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THE COLLEGE OFOPHTHALMOLOGISTS OF SRI LANKA
THE ANNUAL REPORT 2014
“Towards Eliminating Preventable Blindness”
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I am privileged and honoured to write this message as the
23rd president of the College of Ophthalmologists of Sri Lanka
to brief the events and work done in my tenure with great
success. The pillars of success are my council, members of the
College and the staff of the secretariat office, who worked
hard, throughout the year to keep everything well organized.
I appreciate the support given by the Ministry of Health, Vision
2020 Secretariat and other organizations to fulfill the targets
planned for this year.
PRESIDENT’S MESSAGE
I was proud to host the 23rd Annual Congress in collaboration with the 11th SAARC OphthalmologyCongress for the 3rd time in Sri Lanka in association with Colombo Retina Meeting at CinnamonGrand Hotel, Colombo. This international scientific congress bridges the SAARC ophthalmiccommunity together with advance scientific papers, presentations, live surgical workshops.The pre congress workshop on neuro-ophthalmology with excellent panel of international andlocal guest speakers held at Taj Samudra Hotel on 27th September 2014 was well attended.
We worked together as a team tirelessly to reach the goal of the theme, “Towards EliminatingAvoidable Blindness”. The activities initiated on prevention of childhood blindness andestablishing a registry for the blind will continue to progress. As the initial step 1st committeemeeting was held on 5th of December 2014 chaired by DGHS Dr. Palitha Maheepala and decidedto have the patients records at the Low Vision Clinic, National Eye Hospital, Colombo tostreamline the needs of visually impaired patients. The patients who have already registered atthe Social Service Department will be assessed and diagnosed by a consultant ophthalmologist.
This year under my presidency I was able to finalize the Guidelines for Vision Standards forDriving License and updated the ROP guidelines.
Under the Vision 2020 activities we were able to sign the MOU with Fred Hollows Foundation onBetter Vision Healthy Aging Program in Central Province and with Dialog Ataxia to fund theoptical workshop at National Eye Hospital, Colombo for issuing free spectacles for poor people.There were many cataract surgical eye camps conducted throughout the country. Glaucomalaunching programs and having a glaucoma desk at out patient departments were introduced inmany district hospitals.
As in previous years we had regular excellent academic workshops, monthly clinical meetingsto update the knowledge of our members of the College, post graduate trainees, generalpractitioners, medical officers in eye units, optometrists and ophthalmic nurses. Committee ofthe Glaucoma Interest Group organized two workshops on glaucoma for medical officers andophthalmic technologists.
The website was reactivated and the directory of the membership was updated.
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The Annual General Meeting is scheduled to be held on 14th December 2014 followed by annualcricket match, netball match with sports events for kids followed by dinner. This day is the lastday of the calendar of my tenure.
I am proud to say that the success behind the work done is due to sharing the ideas, workingtogether as a team and listening to the members to keep the professional body to its higheststandards. The credit goes to my council and the members of the College.
I pay my gratitude to the Advisors, Treasurer and the Council members for being with me andhelping in many ways to make all activities a success. I am very thankful to the President of theOrganizing Committee of XIIth SAARC Congress Dr. D. Wariyapola and The President of Associationof Vitreo-Retina Specialists of Sri Lanka Dr. Saliya Pathirana and the two Jt. Secretaries of theSAARC organizing Committee Dr. K. A. Salvin and Dr. Kapila Banduthilaka for their tremendoussupport given to make the Scientific Congress a reality.
I have no doubt that the success behind all the work done during my tenure is my two JointSecretaries and my heartfelt gratitude goes out to Dr. Pradeepa Siriwardana and Dr. DilruwaniAryasingha who worked hard to their maximum by devoting their precious time and energythroughout the year.
My sincere appreciation goes out to my administrative officer Ms. Samanmalee Wewalwalaand, Administrative Officer of Association of Vitreo-Retnia Specialists of Sri Lanka, Ms. KumariGunawardene for their untiring effort in coordinating the work. They were truly the live wiresbehind the activities carried out during the year.
Finally I pay my sincere gratitude to all the members of the College, nonmember societies andpharmaceutical companies for the unstinted support given to make this year a success.
My best wishes go to the incoming president and her council for the Year 2015.
Dr. Lalitha L. C. Senarath DO, MD(Ophth)
President,College of Ophthalmologists of Sri Lanka
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COLLEGE OF OPHTHALMOLOGISTS OF SRI LANKA
COUNCIL 2014
President: Dr. Lalitha Senerath DO, MD
President Elect: Dr. Damayantha Baminiwatte DO, MS, FRCS
Immediate Past President: Dr. D. R. R. Kodikara DO, MS, FRCS
Advisors (Past Presidents): Dr. Champa P. Banagala DO, MS, FRCS
Dr. Tissa Senratne DO, MS
Dr. Dushyantha Wariyapola DO, MS, FRCS
Dr. Binara Amarasinghe DO, MS, FRCS
Jt. Secretaries: Dr. Pradeepa K. Siriwardena DO, MS, FRCS
Dr. Dilruwani Aryasingha MD,FRCS
Jt. Editors: Dr. Mangala Gamage DO, MS, FRCS
Dr. Saman Senanayake DO, MS, FRCS
Treasurer: Dr. Deepanee Wewalwala MS, FRCS
Council Members: Dr. Charith Fonseka MS, FRCS, FRCOphth
Dr. Muditha Kulathunge DO, MS, FRCS
Dr. K. R. Dayawanse MD
Dr. Kaladevi Sivayoganathan MD
Dr. Ranmini Senaviratne MD
Dr. Madhuwanthi Dissanayake MD
Dr. K. A. Salvin MD, FRCS
Dr. Kapila Bandutilleke MD, FRCS
Dr. M. Malaravan MD
Dr. Kusum Ratnayake MD
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President:
SAO Colombo 2014Dr. Dushyantha WariyapolaDO, MS, FRCS
President:
College of Ophthalmologists of Sri LankaDr. Lalitha SenarathDO, MD
President:
Association of Vitreo Retina Specialists of Sri LankaDr. Saliya PathiranaDO, MS, FRCS
Advisor:
Dr. Upali MendisDO, FRCS, FRCOphth
Jt. Secretaries:Dr. K. A. SalvinMD, FRCS
Dr. Kapila BandutilakeMD, FRCS
Treasurer:
Dr. M. D. S. GunatillekeMD
Jt. Editors:
Dr. Mangala GamageDO, MS, FRCS
Dr. Maduwanthi DissanayakeMD
Committee Members:
Dr. Champa BanagalaDO, MS, FRCS
Dr. Charith FonsekaDO, MS, FRCS, FRCOphth
Dr. Muditha KulathungeDO, MS, FRCS
Organizing Committee of the XIIth Congress of theSAARC Academy of Ophthalmology
Dr. Saman SenanayakeDO, MS, FRCS
Dr. Tissa SenaratneDO, MS
Dr. D. R. R. KodikaraDO, MS, FRCS
Dr. Dharma IrugalbandaraDO, MS, FRCS
Dr. Imalka FonsekaMS, FRCS
Dr. Pradeepa K. SiriwardenaDO, MS, FRCS
Dr. Deepanee WewalwalaMS, FRCS
Dr. Binara AmarasingheDO, MS, FRCS
Dr. Damayantha BaminiwatteDO, MS, FRCS
Dr. K. R. DayawansaMD
Dr. Ranmini SeneviratneMD
Dr. Dilruwani AryasinghaMD, FRCS
Dr. Kaladevi SivayoganathanMD
Dr. Mirunalini KumaradasaMD, FRCS
Dr. Mangala DhanapalaMD
Dr. M. MalaravanMD
Dr. Aruna FernandoMD, FRCS
Dr. Kusum RatnayakeMD
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The council meetingsThere were nine council meetings during the year. The following important decisions weremade during these meetings.
