karen shields has vision has deteriorated to the point where she's decided to have surgery at the book i clinic. a preliminary exam will show how far the crash racks are progressed and whether she's suffering from any other i disorders. 3 different tests carried out the optician records the results. i'm here before that this is the front surface of the cornea the back surface and it's the cliffs here's the cornea the anterior chamber depth and the clouded lens and here we have key data about the cornea. critics were involved explains the procedure doctors still don't know exactly what causes cancer x. they believe it's part of the natural aging process which also affects our eyes you might. want to feel it's rumbled this is a routine procedure he carries around $20.00 to $30.00 cataract surgeries

a day. with the privilege of it or the clouded lenses replaced with an artificial one that remains in place for the rest of the patients like this special artificial lens also reduces corney or curvature it provides short distance vision with a lower range of about $60.00 to $80.00 centimeters away to. felix rumbled puts the film to a 2nd laser into position this technology enables tissue to be cut with high speed and precision the device costs 500000 euros. the doctor positions the eye and cuts a circular opening into the anterior catcher with the laser. pointer over the laser created a perfect opening in the anterior lens capsule. flushing the lens with sailing solution now so i can move it in from opening. the lens

remains in its capsule with the help of the liquid the dr can move the lens engine to remove it now i'll use the ultrasound device even of. the eye remains stable and most of. the laser dissolves the nucleus of the lens which is then extracted. now we've completely. move the lens what remains is the patient's own lens capsule . the artificial lens is inserted into it. i've heard. it's high precision work cash back surgery has been transformed of the past to news . stations are getting life in and thinner today they're just 2 or 2 and a half millimeters think that means we're intervening in they are touching and moving beyond our mess as high as the heights are patterns and speeds up healing

and considerably reduces the rest of. the rehabilitation phase is much shorter. than. $700000.00 of these outpatient procedures are carried out in germany every year complications such as bleeding inside the i own fictions a rare. enough out of them to hear that story of the mouth. about 10000 kilometers to the south a convoy is making its way through wanda in eastern africa. the ophthalmologist silvo akureyri is on board he and his team are traveling from the camp guy iconic outlying area to doctors make this journey only once a year. and this is a mobile clinic trust me we take all our equipment with us out surgical microscopes

our instruments and go to remote regions to carry on surgeries. we mostly treat a cataract and switch sometimes even lead to blind streets and. the team has reached its destination an outpost an hour's drive from the clinic. the patients are already waiting to have our bodies' work is funded by the german c.p. m. aid organization. the outpost is a lifeline for people who can't make the journey to the city. for them in the near army has been blind for 5 years now she had to move in with her daughter because she could no longer manage on her own. good since.

the exam shows she has cash rights. and the disease has progressed to an advanced stage. you can only see shadows against the light light and shadows basically maybe the outlines of shadows but definitely not devices. many in your family was unable to make the trip to the city to see a doctor. needs it will depend on the doctors here and god i have confidence in doctors who are always fighting for our good health i can't treat myself after all i have to have help in that. courageous size to carry out the surgery on the left eye that same day the next day will operate on the right on. one of the rooms is converted into an operation where it.

everything is adapted to the conditions in africa the doctors use simple equipment that requires little maintenance ringback. they also employ a special surgical technique. differences that i remove the clown deadline's using what's called the fish hook technique on our i use are sort of fish off that i make myself out of a syringe to now on make a tunnel incision through the sclera about 2 minimum eaters from the limbers. it's a self-sealing incision so no stitches a needed. ringback 15 minutes later

he's reached the limits. is the cricket pounded lands as you can see that it's turned a brownish red far too crowded for anyone to see through it. silvano koori now inserts the artificial lens it comes from india and costs and me a few heroes but it works and i use tweezers to slide it into the same spot where the original lens was an. alternative way to make sure it's in the right position. and then on flush the area out of. an antibiotic ointment prevents infection 25 minutes later the surgery is done.

