EFH s Femto Laser Center opens in V/I.

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1 EFH/ABIA SG. Capacity building and strategic planning for Abia State s eye care project. Page 3 HCI UPDATE 1st-2nd Quarter Report of the EFH/ HCI Partnership. Pages 4 5 Profile Medical Director, Eye Foundation Hospital, Ikeja. Page 7 EFH GroupNews June All the news that fits Volume 1 Number 2 - August EFH s Femto Laser Center opens in V/I. Over 25 successful surgeries in two days. Odiley Festus The 21st of July began like every ordinary day but for those in the Eyecare sector it was a day of history as it was the day the Femto Laser technology was introduced to Sub-Saharan Africa through the Restore Vision International Femto laser Lasik Centre in Lagos Nigeria. Dr. Asharaf Bassiouni and Dr. Moones Fathi Abdelrehim were guests of the Restore Vision Centre between July 21 to 1st of August Dutrring this time their visit was part of the events that led to the successful set up of the Restore Vision Centre in 22 Idowu Taylor Street, Victoria Island, Lagos Nigeria The surgeries were carried out by Dr. Moones and Restore Vision Centre Ophthalmologists from the Eye Foundation Centre who had earlier undegone training in Femto Laser technology outside the country. Their visit also had a lecture delivered by Dr. Moones Fathi Abdelrehim at the Bruce Spivery Auditorium as the Eye Foundation Hospital at 27 Isaac John Street, Ikeja G.R.A Lagos on Tuesday 29th July The topic was titled: An overview of Refractive Surgery The Femtosecond Laser Experience. The invited guests were introduced into the indices and advantages of the new femto laser technology and was well attended. Dr. Moones explained that the technology was the latest technology anywhere in the world and was guaranteed to cure eyecare challenges through surgery without the aid glasses. All attention was moved to the Restore Vision Laser Lasik Vision Centre where surgeries took place on patient s queueing up and having their surgeries performed by the combined team of Dr. Moones and The Restore Vision Nigerian Team ophthalmologists. At the end of the surgeries many patients were marveled that what was once regarded in wishful thinking meaning the possibility to see without glasses was not possible and affordable here in Nigeria. Over 25 patients had their surgeries at the Restore vision Centre and all were successful. Photo: CHIMEX STUDIOS News in Brief CONs Training. On the 8th of May, 2014, Friends of Vision (FOV) and Community Ophthalmic Nurses (CON) gathered at Eye Foundation Centre, Ijebu for meeting. Participants came from all the major divisions of Ogun State (Remo, Ijebu, Yewa and Egba) for update on their activities, challenges as well as training for the FOVs and CONs. Fellowship Training This quarter, three visiting doctors undergoing training especially in the areas of machine handling and procedures. Alfred Sommers Visit The Team of Prof. Alfred Sommer (of the Johns Hopkins Bloomberg School of Public Health) and Mr. Ganesh Babu and Dr. R. D Ravindran of the Aravind Lions Institute of Ophthalmology were our guests as they were in the Lagos and Ijebu centers of the Hospital to meet and train the fellows of the Hilton Cataract Initiative. The visit was a part of the assessment of the Hilton Cataract Initiative which was to see a large number of cataract surgeries performed by 5 selected fellows from Eye June-August 2014 EFH GroupNews 1

