english

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RANKED ONCE AGAIN 

THE BEST EYE HOSPITAL 

IN KARNATAKA 

(TIMES HEALTH SURVEY 2016) 

Proudly Presents 

VISION 

FIRST 

A FULL-FLEDGED ONLINE EYE CARE MAGAZINE FOR THE 

FIRST TIME IN INDIA 

Vision First is a Narayana Nethralaya initiative to bring to you the 

latest in eye health and research, in an informative and informal way. 

Our aim is to spread awareness on how to maintain the health of 

your eyes and give you the knowledge to care for diseases which can 

affect your vision. This online magazine will cover various aspects of 

common eye conditions and keep you abreast of all the scientific and 

technological advancement in the field of ophthalmology. 

It also endeavors to be a platform to bring together a community of 

Narayana Nethralaya patients to share their ideas and experiences 

and contribute to the society to empower and encourage the visually 

impaired. 

Happy Reading 

Narayana Nethralaya | Ranked Among The Top 10 Eye Hospitals in India Since A Decade | www.narayananethralaya.org

2 

Retinoblastoma - Dr. Roshmi Gupta 

Milestones of 2017 

DIABETES – A devil in disguise - Dr.Chaitra Jayadev 

Conjunctivitis (Pink eye/Madras Eye) - Dr. Harsha N 

CME’S 

Awards 

Contact Lens - Do’s & Dont’s - Dr.Piyush Tewari & Mr. Mukesh 

Grow Lab- An Article on Genetic Counselling - Dr. Anuprita Ghosh 

KIDROP Recap 

Quality In Healthcare - Dr B Ramagopal 

Tips for choosing the right spectacle 

for your child - Dr Sumitha Muthu 

Global Handwashing Day 

NN Foundation 

NN News 

My Journey with NN 

Feedback 

Buds to Blossoms - Ms Puja Sarbajna, Dr Sumitha Muthu 

Presbyopic LASIK FAQs - 

Dr. Vaitheeswaran LG, Dr Prerana, 

Dr Ravish, Dr Ritika 

FAQ about insurance medi claim - Mr Ravi C 

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05 - 06 

07 - 08 

09 - 10 

11 - 13 

14 

15 - 16 

17 - 18 

19 - 20 

21 

27 - 28 

29 

31 - 32 

33 - 35 

37 

39- 40 

41- 42 

43- 44 

45- 47 

NN Sports 48- 50 


FROM THE CHAIRMAN’S DESK... 

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Dear all, 

As we welcome 2018, I would like to reinforce Narayana Nethralaya’s commitment to providing 

high quality, comprehensive eye care to patients from all financial backgrounds. 

Over the past decade, we have been consistently ranked as one of the 10 best eye hospitals in India 

and the best eye hospital in Karnataka, with rave patient reviews on different social media platforms. 

Our success can be largely attributed to the sincere efforts, support and dedication of our 

Doctors, Optometrists, Nurses, Technicians and Staff over the years. Some milestones that we 

marked in 2017 include the 35th Anniversary of Narayana Nethralaya as well as the 10th Anniversary 

of NN2. 

Through our work, we touch the lives of hundreds of patients across our four centers, every day. 

This New Year, we reaffirm our collective dedication to our patients and hope that we can live up to 

their faith in us. 

I wish you all and your families – good health, love and happiness in 2018! 

Sincerely, 

Dr. K. Bhujang Shetty. 


Retinoblastoma 

4 

Super Speciality Eye Hospital & 

Post Graduate Institute of Ophthalmology 

Dr. Roshmi Gupta 

Most common childhood eye cancer. 

It is completely curable if detected early. 

Take a flash photograph of your child and check the 

photograph to see if there is any white shiny glint in 

the eye. 

Pediatricians should check the eyes for abnormal 

reflex and squint during the child’s visits for 

immunization and health check up. 

General ophthalmologists should dilate the child’s 

eyes and look at the retina. 

Children with suspected retinoblastoma should be 

referred to an eye cancer specialist for timely 

management. 

Appropriate treatment of retinoblastoma can save 

the child’s life, prevent removal of eyes and save 

child’s vision. 

Intravenous, intra-arterial and, intravitreal 

chemotherapy along with local therapy 

can successfully treat the cancer. 


MILESTONES OF 2017 

5 

01 

35th Anniversary of Narayana Nethralaya. 

10th Anniversary of NN2. 

02 

Narayana Nethralaya is ranked as one of the 10 best eye hospitals in India and 

the best eye hospital in Karnataka. 

03 

04 

Inauguration of our Holistic Wellness Research Centre at NN1, aimed at 

addressing all components of the disease – mind, emotions and body. 

Inauguration of ‘Buds to Blossoms’, by Prof Lea Hyvarinen. A centre for Holistic 

Pediatric Vision Development which offers services for children with CVI, autism 

and other neurological disorders. Buds to Blossoms will provide visual rehabilitation, 

behavioural therapy, vision therapy, sensory and motor therapy, speech therapy, 

physiotherapy and special education - all under one roof. 

05 

06 

07 

Our two Eye Banks accounted for the highest number of eye donations in the 

state, with over 2000 eyes received in 2017. 

Research at the GROW lab in NN won over 15 top academic awards/papers at 

international and national conferences; the results of advanced research yielded 

more than 25 international scientific publications and 3 patents that will improve 

clinical care in future. 

Our doctors won over 45 academic awards at international and national conferences 

and had over 100+ publications in peer reviewed journals. 

08 

We crossed the 100,000th premature baby screened by our flagship tele-ROP 

program – KIDROP. This decade old rural outreach program, partnered with Government 

of India, continues to provide free screening and treatment to all Government 

hospitals in the state. The infant blindness burden we have prevented in the 

program exceeds 400 crores. 

09 

Over 1000 faculty and delegates, international and national, attended our CMEs 

in 2017. 


MILESTONES OF 2017 

6 

10 

Addition of state-of-the-art technology, which include: Schwind Refractive 

suite for treatment of Presbyopia, Teneo eximer laser machine, EBS Therapy 

for treating Visual Field loss, Callisto for advanced Cataract surgery, Eye 

Light for treatment of Dry eyes, and ASOCT for high definition corneal 

imaging. 

11 

Our corporate relations department saw new empanelment from South Western 

Railways, Employee Provident Fund Organisation and Safeway TPA , taking the 

total number of empanelments to 114. 

12 

In an effort to communicate better and reach out to more patients, especially 

senior citizens, who are more proficient in Kannada, brochures and magazine 

articles were published in the local language and were very well received. 

13 

Improved patient experience with additional space in our Rajajinagar branch. 

14 

Our website was upgraded with accessibility for persons with low vision and 

new features such as Live Chat were added. 

15 

We received close to 2800 patient reviews on Google in 2017 and have been 

rated on an average of 4.7/5. 

16 

Over 700 clinical, non-clinical, departmental and external trainings were organised 

by the Human resources department in 2017 to equip our staff with skills 

to improve patient care. 

17 

Over 31000 adults and over 3000 students were screened by our outreach team 

as part of 166 eye screening programs conducted in rural and suburban districts. 

1100+ patients from financially weaker sections were assisted with free cataract 

surgeries. 


7 

DR.CHAITRA JAYADEV 

DIABETES – A devil in disguise 

An estimated 40 million Indians suffer from 

diabetes and, according to experts, the 

problem seems to be growing at an alarming 

rate. By 2020, the number is expected 

to double and reach epidemic proportions, 

even as half the number of diabetics in the 

country remains undiagnosed. Worse still, 

diabetes has debilitating consequences on 

many of the body’s vital organs if remained 

unchecked and uncontrolled, the biggest 

problem being that of eye sight. 

Experts across the country consider India 

to be the diabetic capital of the world and 

the condition a ticking time bomb waiting 

to explode. However, of more concern is the 

fact that awareness of the condition’s consequences 

is quite low. While blood sugars 

need to be controlled, patients are seldom 

aware that in the long run it can affect eyes, 

kidneys, heart and every single vital organ 

of the body. 

Diabetics are 25 times more prone to blindness 

when compared to non diabetics. We 

Indians have a genetic predisposition for 

diabetes. The eye is the most common 

organ to be affected by diabetes in the long 

run. It is essential for diabetic patients to be 

aware of this fact and that blindness through 

diabetes can be avoided to a great extent 

through regular eye check up. 

