Opthomology_Sarita_Final

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					PRAVARA INSTITUTE OF MEDICAL SCIENCES,
     DEEMED UNIVERSITY, LONI BK.
         MAHARASHTRA-INDIA
                   &
      PRAVARA RURAL HOSPITAL
          WELCOMES YOU ALL
           in Presentation on
    OPHTHALMOLOGY DEPARTMENT
VIEW OF PRAVARA RURAL HOSPITAL
  DEPARTMENT
      OF
OPHTHALMOLOGY
                            CONTENTS
   Introduction

   Mission

   Establishment of the Department

   Faculty position

   Functioning of the Department

   Departmental statistics regarding patient turnover

   UG & PG Teaching & Training Program

   UG & PG Results

   Research Activities and Publications

   Departmental Progress
                          Introduction
 “The brave trades where the ordinary man is scared to step” is the spirit of
  Shri Padmashri Vitthalrao Vikhe Patil. He dreamed of providing basic
  medical and educational facility to this rural backward and remote area of
  Maharashtra.


 His dream came true in shape of Pravara Rural Hospital and bloomed into
  Rural Medical College and Pravara Institute of Medical Sciences.


 With all the state of an art treatment & training facilities, department of
  ophthalmology, in tune with the original idea is geared into providing
  comprehensive eye care to the local population mostly consisting of low
  socio-economic and education background.
                             Our Mission
 To provide quality, comprehensive, multi-speciality, basic to advanced,
  institutional & community eye care service to the highest order.

 We are committed to provide state of an art teaching and training, didactic and
  practical, instructional and hands-on, associated with quality and more of
  community based research for undergraduates and postgraduates.

 In the future we would like to be known nationally and internationally as gold
  standard centre of excellence in pan-ophthalmic care and as a model teaching
  and research institution for all level of ophthalmic training.
                   Mile Stones
 The College started in              1984

 The department got established in   1986

 PG courses started                  1991

 MS passed out                       0036

 DO passed out                       0063
      NAME
               Our FacultyDESIGNATION
Dr. Kishor Badhe            Prof. & HOD
Dr. Surekha Bangal          Professor
Dr. Somen Misra             Professor
Dr. Shubhangi Sathe         Professor
Dr. R.N. Kothari            Associate Professor
Dr. Sanjay Shelke           Associate Professor
Dr. Jyoti Gojumgunde        Associate Professor
Dr. Shubhangi Nigwekar      Assistant Professor
Dr. Waman Chavan            Assistant Professor
Dr. Shobhana Jorvekar       Assistant Professor
Dr. Kedar Nemiwant          Assistant Professor

Dr. Vijay Lodha             Assistant Professor
     Courses Conducted
   MBBS        125 per year


   MS          3 per year


   DO          1 per year
       Major Equipments/ Instruments
SR          INSTRUMENTS /                   Particulars          Qty
             EQUIPMENTS
1    Phacoemulsification Machine   Biomedics Company             01

2    Vitrectomy Machine            Paed.Cateract & Trauma        01
                                   cases
3    Operative microscope with                  ----             01
     camera
4    Operative microscope                       ----             01


5    Anterior segment laser        Post operative Iridectomy /   01
                                   Capsulotomy PCO
SR          INSTRUMENTS /                    Particulars      Qty
             EQUIPMENTS
6    Posterior segment laser        For Focal / Pan-retinal   01
                                    photocyulation in DM
7    Automated perimetry            For Glucoma suspets       01

8    Anterior segment camera        Digital photography of    01
                                    Anterior segments
9    Posterior segment camera       Digital photography of    01
                                    posterior segment
10   Slit lamp Biomicroscope with                 ---         03
     applanation tonometer

11   Schiotz tonometer              Iop measurement           07
SR         INSTRUMENTS                       Use                  Qty
            /EQUIPMENTS

12   Non contact tonometer   Iop measurement                      01
13   A Scan Biometer         To measure axialength of eye ball    14


14   Keratometer             To measure the corneal currature (   01
                             diameter)
                             Kx horizontal Kv vertical
15   Lensometer                               ---                 01
16   Auto Refractometer      To measure refrective errors         01