the procedure went very well with no complications. the next day silvano koori examines the patient. the doctor carefully removes the bandage. from curse. i ask you this you see my hand. but i want to put you there if you doubt that it. is. the only thing that is going to give anything to get to know. or face all of the closer the results look good next comes the vision test of. you if you go there to get a vision is for a new year's surgery was a success filomena around me can see even the smallest symbols at the bottom of the

chart. i'm very happy to be able to see the people around me everything around me i'm very happy with. where. they are thus this is very gratifying of course it reaffirms me in my work on my home and in the my 5 chosen for myself for the sleepless oscar. for the 1st time in years feel a mini me around me is able to make her own way across the room. she's still a bit hesitant but it's frilled that she can see again. the procedure costs about 30 euros. to vote in the world where working in is much more difficult we have fewer machines and diagnostic options for 6 of the instruments we use are often the older ones so we face a lot of challenges especially when it comes to sandringham we have a good team they really do the leg work for us and make our own work much easier

but business. 2 days later fil a mini me around his other eye also has a new lens she can see again. assistance from a c.p.m. aid organization drive her and her daughter as far as they can to the end of the paved road. they'll have to make the final stretch child on force the day after surgery the 20 minute walk is a challenge but she has a new life to look forward to. the vote of plowed the 2 superposed the mayor and gov long term without the vision the enough that just like 10 minutes 5 minutes or 4 partition then a vision is a store that now that the person who was useless becomes like knows the fall

for the community for the society and before the country in the general. a children grandchildren and the entire community have gathered to welcome her return the last years have been hot unable to see she was isolated from day to day life the entire village shares in her joy. where you are this is a miracle that i can see i'm very happy i'm now celebrating with my children was. really many many around he spent 5 years waiting for surgery now playfish and has been restored.

in rwanda and around the world a lot of progress in treating i conditions has been made but new challenges are also emerging the use of smartphones for example is a problem and as life expectancy rises i disorders are also on the rise but there is the overnight when the. i surgery will improve often becoming more drug therapies will become available and i think we'll make a lot of progress in preventing the deterioration of vision and the loss of vision in old age with anything. new surgical methods official corneas retinal implants microchips the future of medical treatment to preserve vision is a promising one it looks like you know i'm really pleased i'll have surgery on my other eye to. be programming sim cells is a great leap forward but research is convinced that even more progress will be made . in the next few years we'll see

a great deal of inattentional in the field of gene therapy we'll also see advancers in the pharmacological field microsurgical. classic and a technological power that any dispute that. it was celebrated as groundbreaking but was overtaken by the competition but today it's cool engine represents the new generation of the motors faithful fans have always known the truth they're driving into the future in a vehicle from the past read. 30 minutes d.w. . in good shape the topic of this episode affects every single one of us

how is the coronavirus affecting our lives what impact does it have on our spirits . ali moore. and our relationships. plus. one of the long. term the fix. good should. be in 60 minutes on d w. but you don't need to keep a day about other people both for the over the direction home the fortune cookie the smaller the closeness the minute he came up with at least about on the bad days at the last dragon was one or. 23. degrees on.

the bed. this is it deja vu news live from berlin a shaky cease fire in the caucasus armenia and azerbaijan agreed to halt the conflict over the disputed region of nagorno-karabakh but each side quickly blames the other for breaking the armistice also coming up. donald trump tells supporters he feels great in his 1st public appearance at the white house since being hospitalized for coca-cola team this doctor says he is no longer at risk of transmitting the virus. and berlin joins

a list of european capitals shutting down life to try and rein in a spike of new coronavirus actions across the continent there's also growing frustration over restrictions. i'm nick spicer welcome to the program a ceasefire between armenia and azerbaijan appears to have ended just hours after it came after it came into effect both sides are trading blame for the renewed hostilities earlier the 2 countries foreign minister reached a deal after 10 hours of talks in moscow the accord stipulated that the ceasefire should pave the way for talks on settling the decades long conflict. stepanek the capital of the embattled nagorno-karabakh enclave live a structure left by as i shot the army rockets is visible everywhere the residents

