The Tej Kohli Cornea Institute (TKCI) was founded in partnership with the L.V. Prasad Eye Institute in Hyderabad and its medical team, represented by Dr Virender Sangwan. The Tej Kohli Corneal Mission is to further invest in the research of new materials, including their application techniques, to eradicate corneal blindness in India. The Tej Kohli Cornea Center will also explore revolutionary medical advances and their wider application across the field of ophthalmology.
For more information on the opening of the Tej Kohli Cornea Institute, visit http://kohliventures.com/news/ophthalmic-cornea-institute/.
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Tej Kohli Foundation funds world-class Tej Kohli Cornea Institute at LVPEI
1. L V Prasad Eye Institute
Tej Kohli
Cornea Institute
2. 2
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 Foundation
Currently, 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.
3. 3
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.
4. 4
VisionGuardiansareatthebaseofthepyramidandrepresent
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
careinthedistrictsandvillagesofAndhraPradesh,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
5. 5
LVPEI Network Map
KARNATAKA
ANDHRA
PRADESH
Hyderabad
ODISHA
TELANGANA
Bidar
Gulbarga
Bijapur
Bagalkot
Yadgir
Raichur
Koppal
Gadag
Dharwad
Haveri
Chitradurga
Tumkur
Chikballapur
Bangalore Rural
Bangalore
Kolar
Ramanagara
Mandya
Mysore
Chamrajanagar
Kodagu
Hassan
Chikmagalur
Dakshina
Kannada
Udupi
Shimoga
Belgaum
Uttara
Kannada
Malkangiri
Koraput
Nabarangpur
Kalahandi
Rayagada
Gajapati
Ganjam
Nayagarh
Khurda
Puri
Cuttack
Jagatsinghpur
Kendrapara
Bhadrak
JajpurDhenkanal
Angul
Baudh
Kandhamal
Bargarh
Subarnapur
Sambalpur
Deogarh
Sundargarh
Keonjhar
Mayurbhanj
Balasore
Jharsuguda
Balangir
Naupada
Davanagere
Vijayawada
Bhubaneswar
Visakhapatnam
14
1
(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.
8. 8
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 Services
LVPEI 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 Components
In 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 Banking
The 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.
Education
Over 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.
Research
Basic 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 Outreach
LVPEI’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
9. 9
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!
11. 11
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’.