Prathyusha Potharaju had a extremely exhausting time writing the alphabet as a toddler. She recollects that she would typically find yourself writing mirror photos of the letters and struggled to type phrases. The college she was enrolled in didn’t recognise that youngsters have completely different developmental milestones and develop in a different way. As a substitute of specializing in serving to this baby, who was hardly 4, they made life depressing for her.
“My mom noticed me crying after faculty many instances and realised that one thing was not proper. After I was 5, she put me in one other faculty that adopted Montessori ideas, and that modified my life,” says Prathyusha to The Higher India.
The principal of this new faculty, which has since shut down, was in contrast to the opposite educators the younger lady had met — he took a private curiosity and helped diagnose her with gentle dyslexia.
“The principal then held periods frequently to assist me out utilizing Montessori strategies, which deal with self-learning and use play to assist youngsters study. The college was play-oriented and didn’t focus simply on research. Slowly, I began writing and studying effectively,” provides the 26-year-old.
A six-month journey to search out their function

This was Prathyusha’s introduction to how essential well timed intervention is in relation to studying disabilities. It’s additionally what she understood with rather more element after she started volunteering years later at L V Prasad Eye Institute in 2020.
Volunteering on the organisation’s Institute for Visible Rehabilitation, she would file audiobooks for kids dwelling with visible impairments, and witnessed the “optimistic results of early intervention in lots of younger youngsters”.
It was additionally right here that she discovered like-minded folks in Vivian Manohar (32), a mechanical engineer, and Nivedha Christabel, an optometrist.

Vivian recollects, “We have been capable of see first-hand the issues confronted by the neighborhood. Whereas there are quite a lot of applied sciences obtainable to assist folks with visible impairment, most are imported or not accessible. We wished to vary this, and make know-how accessible and reasonably priced,” provides Vivian.
The identical 12 months, Vivian and Prathyusha have been chosen for a authorities fellowship for social innovators known as SPARSH, performed by the Biotechnology Business Analysis Help Council (BIRAC).
As a part of this social innovation programme, they travelled to rural areas throughout the nation like Jharkhand and Chhattisgarh for six months and gained publicity at three ranges — major, secondary and tertiary healthcare.
Prathyusha recollects, “We had an opportunity to journey across the nation and observe the medical setup. As we have been eager on serving to youngsters with disabilities, we targeted on how they have been accessing healthcare.”
“At L V Prasad, we had a glimpse of how early intervention works. Nevertheless, in rural services, even in authorities hospitals, not many services have been obtainable for developmental disabilities. This was true for many small cities and villages. We knew that this was the realm we would have liked to deal with.”
And so in 2021, Prathyusha, Vivian and Nivedha co-founded Grailmaker Improvements, an assistive know-how firm. With the month-to-month stipend and kickstart grant they obtained from their fellowship, they developed their first product — Imaginative and prescient Nanny.
Reasonably priced therapy for 1000’s of youngsters

