Changing Lives Through Sight Restoration in Tanzania

Changing Lives Through Sight Restoration in Tanzania

On July 2, 2021, Saving Sight distributed 6 corneal tissues to the  Donor Network of Arizona to be used by one of their surgeons in Tanzania for a mission trip.

Dr. LeeSa Jackson joined Dr. Elisante Jackson Muna at the Kilimanjaro Christian Medical Center to perform a total of 17 gratis surgeries between the dates of July 5th-16th, to those in need.

This trip was not Dr. Jackson’s first to Tanzania. In 2018, Dr. Jackson traveled to Tanzania to perform 18 corneal transplants.

The medical team gathered stories from each recipient. Read the impact these sight-saving corneal transplants had for the corneal recipients below.

[Saving Sight recipients, Top L-R: Edson Mika, Bright Shipella, Meshack Nzowa; Bottom

L-R: Joshua Martin, Omary Hindu, Neema Mkwizu]

Edson Mika

Edson Mika is a 31-year-old medical doctor who works as a general practitioner in the Dodoma region. The most challenging problem for Edson is his poor vision from keratoconus. Overtime, his keratoconus became worse and worse, and his poor vision became a major problem in his career. He could not see to take care of his patients or write in his patients’ charts. Edson tried a variety of medicines to aid his vision, but there was little benefit. Edson greatly appreciates the cornea donation because, as he notes, “we all have things to do in our lives, so it is important to have the donation.” More simply, Edson “thanks the donor very much.” As a general doctor who has experienced a cornea transplant, Edson believes organ transplantation is good because it allows people to continue on with their lives in the best way. He says that we should ask the question, “Does it help me now?” The advice Edson would give someone in his position is to take full advantage of the ability to see well again. He indicates that his poor vision before the cornea transplant was the only thing holding him back and now he hopes to “progress well” in his career as a doctor.

 

Bright Shipella

Bright Shipella is a 12-year-old boy from Dodoma, the capital of Tanzania. Bright lives with his two siblings and loves to play soccer. However, due to his poor vision from keratoconus, Bright couldn’t see the ball to play soccer anymore. Bright says he has fought through the inflammation of his eyes and poor vision. He wishes to improve his soccer skills, but only wants to compete recreationally or on the local level. As a prime career goal, Bright plans on becoming a doctor. Bright sends the following message to others who may be considering a cornea transplant. “I feel good. My eye vision is performing well. I can now see the blackboard.” (likely referencing the blackboard near the hospital bed.)

 

Meshak Nzowa

Meshak Nzowa is a 20-year-old young man from Tanzania who lives with his parents and younger brother. He previously tried traditional medicine, contact lenses, and glasses, which helped his cornea deformity, keratoconus, only temporarily or not at all. As a student, Meshak finds it extremely difficult to read a book. When he attends local basketball game, Meshak is unable to see the score. At night, he finds it challenging to walk because he cannot see his way. Because of these difficulties, Meshak would tell the donor that is truly made a difference and that it is without a doubt helpful. His advice to people in his position it to recognize the importance of the problem earlier on so they can make the most of their remaining life. Now that he has had his cornea transplant surgery, Meshak hopes to become ore involved in the local basketball leagues as a player, not just a fan. His short-term goals are to continue his education to be accepted into high school and then into a university. Meshak’s prime long-term goals is to become a doctor, specifically an ophthalmologist, in order to help patients, like himself who have keratoconus. Meshak is confident that he will be able to study much better now with his improved vision, so he sees these goals within his grasp.

