L V Prasad Eye Institute

Tej Kohli Cornea Institute

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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

About the Tej Kohli FoundationCurrently, 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.

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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.

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.

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.

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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.

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 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.

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.

Impact of the Eye Care Pyramid

Community needs determine development of Centres at all levels, especially at the secondary and primary levels.

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.

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.

LVPEI Pyramid of Eye Care

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LVPEI Network Map

KARNATAKAANDHRAPRADESH

Hyderabad

ODISHA

TELANGANABidar

Gulbarga

Bijapur

Bagalkot

Yadgir

Raichur

Koppal

GadagDharwad

Haveri

Chitradurga

TumkurChikballapur

Bangalore Rural

BangaloreKolar

RamanagaraMandya

Mysore

Chamrajanagar

Kodagu

Hassan

Chikmagalur

DakshinaKannada

Udupi

Shimoga

Belgaum

UttaraKannada

Malkangiri

Koraput

Nabarangpur

Kalahandi

Rayagada

Gajapati

Ganjam

Nayagarh

KhurdaPuri

Cuttack

Jagatsinghpur

Kendrapara

BhadrakJajpurDhenkanal

AngulBaudh

Kandhamal

Bargarh

Subarnapur

Sambalpur

Deogarh

Sundargarh

Keonjhar

Mayurbhanj

Balasore

Jharsuguda

Balangir

Naupada

Davanagere

Vijayawada

Bhubaneswar

Visakhapatnam

14

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(127)

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.

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Our Linkages

National Linkages

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Lin

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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 ServicesLVPEI 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 ComponentsIn 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 BankingThe 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.

EducationOver 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.

ResearchBasic 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 OutreachLVPEI’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.’

Cornea Service

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

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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.

The Joy of Sight

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.

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

Eye for a Tooth

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!

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LVPEI in the Media

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1.97 crore patients served

< 50% services provided free of cost, regardless of complexity

94 lakh+ outpatients treated

10 lakh+ surgeries conducted

1.28 lakh+ persons with irreversible blindness or low vision, rehabilitated

52,600+ donor corneas harvested

27,200+ donor corneas transplanted to needy patients

1000+ stem cell based reconstructive surgeries for damaged corneal surfaces

3,000+ villages provided direct service through secondary and primary care

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

1500+ research papers published

38+ PhDs awarded

28 Years of Excellence in Eye Care

Recognition The first major eye institute in India to

receive accreditation from the National Accreditation Board for Hospitals and Healthcare providers (NABH).

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.

Member of Commonwealth Eye Health Consortium.

LVPEI’s Vision Centre approach adapted by the Australian Government in its efforts to develop primary eye care in the Western Pacific region.

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.

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.

LVPEI’s Baush & Lomb School of Optometry (BLSO) adjudged ‘Best Optometry Institute in India’.

To know more about us, reach us at: T: +91 40 3061 2445/46 F: +91 40 2354 8271E: kar-communications@lvpei.orgwww.lvpei.org

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Hyderabad

Kallam Anji Reddy CampusL V Prasad Marg, Banjara HillsHyderabad - 500 034Telangana, India

Bhubaneshwar

PatiaBhubaneshwar - 751 024Odisha, India

Visakhapatnam

GMR Varalakshmi Campus11-113/1, Hanumanthawaka JunctionVisakhapatnam - 530 040Andhra Pradesh, India

Vijaywada

Kode Venkatadri Chowdary CampusTadigadapaVijayawada - 521 137Andhra Pradesh, India

L V Prasad Eye Institute

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