Imaginative and prescient Nanny is a SaaS platform (software program utility) that gives remedy for cerebral visible impairment (CVI) on the click on of a button. Why CVI?
Throughout their fellowship, the duo noticed that a number of younger youngsters had visible impairments that weren’t ocular (eye-related) however attributable to harm to elements of the mind that course of imaginative and prescient.
As Vivian explains, “CVI is a serious drawback that’s going unaddressed. It’s a rising explanation for childhood blindness. This happens in youngsters due to difficult beginning, preterm beginning, or accidents. Their eyes are advantageous, however on account of neurological harm, they don’t seem to be capable of perceive what they see. The entire world seems like a confused maze for them. The one resolution for that is imaginative and prescient remedy, however the consciousness and experience at rural centres is appalling,” provides Vivian.
Imaginative and prescient Nanny caters to youngsters with this drawback. It’s a set of digital actions that may be accessed by means of a cell system, pill, laptop computer, and even Sensible TV. Each exercise that’s offered for growing the visible expertise of a kid in a hospital is on the market on this platform and has the benefit of being customisable.
“Imaginative and prescient Nanny offers personalised intervention for each baby with CVI by means of customisable, interactive, imaginative and prescient stimulation actions. It’s designed for folks and particular educators. You may entry completely different colors and photos, transfer objects, present charts, conduct easy actions like shifting a torchlight, and so forth,” says Vivian.
The platform has three phases, relying on the age and situation of the kid. The completely different actions are used to enhance the consumer’s imaginative and prescient, and the platform can be geared up with interactive instruments that make this course of enjoyable.
“It begins with easy shapes like circles and triangles, which you’ll be able to present in numerous colors. You can too change the background color and dimension of the thing, spotlight options, add textual content, and bubble wrap it. This helps youngsters determine the phrase as a form. You can too transfer objects and add complexity because the baby grows,” notes Vivian, including that these interventions change how youngsters work together with the atmosphere and do actions independently.
“After recognising completely different objects on the display screen, they are going to have the ability to view issues higher in particular person too, beginning with easy issues like recognising their toothbrush and toothpaste,” he explains.
Imaginative and prescient Nanny additionally goals to assist therapists with an easy-to-use evaluation software and dashboard to watch the general progress of the kid.
Dr Beula Christy, head, Institute for Imaginative and prescient Rehabilitation, L V Prasad Eye Institute, says that this platform is an enormous boon. “This utility offers educators and fogeys the flexibility to regulate the whole lot with customisation, which different apps don’t provide. You may change color, change actions, and even present your photograph. It helps steady remedy, which is the necessity in CVI,” says Dr Beula.
A greater life for kids with CVI

CVI can’t be handled with surgical procedure or spectacles like different ocular issues. Since it is a drawback associated to the mind, therapy must be steady, and the most effective outcomes are seen in youngsters the place intervention is completed early.
“Early evaluation and intervention is essential. Now we have infants as younger as eight months who come to our centre with CVI. We do imaginative and prescient remedy with them. This must be steady. After doing it for, say, three months, we educate the dad and mom to do the identical at residence. If remedy is interrupted, even for a month, we’ve got to begin from scratch once more,” provides Dr Beula.
Rohini (title modified), mom of a 4.5-year-old lady with CVI, believes that long-term remedy will not be sensible for most individuals on account of its monetary and psychological pressure. Her daughter was recognized with CVI after an accident when she was only one 12 months previous.
“We went for remedy to hospitals for nearly two years. We would depart residence at 7 am within the morning and return solely by early night. My daughter is a schoolgoer now, which makes it tough to attend remedy frequently. It’s additionally very costly. When the pandemic hit, we might go to the hospital by bus to save cash,” says Rohini.
CVI is a rising drawback in India, with Grailmaker estimating that round 4 million youngsters in India are affected by it. One remedy session for CVI prices Rs 800–1500 for an hour, which quantities to virtually Rs 2 lakh per 12 months.
With Imaginative and prescient Nanny, although, the price is Rs 7,000 per 12 months, which is rather more reasonably priced. Rohini provides that Imaginative and prescient Nanny is a superb software that enables them to proceed remedy from residence.
“Now we have seen a marked enchancment in our daughter due to remedy. Imaginative and prescient Nanny has many actions which interact the kid and assist enhance their hand-eye coordination. After faculty, I spend time with my daughter utilizing the appliance,” provides Rohini.
With every day apply, Rohini is assured that her daughter can lead an impartial life.
Vivian says, “We wish this intervention to achieve any baby, even on the remotest of areas, and assist well being staff simply display screen and supply remedy.”

Launching Imaginative and prescient Nanny as a pilot programme in June 2021, the duo has to this point seen 1,800 subscribers, together with particular educators from 10 international locations like Dubai and USA. Annual subscription prices Rs 7,000 every year.
“If intervention will not be accomplished on the proper time, it impacts their different skills. Many instances, they’re additionally mislabeled as youngsters with studying impairment. We don’t need any baby to lose out on having the fitting therapy,” says Prathyusha.
This therapy helps youngsters, together with Rohini’s, attend faculty and entry schooling like their friends. “My dream is for my baby to have life. Due to remedy, she will be able to go to potty herself, go to highschool, and play with youngsters. Imaginative and prescient Nanny has given us hope for a greater future,” Rohini provides.
You may study extra about Imaginative and prescient Nanny right here.
Edited by Pranita Bhat
