Your eyes

Eye Care Awareness Campaign statistics for 2011

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The South African National Council for the Blind is proud to report that in association with the Free State Department of Health, FHC, Plascon, Vodacom Foundation, North West Province Department of Health and the Allergan Foundation, we achieved a total of 477 cataract removal operations during Eye Care Awareness Month held in October 2011.

It is with much appreciation that we acknowledge the help and support of all our funding partners. Together, we have all given the gift of sight back to close to 500 people. We had originally anticipated reaching a target of 700 people, but with the help of our funders we’ve managed to get as close to our target as we could.

Statistics prove that 80% of blindness is preventable or curable and a simple operation like these cataract removal ones does a world of difference to someone suffering from the condition who would have needlessly gone blind because they do not have the means to get the necessary eye care. Our mobile eye clinics do regular tours in far flung areas to ensure that all South Africans get access to eye care facilities.

This year, the statistics were as follows:
• The Free State with the assistance of the Free State Department of Health had 54 operations;
Kwa Zulu Natal with the assistance of the FHC had 45;
Mpumalanga with the assistance of Plascon conducted 171 operations across three hospitals;
• Northern Cape with the assistance of Vodacom had 79 operations in Barkley West; and,
• North West with the assistance of North West the Allergan Foundation had 128 operations in two areas.

If there’s any way your company would also like to be involved in our cataract removal blitzes, please contact Nishen Naicker at 012 452 3811 to pledge your financial support for this worthy cause.

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Stop Diabetic Eye Disease

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14 November is International Diabetes Day and we are joining the international movement to advocate for a better lifestyle to stop eye damage from diabetes.

Diabetes SA says the following on their website : "There is an explosion of diabetes worldwide and developing countries like South Africa are the worst hit. The World Health Organisation (WHO) predicts that in South Africa, the numbers will triple in the next 15 years. Although all groups are affected, those most at risk are the black community who are undergoing rapid lifestyle and cultural changes, and people of Indian descent who have a gene pool that makes them unusually susceptible to diabetes.

Research shows that approximately 4-6 million people in SA have diabetes and that most of these people are unaware that they have the condition. Around the world it has been shown that patient education and motivation reduces the cost of diabetes care as well as reducing the risk of serious diabetes-related complications, dramatically."

Diabetes SA is an excellent source of diabetes information. They have books, pamphlets, posters and their own magazine. They organise diabetes management courses, lectures and informal discussion groups as well as family and youth camps.

Diabetes SA has a national network of branches and support groups and they aim to inform, educate, empower and encourage people with diabetes and their families in their communities so they may take control of their condition.

Diabetes SA promotes diabetes awareness, publicising the symptoms and warning signs of the dangers of uncontrolled or undiagnosed diabetes

Please prevent eye damage due to diabetes.

As part of November's Diabetic Eye Disease Awareness Month, Prevent Blindness America is launching its new "Live Right, Save Sight!" campaign. The goal of the program is to educate the public on diabetes and its potential effect on vision, as well as healthy choices you can make today to save sight in the future. Live Right, Save Sight! also provides free information including risk factors, treatment options and Medicare benefits as well as a dedicated web page.

You can also visit the International Diabetes Federation's webiste.

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Eye Care Awareness Month

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The Bureau for the Prevention of Blindness, Council's Eye Care Division, is coordinating and conducting various cataract blitzes (high volume cataract surgeries) in six of the provinces during the month of October in order to put eye care services in the reach of under-serviced, rural communities.

Each cataract surgery, which is performed in under 30 minutes, gives the gift of sight back to each patient – and the Bureau plans to be instrumental in giving this gift to as many as over 700 people.

These blitzes take place as part of the Eye Care Awareness Month (ECAM) campaign. This is a South African initiative held annually in the month of October in order to raise awareness about the importance of eye health, specifically around the prevention and treatment of avoidable blindness. International World Sigh Day, which will be held on 13 October, is an important day within the ECAM calendar.

In the words of Mthobi Tyamzashe, Executive Director CSI and Chairman of the Vodacom Foundation (one of our main Eye Care sponsors): “Many South Africans go about their lives enduring preventable physical illnesses that can be eliminated at very low cost and in little or no time, given today’s technological advancements. Vodacom has chosen to play a positive role in ensuring that such unfortunate citizens are not lost from making their contribution towards a sound economy, through partnerships like the one with the South African National Council for the Blind.”

