdom • Kenyatta National Hospital, Africa • Korle-Bu Teaching Hospital, Africa • Latter-day Saint Charities, USA • Lighthouse International, USA • Lions Eye Institute, Australia • Lions International, USA • London School of Hygiene & Tropical Medicine, UK • Massachusetts Eye and Ear Infirmary, USA • Massachusetts Institute of Technology, USA • Mayo Clinic, USA • Moorfields Eye Hospital, UK • National Institute of Ophthalmology & Hospital, Bangladesh • National Institute of Sensory Organs, Japan • National Institutes of Health, USA • Northwestern University, USA • Ohio State University, USA • Operation Eyesight Universal, Canada • Optometry Giving Sight, Australia • ORBIS International, USA • Pakistan Institute of Community Ophthalmology, Pakistan • Pharmacia & Upjohn, Sweden • Queensland University of Technology, Australia • Rotary International, USA • Santen Inc, USA • School of Medicine and Dentistry, University of Rochester, USA • Service de Biologie Cinique Institut Salah Azaiz, Tunisia • SightLife, USA • Sightsavers, UK • Stanford Graduate School of Business, USA • SUNY School of Optometry, USA • Sussex Vision International, UK • Tel Aviv University, Israel • Telesensory (S) Pte Ltd, Singapore • Thadikonda Research Foundation, Inc, USA • The Cooperative Research Center for Eye Research & Technology, Australia • The Hadley School for the Blind, USA • The Tun Hussein On National Eye Hospital and the Malaysian Association for the Blind, Malaysia • Tianjin Eye Hospital, China • Tubero, Sendai University, Japan • Tufts University of Medicine, USA • University of Aberdeen, UK • University of Cleveland, USA • University of Florida, USA • University of Heidelberg, Germany • University of London, UK • University of Melbourne, Australia • University of Miami, USA • University of Nairobi, Kenya • University of Nebraska Medical Center, USA • University of New South Wales, Australia • University of Nottingham, UK • University of Ottawa, Canada • University of Pittsburgh Medical Center, USA • University of Rochester, USA • University of South Carolina, USA • University of Sydney, Australia • University of Tennessee, USA • University of Toronto, Canada • University of Udine, Italy • University of Waterloo, Canada • Vanderbilt University, USA • Vision CRC, Australia • Wellcome Trust, UK • Wharton School (University of Pennsylvania), USA • William Beaumont Hospital, USA • Wills Eye Hospital, USA • World Diabetes Foundation, Denmark • World Health Organization, Switzerland • Yangon Eye Hospital, Myanmar • Yayasan Penyatun Wyata Guna, Indonesia

Excellence Equity Efficiencyl l l

A Centre of ExcellenceL V Prasad Eye Institute (LVPEI), located in Hyderabad, India, is a world-class eye institute, encompassing clinical care, education, research, rehabilitation and high-impact rural eye care. Since its establishment in 1987, LVPEI has grown into a Centre of Excellence in the field of eye health. Today, LVPEI is a World Health Organization Collaborating Centre for prevention of blindness and a pioneer in developing eye health models for underserved areas of the developing world. The Institute is governed by two registered trusts: the Hyderabad Eye Institute and the Hyderabad Eye Research Foundation. While the Hyderabad Eye Institute focuses on service delivery, all research programmes are carried out under the aegis of the Hyderabad Eye Research Foundation.

The Hyderabad campus of LVPEI, a Centre of Excellence named the Kallam Anji Reddy Campus in recognition of one of our largest donors, is complemented by 3 tertiary centres – the Bhubaneswar campus, GMR Varalakshmi Campus in Visakhapatnam and the Kode Venkatadri Chowdary campus in Vijayawada – all offering comprehensive, superspecialty eye care to all those in need. LVPEI’s expertise now extends further into communities with a network of over 109 secondary and primary care centres that cover the remotest rural areas in the state of Andhra Pradesh, India and will soon spread into rural Orissa.

The Institute’s coordinated and interlinked functions of patient care, training, research, rehabilitation, community eye care and product development serve a wide population of persons in need of eye care services and a large network of practitioners and students. A web of national and international partnerships provides a solid framework of support. At the core of all our efforts are these desiderata: efficiency, equity and excellence.

India is a study in contrasts. The most sophisticated systems coupled with the ability to pay for them and more. However, a large percentage of India’s 20 million vision impaired can neither access nor afford such systems. The loss of productivity due to blindness or visual impairment affects the poor at a higher level of intensity. At LVPEI, a staggered system of cross-subsidy allows us to offer free high-quality care to the economically underprivileged, who form more than 50 percent of our patient base.

