Kerala Journal of Ophthalmology

: 2022  |  Volume : 34  |  Issue : 1  |  Page : 1--2

KJO and the Ophthalmologists of Kerala

Smita Narayanan 
 Additional Professor, Regional Institute of Ophthalmology, Thiruvananthapuram, Kerala, India

Correspondence Address:
Dr. Smita Narayanan
Regional Institute of Ophthalmology, Thiruvananthapuram, Kerala

How to cite this article:
Narayanan S. KJO and the Ophthalmologists of Kerala.Kerala J Ophthalmol 2022;34:1-2

How to cite this URL:
Narayanan S. KJO and the Ophthalmologists of Kerala. Kerala J Ophthalmol [serial online] 2022 [cited 2022 Dec 8 ];34:1-2
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Full Text

Dear Friends,

A new Editorial team takes charge of this issue. A lot of our tasks have been made easier by the hard work of the previous teams, especially that of our immediate predecessor. Our team expresses its gratitude for the fine work done by all the previous editorial teams. The Kerala Journal of Ophthalmology has set new standards, be it in the cover design, quality of editing, or in the content it provides. It is heartening to know that a real interest in the journal has been generated in recent times.

However, a detailed evaluation of the submitted manuscripts in the past few years shows that the contribution of the 2000 and more practicing ophthalmologists of Kerala has been miniscule. This is a point all of us must ponder. Therefore, paraphrasing Thich Nhat Hanh, we need action that is rooted in a practice that responds to ophthalmologists' needs.[1] A cursory analysis of the reasons for such misalignment in a state which is highly active in scientific platforms reveals a few points which need to be debated upon.

 Poor Knowledge About Manuscript Writing and Statistical Principles

There are many teachers, especially in educational institutions who did not learn research methodology, statistical principles, and manuscript writing during their postgraduation days. Hence, even though they conduct exemplary clinical work, they do not apply the same rigor to the research activities of their proteges. The result is therefore shoddy and mediocre and yet they are baffled by the rejections.

Our journal has been carrying out review articles on research methodology for the past many issues. We plan to simplify it further by bringing in small statistics modules. The Journal Club feature will be retained with a postgraduate student summing up the discussion. We all know that actual practice brings greater proficiency and hopefully, the new journal club in the KSOS website will ensure greater participation and spur the interest in scientific writing.

 Reluctance or Resistance to Share Clinical Research With Others

We now know more and base our treatment guidelines on the research work of our neighboring states than ours. There is scarce documentation about pertinent and ophthalmologically relevant material concerning Kerala. As William J Dupps Jr rightly said,

“You don't know what you don't know.”[2]

This reluctance for sharing knowledge will lead to speculations and impair the quality of crucial data. It is important that we network with fellow ophthalmologists and researchers because, finally, it will help us individually and help our institutions grow. Collaboration among scientists, medical professionals, and technical experts will help big data analytics, machine learning, artificial intelligence, and ophthalmological clinical research to come together to benefit our patients.[3]

 Immense Workload and Lesser Time to do Clinical Research

Many of our institutions are neck-deep in work and COVID-19 has made matters worse. However, there are others who are thirsting for work. We need to come out with solutions to address this dichotomy. Most importantly, we need to come out of our complacency and comfort zones and convert the concept of clinician-researcher into reality. A notebook to jot down clinically important observations daily will help us to select topics for clinical research. Documenting findings is another important process. Even if a topic has been already reported upon, we can write about our own experience and down the line when a few others from our state publish on the same topic, another one of us can perform a meta-analysis and present the findings particular to our state.

 The KJO Advantage

Scientific inquiry requires us to create a hypothesis, obtain data on the variables in the hypothesis, revise the hypothesis if needed, and conduct peer review. This process of scientific rigor, especially the peer review process is very important to obtain meaningful scientific literature and one should not get overwhelmed by it. Let us go back to the old-fashioned way of not taking shortcuts and utilize our own journal to the maximum. KJO will try to simplify the process of manuscript submission and decrease the duration of the article cycle even further. We also request further suggestions in this regard in the forms of Letters to Editor.

“Only a few know, how much one must know to know how little one knows.”

Werner Heisenberg

 Vision for Everyone

In a landmark “first-ever resolution on vision,” the UN General Assembly has unanimously adopted a resolution designed to tackle eye disease and enhance global efforts to help at least 1.1 billion people who have vision impairment and who currently lack access to eye care services they need. Its 193 member nations have committed themselves to ensure eye care for everyone by 2030. The resolution calls for new targets on eye care to be included in the UN's Sustainable Development Goals at its next review.[4]

The assembly has further called upon member states and other stakeholders to include persons with disabilities including those with visual impairment in all stages of policymaking and decision-making as well as to eliminate barriers and discrimination against persons with disabilities. This is a very important decision in a world body.

Since this resolution has a target that is not too far, a more concerted effort to promote eye health will more likely be adopted. The idea to link vision to other development priorities is commendable. This is because about 90% of preventable vision loss occurs in developing countries, of which more than half of it affects women and girls. The concerted action of the UN, the governments of the member countries, donors, and the civil and scientific community will help in reducing the loss of social and economic opportunities for people around the world due to eye conditions.


1Hanh NT. At Home in the World. UK: Penguin Random House; 2016: p. 40-2.
2Dupps WJ Jr. You don't know what you don't know. JCRS 2019;45:1057-8.
3Wu X, Huang Y, Liu Z, Lai W, Long E, Zhang K, et al. Universal artificial intelligence platform for collaborative management of cataracts. Br J Ophthalmol 2019;103:1553-60.
4Available from: [Last accessed on 2022 Jan 19].