17   Wet field cautery       Haemostasis                          02
18   Lister’s Perimeter                       ---                 01
19   Synoptophore                                                 01
SR     INSTRUMENTS /EQUIPMENTS                      Use               Qty

20   Refraction chair unit                           ---              03
21   Trial Lense Box with retinoscope                ---              06
     mirror
22   Snellen’s Vision box                            ---              08
23   Color vision                                    ---              05
24   Indirect Ophthalmoscope with 20 D    Fundus examination          02
     lens
25   78 D lense, 90 D lens                           ---             02+02
26   Gonniolens 3 mirror and Gonniolens   Gonioscopy                  01
     4 mirror                             Anterior angle structure    01
                                          glucoma suspect
27   Jackson’s cross cylinder             Astigmatism                 01
SR          INSTRUMENTS                   Use     Qty
             /EQUIPMENTS
28   Direct Ophthalmoscope   Fundus examination   05

29   Streak Retinoscope      Refraction           01`

30   Hess Screen                          ---     01

31   Tangent Scale                        ---     01

32   Tangent Scale                        ---     01

33   Cambridge Card set                   ---     01

34   Prism set                            ---     01
         Teaching Aids
   Overhead Projector   01
   LCD projector        01
   Personal Laptops     07

   Educational CD’s     40
                      Clinical Material
• Average daily OPD                  :   115.47 patients

• Average daily IPD                  :   08 patients
• Average daily bed Occupancy rate   :   79.47 %

• Average daily operations           :   Major – 4.5   Minor – 25.5
Year-wise available clinical materials
                              (During previous three years)


   Category   2007    2008            2009



     IPD      17769   16371            19449



    OPD       28058   37930            38147
            Speciality In Clinics
Days            Clinics               Faculty Incharge


Monday          Retina clinic         Dr.S.V.Bangal


Tuesday         Squint/ Paediatric    Dr.S.Jorvekar
                ophthalm.clinic

Wednesday        Cornea clinic        Dr.K.P.Badhe


Thursday         Glaucoma clinic      Dr.R.N.Kothari

Friday           Oculoplasty clinic   Dr.S.Misra
 CME & Workshop’s Organised Total No.
Sr.     Dates     Event                 Topic                  Speakers
                                                         Dr. N. Misra
                          Diabetic retinopathy – Early   Dr. Pradeep Damle
1.    10.7.2004   CME
                          diagnosis                      Dr. Prasanna
                                                         Khatanker

2.    04.12.2004 CME      Medical Retina                 Dr. Kerstin Finnstron

                        Diabetic Retinopathy and         Dr. Neeta Misra
3.    18.12.2004 C.M.E.
                        Glaucoma – Early Diagnosis       Dr. (Mrs) S. Bangal
                                                         Dr.Neeta Misra
4.    19.2.2005   CME     Retinopathy of prematurity     Dr.N.V.Ammal
                                                         Dr.Manish Bapaye
                                                         Dr.N.V.Ammal
                          Diabetic Retinopathy and
5.    19.03.2005 C.M.E.                                  Dr. Neeta Misra
                          Glaucoma – Early Diagnosis
                                                         Dr.S.Bangal
6.   14.12.2005 C.M.E. Early diagnosis of Glaucoma     Dr. N.V.Ammal
                       and management of diabetic      Dr. Neeta Misra
                       retinopathy
7.   12.2.2006   C.M.E. ROP                            Dr.N.V.Ammal
                                                       Dr.Neeta Misra
                                                       Dr.Manesh Bapaye
8.   19.08.2007 C.M.E. Retina Update                   Dr. Amol Wankhede
                                                       Dr. Anup Shah

9.   22.08.2008 C.M.E. Symposium on Cataract Surgery Undergraduate
                                                     students
10. 09.06.2008 Guest    The EYE Over Time              Dr. Chandrappa
               Lect.                                   Reshmi
11. 29.05.2009 Lect.    Anaesthesia in ophthalmology   Dr. Pradeep Naik