Diabetes patients should undergo an eye 

check as soon as the condition is detected 

and regular yearly checks thereafter or as 

frequently as the doctor recommends. This 

will enable the early detection and prevention 

of eye diseases through laser and other treatments. 

Early detection will enable the halting 

or at least the slow down of diabetes-related 

eye diseases. 

It is unfortunate that diabetic patients tend 

to ignore this problem since the symptoms 

might not manifest themselves overtly. However, 

a doctor will be able to detect the problems 

during regular checks and begin remedial 

measures. 

But if the patients ignore it, it might be too 

late when he actually realizes it. If the problem 

becomes more acute and leads to bleeding, 

then only surgery can set this right. The 

point is, all this can be avoided through 

awareness and preventive measures. 

Diabetes 

Diabetes is a lifestyle disease and it is essential to keep preventive aspects in mind. 

Family history plays a major role in diabetes. A person stands a 40 per cent chance of 

getting diabetes if the father has it, 60 per cent if the mother has it and 90 per cent chance 

if both parents have it. Also, men are more prone to diabetes than women. 


Its onset can be delayed if weight is kept in check, regular exercises and stress is minimized. It is 

also helpful to keep in mind that statistics indicate diabetes is more prone to urban dwellers than 

rural - an estimated 12.5 per cent of urban dwellers are prone to it, as against just 4 per cent of rural 

dwellers. 

Some facts about diabetes and its relation to the eyes 

The commonest cause for blindness in developed countries is diabetes and the contributing 

factors are. 

> Longer the duration of diabetes - more the chances 

> Even if diabetes is under good control it can affect the eyes in the long run; 

> if poorly controlled - more likely. 

> If associated with high blood pressure, high cholesterol levels - eyes are likely to get affected. 

There is a 50% chance of eye involvement if you have diabetes for more than 10 years. Diabetes 

primarily affects the film for the retina of the eye and if not detected and treated early, can lead to 

irreversible blindness. 

Prevention is better than cure 

Prevention is better than cure is not just a frequently quoted statement but is actually important for 

a healthy and long life. If you have any of the above predisposing factors, do keep a close watch on 

your blood sugar. The early signs of diabetes are: 

> Excessive thirst 

> Excessive hunger 

> Excessive urination 

> Unusual weight loss 

8 

Some mandatory dos and don’ts 

If you are already a diabetic, keep a tight control on your blood sugar, a close watch on your diet and 

shed those excessive pounds. The couch-potato life style must change. 

Have your eyes checked for diabetic changes at least once a year, even if you can see well.Diabetes 

is not only sight threatening but is also a life threatening disease, if not detected early and managed 

well. It is a workable disease if you catch the devil young and are willing to change your life 

style. Unfortunately in India it is developing into an epidemic and is a real ticking time bomb. It has 

considerable medical, social and financial impact. Half the battle can be won by creating awareness 

of the disease and learning how to live with it. We need to have a multi-pronged approach with 

diet, drugs, exercise and life style changes - all in equal measures and as it is popularly said “Avoid 

hurry, worry and curry” 

Narayana Nethralaya | Ranked Among The Top 10 Eye Hospitals in India Since A Decade | www.narayananethralaya.org 


Conjunctivitis (Pink eye/Madras Eye) 

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1) What is conjunctivitis? 

Conjunctivitis, also known as Pink Eye or Madras Eye is an inflammation of the conjunctiva, which 

is the transparent layer that lines the white part of the eye and the inner surface of the eyelids 

2) What are the causes of conjunctivitis? 

Conjunctivitis can be caused by the following : 

• Bacteria 

• Viruses 

• Allergy 

• Chemical injury to the eye 

• Foreign body in the eye 

• Blockage of the tear duct 

3) What are the symptoms of Conjunctivitis? 

Conjunctivitis is characterised by redness of the eyes, which is associated with irritation and burning 

sensation. These are accompanied by increased watering and in some cases, thick discharge from 

the eyes 


10 

4) How do I prevent the spread of Conjunctivitis to others? 

Conjunctivitis caused by infective organisms such as bacteria and viruses are highly contagious and 

can easily spread from person to person by direct or indirect contact. The following measures must 

be taken to prevent transmission of infection: 

• Do not touch your eyes 

• Wash your hands thoroughly and frequently with soap and warm water 

• Do not share towels or bed linen 

• It is advisable to avoid going to the workplace or school for children as long 

as the symptoms persist 

• Avoid the use of contact lenses 

5)How is conjunctivitis treated? 

Treatment depends on the type of conjunctivitis. Viral infection is usually self limiting and lubricant 

eye drops help provide comfort. In some cases, your ophthalmologist may choose to 

prescribe corticosteroid eye drops. Bacterial infection requires the administration of antibiotic 

eyedrops. Allergic Conjunctivitis is treated for relatively prolonged periods with medication as 

considered appropriate by your ophthalmologist 

6)What are the complications of conjunctivitis? 

Conjunctivitis is usually self limiting and resolves on its own within 1 -2 weeks. In some cases, the 

cornea may get involved and form multiple white spots which may take many months to 

completely resolve 


State Level Training On Deaf Blindness 

11 

Anginogenisis 

Dear all, we thank you for joining us and being a part of our Angiogenesis 

Club. The event was a huge success solely because of you. We hope you 

too enjoyed all the discussions and had an academic treat. See you 

again next year. Best regards, Team 'Angiogenesis Club". 


Workshop on What & How does my child see 

12 

What & How 

What & How does my child see - CME cum Workshop held on 10th December 2017 @ The Ritz 

Carlton. The CME included discussions on vision assessment, early intervention, low vision 

and rehabilitation in children with disabilities. With Prof Lea Hyvarinen & Dr Arun Singh as 

keynote speakers, the event was attended by over 100 faculty & delegates. 


State Level Training On Deaf Blindness 

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Deafblindness 

Narayana Nethralaya and Mathru Educational Trust for the blind, with the support of Sense International 

India, conducted a state level training on deaf blindness for medical and allied medical professionals 

on 28th Sep 2017. 

30 individuals from various organizations including hospitals, early intervention centers, NGOs and 

Special schools attended the program. The training was inaugurated by the CEO of Narayana Nethralaya, 

Capt.S.K Mittal, who stressed on the scope of artificial intelligence in rehabilitating individuals 

with disabilities, especially when it is not a single disability. The training session was made lively by 

the faculty, Mr. Srinivasan Prasannan, with simulation activities, case study videos and sign language 

teaching. He highlighted the RPWD Act of 2016, and its features pertaining to deafblindness 



14

CONTACT LENSES Q & A 

The contact lens department at Narayana Nethralaya is well equipped to meet all the contact lens 

related requirements of patients. We provide basic, as well as various speciality contact lenses. 

The basic contact lenses like Spherical soft lenses for refractive error correction, Rigid Gas Permeable 

(RGP) lenses for keratoconus and Toric lenses for astigmatism are available for patients who 

wish to avoid wearing spectacles due to their profession or for cosmetic purposes. Cosmetic contact 

lenses for changing or enhancing the colour of eye are also available. 

FAQs 

Dr Piyush Tewari & Mr Mukesh 

Am I a good candidate for contact lenses? 

A complete refraction and eye examination is mandatory before using contact lenses.Your ophthalmologist 

will look for any dry eye disease, conjunctival or eyelid disorders before prescribing 

contact lenses to you. 

What are soft contact lenses? 

Soft contact lenses are made from materials such as silicon, hydrogels or a combination of both. 

They are designed for better oxygen permeability ie. High DK value (allows oxygen to pass through 

to the cornea). 

What are prosthetic contact lenses? 

Prosthetic contact lenses are prescribed to patients with corneal scars (white spot), abnormalities 

like loss of iris and large/ irregular pupil. Prosthetic contact lenses are used to mask these abnormalities 

as well as to reduce glare and photophobia. 

I am presbyopic and I want freedom from glasses. Can contact lenses help me? 

Yes, patients who require glasses for near and distance can be prescribed Multifocal contact 

lenses, which gives them freedom from glasses. 

Can my keratoconus be treated by contact lenses? 