 

Joshua Martin

Joshua Martin is a 19-year-old student who attends Karagwe University. He lives at the university in the Karagwe District of the Kagera Region. Joshua has many brothers and a younger sister who live with his parents at his family home. In Joshua’s free time, he loves to draw letters, various types of calligraphy, and portraits of people. Due to Joshua’s poor vision in his left eye from keratoconus, he had difficulty at school taking down information from the blackboard and reading books, even with the help of friends. The keratoconus eventually affected Joshua’s vision so severely in his left eye that he only used one eye, his right eye, to do school related tasks. At this point, he considered dropping out of the university because of his poor vision and “doing anything that would possibly fit my society.” To the person who donated the cornea, Joshua says, “I just give a good thanks to him or her whomever he or she is because they just changed my whole life.” Now that Joshua’s vision has improved after the cornea transplant in his left eye, he plans to continue his education at Karagwe University.

 

Omary Idd Hindu

Omary Idd Hindu is a 25-year-old ticket salesman from Babati Mjini District in the Manyara Region. In his daily life, Omary reads over, cuts, and sells many train tickets with very small text. His poor vision has made his work as a train ticket salesman significantly more difficult, almost nearly impossible. Omary has corneal scarring due to hydrops associated with keratoconus. His poor vision began after he began scratching his eyes as a result of exposure to a strong perfume which irritated his eyes. In an effort to improve his vision, Omary tried multiple mediciations that, in the end, did not help. Omary has had to wait years for his cornea transplant surgery. To the person who donated the cornea, Omary says, “God bless them, and I am so thankful for that…And by the help of God and the doctors, I can be better now.”

 

Neema Omary Mkwizu

Neema Omary Mkwizu is a 12-year-old girl from the Wilaya ya Arusha Mjini District in the Arusha Region. Neema is an only-child, which is rare in the Tanzanian culture. When Neema is not attending school, she loves to read and write about historical information. Neema’s case of keratoconus occurred idiopathically. She has no associated risk factors, or systemic or ocular conditions associated with her keratoconus. Her vision was not helped by other treatments, including spectacles. To the person who donated the cornea, Neema simply states, “thank you.” To others who may be in her position, she advises them to read books and, as a result, gain knowledge. Neema’s favorite historical location is the Amazon Rainforest, which she hopes to travel to and learn more about in her future. Neema plans to become a history teacher or an eye doctor, specifically a cornea specialist, so that she can treat others with her same problem.

Changing Lives Through Sight Restoration in Pakistan

Changing Lives Through Sight Restoration in Pakistan

In 2018, Saving Sight began working with Dr. Fawad Zafar. Dr. Zafar is a urologist who lives in Iowa and also coordinates the acquisition of corneal tissue for transplant in Pakistan.

“In April 2017, one of my class fellows who was a doctor, but left medical profession and went into foreign service, was ambassador of Pakistan at Sri Lanka. He was telling me how corneas were being sent from Sri Lanka to Pakistan and other countries. I thought that was a great project and I contacted them,” says Dr. Zafar.

At the time Dr. Zafar didn’t know that U.S. eye banks sent tissue internationally. He did a Google search for ‘cornea tissue for overseas surgery from the U.S.’ and the first eye bank that popped up was the Lions Eye Bank in Tampa. He called their eye bank. “I explained to them how we were raising money, and we wanted to send corneas to our Mayo Hospital in Lahore, where I trained. My class fellow at the time was professor of ophthalmology over there and they had a waiting list of 500 patients.”

They received 10 tissues from the Lions Eye Bank in Tampa that month, and the project was underway. Saving Sight, the Lions Eye Bank of Indianapolis and others also began working with Dr. Zafar on this project.

“At first, we were only interested in the Mayo Hospital in Lahore but, when I started calling around, it turned out that there are no measures of cornea donations, and nobody is donating any corneas in Pakistan. The entire country is depending on Sri Lanka,” he says.

“I then went ahead and started calling hospital after hospital, and we now have 39 facilities that we support. There are 5 states in Pakistan, like we have 50 states in the U.S.” Dr. Zafar is now coordinating distributing corneas to hospitals in all 5 states throughout Pakistan.

“Saving Sight has been so supportive and so helpful that it is just unreal,” he says. “I wanted to share with you that to date we have sent 3,574 corneas to Pakistan.” Several of these tissues have been distributed by Saving Sight. So far in 2021, Saving Sight has sent 43 tissues to Pakistan.

