Dr. Pooja Kharbanda Ppt 64th DOS Annual Conference, Appreciation Award Paper
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Transcript of Dr. Pooja Kharbanda Ppt 64th DOS Annual Conference, Appreciation Award Paper
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Presented by
DR. POOJA KHARBANDA
M. S. OPHTHALMOLOGY
NEW DELHI
A Population Profile Survey of Patients
Attending comprehensive
Ophthalmic Camps in Nashik
District Conducted by
Maratha Vidya Prsarak Samaj- A 2 Years Study
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Aim
To find out the profile of patients who had
undergone cataract surgeries in ophthalmic
camps conducted from 2008-2010 coveringrural and tribal regions of nashik district
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Materials and Methods
Various camps were arranged covering all talukas of nashikdistrict
Active screening to identify patients including paediatricage group was done and patients to be operated wereselected for SICS & Phacoemulsification surgeries
Pre and Post operative surgical relevant data was
recorded using a pre tested semi open proforma
The data including age, gender and socio-economic
determinants was analysed
Comprehensive eye care and mass cataract camps were
conducted
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Comprehensive eye care camps were concerned with primary eye careapproach providing several types of services for many ocular or
systemic conditions that lead to visual disability or blindness if left
untreated
Identifying corneal disease
Cataracts
Refractive errors
Glaucoma
Squints
Eye infections
Allergies
Trauma
Other common eye conditions.
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The Need - To Reach the
Unreached !
Despite the magnitude of the problem of avoidable blindness indeveloping countries, studies have shown that only a small percentage of the
people needing cataract surgery or other treatment actually seek it Moreover,
eye care in the developing world still suffers from:
1. Financial and logical barriers to access
2. Low patient awareness of services available
3. Low doctor/patient ratio
In other words, it is necessary for eye care institutions to reach out to
potential patients
the "unreached" in order to provide their services to thepeople who need them most
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Community Partner (Sponsor) to
Conduct a Camp?
Any individual or voluntary social service organization - such as
Lions
Rotary
Religious groupsIndustries
Trusts
Banks
Hospitals
Community based NGOsRecreation and welfare clubs
Farmers associations
Village presidents
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Sponsors' role
The sponsors have the primary role of setting up campsite preferably a school
venue with the necessary support facilities viz. furniture, electricity, water etc.
and also to care of the publicity needs. They are responsible for assembling
patients and providing lodging and food for the medical team
Selecting an ideal place for a camp
A village with a population of ten to twenty thousand including the
surrounding areas in an accessible radius of 5 Kms is selected for conducting
an eye camp. A convenient venue (such as a large school building in the area)
and a suitable date (which does not interfere with local festivals, marriagesand other functions or with other camps) will be selected for conducting the
camp. The village should have good access to the nearby villages to benefit
the patients around the main village
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The sponsors are supposed to:
Delegate a separate team of members and volunteers to look after the
community mobilization
Arrange boarding and lodging for the medical team if the location is beyond
125km from the base hospital
Arrange local transport facility for patients between the villages and the site
of the camp, if the camp venue is not accessible within a radius of 5 to 10
Kms
Plan for manpower and finance to prepare the camp venue and conduct
widespread publicity through all possible media. The camp organizer from
Aravind Eye Hospital works along with sponsor for effective execution of
