10th national cornea eye banking...

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www.conference.ebai.org [email protected] Hosted by PBMA’s HV Desai Eye Hospital on behalf of EBAI WEST ZONE 8-9 Sept, 2018 Venue Suzlon Excellence Academy, One earth, Hadapsar, Pune PBMA’s HV Desai Eye Hospital Supported by 10th NATIONAL CORNEA & Eye Banking Conference Annual Convention of Eye Bank Association of India

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Page 1: 10th NATIONAL CORNEA Eye Banking Conferenceconference.ebai.org/wp-content/uploads/2018/09/program...10th National Conference on Cornea & Eye Banking Annual Convention of EBAI - Day

www.conference.ebai.org [email protected]

Hosted by

PBMA’s HV Desai Eye Hospitalon behalf of EBAI WEST ZONE

8-9 Sept, 2018

VenueSuzlon Excellence Academy, One earth, Hadapsar, Pune

PBMA’s HV Desai Eye Hospital

Supported by

10th NATIONAL CORNEA &

Eye Banking ConferenceAnnual Convention of Eye Bank Association of India

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10th National Conference on Cornea & Eye Banking Annual Convention of EBAI - Day 1

8th September 2018- Saturday

9.00-10.00AM - Eye Banking Session 1 - Basics of Eye Bank Procedures

Key Note Address

QA & QC Dr. Manisha Acharya (Shroff Charity Eye Hospital, Delhi) 12 minutes

9.00- 10.00 Clinical Session 1 - Ocular Surface and Corneal Diseases

Dr. Gobinda Mukherjee- Chairman, Dr. O.K. Radhakrishnan-Co Chairman, Panelists:

Dr. Seema Jagdale Mandhre - Moderator, Dr. Noopur Gupta-Convener

: Modern Technologies in Corneal surgeries-Dr. Radhika Tandon 12 minutesKey Note Address

Panelists: aj Gen Dr JKS Parihar-Chairman, Brig.Dr. Puninder Kumar-Co-Chairman,M Dr. Kalyani- Moderator, Dr. Srilata- Convener

9.12-9.20 Donor cornea- selection Criteria Dr. Swati Tomar 8 min

and Contraindications

9.20-9.28 Aseptic Techniques and In situ Mr. Arvind Akula 8 min

Corneo Scleral rim excision procedure

9.28 - 9.36 Challenges during tissue Retrieval Mr. Saravanan 8 min

9.36 - 9.44 Documentation of donor Ms. Madhumita 8 min

information Banerjee

9.44 - 9.52 Quality indicators in Ms. Supriya Hirve 8 min

Eye bank-validation of SOP & Ms. Shubhi Sood

9.52-10.00 Open Discussion: Challenges and Solutions 8 min

9.12-9.20 Meibomian Gland Dysfunction Dr.OPS Mourya 8 min

Clinical Scenario & management

9.20- 9.28 Amniotic membrane Transplantation Dr Chitra Sambare 8 min

9.28 - 9.36 Management of Chemical injuries Dr. Prabhakar Singh 8 min

9.36 - 9.44 Management of recurrent pterygium Dr. Tuhin Choudhary 8 min

9.44 - 9.52 Cultivated limbal stem cell transplants Dr. Abhishek Chandra 8 min

(CLET)versus Simple Limbal Epithelial

Transplants (SLET)

9.52- 10.00 OSSN- treatment modalities for a Dr. Ritesh Kakrania 8 min

favorable outcome

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LUNCH 1.00 PM to 2.00 PM

10.00 - 11.30 AM - Combined Session 1

Eye Banking & Cornea Achievements In India and International Developments (Plenary Lectures and meet Dhanda Awardees)

Panelists: Dr. Quresh Maskati-Chairman, Dr. Radhika Tandon - Co-Chairman, Dr. Sanjeevani Ambekar - Moderator, Dr. Nisheeta Agarwala-ConvenerIntroduction to the session by Dr Maskati and Dr Radhika Tandon, Address by AIOS Dhanda Awardees Dr Samar Basak and Dr Namrata Sharma

