PRAVARA INSTITUTE OF MEDICAL SCIENCES,
DEEMED UNIVERSITY, LONI BK.
PRAVARA RURAL HOSPITAL
WELCOMES YOU ALL
in Presentation on
VIEW OF PRAVARA RURAL HOSPITAL
Establishment of the Department
Functioning of the Department
Departmental statistics regarding patient turnover
UG & PG Teaching & Training Program
UG & PG Results
Research Activities and Publications
“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
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.
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.
The College started in 1984
The department got established in 1986
PG courses started 1991
MS passed out 0036
DO passed out 0063
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
MBBS 125 per year
MS 3 per year
DO 1 per year
Major Equipments/ Instruments
SR INSTRUMENTS / Particulars Qty
1 Phacoemulsification Machine Biomedics Company 01
2 Vitrectomy Machine Paed.Cateract & Trauma 01
3 Operative microscope with ---- 01
4 Operative microscope ---- 01
5 Anterior segment laser Post operative Iridectomy / 01
SR INSTRUMENTS / Particulars Qty
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
9 Posterior segment camera Digital photography of 01
10 Slit lamp Biomicroscope with --- 03
11 Schiotz tonometer Iop measurement 07
SR INSTRUMENTS Use Qty
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
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
22 Snellen’s Vision box --- 08
23 Color vision --- 05
24 Indirect Ophthalmoscope with 20 D Fundus examination 02
25 78 D lense, 90 D lens --- 02+02
26 Gonniolens 3 mirror and Gonniolens Gonioscopy 01
4 mirror Anterior angle structure 01
27 Jackson’s cross cylinder Astigmatism 01
SR INSTRUMENTS Use Qty
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
Overhead Projector 01
LCD projector 01
Personal Laptops 07
Educational CD’s 40
• 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
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
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
4. 19.2.2005 CME Retinopathy of prematurity Dr.N.V.Ammal
Diabetic Retinopathy and
5. 19.03.2005 C.M.E. Dr. Neeta Misra
Glaucoma – Early Diagnosis
6. 14.12.2005 C.M.E. Early diagnosis of Glaucoma Dr. N.V.Ammal
and management of diabetic Dr. Neeta Misra
7. 12.2.2006 C.M.E. ROP Dr.N.V.Ammal
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
10. 09.06.2008 Guest The EYE Over Time Dr. Chandrappa
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
cases field health
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
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
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
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
Subject Old Books New Books Total Books
Ophthalmology 78 41 119
No.of Specimens 07
Charts & Diagrams 40
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
2 Reconstructive Pravara Regional 2007 Non Dr.
Surgery in a case Medical Indexed Soman
of advanced Review Misra
carcinoma of the
eye lid – A case
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
5 External Tropical April Indexed Dr.
Ophthalmomyisis by Doctor 2008 Soman
oestrius ovius: an Misra
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
7 Molluscum Pravara Regional V.4(4), Non Dr.
contagiosum Medical 2009 Indexed Shubhangi
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
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
- American Academy of Ophthalmology
- British Journal of Ophthalmology
- Highlights of Ophthalmology
- Indian Journal of Ophthalmology
- Ophthalmology today
- Pravara Medical Review
Sr. No Title Investigator Start date Completion
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
3 Clinicopathogenesis of Dr.Shivprakash December December 2004
eyelid tumors Verma 2001
Sr. Title Investigator Start date Completion
4 Comparative: Dr. Gaydhankar July 2002 July 2005
Evaluation of the S.S
effects of Topical
sodium and topical 1
acetate after cataract
5 Incidence, Dr. Sujatha. December December 2005
Etiopathogenesis & V.Ammal 2002
Investigations of dry
6 Ocular manifestations Dr. Ajitkumar December December 2005
of haematological Shiram Ugale 2002
Sr. Title Investigator Start date Completion Date
7 Management of Diabetic Dr. Leena December December
Retinopathy in reference Mhaske 2002 2005
8 Clinical Profile of Various Dr. Deepak June 2003 June 2006
Types and Subtypes of Patil
Glaucoma in a Rural
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
Sr. Title Investigator Start date Completion Date
11 Incidence of Dr. Tupe May 2004
Congenital Ocular Parag N. May 2007
Anomalies in Padiatric
12 “A Comparative Study Dr. Pallavi May 2004 May 2007
of Foldable Acrylic Iols Arora
and Rigid PMMA IOLs
13 “A Clinical Study Of Dr. Amit May 2005 May 2008
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
16 Chronic Dacryocystitis: Dr. Vartika May 2006 May 2009
Clinical profile, Anand
Sr. Title Investigator Start date Completion Date
17 Clinical Profile Dr. Gayatri Jakkula May 2007 December
ucoma in Rural
18 Clinical Profile Dr. Rupali May 2007 December
& Visual Nandwani 2009
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
Study of epidemiology of ROP in rural settings in level 2 nursery.
Study of prevalence of chronic dacryocystitis associated with nasal
Prevalence of Pterygium in two Wheeler Riders
Services offered by the department
OPD Services- Routine and Advanced:
Refraction and prescription of glasses, Auto-refractometer.
Slit lamp examination Direct ophthalmoscopy
Indirect Ophthalmoscopy, Gonioscopy,
Non-contact, applanation and Schiotz tonometry
Diplopia charting, Automated Perimetry.
Ocular imaging-Anterior and posterior segment photography,
Laser Procedures- Anterior and posterior segment Laser procedures.
Minor surgeries in minor OT and procedure room.
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,
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
Management of Polytrauma cases with OMFS, ENT and Surgery
Community projects with Preventive and Social Medicine department.
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
Library books, regional ,national and international Journals
Students are encouraged to attend
CME’s Seminars ,workshops, conferences and to participate in quiz and
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
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
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
Equipments in the Wards
All necessary equipments& special equipment like
Funduscope Vision Box
A-Scan machine Nebulizer
Kerotometer Machine Glucometer
Vision Drum Bouls lamp
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
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
Pre operative medicines are given to the patient’s previous and on operation day.
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
Check the post operative orders. The give he analgesic and antibiotic medicine to
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.
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
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
Diabetic patient should check the eyes after the every six months.
Patient Examination at CAMP
Ophthalmic refraction chair unit ND – YAG – LASER (photoco-ogulation)
ND – YAG – LASER for Capsulotomy/Iridectomy Ant Segment slit Lamp camera
Synaptophore Keratometer & A-Scan
For use Squint evaluation To measure the comeal/ immature (diameter)
A-scan –To measure the axial length of eye ball & IOL power
MULTI DISCIPLINARY CAMP
CME-Childhood Blindness 2009
May God gives us an
energy to serve more
Pravara Rural Hospital,