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Dr. K. Sivabalan, MS, DO.,
Medical Director,
K.G. Eye Hospital, Coimbatore. India
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Dr. Manoj Ramachandran, MS, DOMS.,
Chief Ophthalmologist,
K.G. Eye Hospital, Coimbatore. India
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Prof. V.R.Vijayaraghavan, MS,DO,FRCS,DNB
Director of Education,
K.G. Eye Hospital, Coimbatore. India
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Dr. T. Subramaniam, MS, DO
Senior consultant, Eye Department,
K.G. Hospital, Coimbatore. India
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Dr. D. Chandrasekhar, MS, DO.,
Past Medical Director
K.G. Eye Hospital, Coimbatore. India
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K.G. Eye Hospital is the Ophthalmology super-specialty clinic of K.G. Hospital and is a tribute to its founder and his desire to restore the invaluable boon of vision to the sightless. KG Eye Hospital's clinical expertise in Ophthalmology and sophistication of diagnostic and treatment procedures in make it a nationwide referral center for Eye Care needs.
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Located in the Health Care Campus at Saravanampatti, KG Eye Hospital delivers a full range of eye care services in a modern, comfortable setting. The hospital boasts of latest in technology in terms of Procedures and Equipment available like 3 M Echo rule Ocular scan, Wild Lietz Zoom Operating Microscope (Swiss) and the Takagi - Microscope (Japan).
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The hospital also enjoys advanced facilities like the Coherent YAG Laser, Meditech Argon Laser, Slit lamps and the Carl Zeiss FK 50 Stereo Fundus Camera for treatment. |
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The hospital provides a host of services like :
- General Ophthalmology
- Cornea Clinic
- Vitreo - Retinal Clinic
- Glaucoma Clinic
- Oculoplasty /Squint Clinic
- Orbital Surgery
- Intra Ocular Implant Surgery
- Day care IOL surgery with Phacoemulsification
- Refractive surgery
- Contact Lens Clinic
- Eye Bank
- Scan Facility
- Fundus Flourescein Angiography
- Yag Laser
- Argon Laser
- CT Scan/MRI Services
- 24-hour Lab Services
The Hospital also provides its services free of cost for the deprived under the Community Outreach Program in conjunction with Lions Club International.
I.DNB Ophthalmology programme
Objectives:
- To make a young medical graduate in to a good eye doctor
- To lay strong foundations of general ophthalmology in the minds of ophthalmic postgraduate doctors.
Methods:
A good doctor is one who is
- Knowledgeable
- Technically sound
- Empathetic to the patients
- Suave in communication
Our DNB ophthalmology programme is designed for this purpose. This is achieved by the following ways:
- Theory classes taken in an informal way, where interaction is encouraged.
- Variety of clinical cases seen at outpatient department guided by consultant
- Good surgical volume at the hospital ensures that a postgraduate will do a minimum of thousand cataract surgeries in three years
- Communication skills are honed by encouraging the postgraduates to present in clinical Meetings
- Weekly meeting on Saturday at multispeciality KG Hospital
- Monthly meeting in Coimbatore ophthalmic Association gathering
- Our consultants are role models for the younger generation
- Well stocked library and 24 hours internet available to the students
- Our postgraduates are encouraged to write ICO (International Council Of Ophthalmology) exams which is conducted in Madurai/Chennai centres annually in two parts.
II.Quality control in camps
1. Win-Win-Win Situation.
An eye camp must be a win win situation for management, patients and doctorsAims of an eye camp
To Select patients with operable cataract
To prescribe glass
- Presbyopia
- Simple refractive errors.
To treat minor ailments
- Conjunctivitis
- Hordeolum
- Acute Dacryocystitis
- Vitamin A deficiency
Refer complicated cases to base hospital
Operable cataract identification at eye camp
*Look for improvement with pinhole to rule out refractive errors
We should keep our eyes open to detect the following in cataract patients in camp and avoid taking them for surgery:
- Too ill patients
- Redness of eyes, discharge
- Ulcer in legs, eczema with secondary infection
- Fever
Ophthalmoscope should be used as much as torch at eye camps
- To look for density of cataract
- To look for fundus pathology
If the patients have any systemic problem
- Physician opinion should be obtained at the main hospital
- Patients should bring medicines and continue during preoperative period
- Cardiac patients should be taken up for surgery under anaesthetist's Supervision
Complicated cases are referred from eye camps to the base hospital asking the patients to come on Wednesday/ Thursday/ Friday
2. Screening at the base hospital
One day prior to surgery, patients are screened in the following ways:
- Fundus examination and grading of camp cataract cases
- CAT scan (case sheet scan) is done to scrutinize whether all the relevant investigations were completed; whether patients with systemic disease like SHT, DM are taking medicines and under control: whether physician opinion is required for any patients.
