Served as an Hon. Asst. Professor at KMC Manipal — taking up the clinical and surgical training of the postgraduates of the Department of Ophthalmology till 2010 — when KMC Manipal signed an agreement to help in the operation and upkeep of the Udupi District Hospital. This interest of his was carried on with the introduction of the Fellowship Center in Prasad Netralaya
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Dr. P. Dayanand Pai donated an ambulance to Netrajyothi Charitable Trust (NJCT) as a support to the noble cause of ‘Vision for All’. Then, NJCT began to serve other districts as well with the help of this vehicle.