Cataract Lecture


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Africa » Swaziland
February 15th 2015
Published: February 15th 2015
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February 14, 2015 (Sidvokodvo, Swaziland) The Luke Commission has recently acquired land for a 30 acre campus just outside the town of Sidvokodvo. This campus is on a small hill overlooking a large agricultural valley and mountain range to the west. It is a beautiful location and the master plan calls for an impressive construction of operational facilities and living quarters for staff and visitors with facilities for patient housing. We are staying in a rental house a few minutes drive from the TLC Miracle Campus. After a good night’s rest and a quick breakfast we were picked up to go to the campus for the day. We got a tour of the first phase facilities. Large metal warehouses hold the logistical centers for all aspects of their work including vehicle maintenance, warehouses, container storage, training center, and the administrative nerve center. Toward the back of the campus there is a residential area for staff.



Midmorning, the Vanderwals asked me to lecture the clinical team on cataracts, cataract screening procedures, and cataract surgery. Using a model developed with both Global Eye Care Fellows (Drs. Gauger and Jetton) I illustrate a screening algorithm of visual acuity testing, red reflex examination, pupil exam and penlight exam of the anterior chamber for the detection of cataracts. It was translated into Siswati and the staff was engaged, asking great questions that they know the patients will be asking of them. The team seems quite motivated to develop a robust surgical capacity on the campus, as there is a planned surgery center in the near future. I spent some time after lecture taking a golf cart tour of the entire campus and spent some time with Echo Vanderwal defining requirements for a surgical facility that could handle high volume cataract surgery.

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