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PRESIDENT'S COLUMN
I sincerely express my thanks to the members of our club for their unflinching support extended to me for achieving spectacular performances as done by our club during Lionistic year 2005-06 Inspite of a new born club i.e only 5 and 1/2 years old, we have been able to earn the reputation of an one of the best service rendered clubs of the District 322C1. On our way of walking, we have enriched ourselves with experiences and stepped forward to clinch the club goals as was framed in the beginning of the Lionistic year 2005-06. It is a great achievement and it would be our endeavour to hold this spirit of performance.

Wist best compliment.
Lion P. K. Ghosal

SECRETARY'S COLUMN
Already five months passed in the lionistic year 2005-06. As a Club Secretary, I must draw the notice of the members of our club as to the achievements and performances as done by our club during this year. For this purpose, a brief reporting have been annotated in club Bulletin as well as in our web site (http://lions-serampore.tripod.com). It would not be exaggeration of we pronounce that we have accomplished the club goals as was envisaged in the beginning of the lionistic year and I proclaim that this has been possible due to concerted and whole hearted co-operation received from our club members. We are stepping forwards towards fulfillment of Lions mission and vision.
Long live lionism.
Lion Satyajit Ray

From the desk of Lion Dr. Pradip Kumar Das ZC, Zone-II, Region-II
CLUB REPORTS UNDER ZONE-II

SERAMPORE GREATER: Serampore Greater observed Doctor's Day & Lions Foundation Day on 1st July, 2005 by holding Science Drama Competition through different schools, telecasted by Local Cable Network, distributing leaflets highlighting Club activities in Mahesh Ratha Yatra Mela on 8th & 16th July, organizing Blood Donation camp and several Blood Grouping camps on 31st July and on other days, Diabetic detection and Awareness camp on 14th August, Interschool Yoga Competition on 13th August, Interschool Football Competition on 14th & 15th August, Seminar on Mental depression at Serampore College on 26th August, Observation of Teacher's Day and Eye Pledging Fortnight at Sheoraphuli Surendranath Vidyaniketan on 5th September, Health Check up camp on 18th September, Free distribution of New cloths, shirts and Pants and Dhuties to Slum Dwellers at Rishra 4 No Rail Gate on 2nd October, Thalassaemia Carrier detection & Awareness camp on 5th October at Serampore College, Free Health Check up camp on Lions Service day (8th October) at Kanaipur, Konnagar, Hooghly, World Peace Poster Contest on 29th October at St. Augustine's Day School at Shyamnagar, North 24 Parganas, Sight For Kits Programme in 58 Primary Schools under Serampore Municipality starting from 27th October, 2005, 10 IOL operations done at RIO, Kolkata on 9th November, Disiaster Management at Bhagwanpur Block of Purba Medinipur on 6th Nobember etc. They are planning for another 30 Eye Cataract (IOL) operations, Teachers Training Workshop and Seminar on Lions Quest and Symposium on Women Developmen on 21st January, 2006, Swasthya Mela to be organized on 4th & 5th February, 2006, Thalassaemia carrier detection and Awareness camp among College students, Environmental awareness programme from January 2006 onwards etc. They run their Permanent Projects like Health Insurance Scheme to the poor needy people, Polyclinical facilities to the rural people, Health Check up and Blood Grouping camp, Pay and Use Toilet, Mitigation measures in Arsenic prone Villages of West Bengal, Abhijnan Eye Care Centre, Yoga Computer and Drawing training center etc.

An Eye Operation Camp by Serampore Greater
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Blindness Preventing Activities Programme

Lion Dr. P. K. Das


October9, 2003 is the Lions World Sight Day. It will mark the sixth Celebration of Lions World Sight Day. According to WHO the number of blind people in the world could double in the next 25 years. Diabetes Mellitus which is rapidly in creasing around the world is one of the main causes of the potential increase especially in developed countries. Increasingly diabetes and affecting younger people even children and the developing countries are not for behind it. Diabetiac retionpathy, a common complication of diabetes mellitus is a leading cause of blindness in the developed and developing countries, other leading causes of blindness include age-related macular degenaration, cataract and glaucoma. To combat this increasing threat of blindness and to assist in keeping vision all right, Lions Clubs need to take certain actions. On World Sight Day which will be held on Thrusday, October 9,2003, all lions Club should take certain proposals and implement that related to restoration of sight during the month of October. Our Club, Lions Club of Serampore Greater in the respect, will take certain activities.

This could be

1) Organization of a cataract screening, and glaucoma detecting camps in the community

2) Arranging a Diabetic Screening Camp in the community.

3) Conducting a Eye Check up camp among the school students.

