The Challenge

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August 27th 2015
Published: August 27th 2015
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The program in Swaziland is part of a broader national blindness prevention program and a new integral part of the Luke Commissions compassionate outreach to the remote areas of the country. The eye care component is an expansion of an eyeglasses program TLC has had in place over the years. To expand their eye services, we designed a vision screening program that was "bolted on" to their existing mobile hospital outreach program. "Room 9" was the ninth workstation in the mobile hospital set up designed to do the vision screening which includes visual acuity assessment, refraction (if needed) and determination of presence of blinding cataract to find surgical cataracts. Other medical conditions are managed as possible and as needed. The second component of the cataract blindness prevention program was setting up high quality surgical services at the main TLC campus. That is the primary purpose of this trip. The logistics of patient flow are formidable: TLC leased busses to pick people up from their communities, bring them to TLC campus, feed and house them for 3-5 days, do the pre-operative work up (ultrasound and keratometry reading for lens power calculations), operate on them and do their post op day 1 care. Thus the logistics are challenging! This too is what makes TLC the best of partners to develop such a program. We have done a significant number of cases, started to gather data on our first three days of surgery and today we are focusing on optimization - we will begin in the pre-operative area today.

Additional photos below
Photos: 10, Displayed: 10


Peribulbar injectionPeribulbar injection
Peribulbar injection

Local anesthesia is injected around the patient's eye in preparation for surgery.
Surgical TeamSurgical Team
Surgical Team

Dr. Glenn Strauss confers with the nurses and surgical assistants before surgery.
Pre-operative areaPre-operative area
Pre-operative area

Patients are queued up for surgery, have their charts verified, dilation drops and wait for surgery.

Dr. Strauss performing manual small incision cataract surgery (MSICS)...prounounced em-six.
Day 1 post opDay 1 post op
Day 1 post op

Patients arrive for post op day 1 visit and removal of patches.
Removing eye dressingsRemoving eye dressings
Removing eye dressings

Post op day 1 removal of eye dressings.

27th August 2015

Lloyd and TLC Team: Outstanding start to the Eye Mission. It was great to have Glenn there to add a measure of calm to what must have been a lot of nervous excitement as you started the first cases. I enjoyed all the pictures and look forward to participating some day.

Tot: 0.178s; Tpl: 0.018s; cc: 10; qc: 56; dbt: 0.0233s; 1; m:saturn w:www (; sld: 1; ; mem: 1.4mb