IntroducingLVPEIThe Charter of LVPEI mandates that at least 50 percent of all services are offered to poor patients entirely free of charge, regardless of complexity of treatment.

Rehabilitation

Patient Care

LVPEI: Facts FirstFirst dedicated comprehensive Children’s Eye Care Centre •in the developing worldFirst eye institute in the region to offer brachytherapy •for ocular cancers and first integrated centre for retinoblastomaFirst in the world to include vision rehabilitation as an •integral part of the hospitalLargest clinical application of stem cell therapy for ocular •surface disordersOne of the largest numbers of corneal transplants by a single •institute in the world for the past several yearsOperations at all levels of eye care delivery, from primary •to advanced tertiary, with permanent infrastructureFirst international standard Eye Bank in Asia and the •developing worldFirst paper from an Indian eye research team to be •published in The LancetWHO Collaborating Centre in the field of blindness •preventionOne of the four core partners of Vision Cooperative •Research Centre (Vision CRC) funded by the Australian governmentActive engagement at the state, national and global levels in •planning and policy development for blindness prevention and VISION 2020: The Right to Sight ProgrammeThree ophthalmologists who have received the Shanti •Swaroop Bhatnagar award for scientific excellence (first ones among ophthalmologists)Two Ranbaxy awards for excellence in clinical research •(first ones in ophthalmology)Two Padmashri awards from the Government of India •First Indian institute to have 9 faculty members honoured •by the American Academy of OphthalmologyPioneered the concept of Vision Centres, primary eye care •facilities with permanent infrastructure and community involvementThe LVPEI Eye Health Pyramid, a model encompassing •all levels of service delivery from community to advanced tertiary, adopted as a primary eye care strategy by the World Health Organization, the Indian government, and the Australian government in its overseas development programsDeveloped a comprehensive district model that addresses •prevention, early intervention, and health education for eye health diseases and links to other health and social development services

Research

Education

Product Development

Community Eye Care

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Patient Care Over 5,690,581 outpatient visits 639, 361 surgical procedures done World-class expertise State-of-the-art facilities 50% services provided free of cost 50% surgeries performed free,

regardless of complexity

Our Single-point FocusExcellence in Patient CareThe moment a patient steps through our doors, a system swings into action. From comprehensive documentation to a complete eye examination, followed by specialist attention where needed, our attention is fixed on the individual who needs care. The examination rooms are equipped to handle all subspecialties, which means the patient stays in one place and the specialists come to see him.

LVPEI’s comprehensive patient care system caters to over 2500 outpatients and handles over 200 surgeries every working day. The infrastructure comprises close to 300 examination rooms, diagnostic and therapeutic chambers, operation rooms with state-of-the-art equipment and other ancillary services, across the network. LVPEI’s diagnostic infrastructure includes the LVP-Zeiss International Academy for Advanced Ophthalmic Education, a state-of-the-art centre for diagnostics using computerised imaging systems. All patients – paying and non-paying – access these facilities without any discrimination.

Clinical practice draws continually from understanding gained through applied and basic research on eye dis-ease, and in turn feeds back into studies insights from patient care. The close cooperation between clinical and basic scientists is what gives eye care at LVPEI the added edge of new knowledge.

Eye BankCorneal blindness is one of the most common forms of blindness. The only known cure for corneal blindness is corneal transplantation, using healthy corneas donated by individuals upon their death. The demand for donor corneas far exceeds the supply, and an active eye bank-ing movement is the only way this problem can be ad-dressed.

LVPEI set up the Ramayamma International Eye Bank (RIEB) in 1989. The RIEB is a member of the Inter-national Federation of Eye and Tissue Banks (IFETB), USA, and the Eye Bank Association of India (EBAI). It is now the nodal eye bank for the whole of South East Asia, particularly the Indian sub-continent. Apart from harvesting and distributing corneas, the Eye Bank also runs training programmes for eye bank technicians and grief counsellors and is considered an international train-ing and resource centre. Eyesight International (ESI), Canada, supported the setting up of RIEB, a Center of Excellence for Eye Banking. ESI has also supported the eye banks at LVPEI’s tertiary centres in Bhubaneswar and Visakhapatnam.

“Special thanks to you”My son was operated upon by you when he was barely 11 months old, way back in 1988-89, and continue to be under the able care of your doctors. Now 21, he stood first in his bachelor’s program in physics in Mumbai University. He is now pursuing a Master’s course in astrophysics at Bonn University, Germany.

It is a pleasant coincidence that he will be doing a master’s that will need him to use highly sophisti-cated optical instruments, which is possible due to the good care he received from all of you. We as a family are indebted to you and LVPEI team for taking good care of our son.