• Submission of finalized guidelines for issuing driving licenses and ROP screening to theMinistry of Health.
• Establishing appointments for corneal and orbital specialists at the National Eye Hospitaland paediatric ophthalmologist at Sirimavo Bandaranaike Hospital, Peradeniya.
• Appointed focal point and sub focal point for cataract.
• All activities in the V2020 Programme to be conducted through focal points.
• Involvement of regional ophthalmologists as team leaders in V2020 activities.
• Appointed a committee to carry out the work to establish a register for the blind.
Meetings with the Director General Health ServicesThe Council had regular meetings with the DGHS to discuss matters pertinent to activities of theV2020 programme; the shortage of general ophthalmologists as well as ophthalmic technologistsin the Government Hospitals and appointments of sub specialized ophthalmologists in theMinistry of Health.
Academic activities:
1. Workshop for Primary Care Physicians
This was conducted on 23rd February 2014 at the Auditorium of the Teaching Hospital,Batticaloa, and was sponsored by the Primary Eye Care Programme of Vision 2020. Thefollowing lectures were delivered by Consultant Ophthalmologists.
• Common eye problems seen in the general practiceDr. J. D. Dias, Consultant Eye Surgeon, Teaching Hospital, Batticoloa
• Role of the primary care physician in the management of diabetic eye diseaseDr. J. D. Dias, Consultant Eye Surgeon, Teaching Hospital, Batticoloa
• “Is it a painful or painless condition?” – demystifying glaucomaDr. Pradeep Siriwardena, Consultant Eye Surgeon, DGH Ampara
• Paediatric eye disorders and prevention of amblyopiaDr. Mangala Gamage, Consultant Eye Surgeon, National Eye Hospital
• Current trends in the management of cataract and refractive errorsDr. Asela Hangilipola, Consultant Eye Surgeon, DGH Kalmunai North
• Role of the primary care physician in the management of ocular traumaDr. Lalitha Senarath, Consultant Eye Surgeon, BH Gampola
• Role of primary care physician in primary eye careDr. Pradeepa K. Siriwardena, Consultant Eye Surgeon, BH Horana
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2. Workshop on Glaucoma
This was organized by the Glaucoma Interest Group on the 02nd March 2014 at the Hotel TajSamudra, Colombo. The speakers were Dr. Ronnie Jacob Geroge and Dr. SathayanParthasarathi, Consultant Ophthalmologists from India. The following topics were covered.
• New trends in the management of glaucoma
• To treat or observe glaucoma suspects?
• How reliable are the nerve fibre layer analysis techniques in diagnosis and in follow upof glaucoma patients
• Trabeculectomy – my way – video presentations
Workshop sponsored by Allergen Pvt Ltd.
3. Workshop for Primary Care Physicians
This was conducted on 16th March 2014 at the Centre for Sight Auditorium of the TeachingHospital, Kandy. This workshop was sponsored by Sante Pharmaceuticals. The followingtopics were covered by Consultant Ophthalmologists.
• Role of the primary care physician in the management of diabetic eye diseaseDr. Praba Samarakoon, Consultant Eye Surgeon, TH, Kandy
• Developing vision rehabilitation services in Sri LankaDr. Saman Senanayaka, Consultant Eye Surgeon TH, Kandy
• GlaucomaDr. Champa Arukgoda, Consultant Eye Surgeon, BH, Kuliyapitiya
• Current trends in the management of cataract and refractive errorsDr. K. R. Dayawansa, Consultant Eye Surgeon, General Hospital, Polonnaruwa
• Diagnosis of common eye diseases using the torch and the ophthalmoscope Dr. Lalitha Senarath, Consultant Eye Surgeon, BH, Wathupitiwala
• Ocular manifestations of systemic eye diseases Dr. Tissa Senaratne, Consultant Eye Surgeon, Kandy
4. Workshop on Innovative Glaucoma Management Trends
The above workshop was held on two days, the 22nd and the 23rd of March 2014. The Workshopon the 22nd March (Saturday) was conducted from 6.30 p.m. to 8.30 p.m. followed by dinnerat Hotel Mahaweli Reach, Kandy. The Colombo meeting was held on the 23rd March (Sunday)from 9.00 a.m. -12.00 noon followed by lunch at Hotel Cinnamon Lakeside, Colombo. Theinvited guest speaker was Professor Tin Aung, MBBS, MMed(Ophth), FRCS(Ed), FRCOphth,FAMS, PhD(Lond), Executive Director, Singapore Eye Research Institute, Senior Consultantand Head, Glaucoma Service, Singapore National Eye Centre, Professor, Dept ofOphthalmology, Yong Loo Lin School of Medicine, National University of Singapore.