The special focus of the contact lens department at Narayana Nethralaya is on Keratoconus. All 

the latest contact lenses for the management of this progressive condition such as Rose K 

lenses, Kerasoft contact lenses, Scleral, and miniscleral lenses are available here. The patient’s 

eye is carefully examined to find the lens which offers the best fit on the cornea, with a focus on 

visual acuity, comfort and corneal health. 

Can soft contact lenses treat my keratoconus? 

The role of soft lenses in keratoconus is limited because the soft lens cannot give an irregular 

cornea a new regular surface. They are however, helpful in mild to moderate cases. 

What are RGP lenses? 

Rigid Gas Permeable (RGP or GP) contact lenses are the primary option for correcting vision in 

keratoconus. The rigid lens covers the irregularities of the cornea and functions as the new refractive 

surface of the eye, with the tear film filling in the space between the back of the contact lens 

and the front of the eye. RGP lenses give excellent vision but many patients cannot tolerate them 

because of poor comfort level. 

15 


CONTACT LENSES Q & A 

16 

What are my options if I am not comfortable with RGP lenses? 

Patients who cannot tolerate RGP contact lenses have an option of Hybrid lenses, which provide the 

comfort of Soft lens and clarity of RGP lens. This is a lens combination that has an RGP in the center 

and soft lens in the periphery. Another option for such cases is scleral contact lens. 

What are scleral lenses? 

These are large diameter lenses that rest on the sclera (white part of the eye). Though these lenses 

are larger in size than regular lenses, they have many advantages. They do not fall out because of 

their size. Dust or dirt particles cannot get behind them during wear. There is no lens awareness as 

the edges of the lens rests above and below the eye lid margins, making them comfortable to wear. 

What are the risks involved with contact lens usage? 

Eye infections, while infrequent, are the most devastating complications, preventing patients from 

wearing their contact lenses for many days. Corneal ulceration is a sight threatening complication 

of contact lens usage, which occurs due to dirty cleaning solutions or dirty lenses. Managing ulceration 

is a challenge and it can cause permanent reduction in vision because of associated scarring. 

How will I know if I have an infection after using contact lenses? 

• Pain when placing the lenses on the eyes, while wearing the lenses, or after removing them 

• A sensation of heat, burning, redness, excessive tearing, or discharge 

• Inability to keep the eyes open 

• Severe sensitivity to light 

• Acute or persistent haze, fog, or rainbows around lights 

• Extreme irritation 

• White spots on the cornea 

What should I do if I have any of those symptoms? 

You should immediately remove the contact lens from your eye and preserve it with its case and 

solution. You can start using a lubricant eye drop for comfort but a visit to the nearest ophthalmologist 

is a must. He will examine your eye and start you on medication if required. 

DO’S AND DONT’S FOR CONTACT LENS WEARERS 

> Clean your lenses at night, immediately after you remove them from your eyes. 

> Only cleaning solutions should be used to clean the lenses. Tap water should not be used. 

> Do not mix and match solutions made by different manufacturers. Doing so causes clouding of 

lenses, which may irritate your eyes. 

> Contact lenses should only be cleaned with a branded lens cleaner solution. Lens cases tend to 

become contaminated too. Be sure to rinse the case well before using it again. 

> One should not wear contact lenses more than 12 hours at a stretch and always remember to 

remove contact lens before sleeping. 

> Contact lens should not be used beyond their recommended duration of use. For e.g. a daily 

disposable lens should not be used for extended usage. 

> Expired lenses should never be used. 


17 

Dr. Anuprita Ghosh 

Progress in the field of 

Ophthalmic Gene Therapy 

Recently the Food and Drug Administration (FDA) of the USA approved Luxturna, a gene 

therapy based medicine for the treatment of inherited retinal dystrophy (IRD) caused by mutations 

in a gene called RPE65. It is indeed an important milestone in the field of gene therapy. 

How does gene therapy like Luxturna work? 

Our body and its organs are made of cells. These cells, the structure and function of the body parts 

(such as the eye) are made according to a map, our DNA, which is a code for our “genes”. Genes 

are messages that code for proteins in every cell of our body. In genetic disorders, there is an error 

in the “message” or “gene”. Scientists call this “error” as “mutation”. Some mutations in the genes 

make the protein non-functional, which causes genetic disorders, including blindness or ocular 

malformations. Patients with genetic disorders are born with this mutation. RPE65 is one such 

gene, which when mutated causes IRD. Gene therapy like Luxturna works by providing a normal/- 

functional copy of the gene to retinal cells of the patient. The normal gene is delivered using a vehicle 

or a vector which has the ability to transport the correct gene into the cells. This normal gene 

will then produce the normal/functional protein in the retina, which will restore the patient’s vision. 

What does this mean for Indian people with genetic eye disorders? 

Gene therapy is available today for a few select diseases, thus there is hope for the patients suffering 

from genetic disorders even in India. However, these therapies are not yet available in India and 

are still very expensive. The most important step is to find out whether the individual with the 

inherited genetic eye disorder is eligible for this gene therapy – Luxturna. This can be done by 

finding out what gene mutation he/she is carrying. Therefore, now is the time to undergo genetic 

counseling and genetic testing. 

The main purpose of genetic counseling is to improve awareness and educate the affected 

member and his/her family members about the genetic disorder, genetic inheritance, therapy 

options or current status of research about the genetic disorder or the gene responsible for it. 


Examples of the advantages of Genetic Counseling 

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1. One of the visually challenged female member of a family with a history of blindness, married to 

an unaffected person, approached us for genetic counseling to help them plan their first child. The 

couple now has a child with normal vision. 

2. Two different families with young children with almost no vision underwent genetic counseling 

and testing. A mutation in the gene AIPL1 is the cause of their loss of vision. In 2017, a team of 

scientists in UK have started the gene therapy trial for the same gene (AIPL1). It is a matter of few 

years before we will come to know whether these kids can get this therapy and at least some vision. 

3. A young man, in his late twenties, working in an IT company, was informed that he has IRD. His 

vision had started deteriorating. He has a progressive disorder, which was also genetically confirmed. 

He was counseled and educated about his condition. Later he educated his family members 

and convinced them to undergo the same to reduce the chance of IRD in the future generation. 

4. Families with school age children with IRD were introduced to each other. This helped the families 

to share their experiences, to learn from each other and helped them better manage the needs of 

their children. 

More than 200 different genes are 

known to cause inherited retinal dystrophies. 

Today there is a gene therapy 

available for IRD caused by mutations 

in RPE65 and soon the list of 

gene therapies for different disease 

causing genes will increase. Luxturna 

is an example of a successful, 

more than a decade long, research in 

gene therapy in the field of ophthalmology. 

If the affected person does 

not have a mutation in RPE65 but 

has it in a different gene, the gene 

mutation still needs to be classified 

for future research and therapy 

options. 

We at Narayana Nethralaya, are a team of clinicians, scientists and genetic counselors that help our 

patients to better manage and understand their disorder, clinically and genetically. At the same time 

we provide them an opportunity to discuss the updates on current research in genetic eye diseases. 

Research status for IRDs at GROW Research Laboratory at NN 

At Genes Repair/regeneration Ophthalmic Workstation (GROW) research laboratory at Narayana 

Nethralaya, we are a team of bio-imaging engineers, scientists, post-doctoral fellows and PhD 

students. Our expertise is in molecular biology, immunology, genetics and regenerative medicine 

(gene therapy and stem cell therapy). Our molecular biology lab has been dedicated to biomedical 

research since 2013. We have over 60 publications, 40 international/national awards and 6 

patents. Since 2017, we have undertaken the task of creating a gene therapy platform for making 

clinical grade vectors to deliver normal genes in the retinas of patients with IRD in the near future. 

This will enable us to take a step closer to the vision of treating inherited blinding conditions. 

Through genetic counseling, an elaborate family history of patients, their clinical and genetic information 

is entered in our lab database. This database will provide valuable information to our team 

of scientists and clinicians, and help our patients to get the right therapy at the right time. 


19 

2017: KIDROP Recap!! 

The year witnessed 18,540 infant imaging sessions (grand total is 1,14,578 since inception), 4645 new premature 

infants recruited (grand total stands at 33,474) and 203 laser treatment (grand total is 1950). The 

FOREVER (Universal Screening) program continues its Phase 2 across the state with the grand total 

now being 3704 infants. The year also saw us cross our 100,000th infant imaging session since 

inception. 