12   09.10.2009 Lect.   Retinopathy of Prematurity     DR. Abhishek Kothari
13 27.12.2009 CME   Childhood      Dr. Millind Killedar
.                   Blindness      Dr. Jaganath Dixit
                                   Dr. Charutha Bapaye
                                   Dr. Vaishali Une
                                   Dr. Anand Vaijawade
                                     Dr. Shobhana Jorvekar
14. Early           ISM            89 female     Dr.Surekha   Sight
    detection of    department , health          Bangal       savers
    diabetes        RMC, Loni      volunteers                 internation
    and                            working as                 al project
    glaucoma                       peripheral
    cases                          field health
                                   workers
                                   under
15. Visual          Department of Medical        Dr.Surekha   SIDA
    assessment      Ophthalmolog officers of     Bangal       project
    in children     y, Paediatrics SIDA project
    under 5         and Nursing    & nursing
    years of        college, RMC, staff of SIDA
    age             Loni           project &
         Improvement in Teaching & Training
                Of Undergraduates
 UG
       Improvement in class attendance.
       Syllabus is revised & teaching schedule.
       Planned before each semester.
       More emphasis is given on presentation of the cases by the students during bed
       side clinics
       Attending OPD and operation theatres.
Post-Graduate Teaching & Training
 A log book is maintained by all PGs.
 Regular PG activities 4 days a week.
 Attend central activity on Thursdays.
 Encouraged to present interesting cases in central clinical meetings &
  Research committee meetings.
 Encouraged to attend Local , State level & national CME / workshop /
  Conferences and present scientific papers.
 Involved in UG teaching activities.
 Attending multidiagnostics and special health camps like school health
  camp, detection of diabetic retinopathycamps, industrial workers eye
  checkup.
 Trained for enucleation for eye donation and participate in eye banking
  related activities like lectures on awareness
     Weekly Post Graduate Training
Sr.              Day                      Activity
01    Monday           Seminar Presentation
02    Tuesday          Journal Club
03    Wednesday        Tutorials
04    Thursday         Central Activity
05    Friday           Case Presentation
                Departmental Library
        Subject             Old Books   New Books   Total Books


Ophthalmology                  78             41       119



            Departmental Museum
          No.of Specimens                07
          Charts & Diagrams              40
              International Publications
Sr         Title          Journal     Inter-    Vol.,Pag    Indexed Name of
                                     national    e year    ( Yes/No) Faculty
1    Comparative E       Journal of Internatio Vol.1,   Indexed      Dr.Som
     valuation of the    Ophthalmol nal        No.1,                 en Misra
     Anti Inflammatory   ogy in                Page 22-
     effect of Topical   Developing            24, 2007
     0.1%                Countries
     Dexamethasone
     sodium Topical
     0.1% Declofenac
     Sodium after
     Cataract Surgery
2    Reconstructive      Pravara    Regional    2007       Non       Dr.
     Surgery in a case   Medical                           Indexed   Soman
     of advanced         Review                                      Misra
     sebaceous cell
     carcinoma of the
     eye lid – A case
     report
Sr           Title            Journal    Inter-    Vol.,Pa Indexed Name of
                                        national   ge year ( Yes/No) Faculty
3    Choroidal             Pravara      Regional   March    Non       Dr.Som
     melanoma A rare       Medical                 2007     Indexed   en Misra
     case report           Review
4    A Comparative         Journal of Regional     Vol.4,   Non       Dr.
     study of Post         Maharashtr              May –    Indexed   Soman
     operative             a                       August             Misra
     astigmatism           ophthalmol              2008
     between the           ogical
     different external    society
     incisions used in
     MSICS
5    External               Tropical               April    Indexed   Dr.
     Ophthalmomyisis by Doctor                     2008               Soman
     oestrius ovius: an                                               Misra
     unknown endemic
     eye disease in rural
     parts of central India
Sr        Title        Journal   International Vol.,Page    Indexed    Name of
                                                 year      ( Yes/No)   Faculty
6    Ophthalmomyi     Pravara    Regional      V4(3),      Non         Dr.
     asisex terna –   Medical                  28-30       Indexed     Shubhangi
     A rare case      Review                   2009                    Nigwekar
     report
7    Molluscum        Pravara    Regional      V.4(4),     Non         Dr.
     contagiosum      Medical                  2009        Indexed     Shubhangi
                      Review                                           Nigwekar
                     OPD Space
 OPD area                        :   938 sq.metre

 Departmental office space       :   15 Sqm

 HOD office space                :   28.80 Sqm

 Professor Cabin                 :   28.80 Sqm

 Associate professor Cabin       :   19.84 Sqm

 Lecturer/ assistant professor   :   19.84 Sqm
            Working Ward Side Lab

 Facilities – routine investigations which includes Hb% estimation by
  haemoglobinometer, Urine sugar estimation, Blood sugar estimation by
  glucometer. Residents perform routine investigation.



