Nepal Press Release
The mission of the Cure Glaucoma Foundation (CGF) is to improve access to quality care, fund transformational research, and disseminate knowledge through global outreach efforts. As part of its Global Outreach Initiative, CGF recently conducted a Train the Trainer program in Nepal. Our goal is to train physicians in their local environment, hence allowing them to train others for years to come while impacting their local community long after we are gone. From January 29 to February 2 of 2018, CGF conducted a training program at Tilganga Institute of Ophthalmology (TIO) in Kathmandu, Nepal, targeting training of ophthalmologists in new Minimally Invasive Glaucoma Surgery (MIGS) techniques. The program was divided into four areas: seminars, wet lab sessions, clinics, and surgeries. This program structure allowed the physician attendees to first understand and see each new MIGS surgery, then practice the procedure in the wet lab, and finally observe or perform the surgery in the operating theater. This three-step approach proved to be most rewarding (and will likely have the most long-term impact) to the attendees. Participants in the program included glaucoma specialists and Ophthalmologists currently involved in treating glaucoma, as well as fellows and residents from all over the country and beyond.
Dr. Tosin Smith (CGF lead, Glaucoma Associates of Texas), Dr Indira Paudyal (TIO), Dr. Suman Thapa (TIO), Dr. Lola Idowu (University of Mississippi Medical Center), Dr. Pratibha Lama Joshi (TIO), and Dr. Manjool Shah (Kellogg Eye Center University of Michigan)
CGF sent seven individuals from the States who collaborated with the glaucoma specialists at TIO, Drs. Indira Paudyal and Suman Thapa. Dr. Tosin Smith was the lead member of the team and was joined by two other U.S. physician volunteers, Dr. Lola Idowu (University of Mississippi Medical Center) and Dr. Manjool Shah (Kellogg Eye Center University of Michigan). Other members of the team included Ms. Denise Delrio CST, Ms. Teresa Cook RN, Ms. Kirsten Duffey, and Margaret H. Dunham PhD.
There were 97 registered physician participants from 15 institutions and 11 different locations. (Three of these were from outside Nepal.) As illustrated by the map to the right, the geographic area represented within Nepal was extensive. Due to the large participation in the program, we are optimistic that the ultimate outreach goal to instruct surgeons in these advanced, minimally invasive techniques throughout Nepal and beyond has been achieved.
We estimate that 120 patients were seen by the CGF volunteer physicians in conjunction with the local Nepali doctors. Twenty joint/demonstration surgeries were performed. Each MICGS technique introduced was first presented to the physician attendees during a closed-circuit TV presentation. Subsequent surgeries were then performed by the most senior members of the participant audience under the supervision of one or more of the CGF volunteer physicians. In addition, 100 clinic appointments were performed.
The hands-on approach used by CGF included both wet labs and surgeries performed by Nepali physician attendees. Photos courtesy of Anona Maru Photography.
We are thankful for the generous support of the following sponsors who made this program possible: Alcon, Allergan, AMO/Johnson & Johnson, CGF, Chris Talias, Ellex, Glaucoma Associates of Texas, Glaukos, Iridex, MST, New World Medical, Ophthalmology Surgery Center of Dallas, and UTSW Transplant Center.  

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