3. KSB's Star grading
Screening of camp cataract cases are done at the base hospital, one day prior to surgery. The cataract cases are graded according to the surgical skill required and the relevant stickers are stuck in the case sheet.
The stickers on the case sheet alert all the team members about the complexity of cases and mistakes are avoided.
KSB's Star Grading
* Uncomplicated well dilating cases With other eye poor vision due to cataract
*
* * Complicated cases, which require cautionWith other eye good vision ( phakic/ pseudophakic)
* *
Middilated pupil with Pseudoexfoliation
Mature Cataract
Nuclear cataract with good pupillary dilatation
Diabetes with good pupillary dilatation
* * * Complicated cases, which require extreme precautions
***
High - risk patients - One eyed
High Dexterity required cases
Hypermature- Morgagnian/ Shrunken - Cataract
Subluxated / Dislocated cataract
Middilated pupil + complication
NS III-IV
Pseudoexfoliation
Diabetes
Hazy Fundus View
Corneal haziness/ Significant Pterygium
Significant Asteroid hyalosis
Uncooperative patients
Head nodding/ Mental retardation
Congenital anomalies
Microphthalmos/ Coloboma iris
Associated serious disease
Systemic / Ocular eg glaucoma
VIP's refered by Lions/ KG /sponser's relatives
4. Seven steps to prevent wrong eyes getting operated
1. At camp site
: A coloured band is tied in the corresponding hand
2. Preparation of eye
: Should be done after verifying case sheet (ie cutting of eyelash)
3. Pre operative screening
: Check
4. OT receptionist
: Verify patient's name, eye investigations & pre op injections
5. Block at OT
: Verify and give
6. Assisting nurse
: Ask the patient's name, Verify the case sheet, Prepare the patient.
7. Doctor
: Verify the case sheet and start the surgery
III. KG Eye Hospital Functions
Community Ophthalmology Camps:
- Free cataract screening camps ( 7-8 camps/ week)
- Free school screening programme
- Special camps
- Diabetic screening camps
- Industrial screening camps
Free surgeries:
- Free cataract surgeries ( 70-120/ week)
- Free surgeries for poor rural children below 12 years ( Squint, congenital cataract etc)
Special laser: * YAG capsulotomy for aftercataract
Procedures * Argon Laser photocoagulation for diabetic retinopathy
At subsidized rates
Academic programme
- KGEH is recognised for DNB ophthalmology ( 2 primary & 2 post DO Candidates per year)
- 2 ½ year Diploma in ophthalmic care management course is offered with stipend for +2 passed girls.
- Recognized by Govt of India for ECCE/IOL & SICS training of Govt doctors
- 9 months ECCE/IOL - SICS surgical training for qualified ophthalmologists
State of the art equipments & expertise to manage common eye diseases
Phacoemulsification, Vitrectomy, Fundus camera, YAG & Argon lasers, Automated Perimetry to deal with common eye diseases are available.
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Articles
Motto:
Behind 9 months surgical training is:
‘Serve while you learn’
Behind a consultant at KG Eye Hospital:
Come, we will build institutions!
Instead of amassing personal wealth,
We will serve for the health of masses
While earning reasonably for our survival.