P K Vijayasarathy, Mumbai

All Subspecialties of the EyeCornea and Anterior Segment •

Cataract •

LASIK & Refractive Surgery •

Contact Lens •

Glaucoma •

Retina •

Paediatric Ophthalmology •

Uvea & Ocular Immunology •

Ophthalmic Plastic Surgery, Orbit & • Ocular Oncology

Aesthetic Facial Plastic Surgery & • Cosmetic Dermatology

Ocular Prosthesis •

Strabismus •

Neuro-ophthalmology •

Sight Enhancement •

Vision Rehabilitation •

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Bringing Vision to LifeIncurable is not the end of the road at LVPEI. Patients who come to us with a visual impairment that cannot be treated or cured are referred to our low vision and rehabilitation centres. Here, they receive support to live a reasonably productive and independent life, through a combination of skills training and prescription of low-vision aids. Our engagements with patients are often long and involved – but every time, they have resulted in a marked enhance-ment of the patient’s quality of life.

LVPEI is unique in having a low vision and rehabilitation facility as an integral part of its patient care services. Here too, the focus is on finding solutions that fit the patient’s need and budget, with low-cost locally developed aids and techniques.

The accumulated experience of two decades of work in Rehabilitation and Low Vision is now being shared with professionals in the area through a new long-term fellow-ship program, apart from several short-term programs for special educators, rehabilitation professionals and community workers.

Low vision services are available at all levels of eye care in the LVPEI pyramid – ranging from the simplest at primary care levels to the most advanced at the tertiary levels and the Centre of Excellence.

Enabling AccessIn 1996, Lighthouse International reorganized its interna-tional programs to ensure that its projects would more effectively address vision rehabilitation on a global scale. L V Prasad Eye Institute (LVPEI) stood out as a potential ideal partner to work with us to build a program to address the low vision needs in southern India and throughout the region.

The LVPEI-Lighthouse partnership has enabled expanding numbers of people with low vision to receive the care that they need to function effectively in family, career, and com-munity life. The partnership has done this through enhanced direct services to the patients of LVPEI and by enabling professionals from other institutions and those working throughout the region to develop clinical low vision care and vision rehabilitation skills to expand their services. The pro-grams and networks established are expanding while staying true to the commitment to quality and sustainability.

We have learned a great deal from working with the staff of LVPEI and also taken pleasure in seeing what we have been able to share reflected in the work that LVPEI is doing.

Lighthouse International, New York, USA

Rehabilitation Over 100,000 clients rehabilitated

IT Resource CentreHarnessing new tools that can extend the ability of the partially sighted is an ongoing effort at LVPEI’s Rehabilitation Centres. The IT Resource Centre for the Visually Impaired is the first such resource bank in the country, with materials ranging from magnify-ing software such as ZOOM to reading software that converts text from different sources to audio, and a growing Braille library.

The Mahindra Satyam Foundation (MSF) supports 2 centres, offering specialised services at the Hyderabad campus: ‘Program for Early Intervention in Children’ and ‘IT Training Centre for Visually Impaired’.

Early Intervention Goes a Long WayDoctors and rehabilitation professionals at LVPEI take a team approach to the diagnosis and care of visual impairment in very young children. Our early inter-vention programme networks closely with neonatal wards and communities in sensitising medical practi-tioners and parents about developmental problems that could lead to vision loss, such as retinopathy of prematurity and developmental glaucoma.

This has been developed in collaboration with Bartimeus of The Netherlands.

No Limits for SaidaSaida was born with albinism, a pigmentation disor-der that robs the skin of its color and affects vision. Albinism causes reduced visual acuity and extreme sensitivity to bright light. His parents were farmers in a small village and had never been to school; but they struggled to give him an education. Eager to learn, Saida completed school by standing next to the chalkboard.

When he came to LVPEI in 1997, Saida underwent a detailed eye examination. His vision could not be recovered, but surgery stopped the shaking of his pupils (nystagmus). He was referred to the Institute’s Vision Rehabilitation Centres, where he was pre-scribed glasses for short and long distance, as well as a telescope to help read bus numbers. The glasses and telescope were given free of cost, enabled by the generosity of a long-time Indian donor based in the US, who supports the provision of low vision devices to underprivileged patients.

Twelve years later, Saida had a commendable aca-demic track record. After his father’s early demise, Saida’s mother continued to support his education. On graduating from college, Saida pursued a Master’s in Business Administration program in his district, working as faculty in the same college that he studied in. He topped the university and took up a job as a team leader in a premier Indian bank, leading a group of 18 youngsters.

Yet Saida was not content. He studied hard and qualified for a senior managerial position at India’s leading bank. The job promises him assured income and recognition. Today he is a confident young man, sharing an excellent rapport with his colleagues. He is also a good cook and singer, performing at religious events regularly.

