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March 2003
IN THIS ISSUE

New ESCRS trial in bid to cut endophthalmitis rate to 0.01%


Lasik corrects refractive errors after PK in selected patients

Africa-Luz mobilises to provide eye care in regions riven by poverty

Multifocal IOL
choice hinges on patterns of daily routine

Anti-histamine drug mitigates risk of developing DLK after Lasik, says study

Untreated eyelid inflammatory disorders pose risk for postoperative complications

Thermotopography shows ‘enormous promise’
for diagnosis and treatment of eye diseases

Lasik offers ‘very effective treatment’ for
refractive errors after PK, says US specialist

Good results with PRK and Lasek rival Lasik for top spot in refractive excimer laser surgery

Orbital lymphomas respond well to local, systemic therapies, says study

Laser technologies still beam but economy and consumer demand will determine future of refractive surgery

Legally blind cardiologist finds new beat in low vision rehabilitation

‘Pivotal’ anti-TGF antibody therapy reduces
filtering bleb wound formation, says report

Neuroprotective agents stem optic nerve damage
by ‘offering a solution’ to open-angle glaucoma

Echothiophate iodide shortage leaves US specialists struggling to find alternative for acute cases

Postoperative complications of PK will have serious consequences unless tackled 'aggressively’

Private refractive clinics claim young specialists as public waiting lists grow in Canadian eye surgery

German doctors’ helpers oil the cogs of the private ophthalmic practice

Study of 900 ICLs reveals good safety and long-term refractive results, says Spanish specialist

New toric IOL corrects high corneal astigmatism after cataract surgery, Austrian study reveals

IVF children run increased risk of developing
retinoblastoma, claim Dutch researchers

Suture-free DLEK preserves corneal surface topography and ensures faster wound healing

The day I said goodbye to cataracts and hello to the world without glasses

Retina specialists and trauma ophthalmologists
prepare to trade notes at joint Hungarian conference

Night blindness casts bogeyman into the shadows

Erbium laser phaco requires longer time but less energy for moderately hard cataracts

FEATURES
From The Editor
Reflections on Refractive Surgery
In Your Good Books
Bio-ophthalmology
In The Driving Seat
Prime Site
The Collector's Eye
Regulatory Matters



Africa-Luz mobilises to provide eye care in regions riven by poverty

Stefanie Petrou Binder MD
in Nuremberg

THE basic objective of humanitarian organisation Africa-Luz is to fight blindness in Africa, but its actual agenda steps beyond sight restoration to providing medical training and a sense of hope to areas all but bereft of medical resources.
Speaking at the Congress of German Ophthalmic Surgeons, founding president of Africa-Luz, J.L. Douenne MD, said the organisation strives to educate "health care professionals, national health care administrators and the public".

Founded in 1994, Africa-Luz is a volunteer association established by African expatriates to treat patients and help develop ophthalmological care.
It comprises mobile groups of ophthalmic surgeons and medical personnel who are dedicated to improving medical working conditions in African countries.
The group has six donated trucks, two cars, three operation microscopes, an autorefractive keratometer, an AB-scanner, and over 3,000 IOLs. They also have more than 20,000 pairs of donated glasses. One of the trucks houses an operating room with air conditioning and modern machinery, the likes of which few African hospitals have seen.

The mobile units have the advantage of being able to enter areas which are devoid of hospitals and ophthalmic care, usually far from larger cities and towns. Most of the patients treated live well below the poverty level.
According to Dr Douenne, the arrival of the medical group is usually a big event for the town.

Curiosity about the new facilities is matched only by the hope of successful treatment. The international nature of the surgical team has at times made trust between the patients and the group more difficult, and this is one of the many challenges of the job.
Africa-Luz seeks to establish hospitals and clinics where there are none, and to reduce the incidence of blindness in those areas.
Dr Douenne said the criteria for choosing priority areas for treatment are both simple and hopelessly complicated. They must have none or few eye doctors, no hospitals, and there must be some kind of post or mission to take in postoperative patients. That description fits countless northern African regions.

Part of the strategy of Africa-Luz is to offer the most modern equipment, instrumentation and techniques to the African medical personnel. In doing so, they provide the best possible care and educate the local ophthalmologists in the most up-to-date standards, thereby giving them the tools for their future.
The group is always looking to recruit skilful and willing ophthalmic surgeons and nurses, opticians, biochemists, and anaesthesiologists who want to volunteer their time and knowledge for the betterment of ophthalmic care in Africa. It has offices in Germany, Spain, France and England.

Donations from their own members as well as from various institutions and societies support Africa-Luz’s work in disadvantaged regions. Corporate support comes from many companies including Alcon, Schmidt and IOLtech. Donations are used to pay for the living expenses of the permanent staff, vehicle and instrument upkeep, procurement of medications and medical equipment, as well as the logistics of working in Africa.

Some 90% of the world’s blind live in developing countries. At least 80% of these could be either cured medically or surgically, or their blindness prevented altogether through proper care. Cataract is the overall major cause of blindness in Africa, accounting for approximately 20 million cases.


Association Africa-Luz
Z.A. Layatz II, 64500 Saint Jean de Luz, France
Web: www.africaluz.com

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