mostly ethnic armenians i'm now leaving the sellers where they sought shelter during the attacks. good the silence frightens me. too much silence is for. after the silence is there is usually a new bombardment. of that now i don't know if they will strike again or if it will be quiet for a long time. several 100 people have been killed on both sides in the heavy fighting since the end of september now russia has stepped in to mediate the conflict with the latest cease fire the result of tense negotiations in moscow. a cease fire will begin at noon on saturday for humanitarian purposes for the exchange of prisoners of war and of the detainees and the bodies of the dead for mediation in accordance with the criteria of the international committee of the red

cross. it didn't take long for the leaders of both sides to accuse each other of violating the cease fire but many still hold great hopes for peace such as here in baba as that by shun which lies on the border of the disputed area. or to shift if there is a cease fire and the conflict has resulted in a peaceful way then that's fine with us that means we will not lose more soldiers. christian ethnic armenians make up the majority of the population of mcgoldrick. the predominantly muslim azerbaijan accuses its neighbor of occupying its territory in violation of international law the territorial stalemate has continued for decades and it's likely to take many more hours of negotiation before a permanent pay still is achieved and for more on the conflict are joined now by professor arts

a researcher on the south caucasus at the university of minnesota professor do we have any idea why the truce broke down. we're going to know exactly what happened but things like these have been in war time and actually there was not a whole lot of optimism when that truce was signed that it was going to hold and we didn't 1011 hours or so the truce was violated by what appears to be azerbaijani shelling. capitalised on it your. if it is indeed off a cease fire where does it lead leave moscow's efforts to try to negotiate a solution to this. in moscow finds itself in a very precarious situation in all of this of course it was the main palmer pushing for the negotiation it was its foreign minister invested 10 or 11 hours of

peace valuable time so at some point moscow may consider these as sort of a slap in its face and. we'll see where it goes from there but i am sure somebody the kremlin he's not happy that ceasefire was broken with the broken seas far are we closer to an all out war renewing once again. i think this is all out war is can't possibly be qualified you know and since 1904 to cease fire has sort of taken hold but this is war by any measure so i think this is going to get probably we are clear that it is not just to help us understand you know there's armenia azerbaijan moscow which has a historical role in the region are there any other outside players causing this to escalate i'm thinking of turkey and the other countries. turkey is your number one

culprit in all of this there is no question about it were it not for turkey's involvement and its force. sort of insertion of itself into the region i don't think this conflict would have lasted as long as it has so i think it bears to remind that european powers the united states have a certain degree of responsibility inclusion in turkey to get out of this conflict and let armenia and azerbaijan deal with it of course with the help of outside powers and with the help of diplomacy but turkey's probably the number one call for that but just and it's very it's very unhelpful ok professor. thank you for that he presser tawney as a researcher at the on the south caucasus at the university of many many apple us thank you thank you for having. and we turn to the u.s. know where the white house doctor has said that president donald trump is no longer

at risk of transmitting the coronavirus but the statement did not say that the president had tested negative for covert 19 it comes as president donald trump resumed his reelection campaign and interest hundreds of supporters in a white house balcony it was his 1st public a bent since contract in a crew of virus and the president declared that he is feeling great he told the cheering crowd that the pandemic which has killed more than 200000 americans is going to disappear i want you to know our nation's going to defeat this terrible china viruses we call it. and we're producing powerful therapies and drugs and we're healing the sick and we're going to recover and the vaccine is coming out very very quickly in record time and you know it's coming out very very soon we have great great companies doing it and they'll be distributing it and we will through our military very very rapidly and for more on that let's go to dave you

correspondent see me some a scandal who is in washington sumi how did the 1st public appearance go. from 1st. public appearance after the hospital visit. nic all eyes on the president today as you said you know this was his 1st appearance since he was released from the hospital and let's keep in mind that was just a little over a week ago that the president tweeted out to the world that he and the 1st lady had tested positive for covert 19 and on saturday we saw this large event at the white house that flouted public health guidelines there were hundreds of supporters on hand most of them were wearing masks and the president himself was speaking from the balcony over the south lawn so he was keeping distance but knowing what the risks are that are involved here these images were remarkable and that what did he talk about what we heard in that clip there that he discussed what he calls the china virus defeating the china virus and interestingly he had on hand there a number of black and latino supporters and he called it a peaceful protest for law and order and the reason for that is president trump and