2 News in Brief continued Foundation team. Their visit in Nigeria was from 27th June- 1st July. They also particpated in the Eye Camps held Ogun State and our Ijebu Hospital in Ijebu-Imushin. The visit which spanned two locations namely the Isaac John Head office and the Ijebu Centre. Prof Sommer was very impressed with his first visit to Nigeria and he remarked that the professionalism and hospitality of the Eye Foundation Team members for exceeded his expectations. He promised to try and make more visits in the nearest future. HCI onsite visit and Workshop in Nairobi The Eye Foundation Centre team were in Nairobi, Kenya for an onsite visit and workshop put together by the HCI and LA- ICO team to assess work done so far by the partner hospitals for the Hilton Cataract Initiative. Presentations were given by the participants, assessments were made, challenges were raised and tackled and action plans were drawn for a more effective implemmentation of the project. EFH GroupNews A quarterly newsletter of the Eye Foundation Hospital Group Editor: Festus Odiley Design: Fatimah Sanni Photography: Eugene Etim, Paul Nwagala, Chimex Studios. Resource persons: Dr Tayo Bogunjoko, Dr Olufemi Oderinlo, Ebokpo- John, Eunice Ogunkelu, Paul Nwagala. Editor smessage Greetings from the Eye Foundation Newsletters desk. It feels great to have another edition of our Newsletter out again and it is wonderful you are also reading it. This edition received so many stories we had to bring out the very best for your infotainment. Top story of the Newsletter is the revolution of Eyecare in sub-saharan African with the Launch of the Restore Vision Femto Lasik Centre here in Lagos Nigeria. The value of this new service delivery has revolutionize the very future of Eye care globally. I hope you share our excitement when you do get to read all about this wonderful procedure. We also have the usual titbits and stories from other centers as well. Notably we as a healthcare provider cannot ignore the ominous threat of the Ebola Virus which has resulted in the death of hundreds of people spanning the coasts of Liberia, Sierra- Leone, Guinea YourLetters It is a season of giving... Too bad that the hospital has all along been taking from patients and not giving back. This is the season of giving, the hospital at least can give their customers either Calendar or Diary. Thank you. Mr. O.A. Adeoye Dear Mr Adeoye, Thanks for your contribution, we distributed diaries and souvenirs at the beginning of the 2014 year, sorry it didn t get to you but these are done at the end and beginning of any new calendar year. we hope you are lucky next time we give out diaries. Regards, Editor and Nigeria. The spread of this deadly virus has put the world at alert. Never at any other time have people have been so scared of a virus with no accepted standard care or treatment. We have put in an article to further enlighten our readers on how to avoid the spread of the EBOLA virus. We hope you find this educative as well. I also want to acknowledge the efforts of the Eye Foundation Team for making this possible with their contributions. As for me and my team, we say happy reading and keep using that hand sanitizer for clean hands every day. Odiley Festus Ozeigbe, (Corporate Communications). **Please send in your letters to the Editor via letters@eyefoundationhospital.com or kindly drop them in any of our suggestion boxes in any of our branches** 2 EFH GroupNews June-August 2014

3 Strategic partnership to promote skill transfer. Photo: DR TAYO BOGUNJOKO The Abia Team at Eye Foundation Hospital, Ijebu. EFH partners with ABIA STATE. Head of Departments visit Eye Foundation. Festus Odiley, Eunice Ogunkelu The Eye Foundation Team was in Abia state as part of capacity building partnership agreed by Eye Foundation Hospital Group and Abia State Eye Center. The Eye Foundation Team was in Abia State between 24th to 28th June, The three day strategic meeting was an opportunity for Dr. Adekunle Hassan and the Eye Foundation Team to synergize with the Abia State Team Led by Pof. Augustus Mbanaso, Chief Medical Director, Dr. Chima Anya, Head Ophthalmologist Abia State Eye Center and his team. The Abia state Eye center was the venue of the meeting as an inspection of the facilities and staff procedure. Mrs. Halimat Bogunjoko trained the nurses on the ethic and standards of the theatre and nurses conduct and etiquette. The optical department and other areas were addressed in a meeting with the commissioner of Health and the Chief medical director in attendance. The meeting ended with both parties agreeing to continue to work together to achieve the goal of the partnership which is to train the needed manpower to effectively provide quality eyecare service to the people of the South East. The four day meeting witnessed Eye screening and surgeries with the Eye Foundation and Abia State Team working together to have 100 cataract surgeries performed. It was a wonderful experience as many patients who had lost hope of ever seeing were surprised that after a surgery of 20 minutess they were able to see and appreciate the wonders of nature. Some broke down in tears of appreciation. The meeting was part of the series of capacity building a partnership with Eye Foundation to help Abia State build a world class Eye Facilty that would cater for the eyecare needs of the south eastern part of the country. Prior to this meeting, key staff from the newly founded Abia Eye Centre were guests of the Eye Foundation Hospital on a capacity building training. The training which commenced on the 19th of May 2014 lasted nine days officially coming to an end on the 27th of same month. The trainees which include an Ophthalmologist, Optometrist, Accountant, Matron, Admin officer, IT personnel, Ophthalmic nurse and an Opthalmic techinician were taken through all the processes required to run an eye clinic successfully by various heads of departments. There were sessions for group work, where individuals went to their various departments after each days training and meetings. Lecture materials/ power points were given to individual members of the Team, including a book titled Ophthalmic Assistants Textbook. Protocols for each unit were handed over to Dr Anya Kalu(Ophthalmologist). On the last day, the Team was addressed by Dr O. Oderinlo and Dr O. Okonkwo who encouraged them to let all they have learnt be part of them as they start up their Clinic. June-August 2014 EFH GroupNews 3

