Part 1 fundus imaging – presentation for www.eyenirvaan.com

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presentation for www.eyenirvaan.com

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Part 1 fundus imaging – presentation for www.eyenirvaan.com

  1. 1. “ FUNDUS IMAGING ” NEED OF THE TIMES PART - 1 Rajesh Wadhwa M. Optom, FIACLE, PGDHRM To view more presentations and articles, visit www.eyenirvaan.com
  2. 2. Fundus imaging –a need of the times for Indian Optometry clinics Part 1 To view more presentations and articles, visit www.eyenirvaan.com
  3. 3. Digital imaging Is it relevant to Indian optometrist?
  4. 4. Digital imaging • Is it relevant to Indian optometrist? • Answer is YES Let us see HOW To view more presentations and articles, visit www.eyenirvaan.com
  5. 5. Presentation has 4 components (and is uploaded in 2 parts) • Why is imaging required • Just a touch : Glaucoma/ diabetic retinopathy • How is fundus imaging possible in Indian optometry clinic • What are the benefits
  6. 6. Primary Causes of blindness in India
  7. 7. Optometrist can help in managing avoidable blindness-Which is over 75% (Direct management/ early detection)
  8. 8. Optometrist can help in managing avoidable blindness-Which is over 75% (Direct management/ early detection) Approx 50%+ component is unoperated cataract
  9. 9. Optometrist can help in managing avoidable blindness-Which is over 75% (Direct management/ early detection) Approx 21% uncorrected refractive error Approx 50%+ component is unoperated cataract Approx 13% glaucoma
  10. 10. Optometrist can help in managing avoidable blindness-Which is over 75% (Direct management/ early detection) Approx 21% uncorrected refractive error Approx 50%+ component is unoperated cataract Approx 13% glaucoma Approx 5% diabetic retinopathy (and 26% of avoidable blindness)
  11. 11. Optometrist can help in managing avoidable blindness-Which is over 75% (Direct management/ early detection) Approx 21% uncorrected refractive error Approx 50%+ component is unoperated cataract Approx 13% glaucoma Approx 5% diabetic retinopathy (and 26% of avoidable blindness) Expandthehorizonsbeyondrefration
  12. 12. What does it mean to be visually impaired • Indian optometrist is sensitive to this question • We know that visual impairment & poverty support each other • Bread-earning opportunities & social standing, both are adversely affected with poor visual performance • Optometrist plays a vital role in noble cause of fight against blindness: few examples follow To view more presentations and articles, visit www.eyenirvaan.com
  13. 13. Every optometrist is concerned if someone suffers due to avoidable visual impairment Tailor
  14. 14. What happens when this tailor goes old Every optometrist is concerned if someone suffers due to avoidable visual impairment Tailor Prosperity
  15. 15. Every optometrist is concerned if someone suffers due to avoidable visual impairment What happens when this tailor goes old To view more presentations and articles, visit www.eyenirvaan.com
  16. 16. Every optometrist is concerned if someone suffers due to avoidable visual impairment What happens when this tailor goes old Poverty
  17. 17. Every optometrist is concerned if someone suffers due to avoidable visual impairment A sample study: 64% people are driven into poverty within 5 years of having been struck blind A village tailor loses prosperity just because of uncorrected presbyopia
  18. 18. Glaucoma
  19. 19. Glaucoma A young professional can not drive to office because of glaucoma
  20. 20. Diabetic retinopathy
  21. 21. Diabetic retinopathy Today, optometrists are “important & needed” in eradicating “needless” blindness by the year 2020 as per goals of VISION-2020
  22. 22. Diabetic retinopathy Today, optometrists are “important & needed” in eradicating “needless” blindness by the year 2020 as per goals of VISION-2020 It is already too late to sit around & wait for somebody to do something, someday.
  23. 23. Diabetic retinopathy Today, optometrists are “important & needed” in eradicating “needless” blindness by the year 2020 as per goals of VISION-2020 It is already too late to sit around & wait for somebody to do something, someday. Somebody is we, the optometrists
  24. 24. Diabetic retinopathy Today, optometrists are “important & needed” in eradicating “needless” blindness by the year 2020 as per goals of VISION-2020 It is already too late to sit around & wait for somebody to do something, someday. Someday is NOW Somebody is we, the optometrists
  25. 25. Diabetic retinopathy Today, optometrists are “important & needed” in eradicating “needless” blindness by the year 2020 as per goals of VISION-2020 It is already too late to sit around & wait for somebody to do something, someday. Someday is NOW Somebody is we, the optometrists Something is what this presentation suggests
  26. 26. We do direct ophthalmoscopy in routine
  27. 27. We do direct ophthalmoscopy in routine
  28. 28. Why do we dilate for fundus exam? To view more presentations and articles, visit www.eyenirvaan.com
  29. 29. Why do we dilate for fundus exam? To view more presentations and articles, visit www.eyenirvaan.com
  30. 30. Why do we dilate for fundus exam? Optometrist does not dilate pupils in India To view wider zone
  31. 31. To manage glaucoma/DR/HR/Other retinal or corneal lesions • We need to compare the findings of present day with those of older encounters To view more presentations and articles, visit www.eyenirvaan.com
  32. 32. To manage glaucoma/DR/HR/Other retinal or corneal lesions • We need to compare the findings of present day with those of older encounters • There is no better way than to have images