10.10 -10.30 International principles for tissue usage and Ms. Heather Machin, 20 min

cross border sharing GAEB

10.30 - 10.50 International networking for eye bank Ms. Claire Bonilla, 20 min

development SightLife, USA

10.50 - 11.10 Development of Association of Eye Banks Ms Chia Li Pang 20 min

of Asia AEBA

11.10 - 11.30 Leading the way for successful eye bank Dr. Prashant Garg and 20 min

development in India Dr Sunita Chaurasia LVPEI

12.00-1.00 PM - Combined Session 2 - Inauguration

Chief Guest-Dr Promila Gupta, Guests of Honour Dr. Sangeeta Abrol and Mrs. Sushma Seth

11.30-12.00 PM - Tea/Coffee Break

12.00 - 12.02 Invite dignitaries to be seated on the dais 2 min

12.02 - 12.07 Welcome address Mr. Nitin Desai 5 min

(Chairman)

12.07 - 12.10 Lighting of Lamp 3 min

12.10 - 12.15 EBAI President's Address 5 min

12.15- 12.20 Release of movie on eye donation Ms. Neeru Khera 5 min

Felicitation of Director & Venerated Actor & Sushma Seth

12.20 - 12.28 Address by Guest of Honour Dr.Sangeeta Abrol, 8 min

DDG NPCB & VI

12.28 - 12.36 Address by Chief Guest Dr. Promila Gupta, 15 min

Principal Consultant &

former DGHS, GOI

12.36-1244 Address by Chief Guest Lt. Gen. (Retd.) Dr. Vats

Hon’ble Member of Parliament

12.47 - 12.52 Felicitation of Chief Guest & Guest of Honour

12.52 - 12.55 Vote of Thanks Secretary EBAI 5min

12.55 National Anthem

10th National Conference on Cornea & Eye Banking Annual Convention of EBAI - Day 1

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2.12 - 2.20 Burden of Corneal Blindness and need Dr. Noopur Gupta 8 min

for donor cornea

2.20- 2.28 Eye banking models in India Dr. Radhika Tandon 8 min

2.28 - 2.36 Control of Corneal Blindness in India: Mr. Govind Hari 8 min

Vision 2020 perspective

2.36 - 2.44 Making a state backlog free- Dr. Areet Kaur 8 min

experience from Punjab

2.44 - 2.52 Recommendations of WHO-NPCB & Dr. Promila Gupta 8 min

VI Workshop

2.00-3.00 PM - Eye Bank Session 2 - NPCB & Vision 2020

Panelists: Dr. Promila Gupta-Chairman, Dr. Sangeeta Abrol-Co-Chairman, Dr. Ranjana Pandey- Moderator, Dr. Noopur Gupta-Convenor Key Note Address: Role of NPCB in control of Corneal Blindness-Dr. Sangeeta Abrol 12 minutes

2.00-3.00 PM – Clinical Session 2 - Infections

Dr.Gobinda Mukherjee-Chairperson, Dr.Prakash Marathe- Co chairperson, Panelists:

Dr. Aparna Vaidya- Moderator, Dr. Rama Rajgopal- Convener

2.00 - 2.08 Differentiating bacterial & fungal ulcers Dr. Seema Mandhre 8 min

2.08 - 2.16 Management of Fungal Keratitis Dr. Uma Sridhar 8 min

2.16 - 2.24 Corneal infections in rare systemic diseases- Dr. Jaya Kaushik 8 min

2.24 - 2.32 Non healing corneal ulcers- Dr. Jagruti Jadeja 8 min

approach to management-

2.32 - 2.40 Therapeutic Keratoplasty Dr. Shilpa Joshi 8 min

When, How & what after

2.40 - 2.48 Free Paper -1 Intrastromal voriconazole Dr. Piyali Konar 8 min

injection fo management of fungal keratitis

10th National Conference on Cornea & Eye Banking Annual Convention of EBAI - Day 1

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3.00-4.00 PM – Eye Banking Session 3 - Donation Strategies to maximize transplants

Panelists: Mr. Jaswant Mehta - Chairman, Dr.Vandana Shirsikar - C -Chairman Dr.Atul Hegde - Moderator, Dr.Jignesh Taswala- Convener

Key Note Address: History and evolution of Eye banking in India - Dr. M. Srinivasan 12 minutes