4 HCI UPDATE Understanding Femto Laser. What is Femtosecond LASIK? The Femto second laser is a technique used to perform the first step in lasik creating a corneal flap preparing the eye for the second step, where an Excimer laser is used on the cornea to correct refractive error and improve vision. How does Femto laser work? The Femto second laser uses tiny, very rapid pulses of laser to create a corneal flap. Each pulse of laser passes through the layer of the cornea and forms a microscopic bubble at a specific depth and position determined by the doctor, creating a uniform layer of bubble beneath the corneal surface. The doctor creates a corneal flap by gently separating the tissues where those bubbles were formed. The corneal flap is folded back so the doctor can perform Ezcimer Laser treatment that can also be customized to the person s own cornea. What is the difference between a corneal flap created with femto second laser and one created with microkeratone? The Microkeratome is a handheld instrument, which moves back and forth to create a cut in the cornea. A microkeratome is only capable of making a single, one dimensional cut across the cornea. PHOTOS FROM THE CAMPS: On the other hand, the femto second laser creates a precisely positioned layer of bubbles beneath the surface of the eye thus creating a smooth surface after the flap is lifted. Are there other benefits of the femto second lasik? There are several benefits to INFOGRAPRAHIC by fatimah SANNI 4 EFH GroupNews June-August 2014

5 using the femto second lasik including: Safety: As there is no actual cutting of the corneal, but only a layer of gas bubbles, no damage occurs if the procedure has to be aborted at any stage. The procedure can be reapplied either during the same session or after few minutes. If the surgeon decides to postpone the procedure, the gas bubbles are absorbed and the patient returns to normal in few hours.whose diet are rich in these antioxidants have a much lower risk of developing AMD. Accuracy: The surgeon can determine with a range of only few microns, the exact thickness of the flap. This allows the surgeon to correct higher errors in patients with thin corneas and yet maintain a safe residual thickness of cornea. Ability to tailor the procedure to your eyes: The femto second lasik gives your doctor the ability to tailor the dimensions of the corneal flap based on whats best for your eye. Everything from the diameter of your flap to the angle of its edges can be precisely determined. This is important because everyone s eyes are shaped a little differently. Having a cornea flap thats individualized to the patient contributes to excellent prospective outcomes. In addition a corneal flap created with femto second lasik also locks back into position after the LASIK procedure is performed making it more stable especially for those who are actively involved in contact sports. No Pressure on the eye: Patient maintains fixation throughout the whole procedure with no pain or momentary blackout as with the microkeratome. This makes the technique more suitable and safer...continued on the back page. June-August 2014 EFH GroupNews 5

