Nw2014 msics the_beginning05
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manual small incision cataract surgery, Prof. Sanduk Ruit's technique. - brief history - compare this technique to ECCE, Phaco
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Nw2014 msics the_beginning05
- 1. Manual Small Incision Cataract Surgery : The BEGINNING Nawat Watanachai Chiangmai University Hospital RCOPT 2014 Special Thanks to Associate Prof. Anuchit Poonyathalung, MD Aektet Chansue, MD Nawaporn Techamaneesathit, MD
- 2. MSICS : Why? effective and sufficient
- 3. Prof. Sanduk Ruit Prof. Fred Hollows
- 4. Prof. Sanduk Ruit 2006 Ramon Maysaysay Award 2007 Prince Mahidol Award 2007 Honorary Officer of the Order of Australia for service to humanity
- 5. Prof. Sanduk Ruit 2011 ‘Out of The Darkness’ Movies - Italian director Stefano Levi 2011 BBC documentary series Human Planet, episode 5 2014 Australian documentary dedicated to Fred Hollows
- 6. Nepal’s Eye Problem not enough eye docs no eye doc in the remote areas poor transportation system (esp in the mountainous areas) poor patients suffers the pts/ burdens to the family
- 7. 170,000 blind people 70% cataract +30,000 cataract blindness/ year 90% of blind population lives in remote areas 150 eye docs (1/ 189,000) 90% works in urban areas Nepal Ministry of Health Vision 2020, WHO Nepal’s Eye Problem
- 8. The Solution lower the price IOL surgical technique offer cataract Sx service to the remote areas surgical technique camp surgery eye doctors
- 9. The Solution lower the price IOL surgical technique offer cataract Sx service to the remote areas surgical technique camp surgery eye doctors
- 10. lower the price : IOL Prof. Fred Hollows problem : IOL from major manufacturers are too pricey solution : ask for special price from the leading companies
- 11. lower the price : IOL Prof. Fred Hollows problem : IOL from major manufacturers are too pricey solution : ask for special price from the leading companies FAILED!!!!
- 12. lower the price : IOL Prof. Fred Hollows problem : IOL from major manufacturers are too pricey solution : build their own factory!!!!
- 13. lower the price : IOL Prof. Fred Hollows AUS Prof. Ruit’s mentor visited Nepal in 1985 as a consultant to the WHO together with Dr. Sanduk Ruit set the goal of their lives to help the blinds
- 14. lower the price : IOL Prof. Fred Hollows Fred Hollows Foundation 1992 Fred Hollows IOL Labolatory Nepal Eritrea 1990 Australian of the year 1991 Companion of the order of AUS
- 15. lower the price : IOL Fred Hollows Foundation Fred Hollows IOL Laboratory 1994 opened computer-ctrl IOL prod. got SGS certification (UK) 1993 Prof. Hollows passed away
- 16. lower the price : IOL 1994 started producing rigid IOL (4 USD/piece) 2005 started producing foldable IOL >400,000 IOL/Yr >3.5M IOL approved supplier for IOL in WHO’s VISION2020 project on the way to produce hydrophobic IOL have their own eye drops factory
- 17. lower the price : IOL >70 Countries in which FHF IOLs are distributed Bangladesh Cambodia China Egypt Indonesia Iran Malaysia Mongolia Myanmar Pakistan Philippines Sri Lanka South Africa Thailand Vietnam
- 18. The Solution lower the price IOL surgical technique offer cataract Sx service to the remote areas surgical technique camp surgery eye doctors Prof. Sanduk Ruit MSICS
- 20. Cataract Sx Technique ECCE PE instrument/ price less more mobility more less time of Sx more less postop. pain/ astig. more less skill needed less more
- 21. Cataract Sx Technique ECCE PE MSICS instrument/ price less more less mobility more less more time of Sx more less less postop. pain/ astig. more less less skill needed less more less
- 22. Cataract Sx Technique MSICS instrument/ price less comparable to ECCE mobility more comparable to ECCE time of Sx less comparable to PE postop. pain/ astig. less in the middle between ECCE/PE skill needed less needs few adjustment from ECCE
- 23. How MSICS work? 1. conj peritomy 2. curved scleral tunnel 3. V-shape capsulotomy 4. move nucleus into the AC 5. nucleus extraction 6. cortex clean up 7. IOL insertion, remove capsule 8. close wound
- 24. How MSICS work? 1. conj peritomy 2. curved scleral tunnel 3. V-shape capsulotomy 4. move nucleus into the AC 5. nucleus extraction 6. cortex clean up 7. IOL insertion, remove capsule 8. close wound
- 25. How MSICS work? 1. conj peritomy 2. curved scleral tunnel 3. V-shape capsulotomy 4. move nucleus into the AC 5. nucleus extraction 6. cortex clean up 7. IOL insertion, remove capsule 8. close wound
- 26. How MSICS work? 1. conj peritomy 2. curved scleral tunnel 3. V-shape capsulotomy 4. move nucleus into the AC 5. nucleus extraction 6. cortex clean up 7. IOL insertion, remove capsule 8. close wound
- 27. How MSICS work? 1. conj peritomy 2. curved scleral tunnel 3. V-shape capsulotomy 4. move nucleus into the AC 5. nucleus extraction 6. cortex clean up 7. IOL insertion, remove capsule 8. close wound
- 28. How MSICS work? 1. conj peritomy 2. curved scleral tunnel 3. V-shape capsulotomy 4. move nucleus into the AC 5. nucleus extraction 6. cortex clean up 7. IOL insertion, remove capsule 8. close wound
- 29. How MSICS work? 1. conj peritomy 2. curved scleral tunnel 3. V-shape capsulotomy 4. move nucleus into the AC 5. nucleus extraction 6. cortex clean up 7. IOL insertion, remove capsule 8. close wound many need 0-1 stitch in most cases
- 30. The Solution lower the price IOL surgical technique offer cataract Sx service to the remote areas surgical technique camp surgery eye doctors
- 37. The Solution lower the price IOL surgical technique offer cataract Sx service to the remote areas surgical technique camp surgery eye doctors
- 38. Eye Doctors Tilganga Institute of Ophthalmology established in 1994 provide medical training in over 18 countries
- 39. Eye Doctors Tilganga Institute of Ophthalmology facilities Fred Hollows IOL lab Research department eye bank 18 outreach microsurgery eye clinics looking forward to built eye medication factory
- 40. Eye Doctors Nepal docs foreign docs from US, EU, Asia, Aus, Africa Programs Residency program 5X/yr, 3 yrs course Modular training programs, specific courses, 1-3 mths course fellowship, 1 yr course (VR, cornea) Exposure training programs medical students
- 41. The Solution lower the price IOL surgical technique offer cataract Sx service to the remote areas surgical technique camp surgery eye doctors
- 42. MSICS : Why?