his campaign believe that law and order is an issue where he performs well and where he polls well not just among his supporters but also among a broader section of the population so what we saw is really a president trying to jumpstart his campaign and move the narrative back onto the campaign trail tell us briefly about joe biden his challenger he's been campaigning what's he been doing and what is he saying. that's right joe biden was on the campaign trail in pennsylvania a crucial swing state we know for both candidates he was at a socially distance rally for union workers and he did blast the president for being reckless and for being irresponsible in the handling of the pandemic and his own illness as well and that really is the centerpiece of joe biden's campaign he knows this is a question where the president is weak most americans do not approve of the president's handling of the coronavirus pandemic and one last point on that nic i should say that saturday was also a day that we saw the highest kovac infection rate in the country in 2 months so this is very much an issue that's going to continue to dominate the campaign all

right susan is going to in washington thanks for that insight. let's turn now to some of the other stories making news around the world. people in the american state of louisiana are clearing up after a 2nd hurricane in 6 weeks hurricane delta brought widespread flooding and left thousands of gulf coast residents without power delta track the path of destruction left by hurricane laura last month. in kurdistan a populous politician who was recently freed from jail has become the country's new prime minister. was appointed after a majority of lawmakers supported his candidacy and an emergency session of parliament chopper off says he expects presidents or room beijing bake off to resign in the coming days. more than a 1000 migrants have arrived on spain's career canary island since friday the

surgeon arrivals there is the highest since 2006 many africans are taking the more dangerous route across the atlantic to the canary islands because agreements with turkey morocco and libya have tightened control over the mediterranean route to europe. the world health organization has warned of widespread kovan fatigue across europe as the number of new coronavirus cases continues to jump tensions are rising in cities where measures have been reintroduced to try to curb the spread of the new restrictions are having more of an impact on some sectors and others for example people working in the service industry i mean i'm sure they say scotland's not like shutdown has put their business is on thin ice hospitality industry workers protesting glasgow they worried about the future is after the scottish government announced restaurants boston pops across much of the country will close for the next 2 wakes

they concerned shared by the box. is the answer they have businesses and now being hit by the city's 1st could few in 70 years a major imposed because patrons didn't follow social distancing rules but one that will put the lure of fighting to complain critics. you know if he doesn't do follow the rules of being put in the same basket as those who don't i wish they'd just controlled that problem just as i felt. all the guys. anger i've islands you antiviral controls spot clashes in dublin this was a protest organized by the far right police had to force them apart from counted them in stride as the country's government last week introduced could travel in such a wise thing to near record in fiction writes. it's leading with the population to comply rather than let war even division tycho peterson feeling.

we're sick of being. sick of being told what to do you can go and go to mass the funeral mass senator or go hundreds also protested in warsaw they were there to voice outrage over the government's decision to make mosque wearing compulsory in public it's like an island many of these demonstrators were from the far right across the continent extremists are hoping to capitalize on fears that seem to be growing as quickly as europe's in fiction rights. and now to some other developments in the pandemic brazil passes a bleak milestone 150000 people have now died from code 19 in the country it is the 2nd highest national death toll in the world after the united states and spain the country's socialist prime minister pedro sanchez has appealed for unity over the partial lockdown in madrid the far right vox party says it will take legal action

over the measures imposed on the capital and russia portugal and the netherlands have all reported record daily increases in the number of new coronavirus infections. 3rd turn to sports now in football germany finally recorded a 1st victory of the calendar year again with a win against ukraine in kiev in the nation's league goals from the ts ginter and sealed a 21 victory for your keen live sod who had drawn all 3 of their previous matches in 2020 and in tennis polish teenager. has won the french open women's final in paris after beating america's sofia kennon in straight sets see a tech becomes the 1st polish player to win a grand slam singles title the unseated 19 year old did not drop a single set during the clay court tournaments she's also the youngest women's french open champion since monica seles in 1992

and you are of course watching t.v. news live from berlin coming up next is reporter 900 vs skeptics don't forget. to date with the news on our website. thanks for watching. people world over information provided. the want to express d.w. on facebook and twitter are up to date and in touch follow us.