6 Photo News Dr. Adekunle Hassan with Prof Sommer and Dr. Ravindran durring the HCI meeting in Ijebu Photo Credits: Eugene Etim, Paul Nwagala, Dr Tayo Bogunjoko. Busola Kuyoro, Mutiat Efuntade, Dr Ituah Imafidon. Professor Alfred Sommer and Dr. Adekunle Hassan Prof Sommer, Mr Paul, Mr Omokaro and Mr Friends of vision (FOV) and Community Ophthalmic Frank with Oba of Kajola and palace officials Nurses 1st quarter w/shop, Eye Foundation Centre, Ijebu Dr Okonkwo presenting a certificate to Dr Uche Nwogu Group picture with some members of staff at Dr on completion of her 1 month vitreoretinal training at EFH. Nwogu s sendforth. The Matron, Mrs Oluranti Adetiba presenting a gift to Miss Adegunna. 6 EFH GroupNews June-August 2014 HCI outreach team with Prof Al Sommer at Oba of Kajola s palace during a camp at Kajola Cross-section of attendees at FOVs and CONs workshop. Dr Hassan flanked by Mrs Hassan, as he presents a gift to Miss Adegunna at her sendforth. Group photograph of Eye Foundation Hospital, Ikeja s staff with Miss Adegunna at her sendforth.

7 Photo News Doctor on 3 month pediatric ophthalmology training, Dr Nadine Nsiangani from Congo. Mr Ajibola Dolapo presenting award to Staff of the Month(June) Dr Ada Nwowu. Photo Credits: Eugene Etim, Paul Nwagala, Dr Tayo Bogunjoko. Busola Kuyoro, Mutiat Efuntade, Dr Ituah Imafidon. Head, Accounts Mr Ajibola Dolapo presenting award Doctor on 3 month sandwich training in to Staff of the Month(May), Miss Adefunke Ozigagu. surgical retina, Dr Michael Gyasi from Ghana. Miss Adegunna (now Mrs Adebayo) at her wedding. Chief Resident, Dr Tijani supported by Dr Iyinola- Professor Karl Golnik presenting a lecture at kan while presenting a gift to Miss Adegunna. Eye Foundation Hospital, Ikeja. Group photo, Abia Eye Center team with clinical staff at EFC, Ijebu. Miss Idoko (now Mrs Balogun) at her wedding. The Abia Eye Center team at Eye Foundation Center, Ijebu. Group photograph in Nairobi, Kenya during the onsite workshop of HCI. June-August 2014 EFH GroupNews 7

8 Photo News In Nairobi, Kenya during the onsite review workshop of HCI Prof Al Sommer and the Aravind team during the Kenya onsite review workshop of HCI. R-L: Dr Okonkwo, Dr Oluyadi and Dr Onochie at the lecture. The Femto Laser machine. 8 EFH GroupNews June-August 2014 Photo Credits: Eugene Etim, Paul Nwagala, Dr Tayo Bogunjoko. Busola Kuyoro, Mutiat Efuntade, Dr Ituah Imafidon. EFC team : Dr Bogunjoko, Dr Ulaikere & Dr Hassan, Dr Ulaikere, Dr Hassan and Mrs Hassan Dr Bogunjoko presenting 6 months of HCI in Ogun state at the workshop in Kenya. Dr Moones giving a presentation on Femto Laser Technology at EFH, Ikeja. A cross-section of attendees at the lecture. Dr Gyasi and Dr Nadine at the lecture. Dr Moones, Dr Ashaye, Dr Akinye and Dr Hassan using the Femto laser Machine, EFH V/I. Prof Alfred Sommer participating in one of the Outreach programmes, Ogun State.

