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Leprosy Training Module for Medical Officers

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Eye care 2<br />

Corneal<br />

Anaesthesia<br />

Patient must<br />

practise<br />

regularly …<br />

Eyes<br />

Patient must check<br />

daily and report on<br />

finding ...<br />

Cover the eyes with glasses<br />

during day , and eye – shield /<br />

cloth at night<br />

Keep eyes clean and free from<br />

flies<br />

Redness of eye , even<br />

without pain<br />

Blurring of vision<br />

Use a mirror / friend<br />

Compare daily , looking<br />

at a fixed object from<br />

constant distance<br />

Indications to refer a patient <strong>for</strong> Reconstructive Surgery<br />

• All patients who have de<strong>for</strong>mities caused by <strong>Leprosy</strong> and fulfill the<br />

following criteria may be referred to a hospital where RCS are routinely<br />

done.<br />

• The patient should have completed Multi Drug treatment.<br />

• De<strong>for</strong>mities should be mobile.<br />

• De<strong>for</strong>mities should be of at least one year duration.<br />

• The patient should have been reaction – free <strong>for</strong> at least 6 months.<br />

• The patient should be willing <strong>for</strong> surgery and should have realistic<br />

expectations of result.<br />

81

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