The meeting was sponsored by ALCON Ltd.
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5. Workshop for Nurses
This was held on the 27th April 2014 at Central Blood Bank Auditorium, Narahenpita from09.00 a.m. to 2.00 p.m. The lectures were delivered on the following topics by ConsultantOphthalmologists and this was sponsored by V2020 and Shazoo Pharmaceuticals.
Differential diagnosis of red eyeDr. Madhuwanthi Dissanayake
Medical and surgical management of glaucomaDr. Dilruwani Aryasingha
New developments in cataract and refractive surgeryDr. Saliya Pathirana
Maintenance of instrument and equipments in clinics and theaterDr. Kusum Ratnayake
Prevention of amblyopiaDr. Pradeepa K. Siriwardena
Prevention and management of eye injuriesDr. Lalitha Senerath
Screening for ROP
Dr. Dharma Irugalbandara
Diabetic retinopathy and managementDr. Aruna Fernando
6. Workshop on Glaucoma for Ophthalmic Technologists and Optometrists
The Workshop on Glaucoma for Ophthalmic Technologists and Optometrists was organizedby the Glaucoma Interest Group of the College of Ophthalmologists of Sri Lanka and washeld on 04th May 2014 at the Central Blood Bank Auditorium, Narahenpita.
The following topics were discussed.
How is glaucoma defined?What causes optic nerve damage in glaucoma?Why do people go blind from glaucoma? Dr. Imalka Fonseka
The normal optic discThe glaucomatous optic disc Dr. D. Wariyapola
Epidemiology of glaucomaImportance of IOP in glaucoma and its measurement Dr. Muditha Kulathunga
Over view of management of glaucomaInvestigations available to assist in the diagnosis andfollow up Dr. Dilruwani Aryasingha
This meeting was sponsored by Sri Lanka Optometrists Association, Vision Care (Pvt) Ltdand Eye Care Institute.
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7. Workshop on Low Vision
This workshop was held on the 01st June at the Centre for Sight Auditorium, TeachingHospital, Kandy.
The programme was as follows
Introduction to low vision – Dr. Saman Senanayake
Low vision network in Sri Lanka – Dr. Kapila Edussuriya
Low vision assessment – Mrs. Sudharma Liyanage
Prescribing low vision devices – Mr. Nagesh Vuppala
Recent advancements in low vision care – Dr. Damayantha Baminiwatte
Case discussion – Ms. Nirosha Marasingha
This was followed by lunch. Transport was arranged for participants from Colombo to Kandy.The sponsors were U & I Ceylon Pvt Ltd.
8. Workshop on Ophthalmology for Medical Officers in Eye Units
Workshop on Ophthalmology for Medical Officers was held on 29th June 2014 at Auditoriumof Medical Research Institute, Colombo 08.
The following topics were discussed.
Anatomy of the eye – Dr. Madhuwanthi Dissanayake
Pre-operative preparation of patients for eye surgeries – Dr. A. L. Dharmaratne
Management of glaucoma – Dr. Imalka Fonseka
Common causes of red eye and management – Dr. Muditha Kulathunga
Common paediatric eye problems and their management – Dr Mangala Gamage
Preoperative and post operative management of cataract patients – Dr. S. Pathirana
Assessment of a patient presenting with squint – Dr. C. A. B. Makuloluwa
Surgical retina – Dr. Mangala Dhanapala
Medical retina – Dr. Kapila Banduthilaka
Importance of screening for ROP – Dr. Hiranya Abeysekara
The workshop was sponsored by Alcon Ltd.
9. Workshop on Ocular and Orbital Trauma
This was held on the 27th July 2014 at Auditorium of the Central Hospital, Colombo 10.
The following topics were discussed
Surgical anatomy of the eye and ocular adenexae – Dr. K. A. Salvin
Initial Management of patient with multiple Injuries by:Dr. L. R. P. K. B. Udapamunuwa, Consultant General Surgeon, TH, Kandy.
Resuscitation of a patient with multiple Injuries – Dr. Vasanthi Pinto,Consultant Anesthetist, Senior Lecturer, University of Peradeniya.
This workshop sponsored by DIMO (Pvt) Ltd.
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Workshop on Surgical and Medical Retina and Refractive Surgery
This was held on the 24th August 2014 at Hilton Residencies, Colombo. The lectures were deliveredby foreign and local ophthalmologists. Following topics were discussed.
Anti VEGF molecules and their mode of action Dr. Charith Fonseka
Anti VEGF treatment in ARMD – Dr. Saliya Pathirana
Anti VEGF in surgical and medical retina – Dr. Mangala Dhanapala
Newer perspectives of ocular anti-infective – Dr. Amit Gupta
Small corneal lesions, big problems for premium IOL surgeons – Dr. Samar Basak
Non refractive corneal surgeries using the femto second laser – Dr. Amit Gupta
Pearls of dry eye management – Dr. Samar Basak
This workshop sponsored by Allergan Eye Care (Pvt) Ltd.
Academic Programme – 2014
The following Consultant Ophthalmologists conducted the Clinical Case Discussions and JournalClubs Meetings for the post graduate trainees.
Dr. A. L. Dharmarathne
Dr. Muditha Kulathunga
Dr. Mangala Gamage
Dr. Dushyantha Wariyapola
Dr. Charith Fonseka
Dr. Imalka Fonseka
Dr. D. R. R. Kodikara
Dr. C. A. B. Makuloluwa
Dr. Dilruwani Aryasingha
National Health Care Exhibition
The College of Ophthalmologists of Sri Lanka and the Director, National Eye Hospital and histeam participated at the above exhibition from 07th to 09th March 2014 at BMICH, Colombo. TheVision 2020 Secretariat supported this event by providing the health educational materials.Ajantha Pharma (Pvt) Ltd sponsored this event.
Medical officers from National Eye Hospital and Teaching Hospital, Kalubowila joined thisevent while, Nursing Officer Ms. Nadi Rajakaruna, Health Education Unit, National EyeHospital, Colombo with her team took leadership. Ms. Samanmalie Wewalwala coordinatedthe activities.
