Prof. Dr. Asad Aslam Khan
Principal/ Director General
College of Ophthalmology & Allied Vision Sciences (COAVS)
HISTORY AND INTRODUCTION
College of Ophthalmology & Allied Vision Sciences (COAVS) started as Comprehensive Eyecare Cell Punjab in 1999 to eradicate preventable & curable blindness from the country and from the province of Punjab, in particular. Based on its tremendous achievements it was elevated as Punjab Institute of Preventive Ophthalmology (PIPO) in 2004 & to the present status of College of Ophthalmology & Allied Vision Sciences (COAVS) in 2007. It is affiliated with King Edward Medical University Lahore for graduate and postgraduate degrees while Punjab Medical Faculty & Pakistan Nursing Council are the accrediting bodies for Ophthalmic Technician & Ophthalmic Nursing diplomas respectively. The Professor of Eye Unit III will also be ex officio Principal/ Director General of College of Ophthalmology & Allied Vision Sciences (COAVS). The teaching and non-teaching staff of Eye Unit III will also be the staff of COAVS & vice versa.
It is situated adjacent to the clinical Ophthalmology Department
Building has 5 storeys, which include Offices, Classrooms, Auditorium, Conference Room, Computer lab, Wet Lab, Refraction Training Room, IOL Bank, Corneal Bank, Pharmacy, Research Cell & Learning & Resource Centre
- Fellowship in Vitreoretina (Post FCPS/ FRCS/ MS)
- Fellowship in Paediatric Ophthalmology (Post FCPS/ FRCS/ MS)
- Masters in Community Eye Health (MCEH)
- B.Sc (Hon) programme in Optometry, Orthoptics & Ophthalmic Technology
- Ophthalmic Technician Training Programme
- Ophthalmic Nursing diploma
- Quality assessment and improvement of optometric care and services in tertiary hospitals of Lahore
- Proportion of refractive errors in patients with Vernal Keratoconjunctivitis (spring catarrh)
- Prevalence of refractive errors in patients with nystagmus of age group 0-15
- Proportion of latent hyperopia in children at their 1st visit to out door of MAYO hospital
- Prevalence of myopic error among goldsmiths
- Age related decrease in contrast sensitivity in normal population
- Effect of anti glare glasses in computer using patients
- Tear film break up time in diabetics
- Near addition in unilateral pseudophakic, pre-presbyopic patients
- Glare and contrast sensitivity on astigmatic patients
- Normal pupil size in Pakistani population in mesopic and photopic conditions
- A study of familial patterns in pathological myopia
- Improvement in quality of life following optometric management in patients with dyslexia.
- Visual hygiene in adult Myopes
- Comparison between plastic and glass lenses acceptance in general public
- To evaluate optometric management of hyperopia in children
- Variability of autorefraction under similar conditions
- Causes of Amblyopia in patients presenting in Paediatric ophthalmology clinic
- Short-term influence of exercise on axial length and intraocular pressure
- Measurement of range of accommodation in myopes, hypermetropes and emmetropes
- Traumatic blindness in Waziristan
- Refractive changes after trabeculectomy
- Knowledge, attitude and practice regarding spectacle use in adult population of Waziristan
- The best method of treatment of convergence in sufficiency in children (prism, refractive modifications, pencil push-ups)
- Disability associated with loss of different grades of Binocular Single Vision
- Difficulty in night driving among myopes
- Knowledge, attitude and practice (KAP) study regarding spectacle use among general population of Bhimber, AJK
- Effect of different antiglaucoma drug groups on tear film stability
- Optical correction and quality of vision in ambulance drivers
- Cycloplegic refraction autorefractor vs. Retinoscopy
- Significance of PMT after cycloplegic refraction
- Proportion of Astigmatism in patients with pterygium
- Socioeconomic status and refractive errors
- Colour vision comparison in low versus high myopia
- Visual rehabilitation of patients with age related macular degeneration (ARMD)
- Prevalence of eye diseases causing visual impairment among school children in Baluchistan
- Prevalence of anisometropia in high school children
- Normal value of Schirmer test in urban Pakistani population
- Prevalence of convergence insufficiency in relation to refractive status
- Acceptance level of different types of bifocal glasses
- Corneal astigmatism after 3.2 mm phaco surgery- comparison between temporal and superior incision
- Measurement of optic nerve thickness in different age groups of normal population on ultra sound
- To check the central retinal sensitivity on white on white perimetry in emmetropic patients in different age groups
- Peripapillary choroidal filling pattern in pre-perimetric vs. perimetric open angle glaucoma.
- Comparison between Haigis and SRKT formula in biometry
- Predictive accuracy of FFA to diagnose CME using OCT as gold standard]
- Evaluation of results of squint surgery in Mayo hospital Lahore
- 1). Evaluation of pre and post operative B.S.V in patients who develop squint after age of 2- years
- Evaluation of extra ocular movements and diplopia after orbital surgery.
- Prevalence of squint and its associated factors in primary school children
- Differentiation between true hypertropia and superior oblique muscle involvement in patients presenting with horizontal strabismus.
