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۞ Cataract / IOL Services
۞ Children’s Eye Care Center
۞ Glaucoma Services
۞ Occuloplasty Services
۞ Vitreo-Retinal Services
۞ Low vision
۞ Uvea services
۞ Cornea and Refractive  Surgery
۞ Centre for Community Ophthalmology (CCO)
۞ Project Management
۞ Education and Training
۞ Research
۞ Advocacy
۞ Community Outreach Camp
۞ Vision Centres
۞ Partners of Repute
۞ Short Term Training Programs in Eye Care

Gurudev, Shri Ranchoddasji Maharaj initiated eye care services at Chitrakoot as the first welfare activity in 1950, when the first informal eye camp was organized for the local community in Chitrakoot. The initial eye care activities were organized under the banner of Tara Netra Daan Yagna (TNY) as spirituality and selfless service marked prominence in all activities undertaken by Gurudev and his followers. The eye care activities organized under TNY were run by volunteer doctors who provided their services in ophthalmic care. As the years went by, the demand for eye care services increased and scores of people from all sections of the society started visiting Chitrakoot for eye care services. As the demand grew new eye care specialties were added one by one to the existing ones. What started as informal eye camps in 1950, over the years transformed into a state of the art 350 bedded eye hospital, the largest in Central India.

Range of Services Offered at SNC:

 

     SNC offers a range of services in ophthalmic care replete with recent technological advances.

 

Cataract / IOL Services

 

     Owning to the huge backlog of cataract in central India, cataract services form the most prominent service at Sadguru Netra Chikitsalaya. Cataract services account for 95% of the ophthalmic services at SNC. Patients and families from all sections of society access cataract services at the hospital. The range includes sub-luxated cataract, traumatic cataract, complicated cataract, high myopia, coloboma and cataract with corneal pathology.

The scale of cataract treatment available at SNC includes:

 

Ø      Extra Capsular Cataract Extraction (ECCE) with IOL implantation

Ø      Small Incision Cataract Surgery (SICS)

Ø      Phacoemulsification with PMMA or Foldable Lens (Silicon/Acrylic) Implantation

 In addition, minor procedures such as YAG Capsulotomy and Filament removal are also performed.

 

 

Children’s Eye Care Center

       The exclusive pediatric ophthalmic services form one of the unique facets of ophthalmic care provided at SNC. The range of services offered include, treatment for congenital cataract, myopia, squint, congenital glaucoma and occuloplastic services for children.

      The Children’s Eye Care Centre at SNC is a one of its kind centre in Central India that offers intensive and quality care by trained pediatric ophthalmologists round the clock. The Center houses a child-friendly OPD and IPD and special children’s play area. It also offers structured fellowship training in pediatric ophthalmology. The Center is equipped with the essential equipments recommended by WHO/IAPB to deliver quality pediatric eye care services. The Center also imparts training to school teachers as part of its ongoing school screening program to detect basic eye ailments especially refractive errors in school going children.

      The Centre in collaboration with its long standing partner ORBIS International developed a regional training institute in the year 2006 to train human resource for delivering quality pediatric eye care in hospitals and eye care centers in north and central India.

 

Glaucoma Services

      As per the recommendation of the NPCB survey (2002), to prevent serious loss of vision, Glaucoma screening is done for all patients aged above 35 years who access SNC’s services. The Glaucoma Department receives a high volume of Primary Glaucoma which is inherited along with Secondary Glaucoma due to trauma, inflammation, diabetes, retinal vascular disease and hyper mature cataracts.

      The Glaucoma Department performs all advanced diagnostic tests for Glaucoma screening such as, Automated Perimetery, Goldman Applanation Tonometry, Gonioscopy, Fundoscopy and YAG Laser Iridectomy. The Department of Glaucoma at SNC performs 2600 glaucoma surgeries on an average annually.

      The future sights for the Glaucoma Department include developing in to a teaching and training centre and initiating a large-scale Glaucoma Outreach Screening project.