 Special investigations: like microscopic examination of corneal ulcer
  scraping and conjunctival swabs.
Ophthalmology Under Graduate
     Examination Result
Sr.      Year          %

1.      2004-05      100.00

2.      2005-06      099.05

3.      2006-07      095.79

4.      2007-08      098.00

5.      2008-09      085.77
UG Post Graduate Examination Results
Year   Appear Appear DO          Result               Percentage
        MS                Pass(MS)        Pass(DO)   MS       DO
2004     3        3          2               3       66.6     100

2005     5        1          5               1       100      100

2006     1        2          1               2       100      100

2007     5        1          4               1       80       100

2008     2        1          2               1       100      100

2009     2        1          2               1       100      100
  List of Journals Subscribed

International
- American Academy of Ophthalmology
- British Journal of Ophthalmology
- Highlights of Ophthalmology


National
- Indian Journal of Ophthalmology
- Ophthalmology today
- Pravara Medical Review
                      Completed Projects
Sr. No            Title           Investigator       Start date   Completion
                                                                    Date
1        “Role of B-Scan In       Dr. Sudhir Kisan   July 2001    July 2004
         Suspected Posterior      Kamble
         Segment Disorders of
         The Eye “

2        Study of trends in       Dr. Ghorpade       December     December 2004
         Antibiotic sensitivity   Harshwardhan G.    2001
         microorganisms
         (Bacteria) causing
         corneal ulcer.

3        Clinicopathogenesis of   Dr.Shivprakash     December     December 2004
         eyelid tumors            Verma              2001
Sr.            Title             Investigator    Start date     Completion
                                                                     date
4     Comparative:             Dr. Gaydhankar   July 2002     July 2005
      Evaluation of the        S.S
      AntiInflammatroy
      effects of Topical
      0.1%Dexomethosane
      sodium and topical 1
      % prednisolone
      acetate after cataract
      surgery

5     Incidence,               Dr. Sujatha.     December      December 2005
      Etiopathogenesis &       V.Ammal          2002
      Investigations of dry
      eye
6     Ocular manifestations    Dr. Ajitkumar    December      December 2005
      of haematological        Shiram Ugale     2002
      disorders
Sr.         Title                Investigator     Start date    Completion Date

 7    Management of Diabetic        Dr. Leena       December         December
      Retinopathy in reference      Mhaske          2002             2005
      to laser
 8    Clinical Profile of Various   Dr. Deepak      June 2003        June 2006
      Types and Subtypes of         Patil
      Glaucoma in a Rural
      Area .

 9    Study of Mechanical           Dr. Jadhav      May 2004         May 2007
      Ocular Trauma Leading         Rajat
      to Traumatic Cataract

 10   “ Correlation between          Dr.Sachin      May 2004         May 2007
      posterior Capsular            kumar .G
      opacification And Visual      Suryawanshi
      Function before And
      After Nd:Yag Laser
      Posterior Capsulotomy”
Sr.            Title             Investigator   Start date   Completion Date
 11   Incidence of               Dr. Tupe       May 2004
      Congenital Ocular          Parag N.                     May 2007
      Anomalies in Padiatric
      Age Group
 12   “A Comparative Study       Dr. Pallavi    May 2004      May 2007
      of Foldable Acrylic Iols   Arora
      and Rigid PMMA IOLs
      by
      Phacoemulsification
      Techniques With
      Superior scleral
      Tunnel Incision

 13   “A Clinical Study Of       Dr. Amit       May 2005      May 2008
      Concomitant                Juneja
      Strabismus”
Sr.          Title               Investigator      Start date   Completion Date
14    “ A Comparative Study      Dr.B.             May 2005        May 2008
      of post operative          Venugopal
      between the different      Reddy
      external incisions used
      in manual small incision
      cataract surgery .