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Extending ExpertiseWe believe that expertise and experience must be generative. Worldwide, there is a huge shortfall of trained medical personnel, and the problem of blindness and visual impairment can be contained only if there are enough trained people in the right places. As a WHO Collaborating Centre for prevention of blindness and a major resource for the VISION 2020: The Right to Sight global initiative to eliminate avoidable blindness, LVPEI plays a significant role in addressing this need. The offering spans continuing education programmes designed to update the skills of practitioners, to fellowships in various subspecialties, to college-level programmes in optometry and ophthalmic techniques and programmes for mid-level ophthalmic personnel, including technicians, nurses and eye care management staff.

The ophthalmology training programmes are designed to help fellows develop critical clinical skills, perform effective diagnostic evaluation, and acquire the latest surgical techniques and an excellent patient care approach. More than 14,000 trainees from all across India and a significant number from overseas have participated in the Institute’s training programmes. Training takes place across all three tertiary centres, making use of video conferencing technology to create a single seamless learning environment.

In 2009, LVPEI launched a postgraduate training program in ophthalmology affiliated to the Diplomate of the National Board.

Fellowship programmes in all subspecialties of the eye

Residency training (DNB) in ophthalmology

Hands-on training in surgical techniques

Bachelor’s course in optometry Fellowship in optometry Ophthalmic and vision technicians Training in ophthalmic nursing

assistants Training for eye care managers and

administrators Community eye health personnel Programmes for all cadres of

eye care workers

Education

Exchanging ExpertiseThe L V Prasad Eye Institute (LVPEI) and the University of Rochester Eye Institute (UREI) have developed a comprehensive cooperative agreement of mutual benefit in education and research.

As testimony to the tremendous international prestige of the LVPEI, our relationship has become a major draw for the UREI residency training program, which now offers, as a regular part of its program, a month of elective to residents in ophthalmology. This elective introduces these trainees to issues surrounding delivery of ophthalmology care in India, to increase their exposure to diagnosis and management of diseases not regularly seen in the United States, and to learn advanced surgical techniques developed or perfected by the world-renowned LVPEI faculty.

We are committed to a long-term collaboration with LVPEI that will become the model for partnerships in international ophthalmology.

Steven FeldonUniversity of Rochester Eye Institute, RochesterNew York, USA

Knowledge Sharing in Vision ScienceThe Global Leaders Lecture Series, launched by the Education Centre in 2008, brings global expertise to LVPEI’s learning community through videoconferencing. Leaders in vision science and eye health practice are invited to share their ideas and knowledge in regular interactions that span the three tertiary campuses. Videoconferencing is also put to good use in making routine lectures and continuing education programs accessible to all the campuses.

The Bausch & Lomb School of Optometry and the LVP-Zeiss International Academy for Advanced Ophthalmic Education form part of our training infrastructure. The Ramayamma International Eye Bank of LVPEI also offers courses in eye banking techniques in collaboration with Eyesight International and ORBIS International. In con-ducting our training programmes, we collaborate globally with institutions like the Case Western Reserve University and University of Wisconsin in USA, and University of New South Wales, Australia.

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Beyond the BasicsAll research at LVPEI is carried out under the aegis of the Hyderabad Eye Research Foundation. The future of any medical specialty lies in the hands of those who push the limits of the known and the possible, to develop new treat-ments, new procedures, and new ways of doing and seeing. From investigating the genetic and molecular basis of eye diseases, to arriving at creative modes of managing vision-threatening conditions, our scientists work at the cutting edge of eye research. Clinical faculty too are actively engaged in research, translating experience into knowledge through extensive publication and presentation. LVPEI is also involved in a number of clinical trials that investigate the safety and efficacy of new drugs and devices.Many faculty members have been recognised by professional bodies such as the American Academy of Ophthalmology for continued excellence in education as well as clinical and basic research.

Research at LVPEI has been funded by competitive grants from national and international funding bodies, including the Government of India’s Council of Scientific and Industrial Research, the Indian Medical Research Council, the Gov-ernment of India’s Department of Biotechnology, and the United States National Eye Institutes and National Institutes of Health, among others.

Efficiency in ActionWe chose to support L V Prasad Eye Institute based on what we think are three critical success factors:1. The focus is on providing a high level of eye health care

to the poorest of the poor.2. We view the operation of LVPEI as being run strategically

and efficiently, much the same way a successful business would be run.

3. The research and education components of LVPEI’s work help modify processes and procedures to suit lo-cal needs so that this research can be used to educate care givers and the client base on how to live healthier lives.

