Orbis 2019 Annual Report | A Year of Innovation and Impact

A YEAR OF INNOVATION AND IMPACT A NNUAL R EPORT 2 019

VISION AND MISSION O U R VI SI ON

To transform lives through the prevention and treatment of blindness.

O U R M I SSI ON

With our network of partners, we mentor, train and inspire local teams so they can save sight in their communities.

Photo: Geoff Oliver Bugbee

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A YEAR OF INNOVATION AND IMPACT Innovation defines us.

The Flying Eye Hospital was our first innovation nearly 40 years ago.

Ever since, we’ve continued to push ourselves to find new ways to break down barriers to sight.

The impact this achieves is helping us change the way the world sees.

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DEAR FRIENDS, Beginning with the launch of the Flying Eye Hospital nearly 40 years ago, Orbis has always been characterized by its pioneering spirit. Yet even for an organization with a track record full of creative solutions, 2019 stood out as a year of innovation and impact.

This Annual Report presents highlights from a most extraordinary year that your support has made possible.

JOHN “BOB” RANCK President and CEO, Orbis International

You’ll see how we’re making a cutting-edge artificial intelligence (AI) tool available to doctors in communities of great need. It helps them swiftly detect common eye conditions so they can administer treatment and prevent vision loss.

You’ll read about the Flying Eye Hospital’s first simulation-only training project and how it helped ophthalmology residents in Chile build their skills and confidence.

You’ll learn about a scalable model we are piloting in Bangladesh to integrate eye care referral networks within diabetic care programs. For the 10 million Bangladeshis who are at risk for diabetic retinopathy—the world’s leading cause of blindness among working-age adults—this is truly life-changing.

Like the Flying Eye Hospital, all of these innovations are helping us get sight-saving remedies to the people who need them most. They’re big ideas with big impact.

and see the blackboard at school, and it opens up her entire future. A cataract surgery that takes only minutes lets a farmer tend his fields and earn a living again. A dose of Zithromax can spare a mother the excruciating pain of blinding trachoma.

I’ve had the privilege of seeing firsthand how the gift of sight can change a person’s life forever, and I can tell you that the look on a child’s face when she sees her mother for the first time is reason enough to do what we do. But the impact of blindness prevention has ripple effects that extend far beyond the individual. On pages 10 and 11, you’ll see how our work contributes to the United Nation’s Sustainable Development Goals, leading to improved health and education, reduced inequality and better economic growth—for the individual, their community and even the world.

It’s why Orbis’s tagline is Changing the Way the World Sees.

Thank you for being a part of our mission.

Sincerely,

The Flying Eye Hospital itself visited five countries in 2019: Chile, as well as Ghana, Jamaica, Myanmar and Vietnam.

Altogether, 69 surgeons and over 1,000 other medical professionals received training through these projects.

When I think about the impact of these achievements, it’s overwhelming. A pair of glasses helps a child read her textbooks

Bob Ranck

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Global blindness will triple by the year 2050 unless we stop it. Fortunately, there is something progressing at an even faster rate: technology. And harnessing the latest advancements in technology to fight blindness and vision impairment is something Orbis knows how to do.

It’s what we did with the Flying Eye Hospital, when we looked to the world of aviation to bring ophthalmic training to communities in need around the world. Tens of thousands of doctors and nurses have since received training on board this revolutionary aircraft, including more than 1,000 just last year.

KEVIN MCALLISTER Chairman of the Board, Orbis International

It’s what we did with Cybersight, too. In the earliest days of the internet, we were already hard at work developing what would become the award-winning telemedicine platform.

Now Cybersight has become a go-to resource for eye health professionals around the world. Doctors and nurses from 183 different countries turned to Cybersight last year to help them deliver quality eye care in their own communities, and new registrations of eye professionals increased by 93%.

Orbis has always pursued big ideas and used new technologies to grow our impact. Now if we are to prevent a tripling of global blindness in the coming years, it’s more important than ever that we continue innovating and expanding our toolbox. In the pages that follow, you’ll see how we did just that in 2019.

Despite all of these accomplishments, we know that much, much more must be done. In the coming months and years, we will introduce virtual reality-based training to provide residents with extremely realistic surgical practice experiences; add new features to Cybersight, including a mobile app; and build Digital Training Hubs that make simulation training and remote surgical mentorship accessible to more ophthalmic residents around the world.

That’s just the tip of the iceberg. Technology’s potential to help us change the way the world sees is limitless, and we’re exploring new ideas every day.

Much of this work will be made possible by another exciting development from 2019: the new Silicon Valley Orbis Innovation Fund. I’d like to extend a special thanks to John A. and Susan Sobrato for establishing this fund, which supports projects that leverage technology to improve and scale our work.

Altogether, 2019 was a landmark year for innovation at Orbis, one that made an immediate impact on people’s lives while setting us up for even greater success in the future. And it was made possible through the extraordinary efforts of Orbis’s affiliates, staff, volunteers, donors and partners around the world.

I thank you—all of you—for sharing our vision of a world free from avoidable blindness. The road ahead is daunting, but with your continued support, I have no doubt that we can make that vision a reality.

Very truly yours,

Kevin McAllister

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THE STATE OF THE WORLD’S VISION Orbis’s mission is more urgent than ever. Experts have predicted that global blindness will triple by 2050.1 We’re working tirelessly to ensure that eye care teams around the globe are ready to meet the rising demand. Together with your support, we can build a world where no one lives without sight because of avoidable causes.

At least

2.2 BILLION people have a vision impairment or blindness.2

55% 70% *See page 37 for endnotes.

of all people who live with blindness are women.3

of people with blinding trachoma are women.4

1 IN 7 Globally, at least

PEOPLE

live with blindness or vision impairment that could be prevented or addressed.2

Photo: Geoff Oliver Bugbee

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19 MILLION children under the age of 15 have a visual impairment.5

The prevalence of vision impairment in low- and middle-income countries is estimated to be

4 x HIGHER than in high-income regions.2

More than

1/3

of these children experience severe vision loss that affects their ability to learn.5

Visual impairment disproportionately affects women, the elderly, people with disabilities, ethnic minorities and indigenous people.2

2 OUT OF 3

$1=$4 ROI

blind children are girls.6

Every $1 invested in eye health in low- and middle-income countries is estimated to yield $4 in economic gain.7

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OUR IMPACT IN 2019 Thanks to the help of our partners, volunteers and generous supporters, we made exceptional progress in 2019 in our global fight against avoidable blindness.