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The Annual Congress
Pre Congress workshop
A Pre Congress Workshop on Neuro Ophthalmology was conducted on the 27th September2014 at Hotel Taj Samudra, Colombo. This was conducted by the Guest Faculty Prof. Walter Jay(U.S.A.) Prof. Dan Milea (Singapore) and Dr. G. Ganapathy (India) and the Local FacultyDr. Padma Gunarathne, Consultant Neurologist and Dr. Champa Banagala. This workshop wassponsored by Vision Solution (Pvt) Ltd.
The XIth Congress of the SAARC Academy of Ophthalmology and the 23rd AnnualCongress of the College of Ophthalmologists of Sri Lanka and the Colombo RetinaMeeting 2014
The Joint XIth Congress of the SAARC Academy of Ophthalmology the 23rd Annual Congress ofthe College of Ophthalmologists of Sri Lanka and the Colombo Retina Meeting 2014 was heldat the Cinnamon Grand Hotel, Colombo from the 28th September to 01st October 2014.
The Ceremonial Inauguration was held on the 28th September 2014 at Hotel Hilton, Colomboand His Excellency Mahinda Rajapakse, the President of the Democratic Socialist Republic ofSri Lanka and Hon. Maithripala Sirisena, Minister of Health and the Attorney General of SriLanka Hon. Palitha Fernando were invited to grace this occasion as Chief Guest and Guests ofhonour respectively. Due to official commitments both the President and the HonorableMinister were unable to be present Dr. Palitha Maheepala, Director General of Health Servicesrepresented the Hon Minister of Health. Dr. Charith Fonseka, read the Message from HisExcellency Mahinda Rajapakse President of the Democratic Socialist Republic of Sri Lanka andthe message from Hon. Maithripala Sirisena, Minister of Health was read by Dr. PalithaMaheepla, Director General of Health Services.
Dr. Lalitha Senerath the 23rd President of the College of Ophthalmologists of Sri Lanka presentedher Presidential Address on the theme “Towards Eliminating Avoidable Blindness”.
Honory fellowship
Honory fellowship of the College of Ophthalmologists of Sri Lanka was conferred to Dr. ChampaP Banagala MS, FRCS, whose citation was read by Dr. Dilruwani Aryasingha MD, FRCS and Dr. C.A. B. Makuloluwa MS, whose citation was read by Dr. Nalin Rajakaruna MS, FRCS.
The Scientific Sessions were conducted from 28th September to 01st October 2014 and therewas a considerable number of members of foreign and local faculty. This included highlyadvanced guest lectures, symposia, live surgical workshop, optometry workshops, free papersand poster presentations.
The prestigious orations were delivered by
Prof. Keith Martin – The College Lecture“Stem cells for glaucoma”
Dr. R. Pararajasegaram – Dr. P. Sivasubramaiam Oration“Humanism in ophthalmic practice, achieving patient centered care, excellency and equity”
Prof. Mohomed Daud Khan – SAARC Oration“Obstacles and opportunities to the growth and development of SAARC Academy ofOphthalmology”
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Invited Guest Faculty
Prof. Frank Billson AustraliaDr. Jill Keefe AustraliaDr. S. Natarajan IndiaProf. Rajvardhan Azad IndiaDr. Alay S Banker IndiaDr. Manish Nagpal IndiaDr. Mahipal Sachdev IndiaDr. J. S. Titiyal IndiaProf. Mohan Rajan IndiaDr. Kalpana Narendran IndiaDr. D. Ramamurthy IndiaDr. J. C. Das IndiaDr. S. Narendran IndiaDr. Milind Naik IndiaDr. Amod Gupta IndiaDr. Rajesh Fogla IndiaDr. Rupal Shah IndiaProf. Namrata Sharma IndiaDr. Quresh B. Maskati India
Dr. Anand Pathasarathy IndiaProf. Nadeem H Butt PakistanDr. Haroon Awan PakistanProf. M. Daud Kahan PakistanDr. Adrian H Koh SingaporeDr. Ronald Yoeh SingaporeProf. Chee Soon Phaik SingaporeDr. Audrey Chia SingaporeProf. Dan Milea SingaporeProf. Donald Tan SingaporeDr. R. Pararajasegaram SwitzerlandProf. Keith Martin UKMr. Keith Barton UKMr. J. R. Ainsworth UKMr. R. Sampath UKProf. Stephen Kaye UKDr. David Mansfield UKMr. Walter Jay USADr. Gayan John Prakash USA
Local Guest Faculty
Dr. C. A. B. Makuloluwa
Dr. Saliaya Pathirana
Dr. Champa Banagala
Dr. C. Fonseka
Dr. Mangala Gamage
Dr. Dushyantha Wariyapola
Dr. Imalka Fonseka
Dr. Muditha Kulathunga
Dr. Saman Senanayake
Dr. Dharma Irugalbandara
Dr. Damayantha Baminiwatte
Dr. K. R. Dayawansa
Dr. Madhuwanthi Dissanayake
Dr. Dilruwani Aryasingha
Dr. D. K. Dias
Dr. Mirna Kumaradas
Dr. Amila De Alwis
Dr. Kusum Rathnayake
Dr. Kapila Edusuriya
Prof. Sujeewa Amarasena
Dr. P. Ginige
Dr. Rekaha Attidiya
Dr. Susie Perera
Dr. Madawa Chandratilake
Dr. S. P. I. De Silva
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A large number of pharmaceutical companies displayed their pharmaceutical products andsurgical instruments during the Sessions.
The principal sponsors of the Congress were
Platinum Sponsors Bauch & LombAlcon Sri Lanka
Gold Sponsors Dimo Pvt LtdVision Care Pvt Ltd
Silver Sponsors MervynsonsLenstech InnovationAllergan Eye CareAMONovartisState Pharmaceuticals Corporation
Bronze Sponsors U & I CeylonVasan Eye Care
Awards
The following awards were presented at the closing ceremony
Best Paper – Dr. Wathsala Wajirani
Best Paper (Senior Registrar) – Dr. Wathsala Wajirani
Best Paper (Junior Registrar) – Dr. T. Keragala
Best Poster – Dr. Nisala Atapattu
Best Paper on Glaucoma – Dr. Wathsala Wajirani
Best Trade Stall – Alcon Pvt Ltd
The Sri Lankan Night was an extravagant cultural event held at the Hotel Taj Samudra, Colombo.This was as a part of the SAO Colombo 2014. It was attend by a large gathering of local andoverseas delegates who enjoyed the rich cultural heritage and Sri Lankan cuisine.