3.12 - 3.20 How to grow as an eye bank Mr. Hariharan 8 min

3.20 - 3.28 Impact of Policy on eye bank performance Dr. Arun 8 min

3.28 - 3.36 Whole globe retrieval or corneoscleral rim Dr. Rama Rajagopal 8 min

3.36 - 3.44 Age of donor-Emphasize on Suchitra Waithi 8 min

transplantable tissue Dr. Nisheeta Agarwala

3.44 - 3.52 New horizons—Looking back, looking forwards Dr. Nisheeta Agarwala, 8 min

3.52 – 4.00 Free Paper 1- Role of NGOs and Community Rajiv Manav 8 min

social workers in eye donation movement

3.52 - 4.00 Q & A, Open Discussion Panelists and audience 8 min

3.00 – 4.00 PM – Clinical Session 3 - Video Assisted Skills Transfer

Dr. Rajesh Sinha - Chairman, Dr. Maj Gen. Dr.JKS Parihar-Co Chairman, Panelists:

Dr. Alok Sati - Moderator, Dr. Abhishek Chandra - Convenor

3.00 - 3.08 Simplified DMEK Dr. Shakeen Singh 8 min

3.08 - 3.16 SLET with CLAG in Chemical Injury Dr. Paras Mehta 8 min

3.16 - 3.24 Pearls for manual donor dissection Dr. Swati Tomer 8 min

3.24 - 3.32 Intraoperative challenges in P.K. Dr. Nilesh Mohan 8 min

3.32 - 3.40 Keratoprosthesis Dr. Sameer Datar 8 min

3.40 - 3.48 Minor Salivary Gland Transplantation Dr.Swapnil Bhalekar 8 min

3.48- 4.00 Discussion, Q & A 12 min

10th National Conference on Cornea & Eye Banking Annual Convention of EBAI - Day 1

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4.00-5.00PM - Eye Banking Session 4 - Eye Bank Dilemmas and SuccessPanelists : Ms. Heather Machin - Chairperson, Dr. Nisheeta Agarwala - Co Chairman, Dr. Baban Dolas- Moderator, Dr. Renu Makdum- ConvenerKeynote Note Address:

4.00 – 5.00PM - Clinical Session 4 - Complex Corneal Disorders and Co-morbidities

Dr. Radhika Tandon-Chairperson, Dr. Ranjana Pandey - Co chairperson Panelists :

Dr. Varsha Kulkarni - Moderator, Dr. Swati Tomar- Convener

4.00 - 4.08 How to preserve vision & avoid keratoplasty Dr. Rajesh Sinha 8 min

in keratoconus

4.08 - 4.16 Congenital Cloudy Cornea - a diagnostic & Dr. M. Vanathi 8 min

treatment challenge

4.16 - 4.24 Surgical treatment of Stevens Johnson's Dr. Tuhin Choudhary 8 min

Syndrome

4.24 - 4.32 Astigmatism control in Penetrating Dr. Rishi Mohan 8 min

Keratoplasty

Modern technologies and extended utilization - Mr. Mahmood Farazdaghi, USA12 Min.

4.12 - 4.20 Ethical issues in Eye banking Dr. Sanjay Nagral 8 min

4.20 - 4.28 Advocacy in eye banking Mr. Jaswant Mehta 8 min

and Ms. Lorraine

4.28 - 4.36 Preparing for THOTA registration Dr. Nilesh Mohan 8 min

4.36 - 4.44 Medico legal Cases Open Discussion Maj.Gen. Dr. JKS Parihar, 8 min

Lead Discussants: Ms. Urmila,

Ms. Lorraine Misquith

Dr Areet, Dr Arun

4.44 - 4.52 Cornea Distribution System Dr. Rishi Mohan & 8min

Ms Shubhi Sood

4.52 - 5.00 Training Needs Assessment of Eye Bank Dr. Sujata Das, 8min

Personnel in India- East Zone Experience Mr Ganesh &

Ms. Priya Gupta

10th National Conference on Cornea & Eye Banking Annual Convention of EBAI - Day 1

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10th National Conference on Cornea & Eye Banking Annual Convention of EBAI - Day 2

9th September 2018 - Sunday - Eye banking Session 5 Modern Strategies for evolving needs in eye banking8.30-9.30AM

: Claire Bonilla– Chairman, Dr. Ravindra Kolte- Co Chairman, Panelists Dr.Mandar Paranjpe - Moderator, Dr. K.M.Bharucha- ConvenerKey Note Address: Expanding capacity in HCRP – Comprehensive Ecosystem approach Mr. Atul Kapur 12 min