promotional activities COMMUNITY EYE CLINICS
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Brief Review About NPCB & Vision 2020
For strengthening / expansion of Eye Care Units in Rural
and tribal areas
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It was launched in the year 1976 as a 100% Centrally Sponsored scheme with the goal toreduce the prevalence of blindness from 1.4% to 0.3%. As per Survey in 2001-02,
prevalence of blindness is estimated to be 1.1%. Target for the 10th Plan is to reduce
prevalence of blindness to 0.8% by 2007 prevalence of Blindness is 1% (2006-07
Survey)
Main causes of blindness are as follows: - Cataract (62.6%) Refractive Error (19.70%)Corneal Blindness (0.90%), Glaucoma (5.80%), Surgical Complication (1.20%) Posterior
Capsular Opacification (0.90%) Posterior Segment Disorder (4.70%), Others (4.19%)
Estimated National Prevalence of Childhood Blindness Low Vision is 0.80 per thousand
The objectives of the programme are: -
To reduce the backlog of blindness through identification and treatment ofblind
To develop Eye Care facilities in every district
To develop human resources for providing Eye Care Services
To improve quality of service delivery
To secure participation of Voluntary Organizations in eye care
National Programme for Control of
Blindness
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Structure and Activities:
VISION 2020 was proposed by Dr. Abdul Kalam in 1999
VISION 2020 is the global initiative for the elimination of avoidable blindness,
launched in 1999, jointly by the World Health Organization (WHO) and theInternational Agency for the Prevention of Blindness (IAPB) with an
international membership of NGOs, professional associations, eye care
institutions and corporations
Over two decades, it is hoped that VISION 2020 will prevent 100 million
people from becoming blind
VISION 2020 seeks to eliminate the main causes of avoidable blindness in
order to give all people in the world, particularly the millions of needlessly
blind, the right to sight
VISION 2020
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Various steps involved in an eye camp are as follows:Step 1:
Patient registration: The camp team, composed of ophthalmologists andparamedical staff, proceed to the camp site
Step 2:Preliminary vision test: Preliminary vision test is performed by ophthalmicassistants. Vision charts, such as the Snellen (in the local language) and E type
charts, are used
Step 3:Preliminary examination: Ophthalmologists perform the preliminary
examination
Step 4:Tension and duct examination: Patients above the age of 40 have theirintraocular pressure tested
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Step 5:Refraction: Refraction is performed on patients who have refractive errors,
presbyopia, outdated glasses, or pseudo-aphakia
Step 6:
Final examination: Senior Ophthalmologists evaluate the test findings
Step 7:Counselling: Patients advised for surgery or further specialty interventions areeducated by the counsellors to uptake the relevant eye care
Step 8:Optical Services : Opticians (sales person and technicians from optical division)also attend the screening camp as part of the medical team
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Manpower and Duties
In addition to routine eye careworkers:
Eye surgeon
Optometrist
Ophthalmic Nurses
Refractionists
Ophthalmic Assistants
OT StaffPublic health workers
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WORKS
Screening for visual defects using Snellens chart andexamination for obvious anomalies
IOP checking using Shiotz tonometer
Refraction
Drug distribution
Diagnosing, treating and referral
Health education
Logistics
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EYE CAMP METHODOLOGY
Methodology envisages the involvement of District Administration Healthand Authorities and company officials in projecting its corporate image as
follows in the process of Eye-screening Camps & Cataracts operations:-1. Identifying in consultation with Power Grid officials cluster of 30-40 villages in the area ofcompanys
operations.