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Activities in Collaboration with the V2020 Programme
Current Focal Points of Vision 2020
Dr. Palitha Maheepala – National Focal PointDr. Mangala Gamage – Focal Point for Childhood Blindness and Primary
Eye CareDr. Muditha Kulathunga – Focal Point GlaucomaDr. Saman Senanayaka – Focal Point for Low VisionDr. Binara Amarasinghe – Focal Point for Diabetic RetinopathyDr. Kala Sivayoganathan – Focal Point for Cataract
Sub Focal Points
Dr. Damatantha Baminiwatta – Sub Focal Point for Low VisionDr. Pradeepa Siriwrdana – Sub Focal Point for Primary Eye CareDr. Deepani Wewawala – Sub Focal Point for Diabetic RetinopathyDr. Lalitha Senarath – Sub Focal Point for GlaucomaDr. M. Malarawan – Sub Focal Point for Cataract
Low Vision Centers
Low Vision
A brief resume of activities for 2014 – “LOW VISION REHABILITATION PROGRAMME”Sri Lanka
Introduction
Low vision a discipline under the national V2020Programme of the Ministry of Health Services which cameinto effect in 2005 with the launch of low vision clinics inKandy / Colombo and Karapitiya and subsequently tenclinics were operative in the peripheries.
All these clinics are functional and the services are offeredto the beneficiaries at no cost basis. Subsequently theOT’s manning the LV clinics in Kandy and Colomboparticipated at two weeks residential LV programmes inHong Kong. The national low vision programme in additionwas merited with a recognition certificate by the LCIF,Hong Kong.
Four of the ophthalmic technologists are now ready toleave to Aravind Eye Hospital, Madurai, India to follow atwo weeks residential and a comprehensive trainingmodule. The second batch has been scheduled to followduring the first quarter of 2015.
BLINDNESS SURVEYInland wide blindness survey was conducted (by 66 clusters). Results of statistical analysis isbeing awaited.
Sponsored by Sight Savers International.
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Special Education Involvements
A concept paper has been agreed upon on principle by the Secretary, Ministry of Education torestructure the special education unit incorporating facilities for low vision students. In additionfour resource centers have also been agreed initially in Colombo / Kandy / Jaffna and Galle. TheNational Institute of Education (NIE) and the Special Education Unit would monitor the activities.
Counseling Programmes
A two day residential workshop was concluded in Kandy for ophthalmic technologists and nursingofficers on counseling of low vision clients.
Services
1. All the low vision centres were strengthened with low vision devices.
2. Twenty lap tops with special disabled friendly software features were dispensed to visuallyimpaired undergraduates through the sponsorship of the CSR scheme of the CommercialBank Ltd.
3. The Director of the Department of Social Services was integrated to offer services to the lowvision clients.
4. The President of the College of Ophthalmologists of Sri Lanka, Dr. Lalitha Senarath, hasinitiated a protocol to assess the visually disabled and blind in the community.
5. The community rehabilitation of the low vision client’s programme in SL has gainedrecognition worldwide and has been invited to chair the South Asia region. The main conceptof the chairmanship is to formulate a protocol, guidelines and consensus to standardize lowvision care and services to the WHO. The final agreement meeting has been scheduled for2015 in Rome.
NFP for LV services in SL (28th November 2014)
Counseling programme in Kandy for OphthalmicTechnologists / Nursing officers.
Donation of laptops to low vision undergraduates through the Sn. Manager, CSR
of Commercial Bank Ltd.
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Diabetes Retinopathy Screening Program
The diabetes screening program has been gaining momentum from its inception due to thelarge amount of diabetics been diagnosed by the clinics. The first phase of the program wasprimarily aimed at developing community awareness and was done with considerable successby Dr. Tissa Senaratne the focal person before 2013. This led to an unprecedented demand forservices and we initiated the treatment arm of the program. As you must be aware the very highcost of equipment has been a stumbling block for this component. An intense lobbying programwas implemented by us and we have been able to secure funding through the NGO’s andthrough funding available in other programs to equip some of the hospitals with state of the artequipment. Amongst them the Pasqual laser for the THK and the laser machine to Kalutara andRagama are worth mentioning. 18 clinics have now designated diabetic eye screening programand awareness programs at these clinics are underway.
Dr. Deepane has been instrumental in initiating a medical officer based training program forscreening at a pilot level and it has now been decided to extend to other regions. The FocalPoint together with representatives from the National Eye Hospital and Co-focal Pointsparticipated in the National Diabetic day walk and attracted attention to this emerging problemand offered eye care to the participants. As this report goes to the press a mass screening fordiabetic patients is operational at the Eye Hospital Colombo.
The following are some of the highlights of the program.
Opening of designate DR Clinic Kegalle
Date: 20/11/2014Day: ThursdayTime: 8.30 a.m.Place: General Hospital, Kegalle
Participants:
1. Dr. Deepani Wewalwala, Consultant Ophthalmologist
2. Dr. Kapila Edussuriya, Coordinator Vision 2020 activities
3. Dr. D. G. H. Nidanwaththa, Medical Officer
4. Dr. S. K. K. L. G. Wickramaarachchi,Medical Officer
5. Ms. Dinusha Samarasekara,Development Officer
6. Ms. Thilini Peiris, Programme Officer,Vision 2020
7. Ms. Shriyani Amaralatha,Programme Assistant, Vision 2020
8. Supporting staff
9. PatientsDR poster displayed outside the hospital.
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Diabetic retinopathy screening clinic launched on Thursday 20/11/2014 at 8.30 a.m. at the GeneralHospital, Kegalle, presided by the Dr. Deepani Wewalwala, Consultant Ophthalmologist, EyeUnit, General Hospital, Kegalle and the Dr. Kapila Edussuriya, Coordinator for Vision 2020activities.
