Tej Kohli Cornea Institute Brochure

1. L V Prasad Eye Institute Tej Kohli Cornea Institute

2. About the Tej Kohli Foundation Currently, for people who are blighted by blindness and other ophthalmic issues, it prevents them from participating in society and for many it means being cast out due to their lack of ability to contribute financially. We must not allow this to continue in the 21st century. It is our duty to step in and support with passion, pride, hard work and a guarantee of financial commitment. The Tej Kohli Foundation was founded in 2005 by Tej Kohli and his wife Wendy as an autonomous, non-profit organization that does not accept donations. Areas of work include treating and preventing corneal blindness and the Foundation’s road map is to eliminate blindness by 2030, extending educational opportunities, offering midday meals for malnourished children, vocational training for the physically disabled, improving the health of rural communities and empowering women. The Tej Kohli Foundation is funding the Tej Kohli Cornea Institute (TKCI) where advances in ophthalmology and treatment are being undertaken to eliminate blindness. The Tej Kohli Foundation currently operates in Costa Rica, India and Africa, whilst constantly exploring new countries where they can have the most impact on society at large. The Foundation is supported through the success of Kohli Ventures and the skills and intellectual capital provided by its senior management team – (www. Tejkohlifoundation.com) International businessman, entrepreneur and philanthropist Mr Tej Kohli, Chairman of Kohli Ventures and Founder of the Tej Kohli Foundation 2

3. Blindness and visual impairment are a major global health problem, affecting more than 161 million people worldwide in 2002 (World Health Organization). Of these 45 million are in India. Nearly 75% of visual impairment is avoidable, ie., can be prevented, treated or managed. L V Prasad Eye Institute (LVPEI), established in 1987, is a world-class eye health institute encompassing clinical care, education, research, rehabilitation, eye banking and high impact rural eye care. The Institute is managed by two not-for-profit trusts: the Hyderabad Eye Institute (HEI), a registered Trust under the Indian Trust Act, and the Hyderabad Eye Research Foundation (HERF), a society registered under the Societies Act. HEI and HERF together are responsible for governance of all activities at LVPEI. LVPEI’s Kallam Anji Reddy campus at Hyderabad, a Centre of Excellence, is complemented by three Tertiary Centres - Bhubaneswar Campus, GMR Varalakshmi Campus in Visakhapatnam and the Kode Venkatadri Chowdary Campus in Vijayawada. Vision To provide equitable and efficient eye care to all sections of society Mission of Excellence LVPEI’s mission is to be a centre of excellence in eye care services, basic and clinical research into eye diseases and vision-threatening conditions, training, product development, and rehabilitation for those with incurable visual disability, with a focus on extending equitable and efficient eye care to underserved populations in the developing world. 3

4. LVPEI Pyramid of Eye Care Vision Guardians are at the base of the pyramid and represent community involvement. Vision guardians comprise trained young people who keep a close vigil on the eye health of about 5,000 persons within communities, through door-to- door surveys and other informal means. Vision Centres form the next level and serve the primary eye health needs of the community. Drawing upon local talent and staffed by persons from the local community, each Vision Centre caters to a cluster of villages, individually servicing a target of around 50,000 people. Secondary Eye Care Centres are networked to the Vision Centres and each serves a population of 500,000 persons. These centres provide care that can diagnose the complete range of ophthalmological diseases and offer high quality surgical care for cataract - the most common cause of blindness. These centres draw upon local talent too. Tertiary Care Hosptials/Training Centres are linked to Secondary Centres and each serves a population of 5 million persons. These centres provide a comprehensive range of services and also serve as training centres to the secondary centres. Impact of the Eye Care Pyramid Community needs determine development of Centres at all levels, especially at the secondary and primary levels. Centre of Excellence is linked to tertiary centres and serves a population of 50 million persons. It treats complex diseases, trains the trainers in subspecialties & rehabilitation and engages in advocacy. The Vision Centres have helped to bring services within the reach of communities that otherwise were beyond the scope of most health care services. Going beyond Eye Care, these centres have also become important points of community health awareness and education, positively influencing attitudes and driving social and health interventions. The cost for establishing a Vision Centre, a Secondary Eye Care Centre, a Tertiary Eye Care Centre and a Centre of Excellence is about US$ 10,000, US$ 100,000, US$ 1.0 million and US$ 10 million respectively. The effective cost at each of these points of presence, is 20 cents per person. The cost of providing holistic Eye Care from base to apex of the Eye Care Pyramid is about US$ 1 per person served. LVPEI currently has 127 Vision Centres that provide primary care in the districts and villages of Andhra Pradesh, Telangana, Odisha and Karnataka. These are linked to Secondary Eye Care Centres (14), which are in turn linked to LVPEI Tertiary Centres in Visakhapatnam, Vijayawada and Bhubaneswar. LVPEI’s Centre of Excellence at Hyderabad is at the apex of the Eye Care Pyramid. The long-term model does not depend on external funding or expertise, as the Vision Centres have the potential to grow into community hubs that address other health needs, beyond ophthalmic needs. 4