Recently we decided to support groundbreaking research being done at LVPEI on Stem Cells and their ability to cure certain forms of blindness. LVPEI’s work in this area further demonstrates to us that it is at the forefront of eye health care and its efforts continue to benefit tens of thousands of patients annually who would otherwise suffer needlessly and be unable to lead productive lives.

Sreekanth and Sudhakar RaviSonicwall, San Francisco, USA

Research Clinical, basic and public health research 2000 presentations 1000 publications Over 60 major awards 55 grants in aid 25 editorial board memberships

LVPEI and UsWe work with LV Prasad Eye Institute because, of all the eye care institutions in the world, they probably have the best balance of research, education and caring for those in need.

We work closely with the Institute in test-ing new vision correction and care sys-tems. LVPEI has become a world premier site for the performance of clinical trials, and our collaboration has contributed to new understanding of the eye, and to the development of new methods of vision correction that can bring clear sight to thousands of people around the world.

We have gained considerable scientific understanding and skills from our col-laboration with LVPEI. But more than this, we have gained the inspiration and energy which comes from this amazing organisation and its people. Their vision, commitment and dedication lead the way in global eye care, and there are many millions of people who can see because of the efforts of LVPEI.

Prof Brien HoldenBrien Holden Vision InstituteSydney, Australia

Stem Cell Research at LVPEIResearch at L V Prasad Eye Institute is geared toward finding new ways of managing and overcoming eye disease. One of the major causes of blindness worldwide is corneal disease or damage, for which corneal transplantation is the only cure. The availability of donor corneas for transplantation falls far short of the need. A revolutionary approach that is now being studied – and put into practice – involves the generation of reparative tissue in the labora-tory, and using this to replace damaged or diseased tissue. Stem cells, or undifferentiated cells from a donor eye, are cultured in a special medium to produce corneal epithelium that can then be transplanted onto the eye of a person to treat corneal blindness. LVPEI is one of a handful of institutions across the world engaged in this frontline area of research and practice. Now this research is entering a new phase at LVPEI; scientists are working to push adult stem cells to transdifferentiate into cells of neuronal lineage. This work holds great promise for another area of eye care – retinal disease – that at this point has no cure.

Translational Research:From Lab to Clinic and BackFinding answers to the problems in vision care and arriving at an understanding of eye function that has direct bearing on treatment approaches is what drives research at LVPEI. The Champalimaud Translational Centre for Eye Research (C-TRACER), set up in collaboration with the Champalimaud Foundation of Portugal, is an advanced facility that will provide an opportunity for the exchange of ideas and expertise between the two countries. The Centre focuses on the following:

Research and therapy through the utilisation of stem cells in •vision-related illnesses;Translational research utilising existing and novel clinical •methodologies with the objective of furthering the knowledge of vision in such a way that it can be readily applied to the patient;Exchange programs involving scientists chosen by LVPEI and the •Champalimaud Foundation; andIntroduction of capacity building programs aimed at developing •Lusophone countries.

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Beyond our WallsMaking eye care accessible is the primary mission of LVPEI. On a global or even national scale, this can be done only if a successful model is created and replicated in areas where it is most needed. The International Centre for Advancement of Rural Eye care (ICARE) is at the core of our outreach efforts. We train various cadres of eye care professionals who take their expertise to serve populations in the remotest rural areas, and also in underprivileged urban areas. Our Eye Health Pyramid model of eye care delivery, which is a successful attempt at making the most of local resources for providing quality eye care, has already taken root in several rural areas of India. ICARE has established 10 secondary eye care Service Centres and 88 primary care Vision Centres in Andhra Pradesh and oversees the functioning of several affiliate centres in the state, providing management, medical and technical consultancy.

The LVPEI Service Centres in the districts of Andhra Pradesh have been functioning as effective secondary care centres, operating at the same level of excellence as the tertiary centre in Hyderabad. Further, the Vision Centres offer primary eye care to clusters of villages, ensuring that people do not have to travel more than a few miles to access high quality care. At an even more local level, Vision Technicians and Vision Guardians (trained community workers) work in villages to ensure the reach of quality eye care services.

A group of 10 Vision Centres attached to a secondary centre, along with all the associated community programs, is known as a Village Vision Complex. The Village Vision Complex, through hospital based and community services, can address nearly 75% of avoidable vision impairment.

ICARE also conducts epidemiological research to establish accu-rate baseline data on blindness and visual impairment in different communities. This research forms the basis for policymaking, thus becoming an important advocacy tool in blindness preven-tion efforts. The Andhra Pradesh Eye Disease Study, completed in 1999, was one of the first such studies in the country, provid-ing crucial inputs for planning eye care services.