2. Identifying venues of organizing the camp such as school, health centre
3. Holding meeting with school principles, Gram Pradhans, Sarpanch etc., for purpose of publicity
4. Printing of publicity material-handbills, posters, banners, prescription sheets, newspaper through
loudspeakers covering weekly markets, school and villages Panchayat
5. Arrangement of Doctors and paramedical staff (optometrist etc) who will screen the patients during
the camp
6. Arrangement of medicines for distributers during the camp
7. Arrangement of spectacles for distribution during the camp8. Arranging transport for shifting cataract patients from venue of eye camp to hospital
9. Arranging transport for shifting patients for hospital to venue site after cataract operation
10. Arrangement of accommodation and food
11. All cataract operation will be done by the experienced eye surgeons with IOL implant (Phaco/SICS)
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OBJECTIVES
The main objectives of the programme are:
a) To provide high quality of eye care to the affected population
b) To expand coverage of eye care services to he underserved area
c) To reduce the backing of blindness by identifying and providing
services to the affected population
d) To develop institutional capacity for eye care services by providing
support for equipment and material and training personnel
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DR. POOJA KHARBANDA DOS 64TH ANNUAL CONFERENCE
VARIOUS TALUKAS OF NASHIK DISTRICT
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PETH 2008 Camp
0
5
10
15
20
25
30
35
40
Total operated patients male female
36
9
23
Total operated patients Male Female
36 9 23
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CHANDWAD-2008 Camp
49 48
30
51
2535
238
25 2515
45
1520
145
30 2720
30
10
25
142
0
50
100
150
200
250
july aug sept oct nov dec total
Total operated patients Male Female
Total operated
patients Male Female
july 49 25 30
aug 48 25 27sept 30 15 20
oct 51 45 30
nov 25 15 10
dec 35 20 25
total 238 145 142
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CHANDWAD-2009 Camp
84
113
63
15
38 40
2124
7
43
84
16
43 4840
10
18 16
9 10
3
18
41
9
41
65
23
5
2024
12 14
4
25
43
7
0
20
40
60
80
100
120
jan feb mar apr may jun jul aug sep oct nov dec
Total operated patients Male Female
Total operated patients Male Female
jan 84 43 41
feb 113 48 65
mar 63 40 23
apr 15 10 5may 38 18 20
jun 40 16 24
jul 21 9 12
aug 24 10 14
sep 7 3 4
oct 43 18 25
nov 84 41 43
dec 16 9 7
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PETH-2009 Camp
0
10
20
30
40
50
60
70
80
90
100
jan feb march total
56
15
22
93
24
8 9
41
32
7
13
52
Total operated patients Male Female
Total operated
patients Male Female
jan 56 24 32
feb 15 8 7march 22 9 13
total 93 41 52
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SINNER-2009 Camp
89
40
84
17
230
42
13
40
3
98
47
17
44
14
122
0
50
100
150
200
250
sep oct nov dec total
Total operated patients
Male
Total operated patients Male Female
sep 89 42 47
oct 40 13 17
nov 84 40 44dec 17 3 14
total 230 98 122
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IGATPURI-2010 Camp
0
10
20
30
40
50
60
feb march april total
15
38
8
59
2
20
5
27
13
18
3
32
Total operated patients Male Female
Total operated patients Male Female
feb 15 2 13
march 38 20 18
april 8 5 3total 59 27 32
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SURGANA & CHANDWAD-2010 CampTotal operated patients Male Female
jan 9 5 4
feb 11 5 6
mar 10 7 3apr 9 4 5
may 2 2 0
jun 15 8 7
jul 75 35 40
aug 34 18 16
sep 77 46 31
total 242 130 112
0
50
100
150
200
250
jan feb mar apr may jun jul aug sep total
9 11 10 92
15
75
34
77
242
5 5 7 4 28
35
18
46
130
4 6 3 5 07
40
16
31
112
Total operated patients Male Female
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Total no. of male operated Total no. of female operated
43% 57%
43%
57%
Total no. of male operated Total no. of female operated
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1077
8517
Total no. of cataract surgeries done-1077 Total no. of patients examined-8517
Total no. of cataract surgeries done-1077 Total no. of patients examined-8517
1077 8517
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Total no. of camps conducted by MVP
Samaj Hospital in 2 years-150 Others
150 5
1505
total no. of camps conducted by MVP Samaj Hospital in 2 years-150 others
5
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CONCLUSION
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REFERENCES
Community Eye Health Journal Vol. 11 to 23;
1998 to 2010
Clinical Ophthalmology Kanski
Bulletine of the World Health Organztion, Vol. 1
to 88; 194
Jose R. Rathore AS, Sachdeva S. Community
Opthalmology (Revised Indian) community Med
2010; 35:365-8 .2010
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THANK YOU
EYES ARE THE DIVINE GIFT GIVEN BY GOD LETS JOIN HANDS IN TAKING CARE OF THEM
DR. POOJA KHARBANDA
M. S. OPHTHALMOLOGY
S.R.
NEW DELHI
Sarvendriyam Pradhanam Vayanedrayam