 

Occuloplasty Services

 

     The Occuloplasty Department of SNC is renowned for performing complex cosmetic corrective surgeries. The Department runs an exclusive OPD and a well-equipped Operation Theatre with support from microbiology, pathology and radiology departments. It offers a range of services including pterygium, symblepheron, entropion, ectropion, ptosis, small lid mass, lid injuries, chronic dacryostinosis, sac fistulas and orbital diseases which are treated both medically and surgically.

 

The Department envisions adding advanced treatment for orbital problems and lid neoplasm.

 

 

Vitreo-Retinal Services

     Since its inauguration in April 2004, Vitreo-Retina Department has become the largest referral centre in central India. The department is equipped with state of art instruments. with full fledged facilities for medical retina, department is performing all types of vitreo-retinal surgeries for dropped IOL/Nucleus, macular hole, vitreous hemorrhage, complex retinal detachments. Department is providing intravitreal Avastin to poor people at a subsidized rate. Department is attending to 200 patients daily and performing more than 50 surgeries monthly. Shortly department is going to start 23 gauge sutureless VR surgery with Accurus Vitrectomy System.

 

Low vision

      Inline with the WHO global initiative of 'Vision 2020: The Right to Sight' program with low vision care as a prime objective, SNC has initiated its low vision program with skill training and capacity building. It endeavors to increase awareness and develop skills of eye care professionals in low vision care through quality training programs.

      The aim of the training program is to train Ophthalmologist, Optometrists, Rehabilitation Professionals, Special Educators, Optometry Students, Opticians Vision Technician, Ophthalmic Technicians and other eye care professionals in low vision rehabilitation of patients.

 

 

Uvea services

      Uvea services are a rapidly growing area of clinical eye care management which requires specialized training in this sub-specialty. The department at SNC has the potential to treat the following disease related to Uveitis-

    ü   VKH

    ü      GHPC

    ü      Amphigenous/Serpigenous choroiditis

    ü      ARN/PORN

    ü      Chorodal tuberculoma

    ü      Necrotising Scleritis

    ü      Eales disease

    ü      Various retinal Vasculitis

    ü      Treating Complicated Cataracts

 

With the initiation of these services, SNC has become the first such institute in Central India to have a separate Uvea department.

 

Cornea and Refractive surgery

     The department of cornea and refractive surgery is well placed. The treatment of corneal diseases covers microbiological investigations of corneal infection, Keratoplasty, amniotic membrane transplantation, Limbal stem cell transplantation  and pterigium surgery. The department is equipped to carry out investigations such as, corneal topography, specular microscopy, corneal wavefront analysis and pachymetry. 

The department of refractive surgery regularly carries out LASIK, PRK, & Phakic IOL Surgery.

 

 

Eye Bank

 

     The Sadguru Eye Bank was started on 3, Nov 2007. The eye bank is active in corneal tissue retrieval, processing & evaluation of corneal tissue, storage of corneal tissue and supplying tissue for corneal transplantation.

 

     The eye bank is equipped with enucleation & corneal excision instruments, MK medium Eye Bank specular microscope and is led by a team of a corneal surgeon, an eye bank technician and grief counselors.

 

 

 

Centre for Community Ophthalmology (CCO)

 

     The Centre for Community Ophthalmology (CCO) was initiated in the year 2002. The services under the umbrella of the Centre include implementing community based projects, training, education, research and advocacy. The Center envisions to add consultancy services in community ophthalmology to other hospitals and organizations in the near future.   

 

     SNC's mandate has been to work primarily for the rural populace. Ensuring availability of affordable eye care services and creating equal access to them are programmatic imperatives that we endeavour towards. The people living in the states of MP, UP and Bihar that are largely covered under SNC's service area account for more than half of India's economically deprived population. These people are often poor and socially vulnerable and having a member of the family suffering from eye or any other disease gradually exacts a heavy social and economic price on the family, on the community and, as a result on the country.