The year’s most significant milestone was being awarded the prestigious International Agency for the 

Prevention of Blindness (IAPB) grant for KIDROP’s services and training activities under the “Seeing is 

Believing Programme”. IAPB is a leading INGO and collaborates with the World Health Organization 

for Vision 2020. 

Internationally, KIDROP was invited as faculty at the 4th World Congress in ROP at Mexico and the 

First International Pediatric Retina Congress in USA along with other meetings at Hong Kong, Malaysia 

and at the ARVO Annual meeting. 

Within the country, KIDROP participated in workshops and symposia in Bhopal, Raipur, Jaipur, Pune, 

Hyderabad, Solapur, Aurangabad, Kolar, Mumbai, Goa, Gwalior, Delhi, Bhubaneswar, Bilaspur and 

Bangalore. KIDROP continues to be the Secretariat of the Indian ROP (IROP) Society and a member 

of the National Task Force for ROP, Government of India. 


KIDROP Recap 

20 

KIDROP was the receipient of the KR Dutta Award for ‘outstanding ophthalmic services to the rural 

community’ given once in 4 years by the All India Ophthalmological Society, the MM Joshi Award for 

the Best Paper given by the Karnataka Ophthalmological Society and the Dr Midiya Memorial Award 

given by the ACOIN society for ‘outreach and rural work’. 

Training under KIDROP intensified this year with over 122 participants from the Government sector 

along with trainees who came from Indonesia, Mexico, Lebanon and Qatar and our Indian teams from 

Nagpur, Lucknow, Ranchi, Trivandrum, Calicut, Chennai, Bhopal, Mumbai and Gwalior. 

We are grateful to the National Health Mission, Ministry of Health & Family Welfare and the Govt. of 

India for its continued support in the program. We are humbled by the constant support we receive 

online and offline from our wellwishers and collaborators from over 47 nations. 

As we enter 2018, our Tenth Year since inception, and approach the 2000th infant from rural India to 

receive ROP treatment, we pledge to renew our commitment in providing subspecialty care to our 

outreach and underserved infants using affordable and innovative technology, served with passion 

and dedication. 

Thank you for being with us in 2017, 

Looking forward to 2018 with hope and excitement!! 


21 

QUALITY IN HEALTHCARE 

Dr B Ramagopal 

The WHO (World Health Organization) definition of quality of care is “the extent to which 

health care services provided to individuals and patient populations improve desired health 

outcomes. In order to achieve this, health care must be safe, effective, timely, efficient, equitable 

and people-centered.” 

1.Safe. Delivering health care that minimizes risks and harm to service users, including 

avoiding preventable injuries and reducing medical errors. 

2.Effective. Providing services based on scientific knowledge and evidence-based guidelines. 

3.Timely. Reducing delays in providing and receiving health care. 

4.Efficient. Delivering health care in a manner that maximizes resource use and avoids 

waste. 

5.Equitable. Delivering health care that does not differ in quality according to personal 

characteristics such as gender, race, ethnicity, geographical location or socioeconomic 

status. 

6.People-centered. Providing care that takes into account the preferences and aspirations 

of individual service users and the culture of their community. 

Quality provision in health-care facilities requires competent and motivated health-care 

professionals and the availability of essential physical resources, clean infection controlled 

facilities, essential medicines, equipment and supplies. In addition, evidence-based 

practices for routine and emergency care are required as well as information 

systems that enable review and audit to take place. 

Experience of quality care requires effective communication between patients, doctors and 

nurses, as well as between other hospital staff and patients. Patients should know what to 

expect, and be aware of their rights as well. 

Patient safety is given utmost importance in quality conscious hospitals. This can be achieved 

by safe practices and avoiding errors by both doctors and hospital staff. 

Accreditation is another way to judge quality. Accreditation is a "seal of approval" given by a 

private, independent group after a thorough inspection and audit. Health care organizations 

must meet national standards, including clinical and managerial measures, in order to be 

accredited. 

The NABH (National Accreditation Board for Hospitals and Healthcare providers) is one such 

premier organization in India. Narayana Nethralaya is an NABH accredited hospital and each 

and everyone in this hospital strives to the motto of providing "Patient Safety and Quality of 

Care". 



22

23 

Dr Sumitha Muthu 

Tips for choosing the right spectacle 

for your child - How to make it trendy but purposeful 

If your child has been advised spectacles by your eye doctor, are you confused with the wide 

choice of eyeglasses available in the market? Do you often end up buying whatever spectacles 

your child chooses and then regret having done that? So how do you choose the right type 

of spectacles for your child? 

Unlike adults, children may require a frequent change in spectacles due to several factors such as 

change in spectacle power with the growth of the eye, change in spectacle fit due to changing facial 

features, etc. 

Points to consider when choosing a spectacle 

for your child: 

Parts of a spectacle frame 

A good knowledge of the basic parts of a spectacle frame can help you better understand the 

following pointers when you shop for your child’s spectacle. 

1. Type of frame: 

Rectangular or oval frames are preferable, depending on the shape of the child’s face. The frame 

should be well centred, such that the centre of child’s eyes should coincide with the centre of the 

frame. 


LOREM IPSUM DOLOR SIT 

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Tips for choosing the right spectacle for your child 

24 

Oval frame 

Rectangular frames 

2. Material of frame: 

Lightweight materials such as fibre or titanium are preferred over regular metallic frames, which are 

fragile and may corrode over time. 

Not recommended for very young 

children 

Lightweight, fibre frames are 

preferable 

3. Height and width of frame 

The dimensions of the frame should ensure that the eye is completely enclosed by the frame. When 

the child looks in different directions, it should be through the spectacle lens and not through the 

lens edge (this may induce unnecessary edge effects, especially with high power glasses) or 

outside it (which does not serve the purpose of the spectacles). 

Spectacles should extend vertically from the eyebrow to the bony rim where the cheek begins, and 

horizontally from the nasal bridge to the lateral orbital rim. 

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25 

4. Flexible tier or elastic band 

May help in keeping the spectacles from falling off, especially in toddlers 

5.Stem of the frame 

Should not press on the temple region (sides of the head) and should fit snugly behind the ear. 

The stem, which is usually flexible, can be adjusted by the optician to fit well on your child’s 

face. 

6. Flexible hinges 

Are preferable in toddlers and special children who may not be careful while taking off and 

putting on their spectacles. The flexible hinges have a spring like action and hence do not 

snap off while manoeuvring. 

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7. Keep it light 

Choosing a frame that is light in weight may make the spectacle frame more comfortable for 

your child and also prevent formation of marks on the skin. 

R SIT AMET 

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LOREM IPSUM DOLOR SIT AMETLOREM IPSUM DOLOR SIT AMET 




LOREM IPSUM DOLOR SIT AMET LOREM IPSUM DOLOR SIT 

AMETLOREM IPSUM DOLOR SIT AMET LOREM IPSUM DOLOR SIT 

No. 

AMET LOREM IPSUM DOLOR SIT AMET LOREM IPSUM DOLOR SIT 

AMET 

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1:12:2014 

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NE 

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LOREM

M DOLO 

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26 

8. Keep it cool 

Your child will eventually have to feel 

comfortable wearing the spectacle 

among his/ her peers, so it is important 

to choose a spectacle that is trendy, to 

avoid your child being teased by other 

children. So give your child the freedom 

to choose the colour or type of frame, 

with your guidance, of course. 

9. Keep it strong 

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Spectacles for children usually have basic lens 

materials. Since children require frequent 

spectacle changes over the course of their 

growth, expensive lens materials are not cost 

effective. However, if your child is active in 

sports or is using only one eye predominantly, 

tough materials such as polycarbonate/Trivex 

are recommended. If the child has ocular albinism 

or is too sensitive to sunlight, photo chromatic/tinted 

glasses may be helpful. 

It is important for both parents and children to 

have a positive outlook about spectacles. 

Over time, the spectacle becomes a part of 

your child's daily accessory, and it helps if the 

child does not see it as a burden. In short, 

there is no perfect spectacle. 


No. 