66,006 TRAININGS

completed by doctors, nurses, other eye care professionals and community health workers

Photo: Geoff Oliver Bugbee

1,169 completed by doctors

64,837 completed by nurses, other eye care professionals and community health workers

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2,674,995 eye screenings and examinations*

13,460,012 doses of Zithromax/tetracycline distributed to treat blinding trachoma

5,864,960 child recipients of Zithromax/tetracycline

1,541,485 eye screenings and examinations conducted for children

183,085 eyeglasses prescribed

58,050 surgeries and laser treatments performed

*Includes screenings and examinations in fixed facilities and outreach

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OUR GLOBAL REACH IN 2019 IMPACT

74

projects conducted in 19 countries*

183

countries reached through Cybersight

5

Flying Eye Hospital programs

15

fundraising and program offices around the world

Headquarters in New York

*This includes one long-term project in five countries across East and South Africa.

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STORIES TO CELEBRATE When eye care professionals get the quality training they need, patients get the quality eye care they deserve. But for too many people around the world, where they were born determines whether an avoidable condition will take away their sight.

Together with your support, we’re transforming lives for the people we treat and train.

Photo: Louis Leeson

Photo: Elisabeth Horrell

VIETNAM

ETHIOPIA

Phuong, 8, was three months old when her family first spotted her crossed eyes. After years of being teased at school, and wrongly being told that glasses would correct her vision, an Orbis-supported school screening program led to the referral that finally got her the surgery she needed.

Tsehay treats people in her local community for trachoma and carries out surgery to treat the late stage of the blinding disease. “I was very sick when I was little, and nurses took care of me—that’s why I wanted to become a nurse,” she says. In 2019, Orbis trained more than 100 nurses on how to perform the surgery.

Photo: Geoff Oliver Bugbee

PERU

JAMAICA

Shortly after giving birth to newborn triplets, Elisa (left) learned they could be at risk for retinopathy of prematurity, a leading cause of childhood blindness. Orbis partner Dr. Luz Gordillo screened the infants, revealing that baby Ruth (left) was suffering from the condition, and ensured her prompt treatment.

Dr. Melissa Chin (left) has struggled to get hands-on surgical experience during her ophthalmology residency. Through simulation training from Orbis, she grew her skills and confidence. “You get comfortable on the plastic eye before going to the real patient’s eye. So, when I had a real patient in front of me, I felt more at ease,” she says.

Photo: Geoff Oliver Bugbee

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ORBIS AND THE SDGs The United Nations Sustainable Development Goals (SDGs) drive a shared vision for a better and more sustainable future for all.

Across the world, governments, nonprofits, foundations, corporations and others are all working together to realize that vision. Ensuring access to quality eye care is critical to achieving many of the SDGs, and Orbis is proud of the progress that our work advances.

3. GOOD HEALTH AND WELL-BEING Eye health is a critical part of overall health and well-being, but globally, conditions that could be prevented or have yet to be addressed lead some 1 billion people to live with blindness or vision impairment. Having access to quality eye care transforms lives.

5. GENDER EQUALITY Women and girls disproportionately bear the burden of avoidable blindness. Increasing access to quality eye care helps more women gain financial independence and more girls pursue an education.

10. REDUCED INEQUALITIES

8. DECENT WORK AND ECONOMIC GROWTH

Vision impairment poses an enormous global financial burden. Investments in eye care in low- and middle-income countries yield a four-fold economic gain, strengthening vulnerable communities.7

Blindness can make it harder to pursue an education, find and hold a job and maintain financial stability. Eliminating avoidable blindness is one of the most cost-effective ways of fighting poverty.

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MARY, who was found to have both a dense cataract and glaucoma, received surgery on board the Flying Eye Hospital in Ghana. Local eye care teams observed the procedure, which was also broadcast via Cybersight to teams around the world, building their skills to help more patients like Mary regain their sight.

Photo: Geoff Oliver Bugbee

Photo: Martin Kharumwa

70% of people with blinding trachoma are women. 4 MALATE lived in excruciating pain from advanced trachoma until she received surgery. In 2019, Orbis distributed a recordbreaking 12.4 million doses of the trachoma-fighting antibiotic Zithromax in Ethiopia, ensuring that more people can access early treatment before the disease damages their sight.

GEORGE, a carpenter in Jamaica, was his family’s provider until cataracts began to take away his sight, leaving him feeling helpless and depressed. Thanks to surgery he received on board the Flying Eye Hospital, he can resume his old way of life.

“This makes my heart swell,” he said of his new beginning.

BITISHA, 15, dreams of becoming a journalist and wants to support her parents when she grows up. Orbis helped her access the surgery she needed in Nepal to correct her strabismus, which previously made it difficult for her to study.

Photo: Geoff Oliver Bugbee

Photo: Louis Leeson

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SUSTAINABLE VISION Many communities in India cannot easily access the care they need at hospitals and major medical facilities, which are often concentrated in urban centers. Approximately 4,000 Vision Centers across the country help to fill this gap by providing access to eye care in rural areas.

GREEN VISION CENTERS In 2019, Orbis launched four new Green Vision Centers in the Darjeeling and Jalpaiguri districts as part of a larger initiative to transform vision centers. The Green Vision Centers run on solar energy and are energy-efficient. The new initiative to transform these centers with sustainable methods is a breakthrough in the way that primary eye care is provided.

Power outages are common in rural areas, so using solar energy ensures that we can provide uninterrupted quality eye care to those who need it most, while also reducing our carbon footprint. Additionally, the use of digital tools for recordkeeping in the new Vision Centers minimizes the consumption of paper to almost zero.

