2012 ANNUAL REPORT RESTORING SIGHT TRANSFORMING LIVES CURRENT BOARD CURRENT OF DIRECTORS STAFF HARRY S. BROWN, MD, FACS RANDAL AVOLIO Founder President/CEO SCOTT W. GROFF NANCY BRIMHALL Chairman of the Board Interim Director of Development HOWARD R. HUDSON, CPA KATE BRYANT Treasurer & Secretary Development Manager JOHN I. CROWDER, MD STEVE BUNNELL Medical Director Coordinator of Communications and Analytics CARYL O. CRAHAN GEORGE DOVAS BARBARA GAUGHEN-MULLER Staff Accountant LT. COL. BRIAN KELLY KIMBERLY FITZGERALD MICHAEL LAZAROVITS Associate, Administration & Development MICHAEL J. PAVELOFF, MD, FACS DANTE J. PIERAMICI, MD LUIS PEREZ GEORGE B. PRIMBS, MD, FACS Director of Operations WRIGHT WATLING PATRICK T. WELCH YATZIE PONCE Offce Manager LARA RICH MISSION Administrative Assistant, SBVCP Coordinator STATEMENT LUCY RIOS Administrative Assistant Surgical Eye Expeditions (SEE) RACHEL SIEGEL International provides Retina Program Coordinator sustainable medical, surgical PETER SOLAR and educational services International Operations Manager through volunteer ophthalmic surgeons with the objectives of restoring sight and preventing blindness to disadvantaged individuals worldwide. 2 2012 ANNUAL REPORT A LETTER FROM THE PRESIDENT & CEO ......................................................................... 4 OPERATIONS ......................................................................................................................... 5 INTERNATIONAL Africa, the Middle East, Eastern Europe ................................................................ 7 Regional Summaries ................................................................................................ 8 Asia, Oceania, Russia ................................................................................................ 9 Regional Summaries ................................................................................................ 10 Latin America and the Caribbean .......................................................................... 11 Regional Summaries ................................................................................................ 12 CLINICS AROUND THE WORLD IN 2012 ........................................................................... 13 LOCAL/U.S. Diabetic Retinopathy ................................................................................................ 15 Annual Training for MSICS ....................................................................................... 15 Santa Barbara Vision Care Program ....................................................................... 16 SURGICAL TEAMS ................................................................................................................. 17 FINANCIALS ........................................................................................................................... 19 OUR DONORS ........................................................................................................................ 22 34 4 DEAR FRIENDS, One of the miracles of life is the ability to see; to see those we love, beautiful scenery, and a starry night. There are also the everyday things we may take for granted, for which we depend on our eyesight, like driving, going to the movies, taking a bike ride, or watching our children play. Thankfully, those in our country who are blind have many incredible resources and new technologies to ensure that their quality of life is very fulflling. In the developing world however, blindness can even mean the difference between life and death. Life expectancy of the blind in most developing countries is usually less than half of that of someone with eyesight. The diffculties are compounded by the fact that a blind person is unable to contribute to his or her family income. Not only does blindness mean a father is unable to work, or a mother cannot care properly for her children, collect water, or go to market, but that someone else must also care for him or her. The consequence is that, very probably, two incomes are lost. This creates an overwhelming economic strain on the family and the community. In many cases, the added responsibility falls on the children, who will then lose the ability to go to school and experience a carefree childhood. Restored vision brings back both the miracle of sight and a tremendous, positive impact on the quality of life for that individual, their family and their community. The sobering truth is that 80% of blindness in those countries is treatable. Here is the fact that astonishes me every time I think of it; most of the sight restoring surgeries conducted by SEE International—for those who may have been blind for fve, 10 or even 20 years—can be done in about 30 minutes. And, because of our selfess volunteer ophthalmologists and our stringent stewardship of every donor dollar, the cost to cure one individual of blindness is about $100 when factoring in all operational costs and overhead. Think of it, for just $100 any one of us can literally restore someone’s sight. We at SEE International are proud and humbled to report that we ended 2012 with an astonishing number of patients served. Through the hard work of our fantastic staff and the generous contributions of many individuals, companies and foundations, SEE International supported 10,208 sight restoring surgeries around the world. In 2012, we reached even more treatable children, women and men than in 2011, and our volunteer teams visited new sites, including Chiquitania, Bolivia; Fond des Blancs, Haiti; Port Harcourt, Nigeria; and Ganta, Liberia. And our work isn’t just limited to the developing world; right here in Santa Barbara County, through our Santa Barbara Vision Care Program, SEE International completed 22 sight restoring surgeries and other treatments, and helped provide eye care to 1,247 adults and children. Because of the effcient and coordinated efforts of volunteer surgeons, medical professional partners