IPSUM DOLOR SIT AMET 



PSUM DOLOR SIT AMET 








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11:12:2014 












AMET 

The most optimum spectacle would have the 

right balance between the aforementioned 

points and the child’s requirements in terms of 

vision and the latest trends in terms of fashion. 

No. 

AMET 

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11:12:2014 

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No. 

NE 

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LOREM

Total Holistic Wellness! 

27 

Health without total wellness is incomplete 

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DOLO 

A question asked by many is “what is total wellness”? 

Total wellness is nothing but a healthy body along 

with a healthy mind. 


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11:12:2014 












AMET 

Patients who walk into the clinic are aware of their 

physical ailments and seek remedies for the same. 

They want to be prescribed medicines, injections or 

surgery, and consider them the Panacea for all their 

ailments. But will this cure them? While prescribing 

treatment, doctors are always guarded about the 

outcome and talk about it in terms of percentages. 

Now, what are we missing? The missing puzzle is “A 

HOLISTIC WELLNESS”! 


No. 

AMET 

AMET 

11:12:2014 

No.

Total Holistic Wellness! 

28 

What is total Holistic Wellness? 

Total Holistic Wellness is a balanced state of mental, nutritional and 

physiological wellbeing in an individual, that will help him/her lead a 

healthy and improved life. Modern day treatment is not about elevating 

the symptoms; it is about treating the cause at the root. A truly holistic 

approach will give that fine balance between health and 

disease. 

The future of medicine is not an extension of your past, so we believe the 

future is in Holistic care. Using this as a foundation, we at Narayana 

Nethralaya decided to dedicate a state-of-the-art HOLISTIC Wellness 

Clinic for the benefit of our patients. 

Here, we treat patients by giving them a structured program of Yoga 

asanas, breathing techniques and meditation, which along with a consistent 

disciplined practice, can help them to heal from within. Experience 

the energies of inner healing. Visit our Holistic Wellness Clinic 

today! 





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Annual Global Advocacy Day 

29 

Global Handwashing Day 

An annual global advocacy day dedicated to increasing awareness and understanding about 

the importance of handwashing with soap, the 2017 Global Handwashing Day theme is “Our 

hands, our future!” Washing hands with soap (regular or antimicrobial) and water is an easy, 

effective, and affordable way to protect our own health and those around us. It also prevents 

the spread of skin, eye, and respiratory infections, as well as other diseases and illnesses. 


30 

23 Eye Screening Camps & 4300+ people screened 


31 

Narayana Nethralaya Foundation 

A 4 year old girl from Assam was 

referred to our hospital for diminution 

of vision in both eyes. She was a 

known case of cardiac disease for 

which she had undergone cardiac 

surgery under Assam government 

fund. She was diagnosed to have congenital 

cataract in both eyes. 

The parents were very poor and could 

not afford the cost of cataract 

surgery. As there was hardly any benefit 

of undergoing such major cardiac 

surgery if the child could not see, the 

Pediatic team recommended the 

case to Narayana Nethralaya Foundation, 

who agreed to do cataract 

surgery for free to give her good 

vision. 

She underwent cataract surgery in both 

eyes at our Narayana Nethralaya 2, Bommasandra 

by Dr. Jyoti Matalia in November 

2017. 

Post-operatively, when we saw her after 

1 month, she was happily playing in the 

children’s area, which was a new experience 

for her. The smile on her face made 

our day. When her mother came into the 

room, she thanked us for our services 

and told us of the change that has come 

in her child’s life. In the mothers words - 

the heart surgery gave her life back but 

the cataract surgery gave her reasons to 

enjoy the life. This made us realize that 

our small intervention was creating an 

impact much beyond just giving her 

vision. 


ETLO 

IPSUM DOLOR SIT AMET LOR 

LOREM IPSUM DOLOR SIT AMETLO 

LOREM IPSUM DOLOR SIT AMET LOR 

LOREM IPSUM DOLOR SIT AMET LORE 

LOREM IPSUM DOLOR SIT AMET LOREM 


32 


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LOREM IPSUM DOLOR SIT AMET LOREM IPSU 





The parents of a 1 year old boy from Doddaballapur 

approached our hospital for his treatment. He was diagnosed 

with infantile and juvenile nuclear Cataract in 

both eyes and the parents were finding it difficult to 

arrange finance. With the funds donated by Smt Vidya 

Pasupathi & Mr L S Pasupathi to the Narayana Nethralaya 

Foundation on the occasion of their 25th wedding 

anniversary, the child was operated by Dr Bhanumathi, 

our Pediatric surgeon in Dec 2017. Post surgery, the 

child is now able to see clearly and the parents are overjoyed 

with his improvement and grateful for the assistance. 

LOREM IPSUM 


LOREM IPSUM DOLOR SIT AMET LOREM IPSUM DO 

LOREM IPSUM DOLOR SIT AMET LOREM IPSUM DOL 

LOREMT 

LOREM 

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LOREMT 

A 6 year old boy hailing from a remote village of Murshidabad 

district of West Bengal was referred to our hospital 

with continuous watering from the left eye, along with 

prominent swelling between the eye and the nose. He was 

born with malformation of Nasolacrimal Duct of the left 

eye, which drains tears from eye to the nose and also had 

branchial fistula.The child was examined by senior Pediatric 

ophthalmologist Dr Jyoti Matalia and Oculoplasty 

surgeon Dr Moupia Goswami, who advised surgery. As the 

parents could not afford the surgery, they requested for 

consideration by the Narayana Nethralaya Foundation. 

Since then, the child has been successfully operated on 

last month and the frustrating tears have now turned to 

tears of joy as he is back to school and leading a normal 

life 

AMET 

AMET LOREM IPSUM DO 


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AMETNE 

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IT AMET 

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No. 

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NEWS 


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LOREM IPSUM DOLOR SIT AMET LOREM LOREM IPSUM IPSUM DOLOR DOLOR SIT AMET SIT AMET LOREM IPSUM DOLOR SIT AMET 





LOREM IPSUM DOLOR SIT AMETLOREM LOREM IPSUM IPSUM DOLOR DOLOR SIT AMET SIT AMET 

LOREM IPSUM DOLOR SIT AMET LOREM IPSUM DOLO 


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LOREM IPSUM DOLOR SIT SIT AMET LOREM IPSUM DOLOR SIT SIT AMET 

LOREM IPSUM DOLOR DOLOR SIT SIT AMET AMET LOREM LOREM IPSUM IPSUM DOLOR DOLOR SIT AMET SIT 

AMETLOREM IPSUM IPSUM DOLOR DOLOR SIT AMET SIT AMET LOREM LOREM IPSUM IPSUM DOLOR DOLOR SIT AMET SIT 


AMET LOREM LOREM IPSUM IPSUM DOLOR DOLOR SIT AMET SIT AMET LOREM LOREM IPSUM IPSUM DOLOR DOLOR SIT AMET SIT 


AMET LOREM IPSUM DOLOR SIT AMETLOREM IPSUM DOLOR SIT AMET 

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LOREM IPSUM DOLOR SIT AMET 11:12:2014 


















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AMET 

NEWS 


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No. 



NN IN NEWS 

LOREM IPSUM 







Career prospects in ophthalmology 

Dr K Bhujang Shetty, Aug 24 2017, 1:53 IST 


AMET 






















AMET 




LOREMT 

11:12:2014 


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No. 




11:12:2014 

No. 

11:12:2014 

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OREM IPSUM DOLOR SIT AMET 


REM IPSUM DOLOR SIT AMET LOREM IPSUM DOLOR SIT AMET 

IPSUM DOLOR SIT AMET LOREM IPSUM DOLOR SIT AMET 


EWS 

No. 




LOREM 



No. 

11:12:20 

LOREM IPSUM DO 

LOREM IPSUM DOLOR SIT AMET LOREM IPSUM DOLOR SIT AM 

DOLOR SIT AM 


LOREM IPSUM DOLOR SIT AMET LOREM IPSUM DOLOR SIT AME 










AMET 

SUM DOLOR SIT AMET LOREM IPSUM DOLOR SIT AMET 

M DOLOR SIT AMET LOREM IPSUM DOLOR SIT AMET 

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LOR SIT AMET LOREM IPSUM DOLOR SIT AMET 

No. 