15    “A Study Of Safety And     Dr. Priya Patil   May 2006        May 2009
      Efficacy Of Manual
      Small Incision Cataract
      Surgery (MSICS) In
      Eyes With White
      Cataract”


 16    Chronic Dacryocystitis:     Dr. Vartika      May 2006        May 2009
       Clinical profile,           Anand
       Histopathology &
       Microbiology
Sr.          Title          Investigator        Start date   Completion Date

17    Clinical Profile    Dr. Gayatri Jakkula    May 2007     December
      of                                                      2009
      SecondaryGla
      ucoma in Rural
      Area


18     Clinical Profile     Dr. Rupali           May 2007     December
      & Visual              Nandwani                          2009
      Outcome of
      Ocular Injuries
      in Rural Area
         Completed project by faculty
• Ahmednagar PMT Teaching hospital diabetic retinopathy and glaucoma project.


• Project partners Pravara Medical Trust, Loni and sight savers international.


• Period-14th June 2003 to 31st Dec 2006.


• Project co-ordinator and investigator – Dr. Surekha Bangal.
              On Going Research Work
   Ocular manifestations in diabetes mellitus patients in Rural population.


   A clinico-epidemiological study of suppurative keratitis in rural tertiary eye
    care centre.


   Study of epidemiology of ROP in rural settings in level 2 nursery.


   Study of prevalence of chronic dacryocystitis associated with nasal
    pathology.


   Prevalence of Pterygium in two Wheeler Riders
  Services offered by the department
OPD Services- Routine and Advanced:

Refraction and prescription of glasses, Auto-refractometer.

Diagnostic procedure-
                Slit lamp examination Direct ophthalmoscopy
                 Indirect Ophthalmoscopy, Gonioscopy,
                Non-contact, applanation and Schiotz tonometry
                Sac syringing,Synaptophore,
                Diplopia charting, Automated Perimetry.

Ocular imaging-Anterior and posterior segment photography,
 Angiography.

Laser Procedures- Anterior and posterior segment Laser procedures.

Minor surgeries in minor OT and procedure room.
         Operation Theatre
Routine & advanced surgical services
 Almost all types of eye surgeries including Cataract surgeries by
  conventional, Small Incision Cataract Surgery and Phaco-emulsification,
  Glaucoma, squint, lacrimal sac surgeries, lid and oculo plastic surgeries,
  Keratoplasty.
         Multidisciplinary Services
 Detection of Diabetic and Hypertensive retinopathy, with the help of
  department of Medicine.

 Detection of Retinopathy of Prematurity and Vit-A prophylaxis programme
  with the department of Paediatrics.

 Detection of Retinopathy in PET with Gynaecology and Obstetric
  department.

 Management of Polytrauma cases with OMFS, ENT and Surgery
  department.

 Community projects with Preventive and Social Medicine department.
                Distinguish Services
 Cataract surgery by phaco-emulsification

 Laser facilities for Diabetic retinopathy, glaucoma, PCO

 Fundus photography and fluorescein angiography

 Anterior segment photography

 Humphrey’s perimetry for glaucoma and Neuro ophthalmology cases

 Paediatric Ophthalmology
Learning Resources:
 Library books, regional ,national and international Journals

 Internet facilities

 Educational CDs

 Students are encouraged to attend

 Postgraduate programmes

 CME’s Seminars ,workshops, conferences and to participate in quiz and
  debate competitions.
       UG and PG students distinguished academic
 achievements List of Awards in last 5 years Excellence in
           P.G. Examination (Ophthalmology)
1. Dr. Saudagar Vaishali Adinath