Vaishnavi Kumari, 5, had a cataract removed during an Orbis hospital-based training at Akhand Jyoti Eye Hospital.

Photo: Geoff Oliver Bugbee

IMPACT

In India, in over

50% of cases, children’s sight could be restored with early intervention and comprehensive treatment.

Orbis President and CEO Bob Ranck cuts the opening ribbon at one of the new Green Vision Centers.

“

The Green Vision Center concept comes out of our deep concern for the future of our children, not just their eyes, but also the world around them, their environment.”

—Bob Ranck, President and CEO, Orbis International

CHILDREN’S EYE CENTERS In 2019, Orbis also launched a new Children’s Eye Center at Akhand Jyoti Eye Hospital in Bihar state. The Orbis partner aims to empower women in the community by employing female staff. These Children’s Eye Centers across India advance the goal of eradicating avoidable blindness among children. Orbis also hopes to extend our model of sustainable eye care to Children’s Eye Centers.

“We firmly believe that, irrespective of a person’s capacity to pay, they should have access to world-class treatment. This initiative will contribute towards ensuring this. In the coming years, we hope to see every child in Bihar being able to access quality eye care services in their own community, regardless of their social or economic background.”

—Mritunjay Tiwary, Founder of Akhand Jyoti Eye Hospital

33 Children’s Eye Centers established across

17

states

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EYE HEALTH AND DIABETES A boy receives an eye exam at an outreach center for children with diabetes.

Photo: Orbis Bangladesh

Diabetes is one of the main contributors to the tripling of blindness that’s projected over the next three decades. Diabetic retinopathy is the leading cause of blindness among workingage adults, affecting 33% of people living with diabetes. Orbis recognizes both the urgency in building eye health systems for diabetic retinopathy and the need for collaboration within existing diabetes services.

A trained technician captures retinal images of a woman to detect diabetic retinopathy.

Photo: Orbis Bangladesh

In Bangladesh, an estimated 10 million people are living with diabetes, putting them at risk for diabetic retinopathy. In 2019, Orbis launched a scalable model to integrate referral networks for diabetic eye care within existing hospital networks across the country. This model includes building awareness and outreach camps at the community level, primary eye care screening at community clinics, referral and follow-up at diabetic hospitals, and diagnosis and treatment at eye hospitals.

This innovative approach to addressing diabetic retinopathy has shown that, when patient education and screening of diabetic

retinopathy are integrated into the general health care system, treatment of the disease can be delivered in a more effective and timely manner.

We equipped teams with software to capture retinal images for diabetic retinopathy grading and reporting as well as patient followup. Additionally, the project has created opportunities for conducting research on access to diabetic retinopathy screening and treatment services in rural Bangladesh.

Bangladesh has also seen an increase in the number of children with diabetes, so Orbis initiated a new intervention to use a similar model of referral networks for eye health for children with diabetes.

Orbis is also scaling diabetic referral networks in other countries around the globe. Our innovative model was presented at the 2019 International Diabetes Federation Congress, the world’s largest gathering of diabetic experts.

In Bangladesh

10+ MILLION people are living with diabetes

1 IN 4 people living with diabetes are affected by diabetic retinopathy and, thus, at risk for blindness.

Globally, diabetic retinopathy is the leading cause of blindness among working-age adults.

Women receive screening for diabetic retinopathy through community outreach.

Photo: Shafiqul Islam

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PRACTICE MAKES PERFECT When the Flying Eye Hospital landed in Santiago, Chile, in May, from the runway it looked like any other Orbis training program on board the MD-10 plane, but it was actually the first of its kind. Over the next two weeks, more than 100 eye care professionals came together to build their skills entirely through simulation training.

Their “patients”? Artificial eyes, life-like mannequins, and other cutting-edge technology.

SIMULATION TRAINING Simulation training allows eye care teams to build their skills and their confidence safely before progressing to real-life surgeries.

The simulation devices break down complex surgical procedures into smaller parts, allowing eye care professionals to practice each step as many times as they need to get it right—something that’s not possible with an actual patient.

All photos: Geoff Oliver Bugbee

IMPACT Photo: Geoff Oliver Bugbee

100+ ophthalmology residents, nurses and anesthesiology residents came from Chile as well as Bolivia and Peru.

“ Volunteer Faculty Peter Moore uses simulation technology to demonstrate how to administer anesthesia to children.

Simulation training has been proven to decrease complications and improve outcomes during a medical professional’s early surgical cases, when they’re more likely to make mistakes. This results in a better patient experience and higher quality of care.8 In 2019, our Flying Eye Hospital program in Kingston, Jamaica—which brought together eye care professionals from across the Caribbean region—also included a week of simulation training. Additionally, we led simulation-only hospital-based trainings at partner institutions in Bolivia and Peru.

“

I can say that I started this training with 10% confidence, and I am leaving with 90%.”

—Vanessa Rocha, Resident Ophthalmologist, Chile

Simulation training allows you to perform the same step over and over again, meaning students can practice any skill they’re lacking. Plus, a mistake can be fixed with the flick of a button, so it’s much safer.”

—Maria Montero, Orbis Flying Eye Hospital Head Ophthalmologist

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Photo: Geoff Oliver Bugbee

CYBERSIGHT OPENS NEW POSSIBILITIES In 2019, Orbis had another record-breaking year on Cybersight, including a 93% increase in the number of registered eye care professionals from the preceding year. Seventy Volunteer Faculty members from 23 countries and regions shared their time and expertise with eye care teams around the world by leading webinars and consulting on complex patient cases.

Photo: Orbis Cybersight

We secured, at no cost, an artificial intelligence (AI) tool for Cybersight that can detect common eye diseases—such as glaucoma, macular disease and diabetic retinopathy—in mere seconds by analyzing images of the back of the eye.

The price point of cutting-edge technologies like this one have too often kept them out of reach for the eye care professionals who need them most. That’s why Orbis is leading the way in democratizing AI, ensuring that eye

Photo: Geoff Oliver Bugbee

care professionals in low- and middle-income countries can access this technology for free through Cybersight.