9 Did you Know? June-August 2014 EFH GroupNews 9

10 Social Diary All our great and not-sogreat moments at EFH. This quarter. Photos by Eugene Etim, Mutiat Efuntade. SendForth Au revoir! Miss Felicia Adegunna (Medical Records) On July 15th, Eye Foundation staff gathered to send forth one of our own, the very hardworking Medical Record Staff, Miss FeliciaAdegunna. It was indeed accolades galore for the dynamic staff as co-workers, senior staff came out one after the other to shed light on her person and their working experience with her. The highlight of the event was the presentation of different gifts from various departments in appreciation of Miss Adegunna. We wish her well in her future endeavours. Birthdays Happy Birthday! June - August June 2014: Afolabi Osuntoyinbo 7th, Dr Ada Nwowu 18th, Dr Onochie 21st, Sekinat Amodu 24th, Mr Dolapo Ajibola 24th, Mrs Anne Blankson 24th, Dr Aiyeyemitan 29th, Mr Gabriel Ebokpo-John 30th July 2014: Dr Oderinlo Jane Mbaegwu August 2014: Dr Bogunjoko 19th 27th 2nd Augustine Ahebhamhan 7th Wedding Bells Hurray! We had two weddings this quarter. The blessed staff are: Miss Felicia Adegunna (now Mrs Adebayo) who got married on the 26th of July, Miss Rachael Idoko (now Mrs Balogun) who tied the knot on the 2nd of August, Happy married life. Aigbodion Helen Dr Harriman 12th 17th Mr Adesope Azeez 20th Calendar Thursday June 26, 2014 General Staff meeting Staff meeting for EFH, Ikeja Staff and employee of the month presentation. B.Spivey Auditorium 4:00pm. Glaucoma Awareness training by Mrs Olumuyiwa Training on glaucoma; overview, causes, care by Nurse, Glaucoma Unit, Mrs Olumuyiwa. EFH Ikeja. 5:30pm (Same venue as the Staff meeting). Saturday June 14, 2014 Novartis Update Course Update course by Novartis for endocrinologists and physicians. EFH, Ikeja 10am (Bruce Spivey Auditorium). Saturday June 28, 2014 Novartis Update Course Same topic as above but at our Abuja branch. EFH, Abuja 10am Sunday June 29, 2014 Lecture on ptosis 3rd Cranial Nerve Palsy by Prof Karl C. Golnik A lecture by renowned Neuro- Ophthalmologist from Cincinnati Eye Institute (CEI), Prof Karl Golnik on 3rd C.N Palsy. B.Spivey Auditorium, EFH Ikeja 3:00pm. Tuesday July 29, 2014 Femto Laser Lecture by Dr Moones A. Fathi A presentation/lecture by renowned Refractive Surgeon from Cairo, Dr Moones Abdallah Fathi on Femto second Laser. B.Spivey Auditorium, EFH Ikeja 4:00pm. MondayAug 11, 2014 Staff Awareness Meeting on Ebola with Dr Oderinlo A presentation/lecture by renowned Refractive Surgeon from Cairo, Dr Moones Abdallah Fathi on Femto second Laser. B.Spivey Auditorium, EFH Ikeja 8:00am. 26th - 29th August, th Annual Congress (OSN 2014). 10 EFH GroupNews June-August 2014

