In November of 2022, Dr John Sandford-Smith spent 3 weeks in Tamale, in NCEH. This was his 4th time there. He took part in patient care and in surgeries but his main contribution was to train our staff. Thanks a million Dr John! You are an inspiration to all of us!
As part of activities to mark this year’s World Sight Day, The Northern Community Eye Hospital in collaboration with Dubai Charity Foundation, organized a free cataract camp at the premises of Northern Community Eye Hospital in Tamale. This program which took place from 7th to 10th October, 2022 saw 102 sight restoring cataract surgeries performed. As always, we are thankful to all the staff and partners who made this happen. #worldsightday #cataractsurgery
10 year old boy with interesting-looking cataracts before and after cataract surgery. He stopped schooling 3 years ago but vision has now greatly improved so he’s back to school again.
Right to Sight and Health was one of the sponsors of a one week long cataract surgery mission in Belize Lead by Dr John Ghobrial, ophthalmologist. The mission took place from, 30th May to 3rd June 2022. 20 phacoemulsification cataract surgeries were performed.
11 month old baby Ibrahim had very droopy eyelids ( called Ptosis )since birth and because of this he developed lazy eyes with poor vision in both eyes. He also had to lift chin constantly to be able to see. He underwent a successful Ptosis surgery and now his vision and head position improved greatly. His Mother is overjoyed !
The following items were donated to the Eye Clinic of the Tamale Teaching Hospital in 2014 and 2015:
Ophthalmic supplies:
Surgical instruments
Glaucoma drainage devices
YAG laser
ICare tonometer
Perkins tonometer
Intraocular lenses
Miochol
Vision blue
Needles
Surgical tape
Surgical gloves
Diagnostic lens
Cauteries
Ocular prostheses
Bulbs to ophthalmic instruments
Direct ophthalmoscopes
Vitrector heads
Sutures
Medications:
Antibiotic/antifungal combination drops
Dilating drops
Mitomycin
Triamcinolone injection
Vancomycin
Cefuroxime
Other supplies:
Extension chords
Power strips
Surge protectors
Miscellaneous electrical supplies
Diesel fuel to generator
Printer
Paper and other office supplies
Batteries
The following donations were made during our Kpandai/Wulensi/Salaga 2013 eye-mission trip:
The entire outreach was sponsored by Right to Sight and Health with the exception of transportation. All the supplies were brought by us. We also paid 3 ophthalmic nurses for 5 days each who did the prescreening of cataract patients at each location, and 3 other ophthalmic nurses who participated in the outreach.
Part of the leftover supplies were donated to the local ophthalmologist including eyedrops,eye-ointments, sterile disposable drapes and intraocular lenses (AC and PC IOLs)
The following donations were made during our Ourossogie, Senegal 2012 eye-mission trip:
1 Endure operating microscope with 7 spare bulbs and hard case
700 pairs of glasses (reading glasses, distance glasses and sunglasses)
Eyedrops (antibiotics, steroids, Fluress)
Eye-ointments
1direct ophthalmoscopes with spare bulbs
1 Topcon slit-lamp with spare bulbs
3 complete sets of cataract surgical instruments
Sutures for cataract and trachoma surgery
Intraocular lenses (AC and PC IOLs)
Viscoelastic
Surgical scrubs
Sterile disposable drapes
Lidocaine
1000$ to the hospital of Bakel
The following donations were made during our Bakel, Senegal 2011 eye-mission trip:
1100 pairs of glasses (reading glasses, distance glasses and sunglasses)
16 pairs of aphakic glasses
Eyedrops (antibiotics, steroids, Fluress)
Eye-ointments
1 direct ophthalmoscopes with spare bulbs
1 indirect ophthalmoscope with spare bulbs
2 complete sets of cataract surgical instruments
Sutures for cataract and trachoma surgery
Intraocular lenses (AC and PC IOLs)
Viscoelastic
Surgical scrubs
Spare bulbs for operating microscope
1 book: “Eye surgery in hot climates” in French