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| FREE CAMP STATISTICS ( as on 05/03/2010 ) |
| Year |
1995-2000 |
2001-03 |
2004-06 |
2007 |
2008 |
2009 |
2010 |
Total |
| Camps |
778 |
592 |
825 |
260 |
266 |
263 |
48 |
3032 |
| FREE Surgeries |
25930 |
22177 |
17608 |
4430 |
3949 |
3138 |
548 |
77780 |
| KG CRUSADE AGAINST CHILDHOOD BLINDNESS ( as on 05/03/2010 ) |
| Squint corre- ction |
Cataract Extraction with IOL |
Develop mental Glaucoma-surgery |
Retinal Detach ment surgery |
Laser -DCR |
Ptosis |
Dermoid Cyst Removed |
Misc |
Total |
| 32 |
28 |
1 |
2 |
3 |
5 |
1 |
1 |
73 |
| DNB Ophthalmology Programme |
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Number of candidates / year |
Qualification |
When to apply? |
Last date for joining the institution |
| Primary |
2 |
MBBS CET pass |
15th January
15th July |
15th February
15th August |
| Senior Resident/ Tutor/ Registrar |
2 |
DO |
15th January
15th July |
15th February
15th August |
- It was started in 1998
- DNB recommended monthly stipend given
| DOCTORS UNDERGOING TRAINING |
| Type of training |
Doctor's name |
Native place |
Duration of training |
Contact No. |
| POST DO DNB |
Dr. Heera Unnithan |
Coimbatore |
July'09- June'11 |
9943779779, 9489351356 |
| Dr. Sangeetha |
Karnataka |
July'09- June'11 |
90923 19177 |
| Dr. Sanjay Kumar Pandey |
New Delhi |
July’08- June'10 |
90036 77174 |
| PRIMARY DNB |
Dr. Banshree Dawda |
Mumbai |
July'09- June'12 |
96269 59703 |
| Dr. Samir Surathwalla |
Surat |
July'09- June'12 |
9944509081, 9364270903 |
| Dr. Divya Nair |
Mumbai |
July'08- June'11 |
97875 71589 |
| Dr. Panimalar |
Mumbai |
Jan'09- Dec'11 |
96262 15605 |
| ECCE-IOL & SICS |
Dr. Zosang Zuala |
Aizawl Mizoram |
Jan'10–Sep'10 |
09862493330 |
| Doctors who have booked for 9 months ECCE /IOL- SICS training |
| Name |
Native place |
Provisional date of joining |
| Dr. Tridib kumar Gogoi |
Assam |
April 2010 |
| Dr. Anshuman Rohit Tewan |
Jharkhand |
June 2010 |
| Dr. Hari Shanker Nag |
Bihar |
OCtober 2010 |
Dr. Balamurugan
(2 months SICS refresher) |
Chennai |
July 2010 |
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Since training programme is booked till December 2010,
application for training in 2011 will be received only after 30 th june 2010. |
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| DOCTORS WHO HAVE COMPLETED TRAINING RECENTLY |
| Type of Training |
Doctor's name |
Native Place |
Duration of training |
Contact No |
| One year Cataract surgery |
Dr. Sedhu |
Trichur, Kerala
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Aug ’08 -Aug ‘09 |
09947863263 |
| Dr. Archana Sedhu |
Trichur, Kerala |
Aug'08- Aug'09 |
09845356541 |
| 2 months ECCE/IOL refresher |
Dr. Rajesh Gorg |
Jind, Haryana |
June'08- Aug'08 |
01681 257914 |
| ECCE/IOL, SICS |
Dr. Lavlesh Singh Chandel |
Chithrakoot, Uttarpradesh |
Apr'07 - Mar'08 |
09345138488 |
| Dr. Hariramakrishnan |
Trivandrum, Kerala |
Aug ’08- April ‘09 |
09497004903 |
| Dr. Smitha Dilip |
Palghat, Kerala |
Aug ’08 -April ‘09 |
09843611594 |
| Dr. Lalit Gupta |
Indore, Madyapradesh |
May ’07-Jan ‘08 |
09826064914
09826546025 |
| Dr. Madan Mohan Rao |
Vijayawada, Andrapradesh |
Feb’08 – Nov‘08 |
09912274799 |
| Dr. Ashit Narayan Singh |
Hazaribag, Jharkhand |
Jun'08- Mar'09 |
09642496350 |
| Dr. Kirti Mane |
Mumbai |
Apr'09 – Dec'09 |
094366606341
09362199822 |
| Dr. Debaruba Dutta Roy |
Kolkatt |
Apr'09 – Dec'09 |
09942586327 |
| SICS |
Dr. George Jacob |
Cherthala, Kerala |
July ’07-Aug ‘07 |
0938727268 |
| DOCTORS WHO HAVE COMPLETED DNB RECENTLY |
| Name |
Native place |
Duration of training |
Contact No. |
Present place of work |
| Dr. J. Rajasekhar |
Shimoga, Karnataka |
June ’06 – June‘08 |
09480287186 |
Sankara Eye Hospital,Shimoga |
| Dr. Mongistha Acharya |
Calcutta, West Bengal |
2003 – 2006 |
09331 249700 |
Birla Aravind Eye Hospital, Calcutta |
| Dr. Rohan Sawant |
Mumbai |
Jan '06-Dec'08 |