Dr. Deepani Wewalwala briefing the supporting doctorsand the staff.
Formal procedure was started with thescreening a patient by Dr. DeepaniWewalwala. This clinic would functiondaily to screen diabetic patients. Theyare planning to conduct a special DRscreening clinic for the internal staff onevery Thursday. The clinic wouldfunction from 1.00 p.m. to 04.00 p.m.
One laptop and a dongle handed overto the Ms. Dinusha Samarasekera,Development Officer, Eye Unit and shewas mentored by Dr. Kapila. All thefiles, brouchers, posters and theinformation collection sheets handedover with the needed instruction. Allrecords are maintained through acentral monitoring system. Dr. Deepani Wewalwala screening a patient.
Dr. Deepani took keen interest in the activity and appreciated the resources. She briefed thesupporting doctors and staff regarding DR clinic works and advised them to do their level bestfor this purpose.
At the end Dr. Kapila had a brief discussion with Dr. Deepani and thanked her and her staff at theeye unit.
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Inauguration of Designated Diabetic Eye Screening Clinic at theNational Eye Hospital, 27/11/2014
A much needed service of providing a screening clinic was inaugurated at the Eye Hospital,Colombo in the presence of the Director, National Eye Hospital, FP for DR screening, FP forchildhood blindness and representing our primary donor CBM of Germany, Mr. Gunaseelan at2.00 pm at the Room Number 2 of the Eye Hospital.
The first patient was registered in the clinic bythe director and the screening was offered tothe public who were gathered there. A webbased entry system was introduced and Dr. KapilaEdussuriya gave a short training to the data entrystaff and the nurse in charge of quality assuranceMs Nadi Rajakaruna. It is planned that this servicewill continue with the support of the otherconsultants at EHC.
Dr. Binara Amerasinghe screening apatient.
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The main topics discussed were;
Proposed set up of the DR and refractionclinics which was conducted by Dr. RanjanieIlangakoon – MO, NCD.
MOH Training in DR Screening: Pilot Project Done in Kegalle
Date : 21 August 2014Timing : 9.00 a.m - 01.00 p.m.Venue : Teaching Hospital Auditorium, Kegalle
Resource Persons:
Dr. Deepani Wewalwala, Consultant Ophthalmologist
Dr. Kapila Edussuriya, Coordinator Vision 2020 activities
Dr. Pubudu Jayasekera – Consultant Physician – DGH, Kegalle
Dr. Ranjanie Ilangakoon – MO, NCD
Target Group/Participants:
Twenty two (22) Medical Officers.
Main Topics:
• Introduction on Vision 2020 and Low Vision Activities
• Essentials in Screening for Diabetic Retinopathy
• Proposed Set up of the DR and Refraction Clinics
• Diabetes and Eye
• Direct Ophthalmoscopy Steps
• Medical Management of Diabetes Mellitus
Objectives of the Training:
Upgrade MOHs’ knowledge on Screening for Diabetic Retinopathy.
Detail of Training:
Training of MOH in DR screening was held at the Teaching Hospital Auditorium, Kegalle. Trainingstarted with the lighting traditional oil lamp. Dr Kapila Edissuriya, Co-ordinator V2020, welcomedthe participants for the training and highlighted the aims of the training. He began the trainingproperly with a brief introduction of Vision 2020 and low vision activities. He briefly discussedimportance of screening and recording.
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Diabetes and Eye, Dr. Deepanee Wewalwala, Consultant Eye Surgeon, DGH, Kegalle.
Then there was a small break for tea and refreshments.
After the break Dr. D. Wewalwala covered the topic of Direct Ophthalmoscopy Steps.
Then facilitators guided participants through a practice session. From this session participantsgained the confidence of using DR screening equipments.
After the practice session Dr. Pubudu Jayasekera, Consultant Physician, DGH, Kegalle enhancedthe knowledge in Medical Management of Diabetes Mellitus of the participants.
Our chief guest was Dr. PalithaMaheepala, DGHS and focal person ofV2020 who put the entire problem inperspective by explaining the habitsof the urban man and his susceptibilityto diabetes. He went on to explainover weight as a problem andsedentary life styles and how it hadcontributed to a large extent indiabetes causing severe end organdamage. The problem of vision and itseffects were highlighted and whatsteps had been taken by the MOH incombating this problem. He com-
Media Seminar held on 26/11/2014A special media seminar was held on the 26th of November to bring about awareness of howdiabetes affects the eye and what should be done to prevent it.
A large number of journalists gathered at the Health Education Bureau on invitation as well asthe focal points in all the major intervention areas.
plimented the focal person, Dr. Binara Amerasinghe for taking along this program amongst allhis busy activities.
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Dr. Binara Amerasinghe addressed the gathering and explained the burden of the disease andpreventive strategies, while Dr. Deepanee Wewewala the sub focal point discussed the DiabeticRetinopathy Screening Program, Sri Lanka in detail. She also discussed the facilities madeavailable by this program to do screening for diabetic complications of the eye. Dr. CharithFonseka, representing the Vitreo-Retinal surgeons explained advanced care options in diabetesand the centers providing services. The final address was by Dr. Lalitha Senerath, PresidentCollege of Ophthalmologists who explained the role of the College in V2020 activities and theother blinding conditions which have an impact on the general population. An interestingquestion session followed by the joining on stage of focal person for cataract services Dr. KaladeviSivayoganathan.
Glaucoma Programme
Welcome speech by Dr. Rajmohan, RDHS.Lightening the oil lamp.
Glaucoma Awareness – Launching and MO Training
Eastern Province – We have already launched the glaucoma programme in four districts inEastern province.
Few photos of the launching programmes in Eastern Province are given here.
Trincomalee District
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Discussion on future activities with Dr. Muditha Kulathunga, Focal Point for Glaucoma.
Welcome speech by Dr. Satharmuhan, RDHS.
Addressing the audience by Dr. Muditha Kulathunga, Focal Point for Glaucoma.
Participants keenly listening.