1000$ to the hospital of Bakel
The following donations were made during our Cameroon 2011 eye-mission trip:
500 pairs of glasses (reading glasses, distance glasses and sunglasses)
Eyedrops (antibiotics, steroids, Fluress)
Eye-ointments
Ophthalmology books and DVDs
Surgical blades
1 direct ophthalmoscope with spare bulb
1 automated blood-pressure machine
Sutures for cataract and trachoma surgery
4 boxes of sterile surgical gloves
20 bottles of Lidocaine
Syringes and needles
Surgical scrubs
2 fans
1500$ to the Catholic Hospital of Tonga
The following donations were made during our Tambacounda, Senegal 2011 eye-mission trip:
1200 pairs of glasses (reading glasses, distance glasses and sunglasses)
21 pairs of aphakic glasses
Eyedrops (antibiotics, steroids, Fluress)
Eye-ointments
2 direct ophthalmoscopes with spare bulbs
1 indirect ophthalmoscope
2 complete sets of cataract surgical instruments
Sutures for cataract and trachoma surgery
1 78D diagnostic fundus lens
1 20D diagnostic fundus lens
1 autoclave
Surgical scrubs
10 chairs
2850$ to the hospital of Tambacounda
The following donations were made during our Ghana 2010 eye-mission trip:
1500 pairs of glasses (reading glasses, distance glasses and sunglasses)
5 pairs of aphakic glasses
50 pounds of medications (antibiotics, antihypertensives, analgesics, antihelmintics, etc)
Eyedrops (antibiotics, steroids)
Eye-ointments
2 direct ophthalmoscopes with spare batteries and bulbs
Miscellaneous surgical instruments
Sutures (20 boxes of 20 sutures for trachoma surgery)
Surgical gloves
1 slit-lamp
1 78D diagnostic fundus lens
2 blood-pressure cuffs and 2 stethoscopes
40 bottles of Lidocaine
50 pounds of clothing
700$ to the medical clinic of Assin Praso
1700$ to the medical clinic of Adjoube
1500$ for outreach pediatric mission organized by Dr Kennedy Opoku
The following donations were made during our Senegal 2010 eye-mission trip:
1200 pairs of glasses (reading glasses, distance glasses and sunglasses)
20 pairs of aphakic glasses
50 pounds of medications (antibiotics, antihypertensives, analgesics, antihelmintics, etc)
Eyedrops (antibiotics, steroids)
Eye-ointments
20 Surgical scrubs to wear in OR
Miscellaneous surgical instruments
Sutures (10 boxes of 30 sutures for trachoma surgery)
Surgical gloves
50 bottles of Lidocaine
1 laptop computer
1 blood-pressure machine
30 flashlights (mechanical, without battery)
2 stethoscopes
The following donations were made during our Ghana 2009 eye-mission trip:
Autoclave – small and fast, to sterilize ophthalmic instruments
2 sets of cataract surgery instruments (30 pieces each)
Miscellaneous surgical instruments
Perkins tonometer
2 eye laser lenses
3 ophthalmic diagnostic lenses
Direct ophthalmoscope
800 pairs of glasses
40 pounds of medications (antibiotics, antihypertensives, analgesics, antihelmintics, etc)
Intraocular implants
50 syringes of visoelastic
Intraocular antibiotics
Eye-surgery blades
Eyedrops
Patient information material
Surgical scrubs
Sutures
1000$ to the Presbyterian Hospital of Dormaa-Ahenkro
5000$ for repair of the nursing quarters
The following donations were made during our Ghana 2009 medical mission trip:
Compression stockings 50
Otoscope, Welch Allyn 5
Ophthalmoscope Welch Allyn 5
MAP Medicine pack 5 (125 pounds of medications, including antibiotics, antihypertensives, analgesics, antihelmintics, antidiabetics, asthma-medicine, antiallergics, topical ointments, vitamins, etc)
Ambulance car
Blood sugar machines 15
Flat Screen computer complete 1
EKG machine 1
Defibrillator 4
HP Duplex Ultrasound machine 1
Surgical trays 5
The following donations were made during our Senegal 2009 eye-mission trip:
Miscellaneous surgical instruments
1 ophthalmic diagnostic lens
Direct ophthalmoscope
Indirect ophthalmoscope
600 pairs of glasses
15 pairs of aphakic glasses
50 pounds of medications (antibiotics, antihypertensives, analgesics, antihelmintics, etc)
Eyedrops