We expanded our remote surgical mentorship service to five new countries across Africa and Asia, allowing our Volunteer Faculty to observe and guide sight-saving surgery half-way around the world, in real-time, without leaving their home or office. Using this technology allows us to support more doctors and their patients in more places at lower cost.

7,621 eye care professionals trained

IMPACT Photo: Geoff Oliver Bugbee

183 countries and regions

1,844 patient consultations

Local doctors and nurses in Jamaica watch a live surgery in 3D on board the Flying Eye Hospital.

“

The digital age has caused the world to shrink while allowing individual productivity to grow exponentially.

Cybersight caught that ‘wave’ early, grew rapidly and continues to explore new horizons after two decades.”

New investments from philanthropists John A. and Susan Sobrato through the Silicon Valley Orbis Innovation Fund, launched in late 2019, will help us continue to harness the next generation of technology that will revolutionize the future of equitable access to quality eye care and ophthalmological training.

—Dr. Gene Helveston, Founder of Cybersight

—Dr. Tran Thi Bich Hai, Vietnam

“Cybersight enables me to discuss complicated medical cases with leading experts in this field. Cybersight also allows me to take a look at my colleagues’ topics and cases, through which I have gained great experience in examining patients and performing surgeries.”

7,933 eye care professionals

115 live online events

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THE GLOBAL FORCE CHANGING LIVES The success of Orbis training programs would not be possible without our cadre of Volunteer Faculty. These medical professionals who graciously donate their time and expertise across the globe are improving eye care for generations to come.

In 2019, 144 Volunteer Faculty from 23 countries and regions participated in our work on board the Flying Eye Hospital and conducted 59 hospital-based programs at partner institutions.

Photo: Geoff Oliver Bugbee

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FIELD DEPLOYMENT

144 VOLUNTEER FACULTY deployed to 5 Flying Eye Hospital programs 59 hospital-based trainings EDUCATIONAL ENGAGEMENT

70 VOLUNTEER FACULTY delivered 115 live webinars on Cybersight Photo: Geoff Oliver Bugbee

VOLUNTEER FACULTY FROM Australia Brazil Canada Chile Mainland China Colombia

Hong Kong India Ireland Israel Kenya Malaysia

Mexico Myanmar Nigeria Paraguay Peru Philippines

Singapore Sri Lanka United Kingdom United States Vietnam

Thank you to the Alcon Foundation, which deployed three of its staff members as Volunteer Faculty: Bo Minh to Myanmar, and Elizabeth Castro and Oluwadare Faderin to Ghana.

Thank you to the European Society of Cataract & Refractive Surgeons, which sponsored three Associate Ophthalmologists for programs in Vietnam and Myanmar.

Photo: Geoff Oliver Bugbee

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ORBIS IN THE NEWS 2019 was a year of unprecedented growth for the Orbis brand, marked by notable media coverage. Here are some of the highlights.

April 1, 2019 February 19, 2019

June 6, 2019

Orbis: A Force Multiplier in Global Ophthalmology Orbis educational footprint soars to new heights Using Cybersight telemedicine technology, Orbis International can teach procedures in real-time and mentor doctors-in-training abroad.

One glorious vision: How an airplane brings life-changing procedures to the world

There aren’t many disciplines where a 15-minute procedure that can be done anywhere, with no need for intensive care units or blood transfusions, can radically change someone’s life for the better.

Fall 2019 June 14, 2019

Orbis Educates Local Clinicians in Underserved Communities to Prevent Blindness

May 14, 2019

Ophthalmological hospital plane landed in Chile to combat blindness

A remarkable vision

The international nonprofit Orbis’ investments in cutting-edge technologies have revolutionized its telemedicine capabilities by expediting two-way communication between ophthalmologists in the United States and Europe and their counterparts in Asia, Africa, and South America.

The Orbis Flying Eye Hospital is a sight to behold.

September 26, 2019

Having the vision to help others

Orbis Flying Eye Hospital conducted ophthalmic training in Hue

Un Avión Hospital en Chile para Tratar Enfermedades de los Ojos

October 1, 2019

Orbis Flying Eye Hospital to Make Fourth Stop in Mandalay

November 30, 2019 November 11, 2019

The Orbis Flying Eye Hospital visited Mandalay for the fourth time last week to help people with eyesight problems and to train ophthalmologists in the latest developments in sight-saving technology.

August 4, 2019

‘Orbis Flying Eye Hospital’ Set To Operate In Ghana For Three Weeks The Ghana Health Service (GHS) has revealed the “Orbis Flying Eye Hospital” will be launched by President Akufo-Addo on Wednesday, November 13, at the Kotoka International Airport.

Visionary medicine: Charitable ‘Flying Eye Hospital’ touches down in Oakland

Mission Orbis – Flying Inside the World’s Only Flying Hospital

December 2019

November 20, 2019

Ophthalmologist Omar Salamanca bent over his work, demonstrating a detail of eye surgery for colleagues as they stood inside a Boeing MD-10

November 19, 2019

Opinion: A vision crisis is looming — unless we act now Imagine being unable to see when a 20-minute operation could restore your sight, or unable to work or succeed in school because you need a pair of glasses. It may seem unthinkable.

Orbis: Saving Vision and Changing Children’s Lives Across the World Orbis has been working to change lives through the prevention and treatment of avoidable blindness since 1982. A large focus of this work has been treating cases of childhood blindness.

Imagine a life without sight – without seeing the smiles of your loved ones or taking in a sunset while you travel.

September 4, 2019 May 25, 2019

August 22, 2019

Crisis in sight

Reportaje Especial: Hospital en el aire

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FINANCIALS The help of our partners, volunteers and generous supporters like you has powered our innovation and deepened our impact in 2019 in the fight against avoidable blindness.