8.30-9.30AM – Clinical Session 5 - Cataract surgery in corneal disorders

Dr .Nitin Prabhudesai-Chairperson, Dr. Parikshit Gogate Co-chairperson, Panelists :

Dr. Vidya Chelerkar - Moderator, Dr. Santosh Bhide- Convener

– Cataract Surgery in dry eye and ecstatic corneal diseases Dr. Rishi Mohan 12 minutesKey Note

8.42 – 8.50 HCRP versus voluntary donation Dr. Srilata 8 min

8.50 – 8.58 The Training Module of Eye bank technician Dr.Hitendra Ahuja 8 min

& the inspired persistence

8.58 – 9.06 Hiring, Building & Retaining the high Ms. Swapna Gade 8 min

performing team & Mr. Animesh Das

& Sumedha

9.06 – 9.14 Capacity Building by harnessing nursing Ms. Heather Machin 8 min

potential, policy, governance and education.

9.14 – 9.22 Journey of Mid-Size to large eye bank- Dr. Rekha Gyanchand 8 min

Strategies for effective implementation of HCRP

9.22- 9.30 Managing by Metrics Mr. M Rashid & 8 min

Mr. Vasanth Kumar

8.42 – 8.50 Intraoperative OCT guided endothelial Dr. Namrata Sharma 8 min

Keratoplasty

8.50 – 8.58 Co-existing Fuchs dystrophy & cataract Dr. Ragini Parekh 8 min

Management options

8.58 – 9.06 Post Keratoplasty Cataract Surgery Dr. Archita Singh 8 min

9.06 – 9.14 Pterygium and cataract- how will I manage Dr. Chitra Sambare 8 min

9.14 – 9.20 Management of non-resolving corneal Dr. Sujata Das 6min

edema post cataract surgery

9.20 – 9.30 Q & A Open Discussion 10 min

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9.30- 10.30 AM - Eye Bank Session 6 - Video Assisted Teaching of eye bank Procedures Ms. Chia Li Pang-Chairman, Dr. Chitra Sambare Co Chairman, Panelists :

Dr. Shikha Yadav-Moderator, Dr. Pranav More-Convener

9.30–9.38 Tissue Evaluation – Slit Lamp Ms. Supriya Hirve 8 min

(video demonstration)

9.38-9.46 Eye bank specular microscopy Arindam Banerjee 8 min

9.46-9.54 Tissue packaging for transportation Sushant Yadav 8 min

9.54-10.02 Serological tests for Donor Screening Dr.Rakesh Shah 8 min

10.02-10.10 Pre Cut Tissue (video) Mr. G. Srinivas 8 min

10.10-10.18 Basics of instrument cleaning, sterilization Mr. Satish Kurpad 8 min

& bio hazard management (Video)

10.18-10.26 Autologus Serum- Preparation and Uses Dr. Moushumi Patil 8 min

10.26-10.30 Q & A Open Discussion 8 min

9.30- 10.30 AM

Clinical Session 6 - Keratoconus, Anterior lamellar Keratoplasty & Refractive Surgery

Dr. Rishi Mohan-Chairman, Dr. Namrata Sharma-Co-chairman, Panelists :

Dr. Rahul Deshpande - Moderator, Dr. Tuhin Chaudhary – Convener

Key Note Address:

My treatment Algorithm for Keratoconus and DALK technique Dr. Rajesh Fogla (12 min)

9.42 -9.50 Interesting Case Studies To Be Confirmed 8 min

9.50 -9.58 Basics of corneal topography & overview of Dr. Shikha Yadav 8 min

collagen crosslinking

9.58- 10.06 Refractive options for thin Corneas Dr M Vanathi 8 min

10.06-10.14 Avoiding errors & complications in LASIK Dr. Srilata 8 min

10.14–10.22 Post LASIK corneal ectasia, Dr. Quresh Maskati 8 min

how wilI I manage?