Patient information material
Surgical scrubs
Sutures
The following donations were made during our Cambodia 2008 medical mission trip:
MAP Medicine pack 5 (125 pounds of medications, including antibiotics, antihypertensives, analgesics, antihelmintics, antidiabetics, asthma-medicine, antiallergics, topical ointments, vitamins, etc)
October 2014 A few months ago I heard from a colleague that upon visiting the blind school in South Ghana he noticed that quite a few children could be helped by simple cataract surgery. There are only two blind schools in Ghana, one of them in Wa, “close” to Tamale. So I decided to organize a trip there to see if there are any children who could be helped by cataract surgery, glasses or by other means. I have been an ophthalmologist for 26 years and I have never been to a blind school, so this seemed like a good opportunity. I also thought of writing an article about the blind school to the Ghana medical journal. So this is the first of my blog series of visit to the Wa Methodist school for the blind.
I recruited my two favorite optometrists, Dr Collins and dr Nicholas, whom I have been working with for over a year. Wa is the regional capital of the most deprived region of Ghana, the Upper West. It has 100 000 inhabitants and only one traffic light. It is 5 hours from Tamale by private car, much longer with public transportation. We requested a car from the hospital, as I did not feel like sitting in a tro-tro with someone’s fat thigh pushing on my side for 7-8 hours. After about twenty phone-calls, e-mails, snail-mail and several personal visits, the transport has been approved. I turned out to be a large bus taking nursing students to the funeral of one of their classmates to a village close to Wa. It is a custom in Ghana that hundreds of people attend funerals and they go to extremes, might travel even for days for this. For Westerners it does not make sense but it is a way for them to show their compassion and solidarity. When I asked what happened to the young man who “passed” (Not “passed away” as we say it), the answer was the standard “he fell sick and died. “ I do not think I have ever heard any other explanation for death here, except if it was an accident.
The bus arrived to our hospital in Tamale around 1pm, about 1/3 full. I was happy we’ll have so much space, but it was too early to rejoice. We toured around Tamale for about 1 ½ more hours to collect more students until the bus was totally full. Then we waited another 30 min for just one person, sitting in the heat, sweating profusely. This would have been inconceivable in any Western country. The patience of Ghanaians is unbelievable. Finally we left and arrived a mere 6 hours later to Wa.
The blind school was established in 1958 by the Methodist Church but now is run mainly by the government. There are 220 students and 72 staff, half of them teachers. The students learn the same curriculum as the regular students, just in Braille, and in addition some receives vocational training, like basket weaving. The students speak many different languages, lots of them do not speak English and some have no common language with the staff. This, in addition to their mental and physical disabilities makes teaching them a real challenge. In spite of this, some still continue to university and became teachers themselves.
We got to our lodging and started work the next morning. We had preprinted sheets, and the teachers were filling in the names, the vision and the history. About 15 students filed into the room, were examined and sent out, then the next batch came. It was very interesting that most children walked around as if they were seeing perfectly well, even the totally blind ones. In the beginning the screening went slowly, but by early afternoon we improved on the system and speeded up. At the end of the first day we examined 150 students and identified 15 who could be helped.