Kalmunai District
The launching programme was conducted with Dr. Lalitha Senerath, Sub Focal Point for Glaucomaand the awareness programme for medical officers was conducted during February 2014 withhelp of Dr. Asela Hangilipola, Consultant Eye Surgeon at Base Hospital, Kalmunai North. Awarenessprogrammes for all PHIs and PHMs attached to MOH offices conducted by Dr. M Rizath, at AshrofMemorial Hospital, Kalmunai.
A mass screening programme for public was held to celebrate World Glaucoma Day 2014 inMarch arranged with the collaboration of district eye surgeons and eye units at BH, KalmunaiNorth.
Batticaloa District
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MO/GP training
2014 North Eastern Kalmunai LaunchingMOs trainingGPs and OTs trainingPHC StaffsScreening desks in OPDMonitoring & Evaluation
Batticaloa LaunchingMOs trainingGPs and OTs trainingPHC StaffsScreening desks in OPDMonitoring & Evaluation
UVA PROVINCE
The launching programmes launched in Uva Province in February 2014 and we have done thelaunching programmes in Badulla (06/02/2014) and Monaragala (23/02/2014) Districts.
1. Opening of Screening desks in OPDs
2. General Public awareness
World Glaucoma Week Celebration – Media Seminar
77 people participated in the media seminar on glaucoma.
Screening
A Glaucoma Screening Unit was established at the OPD, National Eye Hospital and many patientsare being referred daily by the clinics. One nursing officer is always at the Unit to help and guidethe public as well as patients who want to check eye pressure.
Awareness Programme
Stickers, Posters, Banners and Leaflets
200 caps were purchased for World Sight Day – 2013 to distribute among the public whoparticipated in the World Sight Day Walk on 10th October 2013.
3. Completion of 2012 glaucoma activities –
Galle – PHI/PHM training
Total, 46 PHIs and 281 PHMs were trained in Galle District.
MO/GP training
Matara – PHI/PHM training
Total, 34 PHIs and 244 PHMs were trained.
Contd.
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Trincomalee LaunchingMOs trainingGPs and OTs trainingPHC StaffsScreening desks in OPDMonitoring & Evaluation
Ampara LaunchingMOs trainingGPs and OTs trainingPHC StaffsScreening desks in OPDMonitoring & Evaluation
Uva Monaragala LaunchingMOs trainingGPs and OTs trainingPHC StaffsScreening desks in OPDMonitoring & Evaluation
Badulla LaunchingMOs trainingGPs and OTs trainingPHC StaffsScreening desks in OPDMonitoring & Evaluation
2014 Central Kandy LaunchingMOs trainingGPs and OTs trainingPHC StaffsScreening desks in OPDMonitoring & Evaluation
Nuwaraeliya LaunchingMOs trainingGPs and OTs trainingPHC StaffsScreening desks in OPDMonitoring & Evaluation
Matale LaunchingMOs trainingGPs and OTs trainingPHC StaffsScreening desks in OPDMonitoring & Evaluation
Contd.
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Date Activities Place No ofParticipants
23/1/2014 Glaucoma Launching At RDHS, Ampara 22
6/2/2014 Glaucoma launching At RDHS, Badulla 45
11,18,26/02/2014 Training programmesfor PHC staffs Kalmunai 287
11/2/2014 Training programmesfor PHC staffs At RDHS, Trincomalee 41
12/2/2014 Training programmesfor PHC staffs At RDHS, Trincomalee 63
13/2/2014 Training programmesfor PHC staffs At RDHS, Trincomalee 23
6/3/2014 Glaucoma Launching At RDHS, Monaragala 47
13/03/2014 Glaucoma Walk-2014 At National Eye HospitalTotal No of patientsScreened 481
No: of stickers pastedon vehicles 250
11/03/214 Paper Articles(Articles on Glaucoma Walk) Dinamina Newspaper
13/03/2014 Purchases cost of whitecaps for Glaucoma walk 300 caps
GlaucomaActivitiesSummarized
North Western Kurunegala LaunchingMOs trainingGPs and OTs trainingPHC StaffsScreening desks in OPDMonitoring & Evaluation
Puttalam LaunchingMOs trainingGPs and OTs trainingPHC StaffsScreening desks in OPDMonitoring & Evaluation
Contd.
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13/3/2014 Donating a hand heldtonometer To OPD, National
Eye Hospital 1
18/02/2014 Training programmesfor PHC staffs At RDHS, Batticaloa 201
19/03/2014 At RDHS, Batticaloa
18/03/2014 At RDHS, Batticaloa
25/04/2014 Glaucoma Launching At RDHS, Kandy 57
28/04/2014 Glaucoma Launching At RDHS, Matale
3/6/2014 Training programmesfor PHC staffs At TH, Ampara 150
26/6/2014 Glaucoma Launching At RDHS, Nuwaraeliya 48
24/7/2014 Glaucoma Launching At RDHS, Kurunagala 47
7/8/2014 Glaucoma Launching At RDHS, Puttalam 45
16/06/2014 Purchased 2ophthalmoscopes
15/8/2014 Training for MOs At Kadugannawa, Kandy 37
16/9/2014 Training programmes
for PHC staffs Kandy 180
Date Activities Place No ofParticipants
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Primary Eye Care Activities in 2014
• The refresher training of primary health care workers continued in Jaffna, Kalutara,Ampara, Batticaloa, Colombo.
• Community leaders training programme started in Kalutara, Colombo and Batticaloa.Community Leaders Training in Jaffna district will be started on January 2015.
• Teachers training completed in Colombo, Kalutara, Matale and Jaffna districts.
• School screening started in Matale district.
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• Screening of school children continued, total number of 78453 children were screened and5,495 provided with glasses. New project on Urban Eye Care started in Colombo district withthe support from Standard Chartered Bank specially for school screening and supply ofspectacles for needy children.
• Cataract Surgical Camp conducted in July 2014 at National Eye Hospital for needy people inurban slums in Colombo.
• Publication materials 26,689 Nos. (leaflets & posters) distributed island wide.
• Supported workshop for primary care physicians in Batticaloa.
