Are the organizers in government are immune to legal enquiry? Again a surgeon declared culprit and put behind the Bars.

Are the organizers in government are immune to legal enquiry? Again a surgeon declared culprit and put behind the Bars.

Dr. Arora accused in botched eye surgeries arrested, a case registered against the private hospital, a Mathura based N.G.O. and camp organizer Mr. Munjeet Singh has been detained after 60 operated cases lost their eye site in camp surgery at Gurdaspur’s Ghuman Village.

But on the other hand 19 women died in a sterilization camp at Bilaspur, Chhatisgarh. Surgeon arrested and after I.M.A.’s demonstration the drug manufacturer was arrested only when testing laboratories proved that the antibiotic Ciprox-500 contained Rodenticide. Surprisingly! No camp organizer, no permission giving authorities and no permission taking people arrested.

Is it the Botched Management & Government machinery; or the Surgery

Is there any difference of procedure adopted against a GO or an NGO i.e. a government organization or a non government organization?

Govt. of India, State Governments, IMA and other medical organizations should pay attention to the above fact. Why G.O. is immune to enquiry and action where as N.G.O. is vulnerable?

Under local anesthesia, the surgeon makes a tiny incision in the anterior most part of eye to reach the Cataract or the hazy lens of the patient. The lens is removed by making small pieces. During this process a thorough wash is given many times by using a fluid called Ringer Lactate (RL). It is supplied in 500ml bottles. After that the artificial lens is fitted inside.

What is the method of Eye Surgery in camps?

                 

Human Eye

 

Opinions of renowned Ophthalmologists:

1.       Dr. L.N. Chandak, Director Chandak Eye Hospital, Ajmer and

2.       Dr. Arun Kshetrapal, Director Kshetrapal Eye Hospital and Multi-Specialty said that the irrigation fluid (RL) is the most probable culprit leading to blindness. One bottle of 500ml is used in 6 to 8 eye operations. There are chances of bacterial or fungal infection in these bottles. Bacterial infection leads to blindness after 2 to 3 days and fungus causes blindness after 10 to15 days. They also said that the other eye drops used during and immediately after operation may also be sometimes responsible for complications.

They further informed that the fluid inside the eyes (Vitreous) is a very good & suitable medium for the growth of bacteria & fungus. That is why the washing fluid has to be 100% safe.

3 types of RL:   2 in plastic & 1 in glass bottle

1.Dr. Chandak said that they do culture of the RL 3 days before surgery and used it only if culture is negative. 2.Whereas Dr. Arun Kshetrapal said that they sterilize it before operation. 3.My doubt was that the RL comes in plastic bottles. He said that they procure only glass bottles of IV fluid RL and re-sterilize it before operation so as to ensure safety to the patient’s eyes.

When asked on how they ensure that the fluid RL is not contaminated?

 

Are these similar measures being taken in mass surgical camps? Can the government expect from an NGO, it’s Trustee, or sponsors that they will have any of the above knowledge? Those who give permission should be held responsible because the permissions are signed in A/C chambers; no one goes to the field to ensure a quality check. Has anyone done culture of RL? Because RL is generally supplied in plastic bottles due to cost effectiveness.  Glass bottles are less likely to contaminate & as Dr Arun said it can be re-sterilized. For the camps does anyone guide them tobuy glass bottle & think in the same way?

How long the authorities will not be held responsible?

Giving a blind permission for organizing mass surgeries will result into blindness only. If the authorities throw light on the DO’s & DON’T’s before allowing to hold these camps then only the patients will be blessed with light in their eyes.