80% of blindness is avoidable either through prevention or through treatment, which is why ECAM's message: “Love your eyes” and get your eyes tested at least once per year, is so important.

For more information call Feni at the Bureau on 012 452-3811 or send us an email.

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Preventing Blindness

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Sightsavers' new video

Watch Sightsavers' new video to get an understanding of the work they do in developing countries. We are proud to be one of their partners, and assist them in making these miracles possible in south Africa. This is what Eye Care Awareness Month is all about.

Click here to watch this lovely video.

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Ophthalmic nurses from Botswana visit Council

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By Maria Hlonipho

The South African National Council for the Blind was honoured by a visit of a delegation of twelve ophthalmic nursing students and two lecturers from the Institute of Health Sciences in Molepolole, Botswana from the 7th to the 11th of March 2011. These students were professional nurses, registered for the post basic course in Ophthalmic Nursing and were in their last semester of an 18 month course. The Bureau for the Prevention of Blindness coordinated the participation of various stakeholders in Council and at the University of Pretoria.

The purpose of the educational tour was to understand Council’s role in community eye care and to acquire practical experience in surgical eye care.

Jace Nair, our National Executive Director and the management of Council’s various divisions delivered presentations on the following topics:
• An overview of Council with the focus on our governance, projects and fundraising;
• Our comprehensive Eye Care Programme;
• Our Community Development Programme;
• Orientation and Mobility Services; and,
• Our Community Based Rehabilitation Services.

The nurses visited our Resource Centre, the Itireleng Community Project in Ga-Rankuwa as well as our training facilities at Optima where they received a practical demonstration on Orientation and Mobility. They also visited the Tshwane and Kalafong hospitals to observe operations for cataracts, and special operations such as corneal transplants, repair of detached retinas, phaco-emulsifications, plastic surgery on eyelids, etc.

The Botswana delegation also shared their experiences in eye care services and training of nurses with our staff and acknowledged that they benefited a lot from their visit. The tour leader expressed their appreciation of the clinical learning opportunities presented by Council and the hospitals and promised to visit again every two years when they have another intake of ophthalmic nursing students.

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Eye Care Awareness Month (ECAM) October

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There is a huge backlog of people waiting for cataract operations in South Africa, and the number increases by 10 000 every year. During ECAM Council and its partners try to bring down that number by having cataract blitzes offering high volume surgery. The patients are screened beforehand so that only operations gets done during the blitzes.

Cataract is the most common cause of blindness in South Africa – 55% of all South Africans who go blind, suffer from cataract.

A cataract is the clouding of the clear lens of the eye that focuses light onto the retina. The key symptoms of cataract are reduced depth perception, diminished colour perception (especially blues and purple), annoying glare in sunlight and poor night vision.

The only treatment for cataract is to remove the clouded lens from inside the eye and replace it with an artificial lens Removing a cataract involves a 30 minute operation under local anesthetics.

Statistics
According to statistics from the World Health Organisation (WHO) website (Resnikoff et al: 2004), cataract accounts for 39.1% of global blindness, making it the largest cause of blindness worldwide.

Risk factors
Factors which increase your risk of developing cataract include:
• Prolonged exposure to the sun’s UV-B light,
• Exposure to radiation,
• Smoking and alcohol abuse,
• Diabetes, as well as obesity,
• Age - the older you get, the higher your chance of developing cataract.

Prevention and treatment
• Cataract can be slowed down and reversed with early detection –a comprehensive eye exam is necessary at least once every two years.
• By stopping smoking and adopting a healthy diet, in particular, eating foods rich in antioxidants, cataract can be slowed down or prevented.
• Wearing protection (such as sunscreen, sunglasses and a wide brimmed hat) whilst in the sun can prevent future development of cataract.
• Surgery is the only way to treat cataract.

Click on the document below to see Council's Bureau for the Prevention of Blindness' schedule for ECAM 2011.

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Stem Cell Procedure Suspended in Germany

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The following official statement was received from Claudette Medefindt from Retina South Africa (a member organisation of Council):

The X-Cell clinic in Germany has been closed down by the German Authorities and the centre has filed for bankruptcy. Retina South Africa has welcomed the news with great relief.