10.22-10.30 Q & A Open Discussion 8 min

10th National Conference on Cornea & Eye Banking Annual Convention of EBAI - Day 2

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10.30-11:30 AM - Eye Bank Session 7 Counseling: everything you need to know and more

Dr. M. Srinivasan-Chairman, Mr.MK Krishna-Co-Chairman, Panelists :

Dr. Nikhil Rishikeshi-Moderator, Dr. Sanjeevani Ambekar-Convener

10.30-10.38 Preparation before the counseling, Brenda Wolsey 8 min

10.38-10.46 Body language & grooming of eye bank Ms. Preeti 8 min

Personnel & Indu Jha

10.46-10.54 Tips for effective counseling in eye donation M K Krishna 8 min

10.54-11.02 Challenging cases & situations for counselors Ms. Urmila 8 min

& Mr. Sripath Dixit

11.02-11.08 Free Paper/Case 1- Cornea Cold Shubhi Sood 6 min

11.08-11.14 Free paper/Case 2-Mandatory Lorraine Misquith 6 min

death notification

11.14-11.20 Practical difficulty in rural eye banking and Uma Jhawar 6 min

solution

11.20-11.30 Open Discussion/Role Play/ Panel 10 min

10.30 -11.30 AM - Clinical Session 7 - Endothelial Keratoplasty (EK)

Dr. Rajesh Fogla-Chairman, Dr. Samar Basak Co-chairman,Panelists :

Dr.Pranav More -Moderator, Dr. Chitra Sambare -Convener

- Endothelial Keratoplasty journey DLEK to DMEK – Dr Samar Basak 12 min.Key Note Address

10.42-10.50 Donor insertion techniques and complications Dr Namrata Sharma 8 min

In DSEK

10.50-10.58 DSEK in difficult situations Dr Alok Sati 8 min

10.58-11.06 Ultra thin DSEK or DMEK Dr Rajesh Fogla 8 min

11.06-11.14 Case selection, instrumentation& graft prep Dr Samar Basak 8 min

For DMEK

11.14-11.22 DMEK graft-Roll, Load, Insert, Unfold Dr Rajesh Fogla 8 min

11.22-11.30 Q & A Open Discussion 8 min

10th National Conference on Cornea & Eye Banking Annual Convention of EBAI - Day 2

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11.42-11.50 NABH guidelines for eye banks NABH representative 8 min

11.50-12.58 Current scenario of NABH Mr. Ganesh, EBAI 8 min

accreditation of eye banks

11.58-12.06 How to utilize therapeutic grade tissue Ms. Uma Jhawar 8 min

12.06-12.12 Partner Relations Brenda Wolsey 8 min

12.12-12.20 Preparation & processing of Nichole Riordan

Corneas for vision graft 8 min

12.20-12.30 Q & A Open Discussion 10 min

11.30- 12.30 PM - Eye Bank Session 8 NABH session & open discussion on EB dilemmas

Dr. Col Madan Deshpande-Chairman, Dr. Vijay Rathi-Co Chairman, Panelists :

Dr. Rajesh Kapse - Moderator, Dr. Kuldeep Dole –Convener

: Eye banking in Army- the road less traveled-Maj Gen. Dr JKS Parihar- 12minKey Note Address

11.30-12.30PM – Clinical Session 8 Challenging Situations

Panelists : Dr. M Vanathi-Chairman, Dr. Sheetal Dharmadhikari Co Chairman, Dr.Paras Mehta-Moderator Dr Shilpa Joshi Convener

Key Note AddressKeratoprosthesis for end stage ocular surface & corneal diseases Dr. Quresh Maskati-12 min.

11.42-11.50 Post Keratoplasty Glaucoma Management Dr. Rishi Mohan 8 min

11.50-11.58 Optimizing results in Pediatric Keratoplasty Dr. Radhika Tandon 8 min

11.58-12.06 Respcting the Cornea in cataract surgery Dr. Hitendra Ahuja 8 min

12.06-12.12 Free paper/ Descemets Membrane Dr. Anand Pasari 6 min

Endothelial Keratoplasty for failed

Pk:Visual outcomes & graft survival

12.12-12.18 Free paper/case 2 6 min

12.18-12.30 Q & A Open Discussion 12 min

10th National Conference on Cornea & Eye Banking Annual Convention of EBAI - Day 2

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Combined session 3: Launch of National Campaign to Eliminate Corneal Blindness