Community Eye Health

L V Prasad Eye Institute(50 million population)

Training Centres(Eye Hospitals/Departments of Ophthalmology) 5 million population

Service Centres500,000 – 1 million population

Vision Centres50,000 population

Vision Guardians5,000 population

Community Eye Care

Primary Eye Care

Secondary Eye Care

Tertiary Eye Care

Centre of Excellence

L V Prasad Eye Institute is the only institute in the world with operations at every level in theeye care pyramid, from small rural vision screening centres to a Centre of Excellence.

Pyramid Model of Eye Care Delivery — Objectives

Vision Centres can eliminate 25% of all blindness •due to the need for spectacles, detect potentially blinding problems, address conditions like Vitamin A deficiency, cataract, some glaucomas and diabetic retinopathy.

Service Centres can manage 75% of all avoidable •blindness.

Thus only 25% of people with visual impairment need •to travel to cities to access tertiary care.

LVPEI’s pyramidal approach to sustainable eye care has been adopted as a model by the Indian government and the World Health Organization, and is being successfully replicated in other Indian states and across the developing world.

A Privileged PartnershipOperation Eyesight chose the L V Prasad Eye Institute as its Global Training and Resource Centre because of its international reputation for uncompromising qual-ity and its innovative approach to sustainable models of comprehensive eye care. We were looking for a partner in the developing world that could deliver WHO standards of eye care, demonstrate financial sustainability within a comprehensive model of care and make these eye care services available to anyone regardless of their ability to pay. At LVP even the most complex and costly procedures are provided free of charge to poor patients. The LVP staff and consultants have worked closely with Operation Eyesight and its hospital partners to improve every aspect of their performance. With LVP’s expertise in designing more efficient and attractive facilities, reorganizing operat-ing systems and training to upgrade technical skills our partners have doubled and in some cases, tripled the number of patients treated since 2005 and doubled their revenues. The partnership with LVP is helping us to establish enduring, quality eye care wherever we work in the developing world.

Pat Ferguson, CEOOperation Eyesight Universal, Canada

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The Ripple EffectLVPEI’s focus on excellence coupled with efficiency at every level has resulted in a paradigm shift in the way eye care is approached not only in Andhra Pradesh and India, but globally. The LVPEI strategy is to develop contextually relevant approaches and solutions while bringing in the best of the global standards to eye care for all segments of society. Our Centre of Excellence, LVPEI Hyderabad, is a tertiary care centre in every sense of the term, representing the full complement of academic and medical activities from service delivery to research to training, rehabilitation and public health. It is an important partner in several international networks, one of the most important being the International Agency for the Prevention of Blindness.

The LVPEIImpact

International Secretariat of the International Agency for Prevention

of Blindness, 2000-2008 International Centre for Eye Care Education International Association of Contact Lens Educators High quality eye care model programmes for China,

Egypt, South Africa and South America Resource Centre for International Agency for the

Prevention of Blindness (IAPB) and Operation Eyesight Universal

National Trained over 13,000 eye care professionals Helped upgrade several eye care centres Played a key role in forming the Eye Bank

Association of India Publication of the Indian Journal of

Ophthalmology for 12 years Established the Indian Eye Research Group,

now a chapter of ARVO Helped develop and standardise medical

education curricula Govt of India adopts LVPEI’s Vision Centre and

Eye Health Pyramid models Active member of VISION 2020 India

Patient careEducationResearchCollaborations

Our “Vision 2012”Against the backdrop of organizational and environmental change, we recognize the need to constantly re-think our progress and make changes in our course that best address new and emerging needs in eye care in the developing world.

Our key goals are to achieve

Branding as cutting edge institute •Higher quality service and education •Breakthrough research & products •Impact making CEH programmes •The ability to catalyze and affect eye care globally •

In each area of activity, specific goals have been set that set a clear direction and emphasis.

In patient care, we will achievesubstantial improvement in the quality of service •delivery at all levels improvement in patient as well as provider satisfaction

optimal utilization of time, energy, resources and •expertise to augment patient care volume

In education, we willachieve recognition as a premier centre of education •in all areas of eye care planning, management and service delivery

share expertise and experience in eye health across •the developing world

create the human resources needed to eliminate •avoidable blindness and manage vision impairment

In research, we will seek to understand and address selected •diseases and genetic conditions

every project undertaken will be translational in nature – •starting from the needs of the patient on the bedside to the laboratory bench and ultimately to the community

we will focus on generating and applying new knowledge •in areas such as nanoscience and gene delivery