IMPACT

94.9% 2.7% 2.4%

went directly toward our work to prevent avoidable blindness went toward raising funds to support our mission went toward ensuring our systems and service delivery are worthy of your donations

In 2019, supporters generously gave over

$378.5M to Orbis International

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MAXIMIZING YOUR GENEROSITY At Orbis, we work hard to ensure your gifts are used as effectively as possible. That’s why almost 95 cents of every dollar you donate goes directly to increasing quality eye care and saving vision in the countries where we work.

REVENUE AND SUPPORT $378.5M EXPENSES $381.0M OPERATING DEFICIT ($2.5M) NET ASSETS $57.3M

In 2019, supporters generously gave over $378.5M to Orbis International. Your support allowed Orbis International (excluding affiliates) to put $361.6M to program, $10.2M to fundraising and $9.2M to Management/General in functional expenses. Overall, the organization finished 2019 with a net decrease in net assets of ($2.5M) and total net assets of $57.3M. Orbis continues to be financially well-positioned to support the growth of its global operations and to best serve its goal of transforming lives through the prevention and treatment of avoidable blindness in 2020 and beyond.

The financial information as of and for year ended December 31, 2019, has been derived from Orbis International’s financial statements audited by BDO USA, LLP independent auditors. The condensed financial information should be read in conjunction with the 2019 audited financial statements and related notes.

Contact Orbis International’s office for copies of the complete audited financial statements, or download them here.

Photo: Geoff Oliver Bugbee

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CORPORATE PARTNERS We couldn’t do our life-changing work without the incredible support and dedication of our global corporate partners.

Their contributions range from major multi-year cash grants to critically needed gifts-in-kind.

All photos: Geoff Oliver Bugbee

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Since 1979, Alcon has been a critical partner

Jebsen generously partners with Orbis to

supporting our mission though ongoing training

establish a training, screening and eye care

program sponsorship and content collaboration,

referral network covering hospitals and clinics

biomedical engineer volunteers, and state-of-the-

in rural areas of China.

art ophthalmic equipment and pharmaceutical donations. Additionally, as a title sponsor of our Flying Eye Hospital, Alcon provides supplies for our partner hospitals around the world.

Boeing became a Global Title Sponsor of Orbis’s third-generation MD-10 Flying Eye Hospital in 2019 through our “See the Future” initiative, with a three-year commitment to help provide critically important training to eyecare professionals around the world.

Since 2011, OMEGA has provided ongoing support

Collins Aerospace partnered with Orbis in 2017 to establish the world’s only Mobile Simulation Center outfitted for an aircraft. The simulation technology and training curricula scale up training efforts to first- and second-year medical residents and is used in 80% of our Flying Eye Hospital projects.

The Pfizer-Orbis relationship dates back to 1979,

For almost four decades, FedEx has played an indispensable role in helping Orbis achieve its vision, including the donation of the MD-10 aircraft that became the third-generation Flying Eye Hospital, and becoming a Global Title Sponsor of the Flying Eye Hospital in 2000.

Standard Chartered supports Orbis’s “Seeing Is

to Orbis, donating proceeds from the sales of special dedicated watches and chronicling Flying Eye Hospital projects with OMEGA brand ambassadors.

three years before Orbis’s first sight-saving flight, when Pfizer began supporting Orbis through cash grants and donations of medical supplies.

Believing” global community fundraising project, which aims to serve China’s blind population.

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VOLUNTEERS Thank you to our outstanding Volunteer Faculty and volunteer pilots who donated their time this year to support Orbis in our mission to prevent and treat avoidable blindness.

Dr. Bazil Ateleanu United Kingdom

Mr. Bo Min Myanmar

Mrs. Leah Baumhover USA

Dr. Charith Fonseka Sri Lanka

Dr. Lawrence Azavedo United Kingdom

Dr. Gregory Spooner USA

Ms. Danielle Schindler USA

Dr. Douglas Fredrick USA

Dr. Ian Fleming United Kingdom

Dr. Vivien Yap USA

Mr. Craig Simms Canada

Dr. Annette Giangiacomo USA

Dra. Olga Giraldo Colombia

Mr. George Appasamy United Kingdom

Dr. Lee Alward USA

Dr. Karl Golnik USA

Dr. Mark Gunn USA

Ms. Glenda Bajar United Kingdom

Dr. Santosh Bhide India

Dr. Pamela Gonzalez Mexico

Dr. Michelle Le Cheminant United Kingdom

Ms. Sandra Burnett USA

Dr. James Brandt USA*

Dr. Omar Honerlage Mexico

Dr. Jonathan Lord United Kingdom

Ms. BelĂŠn Calahorro Cardoso United Kingdom

Mr. John Brookes United Kingdom

Dr. Srinivas Iyengar USA

Dr. Peter Moore USA

Ms. Irma Casale United Kingdom

Mr. Donal Brosnahan Ireland

Dr. Angela Jiang USA

Dr. Ghalib Mukadam United Kingdom

Mrs. Peng Peng Chuah Malaysia

Dr. Javier Buendia Colombia

Dr. Sandra Johnson USA

Dr. Thomas Neal United Kingdom

Mrs. Sue Davies Australia

Dr. John B. Carter USA

Dr. Thomas Johnson USA

Dr. Manish Raval United Kingdom

Dr. Elethia Dean USA

Dr. Jeffrey Caspar USA

Dr. Shoba Katumalla India

Dr. Niroop Ravula USA

Ms. Mairead English Ireland

Dra. Linda Cernichiaro-Espinosa Mexico

Dr. Ramesh Kekunnaya India

Dr. Sanjay Saikia United Kingdom

Mrs. Violeta Filipova United Kingdom

Dr. Poemen Chan Hong Kong

Dr. Nathan Schwartz USA

Ms. Nadine Grant-Mckenzie United Kingdom

Dr. R. V. Paul Chan USA

Ms. Thuong Huynh Canada

Ms. Fiona Dean United Kingdom

Dr. Luu Tong Vietnam Ms. Elizabeth Castro USA Mr. Leo de Kryger Canada Mr. Oluwadare Faderin Nigeria Mr. Jose Flores USA Mr. Robyn Frick USA Mr. Chun Kiat Goh Singapore