LUNCH 1.15-2.00 PM

Combined Session - 4 Aap Ki Adalat - 2.00 - 3.00 PM

Judges:Dr. G. Mukherjee Dr Radhika Tandon Dr. Namrata Sharma I I

Mr Govind Hari Dr OPS MauryaI

Session CoordinatorSwapna Gade

West Zone Team Chairperson Dr. Vijay Rathi

Central Zone Team Chairperson Dr. Hemant Kumar

North zone Team ChairpersonDr. M. Vanathi

East Zone Team ChairpersonDr. Tuhin Chaudhary

South Zone Team ChairpersonMr. M.K. Krishna

12.30-1.15 PM Combined session 3: Launch of National Campaign to Eliminate

Corneal Blindness

12.30-12.32 Receive Chief Guest and invite Dignitaries on Dias

12.32-12.34 Prayer Song

12.34-12.36 Welcome Speech by Dr Col Madan Deshpande

12.36-12.40 Installation of New President EBAI by Outgoing President EBAI

12.40-12.45 Felicitation of International Faculty

12.45-12.50 Presentation of late Dr A P Sah Memorial Trophy to Best Zonal Eye Bank

12.50-12.52 Conferment of Recognition Award for Notable Contribution to Rural Eye Banking

12.52-12.55 Launch of National Campaign to Eliminate Corneal Blindness

12.55-1.10 Address by Chief Guest Dr Vikas Mahatme

1.10- 1.14 Vote of Thanks by Secretary EBAI

1.14- 1.15 National Anthem

10th National Conference on Cornea & Eye Banking Annual Convention of EBAI - Day 2

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MAHARASHTRA OPHTHALMOLOGICAL SOCIETYHON. PRESIDENT

Dr. Prashant BawankuleHON. SECRETARYDr. Baban Dolas

CHAIRMAN SCIENTIFIC COMMITTEEDr. Parikshit Gogate

PUNE OPHTHALMOLOGICAL SOCIETY

iHON. PRESIDENT

Dr. Ni�n PrabhudesaHON. SECRETARY

Dr. Aparna Puri Vaidya

EYE BANK TEAM OF H.V. DESAI HOSPITALMiss Swapna GadeMr. Sa�sh KurpadMrs. Urmila Prabhune

Mr. Shushant YadavMr. Altaf Pate

Mrs. Pree� VaidyaMr. Nakul KulkarniMrs. Manisha Pandhare

Prof. Rajesh Sinha

IMMEDIATE PAST PRESIDENTDr. Samar Basak

IMMEDIATE PASTSECRETARY

Maj. Gen. Dr. J.K.S. PariharMEMBER (EAST ZONE)

Mr. Dilip Cha�erjiMEMBER (CENTRAL ZONE)

Prof. O.P.S. MauryaMEMBER (SOUTH ZONE)

Mr. A. Arvind KumarMEMBER (NORTH ZONE)

CHAIRPERSON (EAST ZONE)Dr. Tuhin Chowdhary

CHAIRPERSON (WEST ZONE)Dr. Vijay Rathi

CHAIRPERSON (SOUTH ZONE)Mr. M.K. Krishna

CHAIRPERSON (NORTH ZONE)Prof. M, Vanathi

CHAIRPERSON (CENTRAL ZONE)Dr. Hemant Kumar

MEMBER (WEST ZONE)Dr. Pranav More

PRESIDENTProf. Radhika Tandon

VICE- PRESIDENTDr. Gobinda Mukherjee

SECRETARYProf. Namrata Sharma

JT. SECRETARYMr. Govind Hari

TREASURERDr. Rishi Mohan

EXECUTIVE DIRETORMr. G. Ganesh

PBMA’S H.V. DESAI EYE HOSPITALWE WELCOME YOU ALL …..WE WELCOME YOU ALL …..

CENTRAL ORGANIZING COMMITTEECENTRAL ORGANIZING COMMITTEE

PRESIDENT

Mr. Parvez Bilimoria

CHAIRMANMr. Ni�n Desai

CHIEF MEDICAL DIRECTORCol. (Retd.) Dr. Madan Deshpande

CHIEF MEDICAL DIRECTORDr. Rahul Deshpande

MEDICAL DIRECTORDr. Sucheta Kulkarni

HON. SECRETARYMr. Kishor Vora

CORNEA CONSULTANTDr. Seema Jagdale-Mhandare

CORNEA CONSULTANTDr. Rasika Thakur

MEDICAL DIRECTORDr. Kuldeep Dole

MEDICAL DIRECTOR EYE BANK & CORNEA CONSULTANT

Dr. Shilpa Joshi