4) Conducting an eye health programme for the senior citizens of the community.

5) Sending a Press release or a letter to the editor for the local news paper warning of the growing threats to blindness and encouraging people with diabetes to have a eye examination once a year.

Diabetic Retinopathy - Complications And Management
Dr. Ashoke Kumar Ghatak
Diabetes occurs either because of lack of insulin or due to the presence of factors that oppose the action of insulin. The end result is an increase in blood-glucose concentration (hyperglycaemia). The causal factor of diabetic retinopathy is unknown. It is not hyperglycaemic, for retinopathy occurs as frequently when the blood sugar is relatively low as when it is high. The frequency of its incidence increases with the length of time the patient has had diabetes, even although the general diseas is mild or has been well controlled; for this reason it usually occurs in elderly patients and has become much more common since the general use of insulin or other newer drugs which have prolonged the life of diabetic persons.
Diabetic Retionopathy is common after the disease has lasted for 10 years and affects the majority of patients after 20 years; but it is not invariable. It affects young and old, for it is the diabetic age, not the chronological that is important. Nor does the presence of retionopathy bear any relation to the prognosis of the diabetes or the expectancy of life; visual damage, however, is frequently great and permanent, a calamity since the disease is bilateral. The risk of blindness in about 25 times greater in diabetics than in non-diabetics, diabetic retinopathy is the commonest cause of blindness in individuals between the ages of 20 and 65 years.Earliest changes in retina in case of back ground retinopathy are microaneurysms, 'dot' & 'blot' haemorrhage, flame shaped haemorrhage, hard exudates, retinal oedema etc. At present most ophthalmologists do not treat patients at this stage (Simple background retinopathy) with normal visual acuity but merely perform an annual examination. Good control of diabetes is urgently needed. Regular follow up; if any complication arises, quick intervention of ophthalmologists is necessary as early as possible. Maculopathy is the commonest cause of visual impairment in patients with diabetic retinopathy. Focal ARGON-LASER burns are applied around the microaneurysm or leakage site. Patients who are treated early while they still have reasonably good visual acuity and do much better than those treated late. In case of diffuse maculopathy, however results are much less favorable than for focal maculopathy. As the chronological age of diabetes increases, ischaemia of retinal cells increases. Ischaemic maculopathy afterwards ischaemic retinopathy supervenes Treatment by photocoagulation will not improve vision-but certainly will help in remaining the existing vision.
The next and dreaded complication of all unattended and untreated cases of diabetic retinopathy is proliferative retinopathy. This is the commonest cause of spontaneous vitreous haemorrhage. This vitreous haemorrhage may be precipitated by severe physical exertion or strain, hypoglycaemia and direct ocular trauma. However, not infrequently bleeding occurs while the patient is asleep. Pregnancy may have a worsening effect of proliferative diabetic retinopathy, although once the retinopathy has been successfully treated by user photocoagulation, there is no reason to discourage further pregnancies.
Photocoagulation is now by far the most important modality for treatment of proliferative retinopathy. Previously it was done with Xenon arc. Now Argon laser is more popular and definitive. The Preferred method of treatment is Pan-retinal photocoagulation (PRP). The aim of treatment is to induce involution of new vessels and to prevent recurrent Vitreous haemorrhage. The extent of PRP is dependent on the severity of the disease. Initial treatment involves the placement of about 2000-3000 burn in a scatter pattern extending from the poster or fundus to the equator, either in one session or in two or more sessions, 1 week apart. The patient is examined 4 and 8 weeks after treatment. In most eyes, once the retinopathy is quiescent, stable vision is maintained. In some cases, however, recurrences of proliferative retinopathy occur to be treated by laser photocoagulation again. It is therefore necessary to re-examine the patient at about 6 monthly intervals so that any recurrences can be detected and treated accordingly. Advanced diabetic eye disease – which are the end results of uncontrolled proliferative Diabetic retinopathy are persistent vitreous haemorrhage Retinal detachment, opaque membrane formation and Neovascular gluncoma. Unfortunately, results of management of these complications, though highly mechanized & expensive is unsatisfactory in most of the cases. First few post operative months are vital. If the eye is doing well after 6 months, then the long-term outlook is favourable as the incidence of subsequent vision treatening complication is low.
In short, in my opinion:
Please have regular blood sugar estimation. If you are diabetic – strict diet control and subsequent managements as suggested by your physician to be continued. Mean while frequent Eye check up is necessary. After about 10-15 years of diabetic age, when complications start energetic management can arrest the dreaded sequalae of diabetic retinopathy.

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Copyright 2005, LIONS CLUB OF SERAMPORE GREATER