OREM IPSUM DOLOR SIT AMET LOREM IPSUM DOLOR SIT AMET 


SIT AMET LOREM IPSUM DOLOR SIT AMET 

EM IPSUM DOLOR SIT AMET LOREM IPSUM DOLOR SIT AMET 

IT AMETLOREM IPSUM DOLOR SIT AMET 

MET LOREM IPSUM DOLOR SIT AMET 

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33 

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11:12:2014 

OR SIT AMET LOREM IPSUM DOLOR SIT 

Ophthalmology is a good balance between surgical and 

medical practice and many can decide which aspect they want to focus on. 

The eye is one of the smallest organs in the body 

to have an entire speciality centred around it, but 

what few know is the number of subspecialities 

that have stemmed from it. A field in ophthalmology 

requires a lot of skills owing to the variety of the 

subject. 

This field needs surgical, medical and patient care 

skills ranging from paediatric to geriatric population. 

Students opt for ophthalmology for their 

masters after completion of their MBBS and there 

11:12:2014 






S 



LOREM IPSUM DOLOR SIT AMETL 













are many reasons to select this branch. Ophthalmology 

is a good balance between surgical and 

medical practice and many can decide which 

aspect they want to focus on. Those who are 

interested in surgery take time to adapt to this 

microsurgical field, however with the right training; 

all can master it with basic hand-eye coordination. 

These days however, it has progressed 

from an ‘end-speciality’ to a gateway to varied 

super specialities. 

No. 

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i 

n 

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11:12:2014 

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ET LOREM IPSUM DOLOR SIT AMET 

AMET LOREM IPSUM DOLOR SIT AMET 

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AMET 






The basic super specialisation that most take 

is cataract, in which they are now taught the 

skill of phacoemulsification. One of the surgically 

demanding fields is vitreoretina, in 

which surgeons deal with the nervous tissue 

of the eye and the varied ailments that affect 

it like diabetes and hypertension. 

Retina is becoming a highly competitive field 

and nowadays we see an abundance of 

specialists in metro cities. Lesser-known 

branches like glaucoma, which is concerned 

with high eye pressure are now gaining popularity, 

with machines that can detect the earliest 

changes in glaucoma aiding the quick 

diagnosis and treatment of this disease. 

Aspirants who wish to make his or her career 

in ophthalmology have to first check the eligibility 

and necessary entrance exams to 

appear. To become ophthalmologists you 

have to first complete MBBS (Bachelor of 

Medicine and Bachelor of Surgery) course 

and then go for the postgraduate degree in 

ophthalmology like MS (Master of Surgery), 

DNB (Diplomate of National Board), etc. Post 

this; you can also join fellowship in some 

leading eye hospitals for subspeciality training 

for around 12 to 18 months. You can also 

go for research studies in this course in 

various institutions and research centres. 

A speciality which is of utmost importance in 

this day and age is paediatric ophthalmology 

which deals with childhood eye diseases as 

well as management of squint. Oculoplasty 

and oncology is a niche field but essential as 

they manage various disorders of the eyelid 

and skull surrounding the eyeball, and most 

importantly the cancers which affect the eye. 

Ophthalmic technology is a highly remunerative 

career option. A fresher working in 

government hospitals can earn Rs 75,000- 

1, 00,000 per month. Private sector hospitals 

offer very high pay packages to ophthalmologists, 

which may be within the range of 

Rs 1, 00,000 - 2, 00,000 per month. So as you 

can see, ophthalmology is brimming with 

opportunity and many are opting for it as 

their career of choice. The advancement in 

this field is seen not just daily, but hourly and 

we hope that students give it the due importance 

during their MBBS training and use that 

interest to pick it up as their post-graduation 

field as well. It is an ever-evolving field with 

great potential to impact patients’ quality of 

life. It might just be the right career for you! 

Opportunities 

Demand 

Remuneration 

The author is chairman & managing director, 

Narayana Nethralaya, Bengaluru 

NN 

Ophthalmologists are high in demand at 

both government and private sectors. This 

course also provides a base for setting up 

private eye clinics. Departmental hospitals 

run by Railways and Defence and hospitals 

run by PSUs are also a good option available 

to ophthalmologists. They can also work 

with NGOs, missionary hospitals and charitable 

hospitals. Highly qualified and experienced 

ophthalmologists can work as faculty 

in government and private medical colleges. 

They also can involve themselves in 

research activities of organisations. There is 

a huge demand for Indian ophthalmologists 

abroad, particularly in USA, UK, Australia 

and Gulf countries. 

LOREM IPSUM 




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AMETLOREM IPSUM DOLOR SIT AMET LOREM 

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UM DOLOR SIT AMET LOREM IPSUM DOLOR SIT AMET 













AMET 

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NEW 

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34

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UM 




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What is ReLEx® Smile? 

No. 

11:12:2014 

ReLEx® Smile is a new technique of laser 

vision correction. Unlike conventional LASIK, 

this procedure creates no flap and involves 

the use of only one laser (the femtosecond 

laser). Instead of vaporising cornea tissue to 

correct the underlying short-sightedness and 

astigmatism, ReLEx® Smile removes a small 

piece of corneal tissue called a lenticule 

through a small keyhole incision (about 2.5 to 

4mm only). 

Benefits 

The use of «VisuMax» femtosecond laser in 

Relex-Smile technology involves a number 

of significant benefits for the patients, 

including: 












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Contact: 

A miniature incision of the corneal tissue, 

performed by means of a «VisuMax» 

femtosecond laser instead of formation 

of a corneal ap (ap) 

Signicantly greater comfort thanks to 

one step treatment 

Painlessness of the operation 

Signicant reduction in the risk of eye 

dryness 

Stability of the cornea will be preserved 

Rapid eyesight recovery 

Girija D: +91 9538898820/ Cynthia Roy: +91 9538920640 




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My journey with NN 

37 

- in the words of Mr Krishna Raj, Proprietor, Anjanadri Engineering Works 

My life is a true rags to riches story. I started 

work at the age of 16 as a plumber while still 

studying, with a daily wage of Rs 15. A 

friend of Dr Bhujang Shetty referred me to 

him to fix a minor issue in his house. Dr. 

Shetty was very happy with my work, and 

over time, offered me other odd jobs including 

painting. Dr Shetty liked my ‘Never say 

No’ attitude, my ability to take challenges 

and work each project to completion and 

offered me various job opportunities over 

the past 20 years. 

My journey with Narayana Nethralaya started in 1998 with the renovation of the toilet in NN1 for which I was 

paid Rs 10,000. When I started, I was employed by my owner, along with 200 other people. Today, I proudly 

provide employment to over 200 people. My success is truely because of the confidence that Dr Shetty has 

had in me and my abilities. 

I have seen and been a part of the growth of Narayana Nethralaya. When the latest Lasik machine was introduced 

in NN1 for the first time, Dr Rohit Shetty instructed me on the construction of an exclusive, 

state-of-the-art Operation Theatre for the Lasik department. With each new construction in Electronic City, 

Castle Street and Bannergatta Road, we incorporated new and innovative ideas and technology. 

From being a structural and functional expert, under 

the guidance of Dr Naren Shetty, I learnt a great deal 

about the right selection of interiors, thoughtful detailing, 

careful planning, effective usage of space and 

accommodating flexibility, aiming to provide comfort to 

end-users. I owe my growth and success in this field to 

the constant challenges I faced when transforming 

their ideas to reality. 

I have come a long way in my life. I lost my parents at a 

very young age and was brought up by my elder brothers 

and sisters. I started my company, Anjanadri Engineering 

Works about 15 years back. My work is my 

passion, and I give it my all, learning and upgrading 

myself, 24/7. Though there is a lot of pressure in my 

profession, from finding skilled and committed manpower, to unreasonable expectations, tight deadlines and 

finances, I try to remain positive and allow my work to speak for itself. 

Other than my work in NN, I have been fortunate to work successfully on more than 300 houses, 25 apartment 

complexes and hospitals such as Manipal Hospital and Narayana Hrudayalaya. I have also undertaken 

the construction of 2 houses for Chief Ministers in Karnataka. In spite of all these prestigious projects, my 

greatest satisfaction comes from working for Dr Bhujang Shetty. He is my mentor, the backbone in my life and 

like a father figure, and I will continue to work for him, with pride, as long as I am able to do so. 


38 

Wash your hands. 