9952356449 |
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| GOVT DOCTORS WHO HAVE COMPLETED TRAINING RECENTLY |
| Name |
Place |
Contact No. |
| Dr. M.P. Gopalika |
Jharkhand |
09431342100 |
| Dr. P.K. Ammini |
Kottayam |
- |
| Dr. Sharmil Gopal |
Kannur |
- |
| Dr. Mohammed Khalique |
Jharkhand |
- |
| Dr. Lakshman Mishra |
Uttar Pradesh |
- |
| Dr. Bijaykumar Patnaik |
Orissa |
09437104345 |
| Dr. R. Rekha |
Kollam |
0474-2713816 |
| Dr. Ravi Shankar |
Patna |
0612- 2536524 |
| Dr. Ghan Shyam |
Lucknow |
9415768495 |
| Dr. Dilip N. Dongre |
Karnataka |
9448035484 |
| Dr. Mej pal |
Haryana |
09896750865 |
| Dr. Bhuvana Jayapal |
Krishnagiri |
9443053290 |
| Dr. Pradeep Kumar |
Karnataka |
09972096967 |
| Dr. Nithyananda Nayak |
Karnataka |
0820- 2531634 |
| Dr. Anil kumar Verma |
Himachal Pradesh |
09418245047 |
| Dr. Rita Kumari |
Kottayam |
0474- 2794993 |
| Dr. B.Padmaja |
Karnataka |
0836- 2352539 |
Ten commandments for Government trainees:
- Doctors should join on the posted date
- For claiming TA,DA they have to give the copy of their train or flight tickets
- DA will be provided as per the guidelines of NPCB to the maximum of 60 days
- Sharing accommodation will be provided within the eye hospital
- Canteen is available within the campus. There are many eateries around KG Eye Hospital also
- 25 cases will be given to the doctor for surgical training. The training will be step by step approach. If any complications occur during the surgery the trainer will take over the surgery and complete the surgery
- The trainee should maintain the log book of the surgical cases done and submit it to the office at the end of the training along with the termination report
- The trainee is encouraged to discuss about the surgical training with the Medical Director, Chief ophthalmologist, Post graduates and fellows
- The trainee may attend academic classes and clinical discussion taking place at KG Eye Hospital
- They can use the library during office hours.
Fellow speak
13-03-2009
‘One step at a time’ approach & trainer’s support at every step resulted in my smooth transformation from zero experience cataract surgeon to ECCE to manual Phaco surgeon. The beauty of this training programme is that the patient’s vision and trainee’s self confidence are never compromised. Thank you very much KGEH team!
Dr. Ashit Narayan Singh, MS.
28-04-2009
Before attending this training programme, I was never able to complete a single cataract surgery. This was basically due to a premature conversion to SICS at a stage when I was not confident in ECCE itself. So I always needed the help of a senior surgeon for all steps, It was just not possible for me to learn multiple steps together and I used to suffer for each case. Here, I was taught a basic technique and then made a change one step at a time, which helped me become independent and has also given me sufficient confidence to tackle most varieties of cataract.
Dr. Hari Ramakrishnan.,DO,DNB,FRCS
18.05-2009
The best thing about this training programme is the smooth transition of a person like me who has done very few cases completely before joining here and now has become an independent surgeon. The training is the best that I can get because the confidence that is attained by the slow, methodical, one new step at a time approach is worth saying. Rather than training us to be a good surgeon, it is worth mentioning that Dr. K. Sivabalan considers each aspect of a trainee and guides us in a very meticulous way to become a good doctor who gives the best care to patients. And more over, I feel it as a comfortable environment to be a part of this team during my nine months training
Dr. Smitha Dilip, MBBS, DO
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Medical Director’s musings
Website updated
Satistical update : 05/03/2010
Major revision of content : 05/03/2010
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