FUNCTIONS & SERVICES OFFERED BY College of Ophthalmology & Allied Vision Sciences (COAVS)
HUMAN RESOURCE DEVELOPMENT
COAVS is conducting 2-year postgraduate courses for ophthalmologists since 2010 as part of super-specialty development. These include:
- Fellowship in Vitreoretina (Post FRCS/ FCPS/ MS)
- Fellowship in Paediatric Ophthalmology (Post FRCS/ FCPS/ MS)
- Masters in Community Eye Health (MCEH)
- Courses For Midlevel Eye Care Personnel:
One of the major objectives of COAVS is development of Human Resource through training of Midlevel Eye Care Personnel (MLECP) to provide Primary Eye Care facilities at the grass roots level. To achieve this objective, the following courses were started at COAVS for which the admission process was completed by the end of 2004.
1) 4 – years B.Sc. (Hon.) Vision Sciences
2) 1 – year Ophthalmic Technician training Course.
3. Ophthalmic Nursing Diploma of one year duration was started in 2009.
2) Refresher Courses:
The College of Ophthalmology & Allied Vision Sciences (COAVS) conducts refresher courses for Ophthalmologists of DHQ Hospitals in Cataract Surgery with IOL implant, Glaucoma, Childhood Blindness, Corneal-, Diabetes- related blindness & advanced Diagnostic Work up related to these disorders not only for the province of Punjab but other provinces as well.
3) Training of LHW’s and other paramedics in Primary Eye Care:
Training of Lady Health Workers & paramedical staff in upgraded districts for Primary Eye Care is being carried out continuously.
(B) DISTRICT COMPREHENSIVE EYE CARE PROGRAMME (DCECP)
This programme was introduced after the situational analysis in 1999 revealed that the ophthalmology departments of most of the DHQ Hospitals of Punjab were in very pathetic condition, all of them were lacking in quality equipment & that the surgical rate per year especially in cataract was far below than the required international standards set by WHO.
The programme was launched with the help of international NGO’s like Fred Hollows Foundation (Australia), Aus-Aid, & Sight Savers International (UK). Later on all the remaining districts were upgraded through National Programme for Prevention & Control of Blindness Pakistan. It includes:
1) Upgradation of Eye Departments of DHQ Hospitals:
This includes provision of new microsurgical equipment e.g. Operating microscope, Slit lamp, Biometer/ Keratometer, Autorefractor, Ophthalmoscope/ Retinoscope, Autoclave etc. & Computer for record maintenance along with necessary changes/ refurbishment of the building.
2) Training/ Refresher Course of District Ophthalmologists:
The District Ophthalmologists of each upgraded district is given two weeks training at COAVS for latest surgical techniques e.g. cataract surgery with IOL implant, glaucoma, management of diabetic, corneal & childhood blindness.
3) Training of LHW’s and other paramedics in Primary Eye Care:
Training of Lady Health Workers & paramedical staff in upgraded districts for Primary Eye Care is also being carried out continuously.
(C) DISEASE CONTROL
1) Trachoma Survey:
A Participatory Rapid Appraisal (PRA) for trachoma was carried out in three villages of District Sheikhupura in 2004. A door-to-door survey was carried out which revealed 70 cases of active trachoma while 30 cases with trichiasis (cicatricial trachoma) were also found in these three villages with a combined population of about 5500
2) Establishment of Text Accessibility & Legibility Center (TALC):
This year College of Ophthalmology & Allied Vision Sciences (COAVS) signed an MoU to establish a Text Accessibility & Legibility Center (TALC) for adults & children with low vision at Quaid-i-Azam Library Bagh-i-Jinnah & Children Complex Library with the help of Dark & Light Care, The Netherlands.
3) Registration for keratoplasty:
College of Ophthalmology & Allied Vision Sciences (COAVS) intends to start transplantation of free corneas to the poor blind people. Registration for this purpose was started in 2004. In the meanwhile, negotiations with Nepalese Corneal eye banks for establishment of Cornea Bank at COAVS were started & it is hoped that very soon the first-ever corneal bank in the country shall be established at COAVS.
4) Outreach Activities:
Numerous camps have been conducted in different areas of Punjab. In these outreach activities, free surgeries (cataract extraction with intraocular lens implant) were performed. Almost all the activities were conducted in Government hospitals/ Health Centers. Additional camps were also conducted at Rangers Headquarters, Gurudawara Janamasthan Nankana etc.
(D) CONTINUOUS MEDICAL EDUCATION:
a) Workshops/ Seminars/ Trainings:
In different specialties and areas are conducted in the field of Clinical and Community Ophthalmology
(E) AWARENESS CAMPAIGNS:
World Sight Day is observed on 2nd Thursday of October each year. It serves mainly as an advocacy tool to create awareness about blindness and steps taken to alleviate it under Vision 2020 initiative. In 2011 it shall be observed on 13th October.
ii.) Press Conferences & Press Releases from time to time regarding various activities & achievement