Tikale just after surgery

We operated and successfully implanted an artificial lens.  Tikale stayed with us in the hospital for nearly two weeks after surgery, so we could get all the drops in his eye, and check his vision regularly.

Already happy after surgery

He enjoyed hanging out at the hospital, and made a lot of friends as he was so full of renewed energy!

Tikale gettings ready to go home after surgery

On the same day a team went out to visit the villages, and drop off Tikale and his family, Sam spotted an elephant youth.

Baby elephant in the village

There used to be families of elephants roaming the Linthipe valley near Nkhoma even as recent as 25 years ago.  They have all moved on now.

We are blessed that there are still one or two around!

From the team at Nkhoma and on behalf of all the patients we serve, I wish you all a very Merry Christmas and all the best for 2011!

I had a busy day on Tuesday getting all the initial surgical supplies together for the modern phaco cataract surgery machine.  I and the staff are very excited about the prospect of introducing this to Nkhoma! Imagine… the country’s first ever permanent modern phaco cataract surgery unit.

On Wednesday I met a wonderful group of CBM supporters from Canada, and we showed them the work here.

On Thursday I saw a boy who had been hit in the eye with a stick some two months ago, accidentally while playing with friends.  The stick had gone into the eye initially, and it took him 6 days to get to the hospital. I cleaned it up and stitched the eye back together.  By now, two months later, his eye had healed well, but he couldn’t see anything as his iris, the coloured part of the eye, was stuck.  So I took him back to theatre to make a new pupil for his eye.  I hope he will be able to see even just a bit now.

I went to Lilongwe for a clinic on Friday morning.  Nearly hit a baby goat 20 seconds after starting on the road, and a huge 10 metre wide tree branch came metres away from falling on me and 4 patients in the hospital in a freak wind.  I then got a call around lunchtime that I may have to go all the way up north to Nkhata Bay on Monday for a cataract session.  There are 100 patients waiting to be operated on Monday and Tuesday, and they didn’t want to cancel.  In the end one of the other 7 eye docs in Malawi, who is a bit closer than here, was happy to go and cover.   Otherwise I would have been starting a 7 hour drive around now.

Finished the week with a long power cut on Friday night, so some candles and an early night as totally exhausted.

5 Speed ECCE

So anyway, the next two months. We really want to end the year on a high note, it’s been a tough year. And the best thing we can do is to go to as many villages, screen as many people, and try and reach as many as we can to offer cataract surgery or other assistance. We have a finite amount of money left till the end of the year, and pretty much will spend it all on diesel for the clinic ambulances and food for the patients. All the medicines and lenses and staff are already here!

And this is what it comes down to for the bulk of the work. I hope that link above ‘5 Speed ECCE’ works. It’s a normal cataract operation, at 5 times speed; which is why it is just under a minute long.

With the help of the staff here at Nkhoma and in the field, and the great team at Malawi Council for the Handicapped (MACOHA), Mr Kambewa and I are going to try our best to perform as many of these surgeries as we possibly can in the next two months. Except at normal, rather than 5 times speed. It’s the Nkhoma team’s real strength… high volume high quality surgery. And it’s our hope that as many individuals as possible, who are now struggling with the burden of blindness, will be able to see by Christmas.

Thursday 14th is World Sight Day!  An international day of awareness to focus attention on the global issue of avoidable blindness and visual impairment.

80% of global blindness is avoidable.

4% of the World’s population are blind or severely visually impaired.  That’s four times the population of the UK!  It’s truly staggering, but we are also celebrating.  Yes there is a lot of need indeed, but we are winning the war on blindness.

It is incredible to think that CBM have with 102 years’ of disability and development experience and expertise performed over 10 million cataract operations.  And together with the WHO and the International Agency for the Prevention of Blindness, the burden of avoidable blindness is being tackled.  We need to carry on this work, and increase even more as we count down to 2020.

Mrs Samuel in her village before coming to hospital

Mrs Samuel back at home, a month after cataract surgery

But, it’s numbers.  Numbers that I can’t really get my head around.  What really counts to me, the staff at Nkhoma, and most importantly the patient… is that the 10 minutes, or even 6 minutes it takes for that cataract operation (and £20 donated by a kind supporter of CBM) will change that individuals life.  Forever.

New sight, New Life

Or as we say in Nkhoma…

Kuona kwa tsopano

Moyo wa tsopano

In line, waiting for surgery

Mrs Kadzichi back at home in the village

Malawi Council for the Handicapped (MACOHA) has a team of field workers in their community based rehabilitation programme.  They have spent weeks and months travelling through the Salima District villages screening people, and then bringing them to Nkhoma Eye Hospital throughout this fortnight.

Over a hundred cataract operations have been performed, and after a day or two for each patient in the hospital, a lot of people have left happy.

A satisfied crowd from Salima, waiting for the car home

MACOHA refer around 30% of all of our patients to us.

We will be heading back into the villages around Salima in a month or so to follow-up a few dozen people.  Usually it’s too far and expensive for people to travel back to the hospital for a check up after surgery, so we are going to travel to them.

It is very cold and windy at Nkhoma right now.  As most of the people in the villages don’t have electricity, there is only open fires to keep warm.  Sadly that also means a lot of burn injuries, and we recently had a 15 year old girl who had an epileptic seizure, and fell into a fire face first.  It was a while before anyone could help her, and unfortunately too late for the third degree burns she sustained over her eyelids, face and neck.

Dr John Sandford-Smith was visiting and luckily could successfully help her with her eyelids.  We are sending an ambulance into her village near Kasina to bring her to hospital for review today.  I hope we can find her.