Table of Contents - WOC 2012

FP-WFS-MO 407 (9)
RAAB Surveys: A Tool for Advocacy and Planning in the EMR
Rabiu Mansur (1) , Choudhury Abdulhanan (2) , Jadoon Zahid (3) ,
AlRajhi Abdulaziz (1)
1. Prevention of Blindness Union
2. WHO EMRO
3. Pakistani Institute of Community Ophthalmology
Introduction: For effective planning, monitoring and advocacy for eye care
programs data on the magnitude, causes of visual impairment and outcomes
of services is needed. An easier, shorter and more cost effective methodology
to obtain this data is through Rapid Assessment of Avoidable Blindness
(RAAB) studies.
Results: Of such surveys may results in policy or program changes.
Methods: RAAB was conducted in over 20 districts across 9 countries of the
Eastern Mediterranean Region (EMR) from 2009 to 2011. The results of the
surveys were used to advocate for planning and resource mobilization for
eye care in the districts. Results: The prevalence of blindness varies widely
(from 0.8% to 13%) across the districts surveyed. The main cause of blindness
was cataract; however the 2nd and 3rd major causes varied in the different
countries between Glaucoma, DR and corneal opacities. More details of the
results will be discussed and how the results have been used for advocacy
and eye care planning.
Conclusion: RAAB surveys provided reliable data to plan, monitor and
advocate for eye care programs in the EMR countries.
FP-WFS-MO 407 (10)
The Status of Integrating Primary Eye Care within Primary Health
Care and Health System in EMR
Choudhury Abdul Hannan (1) , Rabiu Muhammad Mansur (2)
1. World Health Organization, Eastern Mediterranean Regional Office
2. Prevention of Blindness Union
Objective: Primary eye care (PEC) is a vital component of primary health care
(PHC). Although eye care is an integral part of health care system, eye health
has not always been sufficiently integrated at all levels of health care delivery,
especially in primary health care.
Methods and Results: To assess the situation of integrating PEC within PHC, a
questionnaire was circulated to EMR Member States. The result of this
questionnaire was analyzed during a Regional Workshop in Dubai, which
showed that there are two main types of models within the Region, the first
model is a family practice approach in high-income countries, providing a
comprehensive PHC service with diagnostic facilities and referral services. The
second model exists in low-to medium-income or densely-populated countries.
This second model covers a defined unit of population. Many community health
workers are female. Most eye problems encountered in PHC are classified
under three categories: impaired vision, red eye and eye injury.
Conclusion: The integration of primary eye care in primary health care varies in
Member States of the Region. This should be carried out simultaneously while
strengthening both primary eye care and primary health care as part of health
system.
WOC2012 Abstract Book
FP-WFS-MO 407 (11)
Hooch Blindness: A Community Eye Health Problem in India
Fariduddin Khandkar (1) , Samanta Swapan (1)
1. Calcutta National Medical College and Hospital
Key Words: Toxic amblyopia, Optic Atrophy, Slit lamp Biomicroscopy, Visual
evoked Potential, Optica Coherence Tomography.
Introduction: Hooch blindness following consumption of adulterated alcohol is
known for centuries. But Blindness following intake of adulterated alcohol is
not recorded till 1932. From that time onward it has become more and more
frequent. Here is a case report of mass alcohol intoxication followed by Hooch
Blindness in eastern India.
Materials and Methods: 10 patients of toxic amblyopia collected from a
community mass intoxication following consumption of adulterated alcohol.
The external ocular examination done by slit lamp bimicroscopy, direct and
indirect ophthalmoscopy, applanation tonometry, automated perimetry, Visual
evoked potential (VEP). All patients were treated with a methyl prednisolone
Injection. Hydroxy cobalamine, Antioxidant and local neuroprotective agents.
Results and Observations: Along with diminished vision (from NPL to 3/60)
marked pallor of the disc without any other retinal change were noted .VEP
was significantly reduced. However visual improvement ( upto 6/18) in 7
patients were observed within 6 weeks of treatment.
Conclusion: Hooch blindness in India can be prevented by creating awareness
among the target population, reducing the cost of country liquor and breaking
the link of Police- Politician- Proprietor.
Free Paper: Ophthalmic Education
Mon 20 Feb 13:30 - 15:00 Capital Suite 1
FP-EDU-MO 408 (1)
Comparing Formative Assessment by Self and Peer During
Ophthalmology PBL Tutorials
Sahoo Soumendra (1) , Myint Kay Thi (1) , Barua Ankur (1)
1. Melaka Manipal Medical College
Background: One of the major challenges lies at the use of strategies to assess
students working in small groups. The use of self assessment by students and
their peers have now been an integral part of PBL tutorials.
Methods: 100 students in 11 small groups were recruited for this study. The
PBL triggers were from the scenario describing acute loss of vision and
ocular trauma, which were given to each group. At the end of the session,
each student was given an assessment form dealing with criteria like 1.
Responsibility, 2. Information processing, 3. Communication, 4. Critical
analysis and 5. Self awareness. Each of those criteria was having subheadings
too. The questionnaires were filled using the 5 scale Likert scale approach. The
peers also assessed the individual students using the same criteria.
Results: In 60% of cases the self assessment scores were higher than peer
assessed sheets. In 26% cases the self assessment scores were less than
score by peers where as 14% cases showing nearly equal scoring by peer
and self.
Conclusion(s): It was found that the low achieving students generously scored
themselves during self assessment in comparison to score by peers. But the
majority of students liked the idea of peer assessment after PBL session.
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