At night we were returning from town when we saw a man walking home. We said hello and he told us he was one of the teachers there. From the way he moved I was pretty sure he was sighted but then I noticed he had dark glasses on. He said he was completely blind, his eyes were removed as a child. He attended this school and later he returned as a teacher of math and moral studies. We asked him how he could get around being blind, he laughed and said he just knew the place. When we got near to his house, he turned and walked home. He could hear his radio and that is how he knew where to turn. Later I left our lodging to take some leftover food to the fridge of the main building, which was about 3 min walk, and I got totally lost as the dark was disorienting even that I had a light. I felt like an idiot and was hoping I would not need to ask a blind person for directions. (Finally I found my way.)
The next day we continued the screening and examined another 70 students, 5 of whom could be helped. About ¼th of the students were completely blind, the rest of them partially sighted. About half were born blind, the others lost their sight in childhood. We saw all kinds of amazing pathology – genetic diseases, accidents, eye perforations from measles, all kinds of cataracts and botched surgeries, albinos, etc. Probably the sight of about half of the children could have been saved in the Western world.
The children in the blind school were extremely well behaved, calm and cooperative. They seemed to be happy and satisfied, almost serene. According to the teachers, they do not fight. They were walking around the campus as if they were sighted, the partially sighted ones holding the hand of the totally blind. The teachers of the blind school seemed dedicated and they knew all the children personally. They were mainly middle-aged women and they complained a bit about the lack of resources and difficult working environment. I asked them why they do not try to solicit help from the Western World, or even from Ghana, but then I remembered that they are computer illiterate and inundated with work. I tried to get the e-mail or even phone number of some staff who are young, motivated and have e-mail, thinking that I’d try to link them up with a Western organization, but all I got was two names and a promise that they’d text it to me later. It was a maddening thought to remember all what we spend on in the Western world, and how much good a little money could do here….. I have these thoughts constantly since I moved here but I do not voice them any more.
We asked the teachers if the families come and visit, and they said no, never, not any of them. The reason they gave was mainly poverty, and also that “the families do not want trouble”. During vacation some children stay behind in the blind school as they have no money for the fare to return to their village.
After we finished work we asked to see the lunchroom, the sleeping quarters and the classrooms of the school. One of the large halls burned down a few months ago so they were using the same hall for lunch and assemblies. A bell signaled the time for lunch, but the students were already gathering in front of the hall about 10 minutes early, even though they did not have watches. Inside there were simple wooden tables and benches, and a blind girl was carrying a bench nearly hitting a few others, not noticing it was broken. There were metal dishes and plates, and the children were served food by their “house mothers”. These ladies take care of all tasks a mother usually has, and there were 5 for the 220 students in the whole blind school. They must be exceptional women. The children got rice and an egg. They hardly ever eat meet and never fruit, as these are too expensive. The scene reminded me of a prison canteen, though the students were calm and patient. There was a brief silence as they stood up and prayed before the meal. It was an uplifting moment and even that I am not a sentimental person, it was extremely difficult to resist the urge to cry. I was mortified by the thought that they would notice and would think I feel sorry for them. A few seconds later I remembered they would not see it anyway.
Today 16 children with 4 teachers came from the Blind School in Wa for exam to our hospital. I raised some funds for their transportation so they took their own bus. They arrived around 1pm. We started the exam right away while a teacher got their folders. They were extremely cooperative and respectful – very easy patients. Out of the 11 possible surgical candidates we identified 9, and 2 could be helped by glasses. A student got an injection for a blind, painful eye and a prosthesis to the other eye which was removed earlier because of pain. We took them to have an ultrasound and lab-work for future anesthesia. They marched around the hospital in their uniform bravely, hardly letting us hold their hands.
I examined the teachers too and one of them, Abdul-Salaam was found to have diabetes, hypertension and glaucoma, all of which he was unaware of.
They brought their food with them and after the exam, they sat down to eat – just rice with sauce. Then they took off to make the 5-hour journey back home, unfortunately in the dark. It is not advisable in developing countries to drive after sunset, as the chance of an accident is much higher. Fortunately, they arrived unharmed.