   “ Late Dr. B.S. Sirdesai DOMS Prize” Standing First in D.O.M.S Diploma 2002

2. Dr. Subodh Purohit

   First Prize in free paper session Oct – 2002

3. Dr.Purohit Subodh Gopal

    “ Late Dr. B.S. Sirdesai ophth. Prize”Standing First in M.S. Ophthalmology2003

4. Shri. Godbole Verendra Viswas

   A.D. Patwardhan gold medal awarded Rural Medical College, Loni. M.S (Ophthal)
   examination Dec 2003
5.   Dr. Kamble Sudhir Kisan
     “Late Dr. D.S.Sardesai Ophthal Prize”for standing first in M.S(Ophth)
     examination May 2004.
6.   Dr. Somen Misra
      “Pituitary tumour – an advanced case” at MOSCON Shirdi – Nov 2004
7.   Dr. Siv Prakash Varma
     1st in M.S ophthalmology examination of Pune University in August 2005.
8.   Dr. Deepak Patil
     First Prize Interesting Case Presentation in the Clinical Meeting of the Scientific
     Society.
9.   Dr. Pallavi Arora
     1st in M.S Ophthalmology Examination in Pune University May 2007
10   .Dr. Priya Patil
     1st in M.S Ophthalmology Examination PIMS in 2009
Pioneer of Nursing:


      Florence Nightingale was born on 12
      May, 1820 at Florence. She was an
      English Nurse and a Writer. She is
      known for pioneering modern nursing.
      She died on 30 August, 1910, at the age
      of 90 years at London.
                    Why Nursing Care?
 People are illiterate.


 They are unaware of proper hygiene and diet.


 There is no one to take care of old people in the family.


 Old people in the family are neglected in their own family.


 People are poor and not economically sound.


 People are unaware of the care to be taken for minor injuries of eyes and
  hesitate to consult a doctor.

 To provide mental and psychological support from other people
                 Our Ophthalmic Ward
Hospital              : A total 770 bedded capacity with all department


Optha.Ward Capacity   : 90 Beds
Wards                 : Two Separate Wards i.e. Male and Female.
Capacity              : Male Ward is 56 while Female Wards 34.
Staffing Structure    : Head of Department &
                        Prof Dr. Surekha Bangal
                        Three Units of Doctors
                        Head of Unit –I :          Dr. Surekha Bangal
                        Head of Unit –II :         Dr. Soman Mishra
                        Head of Unit –III :        Dr. R.N Kothari
                        Two Doctors and Two Residents are provided to Each
                          above Units
 Ward In Charge :
  2 Ward In charges are allocated for
       Male Ward Incharge : Mrs Sarita B. Kulkarni
       Female Ward Incharge : Mrs. Kusum Shinde

 5 Nursing Trained staffs are allocated for each ward and In additions
  to this students from G.N.M, B.Sc & P.B.B.S course are deployed in
  each ward for their practical training in ophthalmic.
 Facilities Provided :
      Indoor patients are given free services as follows:
           Routine lab investigations & ECGS, X-rays, Ascan
           Free Medicines, Free Operations,
           Medicines required for operation and Free Patient’s Diet.
           Hospitalization Expenses are not charged
           Hot Water, Beds, Hospital linen etc.
         Patients Admitted with all
       Ophthalmic Diseased Patients.
 On admission, all routine investigation e.g, Bsl fasting sugar, and post lunch
  sugar, Hb, TLC, DLC, LFT,RFT, ECG, Chest X-ray, and A-scan are done. If
  all report are within normal limit, then patient is posted for surgery.

 Such as cataract, glaucoma, Chronic Dacrocystitis, blepharitis, entropion,
  estropion, Ocular injuries, Chemical burns, ptosis, choroditis, acuteiritis,
  retinobnastoma, orbital cellulites, corneal tear, keratoplasty, ptrygium,
  penetrating injury due to anything e.g thorns, arrow, sharp toys, ball, etc.
  Diabetic retinopathy, Uvitivs and other ophthalmic problems. Children
  suffering from congenital cataract, squint, corneal tear are also treated in our
  ward.
           Equipments in the Wards
All necessary equipments& special equipment like


    Funduscope                                Vision Box
    Tonometer                                 Laryngescope
    Slitlamp                                  Ambubag
    A-Scan machine                            Nebulizer
    Kerotometer Machine                       Glucometer

    Vision Drum                               Bouls lamp
          Clinical Material
 Average daily OPD- 115.47 patients.


 Average daily IPD- 6 to 8 patients.