S/N Activity Achievements
1 No. of Medical Officers trained 63
2 No of community leaders trained 69
3 No of teachers trained 653
5 No of children screened 78,453
6 No of spectacles provided to children 5,495
7 No of adults screened 36,375
8 No of spectacles provided to adults 2,466
9 Cataract Surgical Programme for needypeople in Colombo slums 152 patients
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Cataract programme
January1. School Screening Programme - Kurunegala2. Cataract Surgical Programme - Mullathivu
February1. School Screening Prgramme - Kurunegala2. Eye Screening Camp - Rakwana3. Teachers Training Programme - Kalpitiya4. Cataract Surgical Programme - Rakwana
March1. School Screening Programme - Kegalle2. Launching Monaragala Spectacle Programme3. Cataract Surgical Camp - Kilinochchi4. Cataract Screening Camp - Fisheries5. Eye Camp - Deniyaya6. Eye Camp Trincomalee7. Cataract Surgical Camp - Mullathivu8. Eye Camp - Welimada9. Cataract Camp - Kilinochchi10. Cataract Camp - Nuwaraeliya11. Eye Camp - Kalpitiya
April1. Teachers Training Programme - Polonnaruwa2. RMO Training Programme - CMB3. School Screening Programme - Kalpitiya4. Cataract Surgical Programme - Fisheries5. RMO Training - Kurunegala
May1. Teachers Training - Trincomalee (Muthur/ Kinnya)2. Teachers Training - Trincomalee (Kanthale/ Trincomalee)3. RMO Training - Anuradhapura
June1. Cataract Surgical Camp - Mullathivu2. Cataract Surgical Camp - Kanthale
July1. Planning Meeting - Spectacle Programme, Puttalam2. Sib Review Meeting
August1. Cataract Surgical Camp - Mannar2. Teachers Training Programme - Puttalam3. Cataract Surgical Camp - NEH Colombo4. Cataract Surgical Camp - Piliyandala5. Cataract Screening Programme - Fisheries
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September1. Teachers Training Programme - BH Puttalam2. Teachers Training Programme - Ananda Vidyalaya/ Joseph Vase Vidyalaya3. Cataract Surgical Camp - Kilinochchi4. Teachers Training Programme - Deraniyagala
October1. IAPB Review Meeting2. WSD celebration (media seminar/Cataract Screening, Walk)3. Cataract Surgeries Eye Hospital4. Eye Camp - Piliyandala
November1. Cataract Surgical Camp - Mullathivu2. Cataract Screening Programme - Anuradhapura3. Cataract Surgical Camp - Piliyandala
College OfficeMs. Samanmalie Wewalwala continues to function as the College Administrative Secretary.Refurbishments were done in the College office and a new desk top computer was purchasedin May 2014 utilizing College funds. The auditing of the College accounts continues to be doneby Hewage & Company, Chartered Accountants.
College Publications
The College published two issues of the College Journal (Volume 19 No. 2, 2013 and Volume 20No. 1, 2014) during the Annual Sessions this year.
Activities of the Glaucoma Interest Group
Dr. Dushyantha Wariyapola completed his one year tenure as the Chairperson of the GlaucomaInterest Group in February 2014. Dr. Imalka Fonseka was nominated the new Chairperson. TheGlaucoma Interest Group organized two workshops on glaucoma for Ophthalmologists as wellas a workshop for Ophthalmic Technologists and Optometrists.
The Glaucoma Session in the Annual Congress was also organized by the Glaucoma InterestGroup.
In addition, various teaching sessions for post graduate trainees were organized and conductedby the Glaucoma Interest Group.
The GIG is in the process of incooperating a link in the College website where the memberscould post the problems in the management of glaucoma for discussion and starting a hotlinefor the general public to make inquiries on glaucoma.
Another achievement of the GIG is obtaining prostaglandin derivatives for Government Hospitalswhich will soon be a reality.
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Module I Revision Course
The College has organized a revision course for candidates preparing for the OphthalmologyModule I examination this year as well. External lecturers from Universities of Colombo, SriJayawardenapura, Kelaniya and Peradeniya Medical Faculties as well as clinicians from differentfields participated as resource persons. The candidates appreciated this course very much andthe pass rates of Module 1 Ophthalmology exams increased over the past years, with 16candidates passing last year. This course was coordinated by Dr. Madhuwanthi Dissanayake andDr. K. A. Salvin for the year 2013.
For 2014 the revision course has just commenced with 69 participants and is being coordinatedby Dr. Madhuwanthi Dissanayake and Dr. K. A. Salvin and Dr. Kusum Rathnayake. The College isgrateful to the Director, Eye Hospital for providing the venue and appreciates the support givenby the administrative staff of the College in arranging and conducting these lectures.
Social Events
Annual Trip
The members and their families participated in the annual trip on the 9th November 2014 andthe venue this year was Jetwing Blue Hotel, Negombo. Transport was arranged for theparticipants from both Colombo and Kandy.
Appreciation Night
The organizing committee of SAO 2014 held an appreciation night for all the sponsors of SAO2014 at the Curry Leaf, Hilton Hotel, Colombo on the 12th of October 2014. Awards were presentedto sponsors.
Annual Cricket Match
The annual cricket match and the sports day will be held on the 14th December 2014 after theAGM. The members of the College, their families and the members from the pharmaceuticalsector will be participating. This will be held at the Health Ministry Grounds in Colombo from1.00 p.m. onwards. There will be a netball match and various activities for children and the daywill end with dinner.
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AcknowledgementsI take this opportunity to thank
• The President and the Organizing Committee of the XIIth Congress of the SARRC Academy of
Ophthalmology.
• The President and the Council of the Association of Vitro Retina Specialists of Sri Lanka.
• Dr. Pradeepa K. Siriwardena and Dr. Dilruwani Aryasingha the Joint Secretaries of the College.
• Dr. Deepanee Wewalwala, the Treasurer to the COSL
• Advisors and the Members of the Council.
• College Office Staff, Ms Samanmalie Wewalwala the Administrative Secretary and Mr. Silva,
Mr. Upali and Mr. Lakmal.
• Director General Health Services and the Ministry Officials.
• Director and Staff of the National Eye Hospital, Colombo.
• Staff of the V2020 Secretariat.
• All Sponsors.
Printed by Ananda Press, Colombo.