Mrs. Philippa Jones United Kingdom Ms. Lori Pacheco USA Ms. Toni Pilcher Australia Ms. Donna Punch Canada Mrs. Andrea Shows USA

Dr. Robert Chang USA Dr. Monte Del Monte USA Dr. Andreas Di Luciano Chile Dr. Rainaldo Duerksen Bolivia Dr. Sherif El-Defrawy Canada Dr. John Ferris United Kingdom

*Denotes Volunteer Faculty who also participated in Cybersight webinars and/or telementorship

Dr. Robert Kersten USA Dr. Peter Kertes Canada Dr. Eduardo Kestelman Brazil Dr. Milind Killedar India Dr. Hee Joon Kim USA Dr. Alvin Kwok Hong Kong Dr. Wai-ChingLam Hong Kong Dr. Bradford Lee USA Dr. James Lehmann USA* Dr. Alexa Lu USA

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Dr. Rommel Bautista Philippines

Dr. Diane Russo USA

Dr. Larry Benjamin USA

Dr. Joel Schuman USA

Dr. Louis Cantor USA

Dr. Leo Seibold USA

Dr. Brian Marr USA

ASSOCIATE OPHTHALMOLOGISTS AND ANESTHESIOLOGISTS

Dr. Steve Charles USA

Dr. Sirisha Senthil India

Dr. Timothy McCulley USA

Dr. Sara Ko United Kingdom

Dr. Zhan Chun China

Dr. Arsham Sheybani USA

Dr. David Miller USA*

Dr. Christopher Areephanthu USA

Dr. Soledad Cortina USA

Dr. Karen Squier USA

Dr. Eydie Miller-Ellis USA*

Dra. Valentina Berrios Chile

Dr. Miguel Cuevas Colombia

Dr. Sowmya Srinivas USA

Dr. Daniel Neely USA*

Dr. Cristina Bostan Canada

Dr. Siddharth Dikshit India

Dr. Stuart Stoll USA

Dr. Thomas Oetting USA

Dr. Başak Bostanci Turkey

Dr. Kendall Donaldson USA

Dr. Abhay R. Vasavada India

Dr. Henry O’Halloran USA

Dr. Wesley Chan Canada

Dr. John Downing USA

Dr. Ernesto Otero Colombia*

Dr. Wai Lok Chan Hong Kong

Dr. Thomas Freddo USA

VOLUNTEER PILOTS

Dr. Ronald Pelton USA

Dr. Emily Cole USA

Dr. Raphael Guballa Philippines

Captain Cynthia Berwyn Memphis, TN

Dr. Roberto Pineda USA

Dr. Jenny Fong Hong Kong

Dr. Andrew Harrison USA

Captain Mark Cardwell Germantown, TN

Dr. Jeffrey Pong Hong Kong

Ms. Vivian Ho United Kingdom

Dr. Yongxiang Jiang China

Captain Patrick Corrigan Collierville, TN

Dr. Grace Prakalapakorn USA

Dr. Helena Hurairah Brunei Darussalam

Dr. Malik Kahook USA

Captain Stephen Dee Cordova, TN

Dr. Juan Sanchez Colombia

Dr. Irfran Kherani Canada

Dr. Alex Levin USA

Captain Gary Dyson Eads, TN

Dr. Kai Ching Peter Leung Hong Kong

Dr. Michele Lim USA

Captain Brian Flax Memphis, TN Captain Michael Flood St. Helena, CA

Dr. José Lucio-Alvarez Mexico Dr. Christopher Lyons Canada Dr. Sheila Marco Kenya

Dr. Benjamin Shalev Israel Dr. Lesya Shuba Canada

Dra. Natalia Restrepo Colombia

Dr. Jenelle Mallios USA

Dr. Carlos Solarte Canada

Dr. Solin Saleh Canada

Dr. Umang Mathur India

Captain David Hayes Germantown, TN

Dr. Rosalind Stevens-Cavender USA*

Dr. Mehdi Shajari Germany

Dr. Jose Mendoza Peru

Dr. Donny Suh USA*

Dr. Nita Valikodath USA

Dr. Ramana Moorthy USA

Captain John Gordon Platt The Villages, FL

Dr. Rudy Wagner USA

Ms. Angela Vargas Colombia

Dr. Manish Nagpal USA

Captain Cheryl Pitzer Murphy, TX

Dr. Serena Wang USA

Dr. Eva Wong Hong Kong

Dr. Neelam Pawar India

Captain Peter Pitzer Murphy, TX

Dr. Laura Wayman USA*

Mr. Imran Yusuf United Kingdom

Dr. Jody Piltz-Seymour USA

Captain Brian Sajdak Hernando, MS

Dr. Lori Provencher USA

Captain Eric Van Court Memphis, TN

CYBERSIGHT MENTORS AND TEACHERS

Dr. Doug Rett USA

Pilot Mark Vaughan La Mirada, CA

Dr. Manolito Reyes Philippines

Captain Gilbert Vondriska Ojai, CA

Dr. Adedayo Adio Nigeria Dr. Caroline Baumal USA

Dr. Guillermo Rocha Canada

Captain Curtis Wilson Austin, TX

Dr. Aravind Roy India

Captain Fred Yates Sarasota, FL

Dr. James Whelan Canada Dr. Vivian Yin Canada* Dr. Timothy Hug USA Mr. Tony McAleer Ireland Mr. Zainulabuddin Mohammed India

3O

GLOBAL LEADERSHIP ORBIS INTERNATIONAL BOARD OF DIRECTORS Mr. Kevin G. McAllister Chairman Cincinnati, OH Mr. David L. Gitlin Vice Chair President & CEO Carrier Mr. John Howitt Vice Chair Partner Clifford Chance US LLP Ms. Diana Wheeler Secretary Senior Vice President, Teammate Resources FlightSafety International, Inc. Mr. John Robert Ranck President and CEO Project Orbis International, Inc.

DIRECTORS Mr. Peter Allen, FCPA, FCA, FRAeS Chief Executive Officer Stellar Capital Corp.