Tilt your head back 

Pull your lower lid down 

Put a drop in the pocket 

without touching your eye 

with the bottle. 

Close your eye & press your finger 

against the inside corner. 

Gently blot excess solution with a tissue. 

How to instill eye drops 

PÀtÂÚUÉ OµÀ¢üUÀ¼À£ÀÄß ºÉÃUÉ ºÁPÀ¨ÉÃPÀÄ? 

¤ªÀÄä PÉÊUÀ¼À£ÀÄß vÉÆ¼É¬Äj. 

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ªÀÄÆ¯ÉUÉ «gÀÄzÀÞ ¨sÁUÀªÀ£ÀÄß MwÛ. ºÉZÁÑVgÀÄªÀ 

zÁæªÀtªÀ£ÀÄß n±ÀÄå«¤AzÀ ¤zsÁ£ÀªÁV MgÉ¹. 


Patient feedback 

39 

Professional approach, cleanliness,good network between various Departments & Staff. Doctors are 

very focused & polite. Wish you All the Best Narayan Netralaya is a great asset to us all Indians. 

Congratulations to Dr Bhujangh Shetty . He is highly trusted Doctor ,effective, wonderful team leader. 

I have seen Dr.Bhujang Shetty in Sri Ram puram and my grand father grand mother my uncle were treated 

in that tiny hospital It's Amazing that Mr.Shetty achieved a lot may God give good health to him his 

device is very much needed to society .There is only one nurse and one Receptionist now after seeing 

his staff strength it is very proud he is founder of one city feeding thousands of mouth by giving employment 

I never seen so much staff in any hospital .Hats off to Sirs growth he has achieved a lot .All are 

very good especially the man who welcomes every one to that hospital with smiling face asking yaranna 

nodbeku 

The heart warming hospitality and supportive words of the people around. Clean and serene homely 

atmosphere.The senior person standing at the entrance reverberates so much positivity and energy. 

Kudos to him for his support and strength. 

Thanks for the ease of service that you have maintained. These days when hospital s are getting 

commercialised it's heartening to see Narayana Netralaya inclined towards service and we'll being of 

the patient. Keep up the good work, many thanks. 

Amidst recent media reports of gross negligence and patient abuse in some of our hospitals, Narayana 

Nethralaya stands out like a beacon of hope and inspiration for patients. I speak from personal 

experience. I had made several visits to this hospital during the past two months and underwent 

cataract surgeries for both my eyes. The Patient is the focal point in Narayana Nethralaya. 

Patient care is their credo, patient comfort their passion and patient reassurance is their obsession. 

This philosophy has permeated throughout the hospital staff and each one of them (from 

the doctors, technicians, nurses, counselors and even the non medical staff) is an epitome of kindness 

while interacting with the patient. Dr Naren Shetty who performed the surgeries is a picture 

of confidence and at the same time he is compassionate, serene and has all the time in the 

world for his patients. He answered all my questions in a manner that is comprehensible to a 

layman and doused all my anxieties before the surgery. After the surgeries there was a protocol 

of medications for six weeks which I followed meticulously and now both my eyes are as good 

as new. I have absolutely no hesitation in recommending Narayana Nethralaya to anyone 

who needs eye care. 


Patient feedback 

40 

Everything impressed us because at each level we were given accurate instructions and suggestions 

so we didn't find any difficulty at all through out the process. everything went fine’. 

The large number of enthusiastic and motivated staff who rushed forward exhibiting 

concern to attend to our requirements even without being asked to do so. Also the professional 

skill and expertise of the doctors and paramedical staff. It was truly an enjoyable and 

memorable experience getting my cataract operated. Be sure that i shall return once it's time to 

get my other eye fixed 

Organization and less waiting time. Good coordination among different departments and quick 

transmission of patient information. 

Thanku for a better treatment from a better hospital ( narayana nethralaya ) stafs are good and 

friendly and doctors are so kind to answer our all questions so patiently and so briefly. 

Very good hospitality ... with friendly staff...dint feel the pressure of a hospital...very good 

respect and response each staff this is my first visit of narayana hospital over all very 

good thank you. 

Great hospital for any kind of eye problem. Friendly staff and experienced and knowledgeable 

doctors. The doctors are very passionate and provide best possible treatment to their 

patients. 

Service of ths staff is very helpfull for the old aged people very humble and kind.Doctor 

is very cooperative and giving the proper treatment and regular checks have been taken 

care. 


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41 

Buds to Blossoms! 

comprehensive services for children with CVI, autism and other neurological 

disorders. Providing visual rehabilitation, behavioural therapy, vision therapy, 

sensory and motor therapy, speech therapy, physio therapy and special 

education, "All under 1 roof." 

The clinic offers the services of a visual rehabilitation 

specialist, vision therapist, pediatric Ophthalmologist, 

pediatric retina specialist, pediatrician, neurologist, 

physiotherapist, special educator and speech therapistall 

working in coordination for the overall development 

of the child. 


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A few months ago a 10 year old boy visited our clinic, clenching his mother’s hands firmly. On assessment, 

he was found to have left hemiparesis, grossly reduced hand-eye coordination, and almost zero 

social interaction. When questioned as to why the mother did not seek any professional help with his 

training, she admitted that she did take the child for physiotherapy, speech therapy and visual stimulation 

until the age of 5 years. However, as the child got older, it became more and more difficult for her 

to go for follow-up visits, as she had to shuffle between multiple centres across the city, to ensure that 

her child improved in all faculties. 

No. 

After speaking to her, we realized how challenging it must be for parents to take their children to multiple 

centres for all these therapies, and that too frequently. It’s no wonder that the mother could not 

adhere to follow-up requirements. When asked whether she would be interested in availing all the 

training that her child requires at one single centre, the mother delightedly answered that she would 

surely bring her child regularly for all the therapies. Over time, more parents expressed the difficulties 

that they faced in taking their children to several centres for treatment. 

With the sole intention of providing all the therapies required for such children in one place, Narayana 

Nethralaya started the Professor Lea Hyvarinen centre for holistic pediatric vision development. The 

clinic was inaugurated by Professor Dr Lea Hyvarinen, who is known to have made several significant 

and substantial contributions in this field. The centre now offers vision therapy, visual rehabilitation, 

physiotherapy, behavioural therapy, and speech therapy, all under one roof. A vision therapist, visual 

rehabilitation therapist, speech therapist, physiotherapist, Special educator, pediatric ophthalmologist, 

pediatric retina specialist and pediatric neurologist work in coordination for the overall development 

of the child. 

Cortical visual impairment (CVI) is emerging as one of the important causes of blindness or visual 

impairment in our country. This trend is likely to continue as further advances in the field of neonatology 

and foetal medicine increase the chances of survival of premature infants and infants with multiple 

congenital abnormalities. 

Cortical visual impairment does not mean blindness. The severity of visual impairment varies widely in 

cortical visual impairment. It can range from 6/6 vision with few localised defects in visual field, to 

severe, or even complete blindness. Children with CVI, autism and other conditions with learning disabilities 

benefit from special training. Several children have shown remarkable progress after having 

been through just a few sessions in the clinic. 

Everyone who is a part of this new holistic clinic at Narayana Nethralaya is dedicated to the cause 

because we sincerely believe that “Every bud deserves to blossom to its full potential”. 



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Presbyopic LASIK FAQs 

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11:12:2014 


11:12:2014 

Dr. Vaitheeswaran LG, Dr Prerana, Dr Ravish, Dr Ritika 

LOREM IPSUM 

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NEW 

1) What is presbyopia? 


Presbyopia is the natural physiological weakening of the lens accommodative 

power, which affects everyone, usually after the age of 40. In other words, the natural 

lens hardens and becomes less flexible with age, making it difficult for the eye to 

focus on close objects. 

No. 

2) What is presbyopic LASIK? 

It is an advanced type of laser surgery which modifies the shape of the cornea, 

creating different zones of power to see at various distances. 

3) How does the LASIK work? 

The laser creates zones of power for far, near and intermediate vision. Your brain will 

adapt to select the zone needed to obtain clearest vision, depending on where the 

object is located. 

4) What are the advantages of presbyopic LASIK? 

Presbyopic LASIK aims to give patients clear vision and make them glass free for 

distance as well as near vision. 