 

     The Center for Community Ophthalmology was initiated to conceive, plan and design community oriented eye care projects. The supporting pillars of training,  research advocacy and consultancy assist to understand the felt-need of eye care services among the rural populace and create comprehensive services that address the same.

 

Project Management

     The following projects are implemented under the ambit of the CCO.

 

Supporting / Partner

Organization

Timeline

Salient features of partnership

1

SEVA , USA

June 2002 onwards

      -      Adult outreach programs

      -      Research and Human Resource Development

 -      Development of Centre for Community

        Ophthalmology by 2010

-           Implementation of Public Health programs

2

ORBIS, USA

October 2002 onwards

-          Development of a Regional Training Institute

-           Child outreach programs and research.

3

VISION 2020, India

April 2005 onwards

-          Advocacy

-           Capacity Building and forming a State VISION 2020 forum.  

4

USAID-AED, USA

November 2007 onwards

-          Community based child eye care services

-          Vision centres and Low Vision rehabilitation.

5

Standard Chartered Bank

April 2008 onwards

-          Vision Centres to improve primary eye care services

6

MPDPIP, Government of MP

March 2009 onwards

-          Training Health care workers and providing them employment guarantee.

     
 

Education and Training

 

     In order to strengthen the skill capacity of ophthalmologists, paramedical personnel and eye-care management aspirants further, SNC developed its pillars of education and training.

A number of long and short-term fellowships and courses are offered in different streams of ophthalmic specialties for ophthalmologists and paramedics as well as management and research based courses for management trainees. The course terms range from 2 months to 3 years.

 

     The Centre for Community Ophthalmology (CCO) coordinates the following courses under the facet of Education and Training

 

Research

 

     To ground evidence, theory and practice into its service delivery initiatives, SNC has undertaken a number of research initiatives. The Centre for Community Ophthalmology plays the lead role in designing and conducting these community and hospital based research studies. The prominent research initiatives include;

 

1.                  Operational Research

2.                  Health Service and Systems Research

3.                  Evidence based research to improve and design programs in line with the eye care needs in the rural community.

 

The following research studies are ongoing under the CCO:

 

 

Advocacy

 

     Advocacy has a dominant role to play in eye care initiatives. To augment demand for equal access and utilization of quality eye care services, to support project implementation and to guide policy decisions.

 

     SNC has been involved with advocacy of eye care rights and issues in a number of forums and service delivery initiatives. SNC is a prominent member of the VISION 2020 forum. It pioneered the state chapter of the VISION 2020 forum in India for the state of Madhya Pradesh. Through this forum SNC in partnership with other key members is working towards raising awareness on blindness and eye care through a multi-stakeholder approach. Regular meetings with the Government assist in advocating policy-level issues which impinge the community at large. On a regular basis, education and IEC material is developed to spread awareness among the village communities. Other important activities include celebrating the World Sight Day annually and conducting regular workshops and seminars on advocacy for eye care concerns.

 

     A number of articles have also been published by the team at CCO in leading scientific journals and magazines highlighting issues of priority to eliminate needless blindness in India.

 

Community Outreach Camp

     Ensuing the enormous need of having basic eye care services available in closer vicinities of the village communities, SNC began reaching out from its hospital precincts to the villages. This was achieved through our multi-pronged activities which over the years have gradually grown to include comprehensive outreach camps, school eye screening program, non-school going children eye screening program, vision center services and eye-health education programs. These activities have positively assisted in reaching out timely and qualitative eye care interventions to the communities.

 

Vision Centres

 

     Predicated on the need to make primary eye care services easily available to the rural communities where the need is utmost, SNC embarked on the concept of Vision Centres (VCs). Vision Centres, in concurrence with the Vision 2020 action plan are mini eye-care rural service centers with the basic objective of making primary eye care services available to the rural populace. Each Vision Centre is planned to cover a population of approximately 50,000 people.

