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Area - World Glaucoma Association

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Kom Ombo <strong>Glaucoma</strong> Center<br />

Tarek Shaarawy, MD<br />

<strong>Glaucoma</strong> sector, Ophthalmology Service,<br />

Department of Clinical Neurosciences<br />

Geneva University Hospitals, Switzerland


Aswan Governorate<br />

• <strong>Area</strong>: 34,608 km 2 (13,362 sq mi)<br />

• Population: 1,584,432 (2009)


Kom Ombo <strong>Glaucoma</strong> center


Kom Ombo <strong>Glaucoma</strong> center<br />

• Started in 2004<br />

• Collaboration between:<br />

– Kom Ombo Eye Dept<br />

– Geneva University <strong>Glaucoma</strong> sector


Kom Ombo <strong>Glaucoma</strong> center<br />

• 4 examination clinics<br />

• YAG, Argon units<br />

• Octopus Automated perimetry 101<br />

• Fundus camera<br />

• iCare tonometers


Kom Ombo <strong>Glaucoma</strong> center<br />

• Two operating rooms (modern<br />

microscope)<br />

• DVD recording<br />

• 10 glaucoma microsurgery sets<br />

• Phacoemulification unit


Kom Ombo <strong>Glaucoma</strong> center<br />

• Human resources:<br />

– 5 fully trained ophthalmologists/surgeons<br />

– BiMonthly visits by surgeons from Europe<br />

– 3 residents


Kom Ombo <strong>Glaucoma</strong> center<br />

• Average statistics for 2009:<br />

– 200 weekly glaucoma consultations<br />

– 20 weekly glaucoma surgeries<br />

– Egyptian/European bimonthly visits : rate<br />

20 ops/week<br />

– 50 ALT procedures/week


Kom Ombo <strong>Glaucoma</strong> center<br />

• Training and Education:<br />

– Twice a year a glaucoma meeting for<br />

young ophthalmologists from south of<br />

Egypt


Kom Ombo <strong>Glaucoma</strong> center<br />

• Training and Education:<br />

– One opportunity/year to<br />

attend EGS residents course<br />

– The center accepts trainees<br />

fro Egypt (1 every 6 months)


Kom Ombo <strong>Glaucoma</strong> center<br />

• Funding:<br />

– Initially European NGOs: Vision for all,<br />

Althea<br />

– Industry: Alcon, Allergan<br />

– Egyptian government grant of 400 K $


Kom Ombo <strong>Glaucoma</strong> center<br />

• Development:<br />

– Reputation:<br />

• Entirely Free for all irrespective<br />

of…<br />

• Free medications (customs…)<br />

• “European” standards<br />

• Ownership by surgeons and<br />

patients


Kom Ombo <strong>Glaucoma</strong> center<br />

• Lessons learned:<br />

– Partnership<br />

– Access to funds<br />

– Service<br />

– Ownership


Kom Ombo <strong>Glaucoma</strong> center


Kom Ombo <strong>Glaucoma</strong> center


Kom Ombo <strong>Glaucoma</strong> center

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