In community eye health, we will apply our experience in primary eye health to

build a stronger and wider network of eye care service •delivery across India and other parts of the world

share expertise by consultancy, education and •planning

advocate at all levels for improved systems of eye •care

On Communities Taking eye care into communities Training a new type of professional –

the ‘mid-level’ eye care professional Increasing awareness of basic eye

problems and their care Offering free care to those

most in need ANDHRA PRADESH

Adilabad

KarimnagarNizamabad

Warangal

RangareddyKhammam

Nalgonda

Mahbubnagar

Anantapur

Chittoor

Nellore

Prakasam

Guntur

WestGodavari

EastGodavari

VisakhapatnamVizianagaram

Srikakulam

Visakhapatnam

Bhubaneswar

Vijayawada

HyderabadHyderabad

Medak

Kurnool

Krishna

Kadapa

ODISHA

Tertiary Care Centres (3)Secondary Care Centres

Centre of Excellence (1)

Primary Care Centres (89)

Satellite Centres (10)Partner Centres (9)

Jammu & Kashmir

Rajasthan

GujaratMadhya Pradesh

Maharashtra

Chhattisgarh

Uttar Pradesh

Bihar

Jharkhand

Orissa

Goa

Tamil Nadu

Karnataka

Meghalaya

Assam Nagaland

Manipur

MizoramTripura

Arunachal Pradesh

Punjab

HimachalPradesh

Uttaranchal

Haryana

Kerala

West Bengal

TejpurSikkim

Andhra Pradesh

India Partners:Tertiary CentresIndia Partners: Secondary CentresIndia Partners: Primary Centres

Excellence Equity Efficiencyl l l

Sharing our VisionWe could not have come this far without the support of many, many institutions and individuals who have shared our hopes and our dreams. It is their generosity that gives shape to our aspirations for a world free of avoidable blindness. LVPEI’s model of accessible care depends on such support. Every day, new names are added to our list of benefactors, and every day, hun-dreds of people benefit from their giving.

Would you like to become a partner in our quest for vision?

To find out more about L V Prasad Eye Institute and its programmes, services, and facilities, or to find ways to support the institute, visit our web site www.lvpei.org

Our Networkof Support

Major Founding DonorsMr L V Prasad, IndiaMrs Pratibha Rao, India

FoundersMrs Vijaya Lakshmi & Mr A Ramesh Prasad, India • Brien Holden Vision Institute, Australia • Operation Eyesight Universal, Canada • Mr Kode Satyanarayana & family, India • Dr K Anji Reddy, India • Mr Nimmagadda Prasad, India • Bausch + Lomb, USA • Mr V C Janardan Rao, India • Sightsavers, UK • Mr Sudhakar Ravi & Mr Sreekanth Ravi, USA • Mrs Padma & Mr Subba Rao Makineni, USA • Mr B R Barwale & Mr R B Barwale, India • Champalimaud Foundation, Portugal • Nava Bharat Ventures, India • Christoffel Blindenmission (CBM), Germany • Lavelle Fund for the Blind, Inc, USA • Mrs Kokil & Mr S K Pathak, Dubai • B H P Billiton, Australia • Mr Kishore K Kothapalli, India • G M R Varalakshmi Foundation, India • Dr Krupakar P Thadikonda, USA • N T P C Foundation, India • Mrs Ramanamma & Dr Jasti V Rattaiah, USA • Eyesight International, Canada • Family of Mrs Meera & Mr L B Deshpande, India, Mrs Smita & Mr Sanjay Deshpande, USA, Mrs Meghna & Mr Vinay Deshpande, India, Mrs Rewati & Dr Madan Maha, UK • Miriam Hyman Memorial Trust, UK • Latter-day Saint Charities, USA • Mr V Nannapaneni Choudhary, India • Mrs Soona and Mr Edward Brown, France • Prof V Ramalingaswami, India • Ms Virginia & Prof Brijen Gupta, USA • Dr Narla Tata Rao, India • Mr K P Prasad, India • Mr K Rama Rao, India • Mr Ravi Reddy, USA • SightLife, USA • ORBIS International, USA • Lions Club International Foundation, USA • Carl Zeiss, Germany • Drs Saradapurna & Sriram Sonty, USA • Swarna Bharat Trust, Nellore, India • Dr D Balasubramanian, India • Dr G Chandra Sekhar, India • Mrs Vijaya L Ramam, India • Dr Taraprasad Das & Dr Savitri Sharma, India • Mr O Naresh Kumar, India • Mr Y Mahabaleswarappa & Sons, India