5. LVPEI Network Map Sundargarh Jharsuguda Mayurbhanj Keonjhar Deogarh Balasore Sambalpur Bargarh Bhadrak Subarnapur Angul Jajpur Dhenkanal Baudh Balangir ODISHA Cuttack Kendrapara Naupada Nayagarh Bhubaneswar Jagatsinghpur Kandhamal Khurda Puri Kalahandi Ganjam Rayagada Nabarangpur Gajapati Koraput Malkangiri TELANGANA Bidar Visakhapatnam Hyderabad Gulbarga Bijapur Yadgir Vijayawada Bagalkot Belgaum Raichur Koppal Dharwad Gadag ANDHRA PRADESH KARNATAKA Haveri Uttara Kannada Davanagere Chitradurga 14 Shimoga Chikballapur Udupi Tumkur Chikmagalur 1 Bangalore Rural (127) Kolar Hassan Bangalore Dakshina Kannada Mandya Ramanagara Kodagu Mysore Chamrajanagar As of November 2015 we have 127 Primary Care Vision Centres, 14 Secondary Care Service Centres, 3 Tertiary Centres and our flagship Centre of Excellence. 5

6. Our Linkages National Linkages 6

7. International Linkages 7

8. Cornea Service The overarching vision of the institute is to reduce the prevalence of corneal blindness across the world and eliminate avoidable causes of corneal blindness entirely. This is eminently possible by a symbiotic convergence of technology, primary and secondary level eye care, education, and path breaking research with the unstinting support of philantrophy. The current components of the institute include each of the above in varying proportions to form an eclectic concoction. Clinical Services LVPEI provides treatment for all corneal diseases under various subspecialties across its 3 tertiary centers at Bhubaneswar, Vijayawada and Visakhapatnam and the Center of Excellence in Hyderabad. The range of treatment includes corneal transplantation, dry eye end stage ocular surface diseases, corneal diseases in children, infections and cutting edge laser surgery. Key Components In addition to the Clinical Services, the Clinical Microbiology Services, the Ocular Pathology Service, the Sudhakar and Sreekant Ravi Stem Cell Laboratory, the Champalimaud Translational Research Center, the Basuch & Lomb Contact Lens Center, the Visual Optics Laboratory, the Center for Ocular Regeneration (CORE), Srujana Innovation Center and the Engineering Services dovetail into and form key collaborators and constitute an exhilarating symbiotic ecosystem to foster clinical care and research. Eye Banking The Ramayamma International Eye Bank (RIEB) at LVPEI is the largest provider of sight restoring corneas in India and a SightLife Centre of Excellence in Eye Banking. Education Over 250 cornea specialists have been trained at LVPEI over the last 25 years along with innumerable observers, who have taken back the best practices in corneal clinical care and research to international shores and the remote corners of the country. Research Basic research is conducted into the genetic, molecular and cellular biology, microbiology, pathology, eyebanking and stem cells aspects of corneal disorders. Clinical research includes clinical trials and public health research, particularly epidemiology, on the incidence and prevalence of various corneal conditions. Public Health and Rural Outreach LVPEI’s public health and outreach programs are conceptualized as ‘high quality primary care with permanent infrastructure and well trained human resources, serving marginalized populations in the most underserved areas.’ LVPEI is not a hospital. It is a seva kendram for the poorest of the poor in society. K Rama Krishna Das Retired-Tahsildar, Andhra Pradesh 8