Mr. Justin Brownlee Vice President, Air Operations FedEx Express

Ms. Sharon Dogonniuck Principal Ernst & Young, LLP

Mr. Charles Vyvyan Geo-political Analyst Vertical Research Partners

Dr. Pravin Dugel Retinal Consultants of Arizona

SINGAPORE

Mr. James Forbes Vice Chairman Morgan Stanley

Stuart L. Dean Chairman Senior Advisor, ASEAN Advisory

Dr. David S. Friedman Director, Glaucoma Massachusetts Eye and Ear

Norman C. T Liu Treasurer Former CEO, GE Capital Aviation Services (GECAS)

Ms. Jennie Friedman Audit Partner KPMG LLP Dr. Gil Kliman Managing Director InterWest Partners Amb. Patricia N. Moller (Ret.) President and CEO Moller Global Advisory, LLC Dr. Ram Palanki, Pharm.D. Sr. Vice President Commercial Strategy & Operations REGENXBIO Inc. Mr. Adrian J. Paull Scottsdale, Arizona Dato’ Kulasegaran Sabaratnam Vice Chairman and EXCO Chairman, Tun Hussein Onn National Eye Hospital, Malaysia

DIRECTORS A/Prof Marcus Ang Senior Consultant, Singapore National Eye Center Associate Professor, Duke-NUS Medical School Seat Moey Eng-Kwok Managing Director and Group Head, Capital Markets DBS Bank Rai Katimansah Partner & Portfolio Manager, Sun Hung Kai Capital Partners Peter Mok Counsellor, High Commission of the Republic of Singapore in London Jason Moo Head, Private Banking, Southeast Asia, Julius Baer

Dato’ Kulasegaran Sabaratnam President, World Blind Union Asia Board Member, Orbis International, New York Alvina Tan Managing Director, Ark Advisors

MACAU Mr. John Robert Ranck President President & CEO Project Orbis International, Inc. Ms. Kristie DeKoker Secretary Chief Development Officer Project Orbis International, Inc. Ms. Danusia Dzierzbinski Treasurer Chief Finance & Administrative Officer Project Orbis International, Inc. Ms. Pauline Lam Mo Sze Member Director, Faculty Relations, Asia Project Orbis International, Inc. Ms. Elaine Lau Chui Ling Member Senior Director, Individual Engagement, Hong Kong Project Orbis International, Inc.

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Ms. Mary Lau Wai Sze Member Executive Director, Hong Kong Project Orbis International, Inc.

Mrs. Catherine Gaynor Director

Mr. Manu Nathan Member General Counsel & Chief Compliance Officer Project Orbis International, Inc.

Mr. Andrew Lowe Director

Ms. Diana Wheeler Member Senior Vice President, Teammate Resources Flight Safety International, Inc. Ms. Venus Yeung Kin Wa Member Director, Communications, Hong Kong Project Orbis International, Inc.

IRELAND Dr. Maurice Cox Chairman Ms. Clare O’Dea Vice Chair Mr. Trevor Lydon Treasurer Mr. Peter Lorcan Tiernan Secretary

DIRECTORS Mr. Michael Boyd Director Mr. Paul Boyle Director Mr. Donal Brosnahan Director Mr. John Crowe Director

Mr. Michael Holland Director

Ms. Jennifer Moulton Director Ms. Anne Nolan Director Dr. Ray Power Director Ms. Carina Ryan Director Mr. Raymond Sission Director

CANADA Simon P. Holland, M.D. Chair Clinical Associate Professor University of British Columbia Eye Care Centre Vancouver, British Columbia

Catherine Hansen MD, PA Director Friendswood, Texas Senator Rosemary Moodie Director The Senate of Canada Parliament Hill Ottawa, Ontario Bulgan Orgilsaikhan Director Upchain Inc. Toronto, Ontario Natasha Sharpe, PhD, MBA Director Chief Investment Officer Bridging Finance Toronto, Ontario John Robert Ranck Ex-Officio Director President and CEO Orbis International New York, New York The Honourable Dr. Vivienne Poy Emeritus Board Member Lee Tak Wai Holdings Ltd. Toronto, Ontario

UNITED KINGDOM Chairman Peter Hickson MA FCA Chairman, UK Larry Benjamin FRCS (Ed), FRCOphth, DO Programme Committee Chair, UK Michael Boyd Tony Cowles Yvette Dunne MA FCA Designated Trustee for Safeguarding, UK Nicola Floyd Patricia Moller Rob Pinchbeck Deputy Chairman, UK Christine Tomkins, BSc(Hons), MBChB(Hons), DO, FRCS, FRCOphth, MBA, FFFLM, FRCP Charles Vyvyan Catharina Waller Robert F Walters FRCS, FRCS(Ed), FRCOphth.

Nigel Young Audit Committee Chair, UK

Winston K. Fogarty, B.A., LL.B., LL.M. Secretary DS Avocats Canada, Ottawa Ottawa, Ontario Max Beck Treasurer Toronto, Ontario

MEDICAL ADVISORY COMMITTEE Pravin U. Dugel, MD (Chair)

Robison D. Harley, MD

Richard Doherty Director National Aviation Practice Leader Marsh Canada (Aviation) Toronto, Ontario

Joan Creed, MN, RN, CCM

Chris McMenemy

Monte J. Goldstein, MD

Daniel E. Neely, MD

Leo de Kryger, CET

Greg J. Spooner, PhD

Alex V. Levin, MD, MHSc, FRCSC

Rosalind A. Stevens, MD, MPH

O R B IS ANNU AL R EP O R T 2 01 9

SPECIAL THANKS INDIVIDUAL Mr. Erly R. Alonso Mr. Saud Altamimi Mr. Jason Alves Mr. Bart Amond Mr. Wally Andrushenko Mr. Safwat Armanious Mr. Ken Ashmore Mr. Vivek Ashoka Ms. Clare Baggaley Mr. Daniel Baron Mr. Roland R. Batangan Jr. Ms. Paige Botos Ms. Terry Brown Mr. Justin Brownlee Ms. Avis Buford-Darling Mr. Jose Cabrera Mr. Reginald Campbell Mr. Greg Carter Ms. Alma Decena Mr. Tom Deosaran Mr. Ben Devarie Mr. Donald Dillman Mr. Coz DiMarco Ms. Nancy Drewery Mr. Jun Egashira Mr. Brian Eppic Mr. Mark Eshleman Mr. Andrew Fifield Mr. Les Frank Ms. Gail Gaul Mr. Fred Goetschel Mr. George Griffin Mr. Paul Griffiths

