Source: 
http://www.thehindu.com/news/states/tamil-nadu/article2590906.ece?homepage=true
CHENNAI, November 2, 2011
How a simple surgery busted a village myth
Ramya Kannan
Dr Mohan Rajan, chairman, Rajan Eye Care Hospital, during an interview
with The Hindu in Chennai on Monday. Photo: R. Ravindran
The Hindu Dr Mohan Rajan, chairman, Rajan Eye Care Hospital, during an
interview with The Hindu in Chennai on Monday. Photo: R. Ravindran

This is a story about three little children who could see again. About
a decade ago, during an eye camp conducted at a village in the border
of Andhra Pradesh and Tamil Nadu, villagers brought to the doctors
three children of one family who had sub-normal vision, deteriorating
at that. The children — two boys and a girl — were very young, the
oldest under five years old, and were confined to their home because
of the vision impairment.

The village believed the family was cursed and that the children would
be blind for life. The doctors, however, diagnosed it to be a case of
congenital (pre-senile) cataract brought on by their parents'
consanguineous marriage (marrying within close relatives), easily
remedied with simple surgeries. The children were taken to Rajan Eye
Care hospital here and post-surgery, the three little children could
see again.

“The whole village landed up at the hospital to thank us. They were
amazed the children could see; they thought it was miraculous. It was
also a turning point as the attitude of the villagers changed and they
began to believe in the possibilities of medical solutions,” Mohan
Rajan, Chairman & Medical Director, Rajan Eye Care Hospital, says. It
was the hospital's team of doctors, working along with an Australian
organisation Equal Health, that had performed the ‘miracle.'

“Ever since, our emphasis has shifted on to preventing blindness in
the young. If you consider a child, or an adolescent, there is a loss
of 33 working years, and there is a huge burden on the community,
family and the government,” Dr. Rajan adds.

The figures are sobering. India accounts for one-fourth of all
blindness in the world. Among the reasons for this are: malnutrition,
vitamin deficiency, and rising incidence of diabetes. Of the 20
million people who are blind in India, about 2-2.5 million are
children and the main causes among them are congenital in nature (due
to consanguineous marriages), injuries, infections, and Vitamin A
deficiency.

Considering the magnitude of the problem, clearly the government can
scarcely be expected to provide all the solutions. Ophthalmology,
particularly, is one area where the role of the private and voluntary
sector has proven to be necessary and, so far, efficacious.

It is to address these issues of prevention, and early intervention
that the hospital has launched its Blind Free India project.
“Hitherto, the strategy has been to screen cataract in the villages,
and bring the senior citizens into cities for the surgeries. We are
now considering a holistic approach through rural outreach itself. We
will not only screen for cataract, but also glaucoma, diabetic
retinopathy, vision impairment and incorporate a spectacle-making
unit, all within the confines of a van, equipped with diagnostic and
tele-communication gadgets,” he explains. Key to the implementation of
this scheme is Netravahana, a mobile service that intends to take free
tertiary eye care to the door step of rural folk. Funded by Cognizant
Foundation, Amritraj Foundation, and Rotary International, apart from
the hospital's trust, it will traverse a radius of 150 km from
Chennai. The target is to cover about 10 million people during the
first phase of the project over the next three/four years. It can also
provide minor laser-based treatment procedures within the van itself.

The van will also be responsible for undertaking awareness and
communication activities about the facilities, avoiding and taking
care of injuries and infections, controlling blood sugar levels and
even retarding the development of cataract.

Comments to : [email protected]   Copyright © 2011, The Hindu

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