  33. 33. To manage glaucoma/DR/HR/Other retinal or corneal lesions • We need to compare the findings of present day with those of older encounters • There is no better way than to have images • Recordings of ophthalmoscopy are based on skill and memory • Direct ophthalmoscope gives approx 6 to 8 degrees of zone
  34. 34. To manage glaucoma/DR/HR/Other retinal or corneal lesions • We need to compare the findings of present day with those of older encounters • There is no better way than to have images • Recordings of ophthalmoscopy are based on skill and memory • Direct ophthalmoscope gives approx 6 to 8 degrees of zone • Indirect gives wider range but needs dilation & consumes lot of time • Non-mydriatic camera gives upto 40 degrees of coverage in few seconds and can image eye-surface also
  35. 35. To manage glaucoma/DR/HR/Other retinal or corneal lesions Non-mydriatic camera gives upto 40 degrees of coverage in few seconds and can image eye-surface also
  36. 36. The non mydriatic camera • Is an alternative or complement to ophthalmoscopy by imaging fundus and also eye-surface To view more presentations and articles, visit www.eyenirvaan.com
  37. 37. While glaucoma can have a battery of tests, imaging the ONH is important To view more presentations and articles, visit www.eyenirvaan.com
  38. 38. NORMAL OPTIC CUP DEEP OPTIC CUP While glaucoma can have a battery of tests, imaging the ONH is important To view more presentations and articles, visit www.eyenirvaan.com
  39. 39. Diabetic retinopathy • Why on earth are we concerned about it & that too in India • Yes… Diabetic retinopathy
  40. 40. Diabetic retinopathy • Why on earth are we concerned about it & that too in India • Yes… • This is a time-bomb that is ticking for World, for Asia and more important to us FOR INDIA • Let us understand the gravity of situation first Diabetic retinopathy
  41. 41. Diabetic retinopathy • Sooner or later, every diabetic will have diabetic retinopathy (DR). Usually after 10 years of standing diabetes • This means that blindness due to DR is directly proportional to number of diabetics To view more presentations and articles, visit www.eyenirvaan.com
  42. 42. Diabetic retinopathy • Sooner or later, every diabetic will have diabetic retinopathy (DR). Usually after 10 years of standing diabetes • This means that blindness due to DR is directly proportional to number of diabetics • People with DM are at risk of losing vision. We may delay or prevent DR effects by medical management of DM & with lasers BUT we can not reverse the harm that DR may have done. To view more presentations and articles, visit www.eyenirvaan.com
  43. 43. Diabetic retinopathy- Numbers • In world: Comparison between 2010 data & projected 2030 figures, there will be an increase of 54% diabetics (will be around 440 million) To view more presentations and articles, visit www.eyenirvaan.com
  44. 44. Diabetic retinopathy- Numbers • In world: Comparison between 2010 data & projected 2030 figures, there will be an increase of 54% diabetics (will be around 440 million) • That means for every 2 diabetics, there will be 3 diabetics by 2030 • This will not be uniform. Higher percentage is expected in poorer countries • See the chart that follows To view more presentations and articles, visit www.eyenirvaan.com
  45. 45. Expected increase in number of people with diabetes: 2010 to 2030
  46. 46. Expected increase in number of people with diabetes: 2010 to 2030 While rest of the world will have a 54% increase, India will have 72% increase in diabetic population
  47. 47. How big is Diabetic Retinopathy Clicked by author on Sep.6,2012
  48. 48. How big is Diabetic Retinopathy • 2010 Dr Rajiv Raman, senior consultant, Sankara Nethralaya. : India, the world's diabetes capital, has another reason to worry. Diabetic retinopathy is the sixth cause of blindness in the country. "From being the 17th cause of blindness in the country 20 years ago it has become the sixth cause with 18% of diabetics above 40 having diabetic retinopathy. This is a cause of worry," Clicked by author on Sep.6,2012
  49. 49. What is diabetes Insulin that is secreted by cells in pancreas manages blood sugar control mechanism. In diabetes this control malfunctions & causes high blood sugar levels To view more presentations and articles, visit www.eyenirvaan.com
  50. 50. What is diabetes Type 1 diabetes • Uncommon: caused by destruction of insulin- secreting cells Insulin that is secreted by cells in pancreas manages blood sugar control mechanism. In diabetes this control malfunctions & causes high blood sugar levels To view more presentations and articles, visit www.eyenirvaan.com
  51. 51. What is diabetes Type 1 diabetes • Uncommon: caused by destruction of insulin- secreting cells Type 2 diabetes • Develops slowly, with age, urban life-style & has close association with obesity Insulin that is secreted by cells in pancreas manages blood sugar control mechanism. In diabetes this control malfunctions & causes high blood sugar levels To view more presentations and articles, visit www.eyenirvaan.com
  52. 52. In Diabetic Retinopathy (DR) Both types of Diabetes mellitus cause complications, especially due to damage to small blood vessels To view more presentations and articles, visit www.eyenirvaan.com
  53. 53. Please view Part 2 of 1 of Fundus imaging –a need of the times for Indian Optometry clinics
  54. 54. Rajesh Wadhwa M. Optom, FIACLE, PGDHRM To view more presentations and articles, visit www.eyenirvaan.com PLEASE VIEW PART - 2 OF FUNDUS IMAGING – A NEED OF THE TIMES FOR INDIAN OPTOMETRY CLINICS

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