Retina South Africa's Director for Science, Claudette Medefindt, says “ The experimental procedures they were using were not backed up with any clinical trials or even papers published in any reputable scientific journals.” Desperate patients waiting for therapy often resort to unproven methods, but the use of autologous stem cells that have already specialised have potential dangers. Unrestricted cell growth could lead to tumours and many other complications.

“The therapeutic use of stem cells to treat retinal vision loss has tremendous potential, but proper scientifically controlled and registered treatment trials are only just beginning. Retina South Africa is in contact with all the role players in the international research arena and urges retinal patients to check with them before embarking on any unregistered and experimental procedures”

Young patients are urged to join the organisation and have a genetic test to determine which gene mutation they have. Only patients with a genetic diagnosis will be eligible for future gene specific treatments and clinical trials.

Contact Claudette via email or or phone her on 083 306-5262 or see the Retina ENews that features promising research and treatment trials on Retina South Africa's website.

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We received the Excellence Award

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The South African National Council for the Blind was awarded the Discovery Foundation Excellence Award at a prestigious function on 23 June 2011, for the rural outreach work done by our Bureau for the Prevention of Blindness.

Overview of the Discovery Foundation Awards

In 2011, the Discovery Foundation made 29 awards in four categories. These awards will benefit healthcare in South Africa through financial support for Academic Medicine and research, specialist and sub-specialist training, rural healthcare and healthcare service delivery, innovation and training.

Council received the Discovery Foundation Excellence Award:
The Discovery Foundation Excellence Award alms to boost organisations that display excellence in service delivery, training and innovation to benefit South African healthcare, particularly if they strengthen human resources in the sector.

Discovery Foundation Excellence Award: South African National Council for the Blind (SANCB)
The two leading causes of blindness in South Africa are cataracts (50%) (a clouding of the lens of the eye) and glaucoma (14%) (an increase of pressure inside the eye). Cataract blindness is curable through surgery while glaucoma can be treated with drugs and surgery.

With the help of the private sector and established public infrastructure, the SANCB's clinical outreach division - the Bureau for the Prevention of Blindness - performs on average 4 000 cataract surgeries per year in remote areas where the Government does not have the capacity to intervene effectively. Making use of four mobile surgical eye care units, the Bureau reaches out to those who would otherwise remain needlessly blind. The mobile units undertake 100 tours of five to six days each to rural areas annually. Patients are screened, spectacles dispensed, and medicines and other treatments prescribed. The last few days of each tour are dedicated to surgery and post-surgical examination.

The award will help the Bureau to undertake 11 mobile eye care tours in Limpopo Province during 2011. The SANCB does not presently have the funds to provide services in this province.

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Optic Nerve Hypoplasia (ONH)

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A person with Optic Nerve Hypoplasia (ONH) has small eye nerves (optic nerves) from the eye to the brain. Some people with ONH also have an abnormal brain and a poorly functioning pituitary gland. The attached brochure explains the problems that can occur in children with ONH.

Your child may have none, any, or all of these problems in a mild or more serious form. Depending on the person's problem sometimes the disease is called Optic nerve Hypoplasia (ONH), septo-optic dysplasia, or De Morsier's syndrome.

If you need support, please email Karen Muller or phone her on: 083 328-1938 or 031 762-2602.

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First synthetic human retina grown from mouse stem cells

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The BBC is reporting what is being referred to as a landmark discovery as it pertains to the treatment of visually impaired and blind persons.

A Japanese team has been successful at growing a synthetic retina using mouse stem cells. The retina is a key component to a human’s ability to see since it allows rays of light to enter the eye and focus into picture which are sent along the optic nerve to the brain. If the retina is damaged due to trauma or disease it would cause an individual to lose some, if not all of their sight.

The promise the new discovery brings is the ability to produce retinal cells or a whole retina for repair or transplant in a patient. Current retinas for transplant come from human donors so if they can be produced from animal stem cells there could potentially be an endless supply available to patients as and when they need them. Incredibly, the technology could also lead to the growing of a whole eye using the technique.

Read more at BBC News as written by Brian Osborne on 11 April 2011.

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