9. The Joy of Sight Manish Kumar sits on his father’s lap and observes the world around intently. Other than the tiny pair of spectacles that he wears, there is no other sign of the ordeal that the 14-month- old boy had to face. Kumar suffered from a congenital condition, which led to the deterioration of his left cornea soon after birth. In December last year, Kumar who lives in Chhapra, Bihar, was brought to L V Prasad Eye Institute in Hyderabad, where he underwent a corneal transplant surgery. Kumar is lucky. The chances of him getting a corneal transplant in Bihar were nil, since the state has not collected a single cornea in the past one year. Even if he were to travel to other states, Kumar would have had to wait for weeks, if not months, for the surgery. At L V Prasad Eye Institute, Kumar underwent the surgery within a day of the diagnosis. And, his treatment was done for free, given that his family could not afford it. The institute is one among the few institutes in India where there is no waiting list for receiving corneas. Eye for a Tooth Nearly 25 years ago, Bhagyamma lost her vision due to severe body rash as a reaction to a penicillin injection that scarred the mucous membrane in her eyes. To restore her vision, Bhagyamma underwent Modified Osteo Odonto Keratoprosthesis (MOOKP), a surgery a visiting doctor from the USA performed at LVPEI. In the first stage, Bhagyamma’s tooth was harvested. The tooth and the adjoining bone were cut down and a hole was drilled through the center of her tooth root. An artificial cornea lens was fitted into the tooth and inserted under the skin of her cheekbone to allow normal tissue and blood vessels to develop around it. Three weeks later, this device was surgically removed from under her cheek skin and fitted to the front of her left eye to permit light to filter through the retina or film layer at the back of her eye. A skin graft was also performed by removing her oral mucosa and using it as a cover sheet for the lens-embedded tooth device to make the front of the operated eye look as natural as possible. A day after the final surgery, Bhagyamma was thrilled that she could see again! 9

10. LVPEI in the Media 10

11. 28 Years of Excellence in Eye Care 1.97 crore patients served Recognition ? The first major eye institute in India to receive accreditation from the National Accreditation Board for Hospitals and Healthcare providers (NABH). < 50% services provided free of cost, regardless of complexity 94 lakh+ outpatients treated A World Health Organization (WHO) Collaborating Centre for the Prevention of Blindness and a pioneer in developing eye health models for underserved areas of the developing world. 10 lakh+ surgeries conducted 1.28 lakh+ persons with irreversible blindness or low vision, rehabilitated ? Member of Commonwealth Eye Health Consortium. 52,600+ donor corneas harvested ? LVPEI’s Vision Centre approach adapted by the Australian Government in its efforts to develop primary eye care in the Western Pacific region. 27,200+ donor corneas transplanted to needy patients 1000+ stem cell based reconstructive surgeries for damaged corneal surfaces ? The Government of India has adopted LVPEI’s Pyramid Model of Eye Care Service Delivery in its current five-year plan budget and the model will soon be implemented in other States in a phased manner. 3,000+ villages provided direct service through secondary and primary care ? LVPEI’s Ramayamma International Eye Bank (RIEB) is the largest provider of sight restoring corneas in India and a SightLife Centre of Excellence in Eye Banking. 145 secondary & primary care centres that cover the remotest rural areas in the states of Telangana, Andhra Pradesh, Odisha and Karnataka. 18,200+ Indian and foreign eye care professionals trained ? LVPEI’s Baush & Lomb School of Optometry (BLSO) adjudged ‘Best Optometry Institute in India’. 1500+ research papers published 38+ PhDs awarded 11

12. Copyright ©Dec 2015 L V Prasad Eye Institute Hyderabad Bhubaneshwar Visakhapatnam Vijaywada Kallam Anji Reddy Campus L V Prasad Marg, Banjara Hills Hyderabad - 500 034 Telangana, India Patia Bhubaneshwar - 751 024 Odisha, India GMR Varalakshmi Campus 11-113/1, Hanumanthawaka Junction Visakhapatnam - 530 040 Andhra Pradesh, India Kode Venkatadri Chowdary Campus Tadigadapa Vijayawada - 521 137 Andhra Pradesh, India To know more about us, reach us at: T: +91 40 3061 2445/46 F: +91 40 2354 8271 E: kar-communications@lvpei.org www.lvpei.org Follow us on