overseas, volunteers and the dedicated team at our global headquarters. SEE International is a highly leveraged model of effciency. It is with a determined resolve, that we report to you the need for our work is not decreasing; according to a recent World Health Organization report, more than 161 million people worldwide suffer from a serious visual impairment. The good news is there is a simple and successful cure for many of them, and you can continue to be a big part of that. So, on behalf of people throughout the world who we are so privileged to serve, thank you for your critical role in bringing back the miracle of sight for thousands through your continued support. With gratitude, RANDAL E. AVOLIO President/CEO 54 SEE OPERATIONS 6 74 AFRICA, THE MIDDLE EAST, EASTERN EUROPE With a combined total of 12.8 million blind individuals in these regions, and limited access to ophthalmologists, many curable blind do not have access to the care they need. Being blind signifcantly increases mortality rates in these regions, and an estimated two-thirds of the blind people in Africa are women. In 2012, SEE International assisted affliate ophthalmologists in completing 1,924 surgeries and 3,999 screenings in 10 countries in these regions. FROM THE FIELD SEPTEMBER 2012, NAMIBIA – We have just returned from an Eye Camp in Oshakati, Namibia. The camp was run under the auspices of SEE International. The vast majority of the supplies we used were provided from a large donation by Alcon. The doctors in the group included three Namibian ophthalmologists, headed by Dr. Helena Ndume, and two SEE surgeons, Dr. Reed Kindermann from the USA and Dr. Jeremy Joseph from the UK. Over the course of fve days, the group undertook 307 operations, of which 305 were cataract extractions and intra-ocular lens implantations. You might be interested to know a little bit about this surgical camp. Organized by Dr. Ndume, each phase of the surgical experience has a highly trained component of the overall team and these various parts of the team together comprise a virtual assembly line of cataract surgery. Orderlies move the patients in and out of the operating theater, trained personnel provide the anesthetic blocks, skilled surgical technicians assist the surgeons and operating room support staff sterilize instruments, provide biometry and procure the correct IOLs and supplies. 8 All cataract extractions are completed using the small incision, manual extraction technique (these remote surgical settings do not lend themselves to phacoemulsifcaton). In the end, a large number of blind people can see again and the joy is palpable. We wish you and Alcon, who made so much of this possible, could share in this joyful experience. The ongoing program of Eye Camps in Namibia, which commenced in 1999, has resulted in a vast number of people undergoing sight restoring surgery. In Oshakati alone, while we were there this past month, Dr. Ndume was commended for her team’s completion of more than 4,000 cataracts since the program began. The overall census throughout Namibia of completed cataract procedures with the support of SEE International and Alcon since 1999 is truly extraordinary. – Reed Kindermann, MD, and Jeremy Joseph, MD HOST VISITING OPHTHALMOLOGISTS OPHTHALMOLOGISTS Benedictus Ajayi, MD Jack Aaron, MD, Tucson, AZ Thomas Baah, MBBS John Dagianis, MD, Nashua, NH Yemisrach Gebretsadik, MD James Guzek, MD, Richland, WA Pravoslava Guguchkova, MD Michael Gilbert, MD, Bellevue, WA Solomon Guramantuhu, MD Daniel Gradin, MD, Longview, WA Samuel Imana, MD Howard Gross, MD, Linwood, NJ Roger Kapembu, MD Jeffrey Ing, MD, Stockton, CA Joseph Kerkula, MD Herbert Ingraham, MD, Danville, PA Mike Maingrette, MD Jeremy Joseph, MD, London, U.K. Helena Ndume , MD Yasser Khan, MD, Dennis Nkanga, MD Mississauga, ON, Canada Omaka Okoh, MD W. Reed Kindermann, MD, PA, Fadamiro Christianah Cherry Hill, NJ Olufunmilayo, MD John Millin, MD, Cheyenne, WY Mikhael Omiadze, MD Julio Narvaez, MD, Stockton, CA Lawrence Onyekwe, MD Edward Nelson, MD, York, PA Eustace Penniecook, MD (General Medicine) Raymond Toseafa, MD Dennis Nkanga, MD, Calabar, Nigeria Steven Olkowski, MD, York, PA Dapo Oriola, MD, Los Angeles, CA (General Medicine), Ukamaka Oruche, MD, Fishers, IN (General Medicine) Aisha Simjee, MD, FACS, Orange, CA Ukeme Umana, MD, Marion, IL Kimball Woodward, MD, Westport, CT Edward Glinski, DO, MBA, Edmond, OK Navin Gupta, MD, Mumbai, India 94 ASIA, OCEANIA, RUSSIA Asia is the world’s largest and most populous continent, and also home to an estimated one-third of the world’s blind. It is also estimated that just over 30 percent of the curable blind in Asia have their sight restored. SEE International assisted affliate ophthalmologists in completing 3,204 surgeries and 4,957 screenings in 2012. Our volunteer expedition teams worked in 10 countries in these regions. FROM THE FIELD NOVEMBER 2012, FIJI – This morning we concluded our most successful program to date with the fnal six patients being delivered to the Suva boat. Our team, once again led ably by Dr. Jeff Rutgard and Senior Theatre Nurse Ineke Van Laar, has worked tirelessly for the past two weeks to help change many lives. The medical team this year was made up of four from the US, two from Australia and fve from New Zealand. A total of around 350 patients were presented, many of them arriving at the hospital with sacks of taro/pineapple/cassava, etc. Cataract surgery and Yag Laser treatments were performed on 229 patients. For the frst time, we operated on fve patients with congenital bilateral cataracts who were under 12 years old. Dr. Rutgard is very positive about their outcomes. At the other end of the age range, we operated on a 90-year-old man with bilateral cataracts who had been blind for 12 years. His wish was to see his only grandson for the frst time. That wish was granted the following day. We sincerely appreciate your support in making this outreach possible. - John Amos, Rotary Club of Taveuni Island