This memoir is a reflection on a lifetime devoted to medicine, teaching, and service.

In Guided by Vision: Pearls of Wisdom from a Career in Ophthalmology and Teaching, Dr. Akhouri Shashi Bhushan Sahay shares his journey from a humble childhood in Bihar to becoming a respected ophthalmologist, teacher, and academic leader. From his early days as a medical student at Ranchi Medical College to advanced training at Moorfields Eye Hospital in London, and from years of teaching in medical institutions to participation in national and international ophthalmological societies, the book traces a life guided by discipline, dedication, and compassion.

Through personal experiences, professional challenges, and lifelong learning, the author reflects on the values that shaped his career — sincerity in work, respect for teachers, devotion to patients, and the importance of continuous self-improvement. Alongside his memoir, he shares thoughtful insights on medicine, education, family life, philosophy, and the responsibilities of a doctor toward society.

A special emphasis is placed on the importance of eye care throughout life — beginning before birth, continuing through childhood, adulthood, and old age, and even extending beyond life through the noble act of eye donation. These reflections form the foundation for the author’s future work dedicated entirely to eye care for all ages.

This book is not only the story of one man’s journey in medicine, but also a collection of life lessons shaped by experience, service, and wisdom. It will inspire doctors, students, teachers, and general readers who seek meaning beyond success and believe in living a life guided by knowledge, humility, and purpose.