11 ChildBirth Welcome to the world We were blessed with two beautiful baby girls this quarter. The bundles of joy were pleasant additions to the families of our: Community Opthalmic Technician (COT), Mrs Fatimah Ogunlowo. Cashier, EFH IKeja: Mrs Arinola Akinmorin Welcome to the world, Princesses! New Staff Welcome! Miss Frances Unuode - Human Resource/ Business Development Manager, Summit Group. Dr Puddicombe Akinwande - Chief Operating Officer, Eye Foundation Hospital Group. Staff of the Month Kudos!!! EFH Ikeja Branch The winners of the Staff of the month for this quarter: May 2014: Miss Olufunke Ozigagu (Nurse). June 2014: Dr Ada Nwowu (Senior Optometrist). July 2014: Miss Nneka Ogugua (Nurse) EFH Group Profile DR OLUFEMI ODERINLO is a foremost Ophthalmologist and Vitreoretinal Surgeon and Medical Director, Eye Foundation Hospital, Ikeja. He graduated from Obafemi Awolowo University Ile- Ife with a Bachelor of Medicine Bachelor of Surgery (MBChB) degree in 1993 and completed his residency training in 2002 as one of the pioneer Eye Foundation Hospital residents. He is a Fellow of the Royal College of Surgeons of Edinburg Scotland, Member of the Royal College of Ophthalmologist, UK and Fellow of the West African College of Surgeons. He was trained at the prestigious Tennents Institute of Ophthalmology, Western Infirmary-Glasgow, Scotland, under Professor C M Kirkness and has attended several International training courses spanning over Europe, the United States of America and Asia. He has over 75 publications, academic seminar and scientific papers as well as research work to his credit. As a clinical researcher his area of interest includes ocular neovascular diseases as well as management and outcomes of retinal detachments. He is a resource person for a number post Photo: Dr ODERINLO Dr Olufemi Oderinlo (FRCSEd DRCOphth FWACS). graduate ophthalmology faculties including the National Postgraduate College of Ophthalmology. He has performed over 10,000 ophthalmic surgeries and Laser procedures and has attained high proficiency in Vitreoretina Surgeries and Lasers as well as suture less Phacoemulsification. He is a reputable member of many professional societies some of which include: MEMBER, AMERICAN ACADEMY OF OPHTHALMOLOGY (AAO), MEMBER ROYAL COLLEGE OF OPHTHALMOLOGIST OF LONDON, MEMBER EUROPEAN SOCIETY OF RETINA SPECIALIST (EURETINA), MEMBER AFRICAN OPHTHALMOLOGY FORUM (AOF), MEMBER OPHTHALMOLOGY SOCIETY OF NIGERIA, SECRETARY, VITREO- RETINA SOCIETY OF NIGERIA. He is a choir director and constructive football analyst in his spare time. His marriage to Taiwo is blessed with 3 children, June-August 2014 EFH GroupNews 11

12 Understanding Femto Laser continued Not affected by corneal curvature or high astigmatism: This also allow the surgeon to do Lasik in patients with very steep or very flat corneas that would, otherwise have been impossible to be treated safely with standard Microkeratome Lasik. Better vision: More patients in clinical studies achieved 20/20 (6/6) vision or better with the femto second lasik than in cases with mechanical Microkeratome. Better Quality of Vision: Because of all these advantage and ability to combine a customized flap with a customized Excimer laser treatment, more patients observe better quality of vision with less glare and good night vision. How long does it takes to create a flap using the femto second lasik? The creation of the flap itself takes only about seconds per eye, including preparation time, the entire LASIK procedure takes about 10minutes for both eyes. FLEx is the similar to LASIK, in that a flap is created, lifted and reflected back. However, instead of the refractive correction done with the excimer laser, the femtosecond laser also performs a refractive lenticule together with the flap. This refractive lenticule is peeled off the corneal bed, rather than being ablated with the excimer laser. FLEx offers all the safety of Femtosecond LASIK, with a more elegant work flow and more stable results. SMILE(Small Incision Lenticule Extraction): SMILE takes FLEx even further. Instead of creating and lifting a flap, a refractive lenticule is carved with cornea, and removed through a small incision. SMILE is the top of the ReleX technique. It offers many advantages to both the patient and the doctor. It is quick extremely safe, maintains the corneal intergrity and gives predictable and stable results, with the least patient discomfort Is the femto second lasik method right for me? If you are looking for a safe, accurate and more comfortable LASIK experience, the answer is yes. But to get this procedure, you have to ask your doctor for the femto second lasik. Other Applications of Femtosecond Laser Restore Vision Centre is priveledged to be one of the few centers around the world, in which an all in one femtosecond laser Refractive Lenticule Extraction (ReLex) is performed. ReLEx involves two procedures, Flex and SMILE: ReLEx involves two procedures, Flex and SMILE.: Flex (Femtosecond Lenticule Extraction): Top: The Femto Laser Machine. Center: A patient, Kikelomo Akinola before the surgery. Bottom: A smiling Kike three days after the surgery. EFH GroupNews 27B Isaac John Street, Ikeja GRA, Lagos Tel: , (Ikeja), , (V/I), , (Ijebu), , (Abuja) letters@eyefoundationhospital.com Website: 12 EFH GroupNews June-August 2014