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By Sharmain GraingerGuyana in 2009 made the ambitious move to introduce an Ophthalmology Centre at Port Mourant, Berbice. The facility was initially staffed by a number of Cuban Specialists and was expected to be the answer to eye care here, even as moves were being made by Government to move away from having patients travel to Cuba for crucial eye surgery through its Miracle Mission venture.Minister of Health, Dr Bheri Ramsaran, in 2012 said that efforts were even being made to train local personnel to staff the facility. But perhaps because of its location, or for some other reason that the Health Ministry has kept carefully under wraps, the Port Mourant Ophthalmology Centre has not had the desired impact in terms of reaching the vast number of patients in need of eye care.Rather, it has been the Georgetown Public Hospital Corporation (GPHC), nestled strategically in the heart of the capital city, that has been effectively tackling the country’s eye care needs at virtually no cost to patients.Eye Care Specialist, Dr Shailendra Sugrim (right), attends to a patientAccording to Consultant Ophthalmologist and Glaucoma Specialist at the GPHC, Dr. Shailendra Sugrim, not only has the eye care service at the facility improved tremendously over the years, but in fact, a great number of people find it more reliable than the service obtained at the Port Mourant facility.“We (GPHC) can do what Port Mourant can do and even better,” said Dr Sugrim, during an interview with this publication.The Ophthalmology Department at the GPHC is headed by Dr George Norton, but currently there are four consultant doctors, including Dr Sugrim, who see patients on a daily basis. Two of these doctors are foreigners – one a Chinese National and another from Haiti. Each doctor is tasked with attending to at least 50 patients on a daily basis.Dr Sugrim has been offering his services at the GPHC for the past three years, having completed studies in Bangladesh and India. He has been able to considerably help bolster the capability of the hospital to offer services for diagnosing and treating Glaucoma.But according to Dr Sugrim, the primary cases seen are patients with cataract, followed by cases of glaucoma, diabetic retinopathy and eye infections. Trauma cases resulting from accidents are quite frequent as well. But there are a few rare cases that are seen by the specialists at the GPHC. Among these Dr Sugrim disclosed are “cases like retinoblastoma,NFL Jerseys From China, that is, tumours of the eyes and congenital malformation cases.”He explained too that the outpatient department (Eye Clinic) at the hospital is tasked with handling “a heavy burden of patients on a daily basis with approximately 200-300 patients being seen per day which includes regular follow-ups, emergencies and new patients.”NEW PROCEDUREAlthough the GPHC has over the years been offering free Cataract Surgery, Dr Sugrim disclosed that it was only in 2012 that strategic moves were made to re-introduce a modern procedure to undertake the crucial surgery.The procedure called Phaco-emulsification is where ultrasonic power is used to “liquefy” the cataractous lens of the eyes and allows for the implantation of artificial lens. But according to Dr Sugrim,Discount NFL Jerseys, this procedure is often incorrectly referred to as “laser surgery for cataract.”Prior to this introduction, the hospital had offered manual cataract surgery. However, an attempt was first made five years ago to introduce the modern procedure, but according to Dr Sugrim, it was halted because the machine used by the hospital had some technical issues.With the availability of a new machine,NFL Jerseys Wholesale, which was procured by the GPHC in collaboration with Alcon Surgical Inc. (a US-based entity that provides eye care products), the procedure is once again available. However, this was not before the relevant staffers at the hospital were furnished with necessary training to conduct the procedure, Dr Surgim said.It has now been one year since this procedure was re-introduced at the hospital. And it was only recently that the Alcon Surgical Company together with the GPHC held a Phaco-Mission, where a renowned ophthalmologist from Trinidad, Dr Deo Singh, along with the Alcon team visited the hospital to perform approximately 20 free cataract surgeries.At the same time the Company was able to evaluate the GPHC eye care delivery system, and reports are that the visiting team which worked with the doctors and nurses at the GPHC were pleased with the progress of the procedure in Guyana.Actual surgery using Phaco-emulsification is conducted at least twice weekly by two ophthalmologists at the institution. And according to Dr Sugrim, this surgical method for Cataract has been labelled the gold standard for cataract surgery.He explained that the previous Manual Small Incision used by the GPHC method of surgery involves a larger incision in the eye and the cataractous lens is manually removed. The phaco-emulsification method, on the other hand,Cheap NFL Jerseys China, allows for a much smaller incision to be made and shortens the recovery time for the surgery.BACKLOG REDUCEDThe offering of Phaco-emulsification has allowed the GPHC and by extension Guyana,Wholesale Basketball Jerseys, to simultaneously reduce the backlog of cataract cases and the waiting time for cataract surgery. The Cataract Surgical Rate (CSR) for the year 2012 was estimated to be about 2,200 (according to the Interim Guyana Vision 2020 Committee Report) which is above the target that has been set for Caribbean Countries.The achievements over the years at the GPHC, Dr Sugrim intimated, were in fact a direct result of many initiatives implemented with a view of having the current standard of cataract surgery being met. These, he said,Cheap Jerseys Wholesale, include the improvement of cataract services at the GPHC – complete with training of doctors in Manual Small Incision Cataract Surgery (locally and overseas) by ORBIS; increase supply of consumables for Cataract Surgery and procurement of equipment for the hospital.But there can be no denying that the Government of Guyana’s Miracle Mission together with the establishment of the National Ophthalmology Centre at Port Mourant, which was done in collaboration with the Cuba Government,China Jerseys Free Shipping, had roles to playing in the eye care successes achieved in Guyana. There was also support from the Government of China in the form of ophthalmologists and equipment, and of course, the introduction of Phaco-emulsification Surgery at the hospital has served to bring the GPHC to a place where it offers quality eye care to the nation.Added to this, Dr Sugrim said that the GPHC has in place a department – the Vision Centre – that strategically caters to refractive errors. The Vision Centre, formerly called the Low Vision Unit, is a Non-Governmental Organisation that is sub-contracted by the hospital to provide optometry services, including the prescribing of spectacles to patients.The Centre is also tasked with providing support to patients by referring them to the National Insurance Scheme (NIS) for spectacle vouchers or to the Ministry of Human Services and Social Security for subventions to purchase spectacles.Despite implementing a number of measures to improve eye care, Dr Sugrim noted that there are yet many new initiatives in the pipeline to further improve the Department of Ophthalmology. These, according to him, will include: the procurement of additional ophthalmic equipment, human resource training and also the introduction of a better health information system in the department.