Source: 
http://www.thehindu.com/todays-paper/tp-national/tp-kerala/article2610932.ece

Thiruvananthapuram, November 9, 2011

The wisdom in his vision
Staff Reporter
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Young doctors should never lose their fascination for the profession
or stop dreaming because it will make all the difference in their
professional life in the years to come, according to Sanduk Ruit,
eminent ophthalmic surgeon from Nepal and 2006 Magsaysay award winner
for his mission to provide sight to millions through affordable
cataract surgery.

Dr. Ruit was addressing a gathering of students and faculty at the
ongoing Erudite Conclave, organised by the 2005 batch of MBBS students
of the Medical College Hospital, Thiruvananthapuram here on Tuesday.

Dr. Ruit spoke about how he had taken the complex cataract surgery,
modified and simplified it so that it could be performed easily, with
excellent results, even in the most rustic of settings.

In the late 80s most cataract surgeries in developing countries were
performed without the implantation of the intraocular lenses (IOLs).
It left the patient with very thick lenses, which were practically not
very functional because there was no peripheral vision and several
other complications. The cost of IOLs – about $100 — was one of the
main factors which made cataract surgery unaffordable to most.

Along with Fred Hollows, an Australian surgeon and Dr. Ruit's mentor,
he dreamt of producing inexpensive IOLs in this part of the world. It
took them seven years and in 1992, they set up the first unit for
manufacturing IOLs in Nepal, managing to bring the cost of the IOLs to
just $15. With the increase in volume, the cost of the lens could be
brought down to under $4. In 1994, he started ambulatory surgeries
(surgeries which do not require overnight hospital stay by the
patient). In the late 90s, he initiated the small incision cataract
surgery.

“In the late 90s, I had a good offer from Australia. I decided to stay
back in Nepal. It was a great choice. While working in the North East,
watching the joy of a woman who had seen her baby for the first time
after the eye surgery, I realised that this joy I could give others is
what keeps me going,” he said.
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