Ms. Meghan Grimes Mr. Mike Gutierrez Mr. Tom Haines Mr. Ahmed Abu Hamra’a Mr. George Hanniff Mr. Walter “Mac” Harper Mr. Christopher Hart Mr. Jarin Horton Mr. Rob Hudson Mr. Ed Hurt Ms. Kathy Ilyin Mr. Tim James Mr. Tom Jenkins Mr. Mac Johnson Mr. Bill Jones Jr. Mr. Greg Jones Mr. Syed I. Kamal Mr. Kevin Kanizar Mr. Reynaldo Kappel Mr. Richard Kusmierz Mr. Tom Lee Mr. Richard Lira Ms. Amelia Lovin Mr. Shawn Lyons Mr. Mike Majerus Mr. Edward Maldonado Mr. Brady McClure Captain John McCormick Mr. Frank McCrorie Mr. Jack McHale Mr. Robert Medina Mr. Carlos Monsalvo Mr. Nate Morrissey Mr. Colin Mulligan

Mr. Quynh Nguyen Mr. Jamal Noureldine Mr. Darren O’Dom Mr. Scott Ogden Ms. Maureen Patton Ms. Darla Paulson Mr. Derek Pristavok Mr. Vince Punzalan Mr. Ali Abi Raad Mr. Rocky Ruggieri Mr. David Singh Mr. Steve Sobczak Mr. Jack Springer Mr. Richard Stillhard Mr. Rafal Szewczyk Poorna Thimmaiah Mr. Bill Thornton Ms. Sarah Toney Mr. Luis Trejo Mr. Jake Trees Ms. Kathy Trulove Mr. Michael Tymczyszyn Mr. Thomas Wallace HRH The Countess of Wessex Ms. Ina Wiehl Mr. Stephen Wilson Mr. Nick Wood Ms. Nozomi Yamauchi Mr. Mark Yerger

GROUP AerCap Airbus Financial Services AkzoNobel Aerospace Coatings Angel Flight West AOPA ARINCDirect Assessment Compliance Group, Inc. (Aviation Manuals) Avolon BCG Digital Ventures Big Sky Aviation Boeing British Embassy Doha Canada Reception Centre Ottawa Clifford Chance LLP ComAv D.O.T. Tiedowns DAE Capital Deacons Dubai Airports Embassy of the State of Qatar, UK FedEx Flight Support Solutions Holdings LLC Ghana Airports Company Limited (GACL) Honeywell iLS Inventory Locator Service Jackson Lewis P.C. Jeppesen Kaiser Air FBO Lakeland Lions Club LIFT Strategic Design

Lonseal Lux Air FBO Maples Group MC-Jalux Airport Services (MJAS) MedAire, Inc. Moffett Field (KNUQ) National Energy Puma Aviation Services (NEPAS) Norman Manley Airports Limited (NMIA) OpsGroup Port of Oakland Praytell Safran Group (Zodiac) Schneller Signature Flight PBI Skadden, Arps, Slate, Meagher & Flom LLP Skyway Café & Catering STG Aerospace Swissport Ottawa The Aircraft Group (TAG) Thornton Technologies TP Aerospace Unical Aviation Universal Weather & Aviation

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Linn, 8, has always been called “nanda” by her parents, which means “lucky one” in Burmese. She developed vision impairment issues as a result of being born with rubella but has always had an excellent memory. Thanks to operations she received in an Orbis partner hospital and on board the Flying Eye Hospital, her vision has greatly improved.

She’s now excited to get back to school and her favorite subject, mathematics.

Photo: Geoff Oliver Bugbee

Endnotes 1. Bourne, Rupert R A, Seth R Flaxman, et al. on behalf of the Vision Loss Expert Group, “Magnitude Temporal Trends, and Projections of the Global Prevalence of Blindness and Distance and near Vision Impairment: a Systematic Review and Meta-Analysis.” The Lancet Global Health 5, no.9 (September 2019).

4. Cromwell, Elizabeth A., Paul Courtright, Jonathan D. King, Lisa A. Rotondo, Jeremiah Ngondi, and Paul M. Emerson. “The Excess Burden of Trachomatous Trichiasis in Women: a Systematic Review and MetaAnalysis.” Transactions of the Royal Society of Tropical Medicine and Hygiene 103, no. 10 (2009): 985–92.

2. World Report on Vision. Geneva: World Health Organization; 2019. License: CC BY-NC-SA 3.0 IGO.

5. World Health Organization (WHO). Fact Sheet, Blindness and Visual Impairment. (October 2017)

3. Bourne, Rupert R A, Gretchen A Stevens, et al. on behalf of the Vision Loss Expert Group. “Causes of Vision Loss Worldwide, 1990–2010: a Systematic Analysis.” The Lancet Global Health 1, no. 6 (November 11, 2013).

6. “A Vision for Gender Equality in Eye Care.” The Seva Foundation Gifts of Service, 1 (2014).

7. Armstrong, K. L., Jovic, M., Vo-Phuoc, J. L., Thorpe, J. G., & Doolan, B. L. (2012). “The global cost of eliminating avoidable blindness.” Indian Journal of Ophthalmology, 60(5), (2012): 475–480.

8. Ferris, John D, Paul H Donachie, et al. “Royal College of Ophthalmologists’ National Ophthalmology Database Study of Cataract Surgery: Report 6. The Impact of EyeSi Virtual Reality Training on Complications Rates of Cataract Surgery Performed by First and Second Year Trainees.” British Journal of Ophthalmology 104, no. 3: 324–29. (May 2019).

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