 

     Presently, SNC runs 17 Vision Centers in the states of Madhya Pradesh and Uttar Pradesh . SNC plans to develop 40 vision centers by the year 2020 in the states of Madhya Pradesh and Uttar Pradesh.

 

 

 

Partners of Repute

 

     SSSST takes pride in the continued trust and association it has earned over the years of its esteemed partners. These include the surge of volunteers who selflessly dedicate their time to the cause and commitment of the Trust as well as esteemed global humanitarian organizations. The following section is dedicated in appreciation to our partners in the Fight to Blindness.

   

Volunteers

 

     SSSST is ever indebted to the selfless service rendered each year by the hundreds of followers of Gurudev-Shri Ranchoddasji Maharaj from India and abroad who visit SSST to assist voluntarily in the different projects run by the Trust. The volunteers form the backbone for realizing Gurudev’s vision of “Food for the Hungry, Clothes for the needy and eye sight for the blind”.

 

 

ORBIS International, USA

 

     SSSST has been in partnership with ORBIS International, USA since 2001. The partnership started with Hospital Based Programs (HBPs) and has mushroomed into a long standing association of assisting SNC to develop into a Rural Eye Care Institute par excellence.

 

SEVA, USA

     Seva Foundation, USA is a treasured partner of SSSST. Seva Foundation has been assisting SNC with technical support into building SNC’s potential as a Centre of Excellence. Seva has been supporting the Adult Outreach activities along with training of ophthalmologists and mid-level personnel at Aravind Eye Care Systems to develop SNC as a Training and Learning Centre in Eye Care for Central India.

 

Aravind Eye Care System (AECS)

     AECS has been partners with SNC in sustainability development through numerous training programs in enhancing the qualitative output of eye care services. AECS shares a special vision for India with SNC, to remove avoidable blindness in India by 2020. AECS entered into a 5-year partnership with SNC in the year 2002 along with ORBIS International and Seva Foundation to raise the technical expertise in ophthalmology at SNC through intensive long and short term trainings of its ophthalmic team and developing SNC as a resource center. It has also assisted SNC in adopting cost-effective measures to effectively deal with large volumes of patients without compromising on quality of care.

 

Academy for Educational Development (AED)

 

     SNC entered into partnership with AED in the year 2007 for a unique initiative on Community-Public-Private partnership (CPP), a pilot concept for sustainable child eye care services. The project endeavors to target children ≤18 years of age for improving health seeking behaviour and creating a systematic database on health care needs. The State Government of Madhya Pradesh and Uttar Pradesh are joint partners in this initiative.  

 

Standard Chartered Bank

 

     SNC and Standard Chartered Bank entered partnership in 2008 for developing primary eye care infrastructure in the states of Madhya Pradesh and Uttar Pradesh. In line with the tenets of the VISION 2020 – the Right to Sight in India,  developing new Vision Centers are a key strategy to increase accessibility of eye care services in difficult to reach areas. This strategy forms the core crux of the project in partnership with Standard Chartered Bank. The project would cover 10 nodal sites of thickly populated semi urban towns in the two states of Madhya Pradesh and Uttar Pradesh which would form the outreach catchment areas of SNC. The selected districts for the Vision Centers include Satna, Panna, Fatehpur, Chitrakoot and Banda Districts.

 

Short Term Training Programs in Eye Care

 

     Sadguru Netra Chikitsalaya (SNC), a 350-bedded multi-specialty eye hospital, equipped with state-of-the-art equipments, performing around  75,000 eye surgeries in a year, invites applications for the various training programs, as mentioned hereunder.

 

     SNC’s objective is to develop and strengthen technical and professional skills of ophthalmologists, eye care managers, technicians and mid-level ophthalmic personnel. In order to build a pool of eye care professionals who will effectively contribute in delivering eye care services and addressing the challenge of blindness in India.