 Average daily Bed Occupancy rate-79.47%.


 Average daily operations-
 a) major-4.5     b) minor-25.5
                    Pre-Operative Care
 Inform the patient and his relatives about the surgery.

 Written consent is taken from patient and relatives.

 2% Xylocaine test is done of the patient.

 Prepare the eye as per the doctor’s advice by cutting the eyelashesh.

 KMnO4 gargles are given on the previous day and on the operation day.
    According to the patients condition sponge bath or bathroom bath is given to the
     patient. Advice to the patient and relatives to remove any ornaments.

    Give the hospital linen to patient and appropriate label is stick on the patients
     clothes.

    Pre operative medicines are given to the patient’s previous and on operation day.
     eg,
    1.   Tab. Ciplox-500mg (bd)
    2.   Tab Dimox -250 mg (hs & cm)
    3.   Tab Calmpose-5mg (hs &cm)
    4.   Tab Rantac-150mg(bd)
    5.   Tab M.V-(od)
    6.   Instilling of Two hourly Antibiotics eye drops to the Eye to be operated
   If patient is diseased with HPTN, Heart disease, Diabetic, along with
    antibiotic routine medicine are given to patient as advised by doctor.

   Before the surgery of cataract, antibiotic drops are instilled in eye. Dilatation
    is done after this which is two step process as follows:

    1) Dialatin is done by instilling Tropico eyedrop and homatrophin eyedrop
    every 5 min.
    2) Ocuflur eye drop and Tropico eyedrop are instilled in eye every 5 min.

   The patient is sent to OT with all documents and X-rays.
                    Post Operative Care
 When patient is shifted from OT to the ward, vital signs of patient are checked.


 Give the instructions to the patient to sleep supine position. Then to sleep on
  opposite side of the operated eye.

 If the patient is operated under local anesthesia, the advice the patient to take soft
  diet.

 Check the post operative orders. The give he analgesic and antibiotic medicine to
  the patient.

 Day after tomorrow doctor see the operated eye and instill the steroid and
  antibiotic drops and patch the eye or put the dark goggle each 2 hours.
Precaution for the Patient after Surgery
 Wash hands with soap before instilling drop in eye.

 Don’t rub the operated eye.

 Don’t play with small children.

 Don’t take head bath after one month of surgery.

 Don’t apply hair oil and don’t massage the head.

 Protect eye from dust, smoke, heat, etc.

 Avoid watching TV and reading for one month.

 Avoid lifting heavy weight.

 Use a black goggle every time.
                 Health Education
 Eye is the very delicate and important organ of the body.

 Take the medicine as per doctor’s prescription.

 Don’t use the drops of other patients.

 Include green vegetables, carrot, and papaya in the diet.

 As soon as foreign bodies like dust, smoke, insects and chemicals enter into
  the eye, wash the eye with cold water immediately. Don’t rub eye. Consult
  doctor immediately.

 Read in sufficient light and in appropriate posture.

 Cataract patients should keep the continuous and regular check up.

 Glucoma treatment if taken regularly and on time the site remains safe and not
  destroyed.

 Diabetic patient should check the eyes after the every six months.
Patient Examination at CAMP
  OPD

    Ophthalmic refraction chair unit                             ND – YAG – LASER (photoco-ogulation)




                                               Perimetry
                                               glaucoma
                                              automated
                                              Humphrey’s
                                               perimeter




ND – YAG – LASER for Capsulotomy/Iridectomy                Ant Segment slit Lamp camera
Operation Theatre




          Carlzeiss
          Takayi
          Microscopes
   Synaptophore                        Keratometer & A-Scan

For use Squint evaluation   To measure the comeal/ immature (diameter)
                                  KH- Horizontal
                                  KV- Vertical
                            A-scan –To measure the axial length of eye ball & IOL power
                            calculation
OUR WARD
MULTI DISCIPLINARY CAMP
Undergraduate Classroom
CME-Childhood Blindness 2009
May God gives us an
energy to serve more
        lives.


THANK YOU

    Presented by:
Mrs.S.B.Kulkarni,
   Ward Incharge,
Pravara Rural Hospital,
       Loni-Bk
Questions ???

				
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