Comprehensive Ophthalmology Free Papers - aioseducation

Comprehensive Ophthalmology Free Papers
comprehensive eye screening team comprised vision technician, ophthalmic
assistant/optometrist, laboratory technician, nurses, counsellor and doctors
conduct the examination using wireless instruments (Schiotz’s tonometer,
Perkin’s tonometer, portable slit lamp, indirect and direct ophthalmoscope)
and basic tools for refraction. The camps were done on 3 consecutive Sundays
between February 6, 2011 and February 20, 2011. A total number of 1323 patients
attended the camps comprising all age groups. All the 1323 patients attending
the camps had detailed examinations including history (ocular and systemic)
refraction where indicated, tonometry and dilated fundus examination. Pupil
was not dilated in case of shallow anterior chamber. Fundus examination
was not possible in mature and hypermature cataract, infective conditions.
Glaucoma was suspect in eyes with high IOP, suspicious cup-disc ratio. Retinal
changes were correlated with systemic diseases. Patients were counselled
about the eye conditions and prognosis explained. Patients with posterior
segment abnormalities were further examined at base hospital before cataract
surgery to establish the diagnosis, explain prognosis and plan treatment.
In our team, usually two ophthalmologists, 2-3 refractionists, 7-9 nurses, 1-2
lab. technician, 2 counsellor are needed for a screening camp of 400-500. One
ophthalmologist is posted per expected 150-200 patients. Travel time is a major
consideration. One refractionist is posted per expected crowd of 150 (roughly
50 out of 150 would need refraction). Usually 400-450 patients attend per
screening camp. Usually 7-9 nurses are needed for a screening camp of 400-500,
to perform vision testing, syringing, blood pressure recording, tonometry, and
to assist doctors in clinical examination. 1-2 pathology laboratory technician
is/are posted for urine/blood sugar examination. Local volunteers help to
manage registration and patient flow.
RESULTS
Total number of patients screened were 1323 out of which 581(43.92%) were
male and 742(56.08%) were female. 630 patients (47.6%) had operable cataract.
Out of 630(47.6%) cases 278(44.13%) were males and 352(55.87%) were females.
Out of 630 cataract cases 45(7%) were glaucoma suspects, 24(3.8%) had Diabetic
retinopathy and 21(3.3%) had other retinopathies. Among 693(52.4%) nonoperable
cases, 51(7.35%)were glaucoma suspects, 27(3.90%)cases were Diabetic
retinopathy and 25(3.60%) cases had other retinopathies. So the above results
show that substantial amount of patients were Glaucoma suspects or had
Diabetic retinopathy and other retinopathies. In this way, this study tells the
role of comprehensive eye examination even at high volume camps to detect
non-cataract conditions and the usefulness of wireless instruments in doing
so in optimal time. Screening started at 8-9 am and finished at 4-5 pm with 45
min. lunch break. Totally it takes 8-10 hrs/day.
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