5) What is the procedure time and recovery time? 

The procedure takes around 10 minutes per eye. Recovery time 

is around a week, after which the patient is able to resume normal activities. 

6) How many follow up visits will I need after surgery? 

You will need to come for follow up visits one day after your surgery, after one week, 

then one month, three months and at six months. You may need to come more 

frequently in case your doctor feels it is necessary. 






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NEW 



Presbyopic LASIK FAQs 


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7) What are the possible complications? 


You may have a primary under, or over correction. Small power may return due to 

secondary regression. There is also a chance of infection or inflammation, which 

can be controlled with medication. 

8) Can I get glasses again? 

After any refractive procedure, there is always a possibility of small power returning. 

However we do careful pre-operative scans and post-operative checks to ensure that 

you remain glass free for as long as possible after your surgery. 

9) What are the alternatives to presbyopic LASIK? 

You can choose to undergo LASIK for distance number and use glasses only for near 

(reading) purposes. The other option is to undergo LASIK with mono-vision, whereone 

eye is corrected for distance dominance vision and the other eye is corrected to 

be dominant for near.There are also Lens bases procedures (clear lens extraction 

with multifocal IOL implant) or surgical implantation of presbyopic corneal inlays. 

10) Will I have to undergo cataract surgery or any other 

surgery again? 

Cataract is an age related opacification of the lens. It is a natural process and LASIK 

(a cornea based procedure) does not change the process. LASIK can only correct the 

power of your eye at the time of LASIK surgery. When the cataract matures (usually 

between the average ages of 55-65), you will need to go for appropriate surgery with 

the implantation of an intraocular lens. 


FAQ About Insurance Medi Claim 

45 

Mr Ravi C 

1. Is Cataract covered under First year of Individual Medi claim policy? 

Ans: No, for individual policy, minimum waiting period is 12-24 months. However, it differs from 

government insurance co policy to private insurance co policy. 

2. Is your hospital approved for Income Tax Exemption? 

Ans: Yes, our hospital is approved for Income Tax Exemption under section 17(2) of the 1961 Income Tax Act. 

3. Are outpatient consultations, investigations and medicines covered under Medi claim (Insurance) 

policy? 

Ans: No. 

4. Are Pre and Post Hospitalization investigations and medicines covered under the Medi claim 

(Insurance) policy? 

Ans: Yes, Pre Hospitalization 30 days and Post Hospitalization 60-90 days from the date of admission, 

investigations and medicines are covered, subject to your policy terms and conditions. 

5. If we provide our medi claim insurance policy details, how long will it take to obtain the approval 

from the Insurance Company? 

Ans: It takes minimum 2 to 8 working Hours to obtain the approval. If any query is raised again, it 

takes further 2 to 4 hours. 

6. Is the Employee required to accompany the patient for signing the insurance forms? 

Ans: No, the Employee is not required. Patient or dependent can sign for the process. 

7.Is Pan Card and Aadhaar card mandatory for Cashless Claim? 

Ans: Yes, Employee’s Pan Card and Aadhaar Card, as well as Patient’s Aadhaar Card is mandatory in 

Corporate policy. In Individual policy, both Aadhaar and Pan Card of Patient and Primary are required. 

8. How many days before surgery should the documents be produced for cashless claim? 

Ans: Three days prior for planned surgery and day of surgery for emergency cases. 

9. What are the documents to be given for cashless? 

9.1 For an Individual policy 

1. Details of Third Party Administrator and Insurance Co 

2. Current year and last two years policy copies (Total 3 years’ policies). 

3. Valid Photo ID proof of Patient and Policy Holder (Pan and Aadhaar card Mandatory) 

9.2 Corporate policy 

1. Name of TPA and Insurance co 

2. Corporate Name and EMP ID Number 

3. Photocopy of employee ID card 

4. Valid Photo ID proof of Patient and EMP (Pan and Aadhaar card Mandatory) 

10. How long will the process to fill the cashless request form take? 

Ans: We can complete the Pre-authorization part within 15 minutes. 

11. What are the working hours of your hospital insurance helpdesk? 

Ans: Morning 8.00 A. M – Evening 7.00 P.M. 



46 

12. Who will inform us about the insurance status after submitting the required documents for 

cashless? 

Ans: Our staff and Insurer will communicate your insurance status through Email / SMS. 

13. If Cashless is not processed, what is the next procedure? 

Ans: Patient has to pay for the entire surgery cost and apply for reimbursement. 

14. What is the procedure to be followed if initial amount is sanctioned by insurance company? 

Ans: After the surgery is over, we will send the Final bill and discharge summary for final approval. If it 

is not sanctioned, the balance amount has to be paid by the patient. 

15. What can we do if approval letter or Authorization letter is not utilized due to some valid 

reason? 

Ans: You have to submit a request letter to the hospital insurance desk to send cancellation of the 

approval. After receiving the mail, cancellation letter / mail will be sent to concerned TPA / Insurance 

Company. 

16. What are the documents required when applying for reimbursement? 

Ans: Following documents are required for reimbursement 

o 

o 

o 

o 

o 

o 

o 

Claim Form duly filled, signed and sealed by the hospital authority and by insured or patient 

All cash paid receipts 

Final bill with break-up 

Discharge summary 

Implant sticker or copy of tax invoice 

Original and relevant investigation reports 

Pre and post-operative medicine bills with original prescription 

17. How much time will it take to release the reimbursement claimed amount to the patient from 

the insurance company? 

Ans: A minimum of 30-45 days from date of submission. 

18. What is the time limit to submit the post claim documents? 

Ans: 10 to 15 days from date of discharge. 

19. Does my Insurance or TPA have a tie-up with your hospital? 

Ans: List of Empanelment TPA and Insurance co is attached for your reference 

20. Does your hospital have empanelment with CGHS / ECHS / State Government / ESI / BSNL / 

Yeshasvini / CPRI / CMTI / ISRO / BEL / BHEL / NAL / Arogya Bhagya Yojane for police personnel / 

BBMP / BMTC / KSRTC / SWR Railway / Rail Wheel Factory / Bosch / BWSSB / KPCL? 

Ans: Yes. A valid document issued by the concerned authority has to be submitted by the employee / 

patient. 

21. Is Cashless treatment available for government schemes? 

Ans: Yes, but it is subject to providing required documents as advised by the scheme. 



47 

22. . Is the Operation date a must to process the cashless process? 

Ans: Yes, without the date of surgery we cannot process, as it is a mandate by the Insurer. 

23. Can Cashless be done online? 

Ans: No. Documents can be shared online, but the pre authorization form and declaration form is 

to be signed by the Patient, insured or dependent. 

24. Is Lasik laser surgery covered under my policy? 

Ans: It depends on policy terms and conditions and is subject to the refractive error of the patient. 

Some policies will not cover it as it comes under cosmetic surgery category. However you can 

apply for pre authorization to know the status by the insurance company. 

25. Is MLC required to claim cashless procedure where RTA cases? 

Ans: Yes. It is mandatory for processing cashless. 

26. Is Squint correction payable under insurance? 

Ans: No. Some cases are payable, subject to policy terms and conditions. 

27. Does the patient or employee have to sign on the final bill and discharge summary before 

discharge? 

Ans: Yes. 

28. What is the procedure if there is any error or discrepancy in the insurance ID card and ID 

Proof? 

Ans: An Affidavit is to be provided for the correct status. 

29. Are there any Documentation / Processing / Service charges for processing cashless procedures 

in your hospital? 

Ans: No, we do not charge any Documentation / Processing / Service charges. 

30. Are pre-operative investigation charges covered under cashless? 

Ans: No. It should be claimed through reimbursement. You need to pay for pre and post operative 

investigations. 



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Thanks for Reading 

VISION 

A Narayana Nethralaya Initiative 

RANKED ONCE AGAIN 

THE BEST EYE HOSPITAL 

IN KARNATAKA 

(TIMES HEALTH SURVEY 2016) 

FIRST 

We invite your feedback & suggessions. 

Would you like to contribute Articles or Testimonials? 

Editorial board : Mrs Shilpa Rudra, Mr Praveen.I.M, Mrs Chitra Seshadri 

Creatives & Photographs : Mr Najeeb Rahman, Mr Praveen Ravindran & Mr Kavan Prakash

english

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