Setting up a Keratoprosthesis Service in a tertiary care referral hospital in India

20 Pages·2006·0.99 MB·English

SSeettttiinngg uupp aa KKeerraattoopprroosstthheessiiss SSeerrvviiccee
iinn aa tteerrttiiaarryy ccaarree rreeffeerrrraall hhoossppiittaall iinn
IInnddiiaa
Radhika Tandon1, N Sharma1, J S Titiyal1, R B Vajpayee1,
Indu Singh2, Christopher Liu3.
1R P Centre for Ophthalmic Sciences, AIIMS, Delhi, India.
2Daljit Eye Hospital, Amritsar, India.
3Sussex Eye Hospital, Brighton, UK.
presented in part at the World Ophthalmology Congress, Sao
Paolo, Brazil Feb 2006
Radhika Tandon, R P Centre, AIIMS
AAIIIIMMSS :: MMuullttii--ssppeecciiaallttyy tteeaacchhiinngg hhoossppiittaall
aanndd tteerrttiiaarryy rreeffeerrrraall cceennttrree.. FFuunnddeedd bbyy tthhee
GGoovveerrnnmmeenntt ooff IInnddiiaa ssuupppplleemmeenntteedd bbyy
eexxttrraammuurraall rreessoouurrcceess ffoorr rreesseeaarrcchh..
Radhika Tandon, R P Centre, AIIMS
PPrriimmaarryy PPrroojjeecctt GGooaallss
Treat hitherto ‘untreatable’ corneal blindness
(cid:122)
Integrate with Eye Bank and Stem cell culture
(cid:122)
facilities
National and Regional Training Centre
(cid:122)
Radhika Tandon, R P Centre, AIIMS
SSeeccoonnddaarryy PPrroojjeecctt OObbjjeeccttiivveess
Evaluate success of different devices
(cid:122)
– in our hands with existing infrastructure
– in our patients with varied socio-economic and
educational status
Influence policy makers on decisions
(cid:122)
– allocate funds
– human resource development
– upgrade infrastructure
Radhika Tandon, R P Centre, AIIMS
DDeessccrriippttiioonn ((ssttaarrtteedd iinn 22000022))
Reviewed existing KPro devices
(cid:122)
Generated awareness among colleagues
(cid:122)
Approached relevant resource persons for
(cid:122)
– training
– provision of different designs of Kpro
100 East
West
0
Radhika Tandon, R P Centre, AIIMS
CCoommppeettiittiivvee AAnnaallyyssiiss
No ideal KPro available
(cid:122)
Strengths
(cid:122)
– willing trainers, devices available, devices
affordable, match our needs
Weaknesses
(cid:122)
– lack of awareness
– prolonged, complicated surgery
Radhika Tandon, R P Centre, AIIMS
CCoommppeettiittiivvee AAnnaallyyssiiss
For Eyes with ‘some tears’
(cid:122)
– Champagne Cork (Drs Daljit and Indu Singh) 5
– Boston KPro (Dr Claes Dohlman) 1
– Alphacor (Lions Eye Institute)
– Pintucci
For Eyes with no tears
(cid:122)
– OOKP (Christopher Liu) 3
– Pintucci
Radhika Tandon, R P Centre, AIIMS
TTeecchhnnoollooggyy && SSkkiillllss TTrraannssffeerr
TTrraaiinniinngg 22000022--22000033
Alphacor accreditation Feb 2002
(cid:122)
AAO IC Orlando Oct 2002
(cid:122)
Commonwealth Fellowship to learn OOKP
(cid:122)
Nov 2002-May 2003
Visit to Amritsar to learn how to implant the
(cid:122)
Champagne Cork device September 2003
Pintucci KPro video demo DOS 2005
(cid:122)
Radhika Tandon, R P Centre, AIIMS
TTeeaamm//RReessoouurrcceess
Cornea and Refractive Surgery Unit
(cid:122)
– Prof Rasik B Vajpayee
– Dr Jeewan S Titiyal
– Dr Namrata Sharma
Dental and Maxillofacial surgery
(cid:122)
– Dr Ajoy Roychowdhary
Radiodiagnosis
(cid:122)
– Dr Raju Sharma
Radhika Tandon, R P Centre, AIIMS
PPrroocceedduurreess && SScchheedduullee
Champagne Cork July - Sep 2004
(cid:122)
OOKP December 2004-March 2006
(cid:122)
Radhika Tandon, R P Centre, AIIMS