“The project was started by my two sisters who are doctors, one is a cardiologist in Dallas, and one is a hospitalist in Indianapolis, and me,” shares Dr. Zafar. “I am also a lifetime member of the Association of Pakistani Physicians of North America (APPNA). APPNA has about 6,000-7,000 members and I decided once we spread out, that we might be able to have more support if we contacted APPNA and brought this project under their umbrella, so that is what’s happened.”

Dr. Zafar and his sisters coordinate this process on a 100% voluntary basis. They raise funds among their family, friends, and colleagues to coordinate costs and shipments of the tissues with U.S. eye banks. The surgeons in Pakistan then perform the surgeries and post-operative care for free. Each of the hospitals are also government hospitals, meaning they do not charge the patients for their care.

Dr. Zafar personally calls each patient to make sure they were well-taken care of and to make sure no costs were incurred as well. Nearly all patients are underserved and are unable to pay for their healthcare needs.

The work of Dr. Zafar, the teams in Pakistan, and the involvement of U.S eye banks like Saving Sight, literally saves sight and changes the lives of these recipients. Without this work, they would not have access to care and would lead a life of corneal blindness.

“It would not have happened without Saving Sight’s help and without the other eye banks. You have made a huge impact on people’s lives,” says Dr. Zafar.

Dr. Zafar provided two videos of grateful corneal recipients in Pakistan.

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Vision Restored Thanks to Corneal Transplantation

This young man received a sight-restoring cornea transplant at the Quaid-E-Azam Medical College, Bahawalpur Pakistan thanks to the selfless gift of sight from a Saving Sight eye donor. Thank you to Dr. Fawad Zafar, surgeons in Pakistan, and the Association of Pakistani Physicians of North America for making this possible.

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The Gift of Sight Changes Lives in Pakistan

This young woman received a sight-restoring cornea transplant at the Quaid-E-Azam Medical College, Bahawalpur Pakistan thanks to the selfless gift of sight from a Saving Sight eye donor. Thank you to Dr. Fawad Zafar, surgeons in Pakistan, and the Association of Pakistani Physicians of North America for making this possible.

Partnering in Humanitarian Efforts – Dr. Ukeme Umana

Partnering in Humanitarian Efforts – Dr. Ukeme Umana

Ukeme Umana, M.D., Refractive Surgery Specialist at the Laser Refractive Institute of the Marion, Illinois Eye Centers.

Supporting our partner surgeons in their humanitarian efforts is one way Saving Sight is able to honor the gift of sight. These partnerships offer the possibility for restored vision for those who otherwise would not have access to care.

Ukeme Umana, M.D., is a long standing partner of Saving Sight. Dr. Umana is currently the Refractive Surgery Specialist directing the Laser Refractive Institute of the Marion, Illinois Eye Centers.

Each year, Dr. Umana travels to Nigeria 1-2 times to perform corneal and cataract surgeries. He has been involved in the medical eye mission trips there since 1991, providing basic vision care for those underserved in the area. “Since 2012, I have been performing formal transplants,” he says. “I also go to Liberia, where I perform mainly glaucoma, cataract, and pterygium surgeries. Due to COVID-19, trips to Liberia have been suspended.”

“The most recent trip was to Nigeria in March 2021 where I performed 16 PKP surgeries in 3 days. One patient was 10 years old,” he says.

While transplants are a large part of the mission trips, Dr. Umana also takes time to train local physicians. There’s a substantial shortage of physicians with training in corneal transplantation in the area and an even greater shortage of eye tissue.

Saving Sight provides Dr. Umana with the corneal tissue for his trips. “Saving Sight has been a strong partner for corneal work. There’s no eye bank in Nigeria,” he adds.

To put this into perspective, there are about 50 million people in the region but no corneal surgeries are offered because there is not an eye bank in the country.

[Photos from Dr. Umana’s March 2021 Nigeria trip. Left: 10 year old transplant recipient.]