PatronsMr Seshanna Chennawar, India • Ms Sudha Ghatrazu, India • Mr L D Jhaveri, Japan • Mr Adnan Mahmood, India • Mrs Guna & Dr Somasekhara Rao Mukkamala, USA • Mrs & Dr D Rama Naidu, India • Mr Narayan Rao Patel, India • Mrs & Mr Prasad Potluri, India • Dr Mullapudi Harishchandra Prasad, India • Dr P R K Prasad, USA • Mr T R Prasad, India • Mrs Uttara Devi & Mr B V Rao, India • Mr Vellanki V Rao, India • Mr K Chandramouli Reddy, India • Mrs & Mr Rao Remala, USA • Mrs Amrit Sujan, India • Mrs & Mr B D Sureka (Hartex Rubber Pvt Ltd), India • Mrs Javerben K Thakker & Mr Kantilal K Thakker, India (Smt Javerben Kantilal Thakker Charity, India) • Ms Jyoti & Mr Vikram M Thapar, India • Mr Bob Ohlson, Canada • Alcon, USA • Allergan, USA • Biocon Foundation, India • Canadian International Development Agency, Canada • Combat Blindness Foundation, USA • International Federation of Eye Banks, USA • Intraocular Care Pvt Ltd, India • I T C Ltd, India • K L N Prasad Trust, India • Merck Foundation, USA • Open Society Institute, USA • Optometry Giving Sight, Australia • Pharmacia, Sweden • Seva Foundation, USA • V S T Industries, India • World Diabetic Foundation, Denmark • Narotam Sekhsaria Foundation, India

SupportersMr K Bhanumurti, India • Mr Dilip B Desai, India • Mr Adi Godrej, India • Mrs Sunita & Mr Praveen K Gottipalli, USA • Mr Madanlal Harbahajanka, India • Dr A P J Abdul Kalam, India • Dr Lalitesh Katragadda, India • Mr Abid Ali Khan, India • Mrs Vinita & Mr Swaroop Kolluri, USA • Dr Usha Kumar, India • Mrs Preeti & Mr Ashok Kundalia, India • Mrs Krishna & Mr Vinod K Neotia, India • Mrs Anju & Mr Mahender K Patodia, India • Mrs Rajashree & Mr Vikram Prasad, India • Mr Rudra Appala Raju, India • Mr K V J Subba Raju, India • Mrs Vatsala & Mr Vijay Sri Ram, India (Summit Furnitures, India) • Mr S Venkateswara Rao, India • Mrs Saroja & Dr A Narasing Rao, USA • Mr R Raghu Rayala, India • Mrs Madhu & Mr Sunil Saigal, India • Mrs Mani & Mr C S Sastry, India • Dr N Madhavi & Dr N V Sastry, India • Dr Parin Vakharia, in memory of late Olive Swoboda, India • Andhra Bank, India • Automotive Manufacturers Ltd, India • Bio Medix Optotechnik & Devices Pvt Ltd, India • Fowler Westrup (India) Ltd, India • Fred Hollows Foundation, Australia • Grandhi Enterprises Pvt Ltd, India • Infosys Foundation, India • International Eye Foundation, USA •Johnson & Johnson, India • Merck, Sharp and Dohme, USA • Kodali Varaprasad & brothers (Nayudamma Foundation for Education and Rural Development, India) • Novartis, India • O C L India Ltd, India • Ravindranath General Medical Associates Pvt Ltd, India • Rotary Club of Hyderabad, India • Shiwlal Chandrakala Devi Sarda Charitable Trust, India • Sir Ratan Tata Trust, India • Tameer Consulting Associates, India • Thembey & Mhatre, India • Tantia Group of Companies, India

Your support makes it possible for all to see...

Founding Organisations Hyderabad Eye Institute

FOUNDING TRUSTEES Dr Gullapalli N Rao, Chair Mr A Ramesh Prasad Prof V Ramalingaswami Dr Narla Tata RaoMr K P Prasad

Mr K Rama Rao

Indo American Eye Care Societye

FOUNDING TRUSTEES Dr Gullapalli N Rao, Chair Prof Brijen Gupta, Secretary-Treasurer Dr Y M Jay Dr H JanardhanDr Manuel del Cerro Dr Jeff Harris

Excellence Equity Efficiencyl l l

L V Prasad Eye InstituteG M R Varalakshmi CampusVisakhapatnam 530040Tel: +91 891 39892020Fax: +91 891 3984444E-mail: info.vizag@lvpei.org

L V Prasad Eye InstituteKallam Anji Reddy CampusHyderabad 500034Tel: +91 40 30612345Fax: +91 40 23548271E-mail: info.hyd@lvpei.org

L V Prasad Eye InstituteKode Venkatadri Chowdary Campus Tadigadapa, Vijayawada 521137Tel: + 91 0866 3062020E-mail: kvc-appointment@lvpei.org

www.lvpei.org

L V Prasad Eye InstituteBhubaneswar 751 024Tel: +91 674 39892020Fax: +91 674 3987130E-mail: info.bbsr@lvpei.org

© September 2012/LVPEI