FOR PUBLIC HEALTH OPTOMETRY

1. COMMUNITY EYE
CARE
PROGRAMMES
OPTOM ASKAR.PK

2. COMMUNITY EYE CARE SERVICES
• Primary eye care services: As a part of routine outreach eye care services, it
runs twenty-eight Primary Eye Care Clinics in urban slums and
underprivileged community of Delhi and National Capital Region in
collaboration with Delhi Government and various NGOs. primary eye care
services to poor and vulnerable communities as identified locations in
Delhi. Patients requiring cataract surgery are transported to RP Centre
and get admitted and operated free of charge.

3. • Low Vision Rehabilitation Services Under this initiative, vision
rehabilitation services are being provided to people with visual disability
by a rehabilitation team of Community Ophthalmology. Orientation &
mobility, reading and writing rehabilitation services, low vision evaluation,
counselling on vocational training, activities of daily living (ADL),
Instrumental ADL, issuance of disability certificates, advice for
environmental and lighting modification are various components of
services being offered to the needy patients and family members.

4. • Volunteers training: Community ophthalmology provide training to the
volunteers in primary eye care and involve volunteers in the vision centres
and camp activities.

5. • Health education on Primary eye care: Regular eye health education events
are conducted to create awareness on eye health.

6. • School based screening - The department also involved in screening school
children of Delhi for refractive errors and trains school-teachers. Screening
is done through existing vision centers of department and also by involving
and training teachers in school-based screening activities.

7. • Reach In Programme (RIP): Reach in Programme is astrategy to capture
unreached and vulnerable population of cataract patients through
partnerships with community based organizations. Through it, screening
camps are organized in surrounding areas of Delhi and free cataract
surgical services are done through community eye care ward at R.P.
Centre. There are more than 10 NGOs which involved in Reach in
Programme.

8. • Diabetic Retinopathy (DR) screening in urban slums - daily one
camps organized with support of local NGOs. Known diabetic patient are
identified through house to house visits with the support of volunteers.
These patients are invited in the DR screening camps in the local areas. A
low cost non mydriatic fundus camera is used for screening of DR cases. All
suspected DR cases are referred to RP Centre for further management.

9. PRIMARY EYE CARE SERVICES THROUGH
VISION CENTRES
• Refractions Conducted
• Spectacles prescribed
• Patients referred to R.P. Centre

10. PRIMARY EYE CARE VOLUNTEER
TRAINING EVENTS
• Volunteers Training Programmes organized
• Volunteers Trained

11. EYE HEALTH EDUCATION EVENTS
• Eye Health Education Events conducted in Vision Centres
• Eye Health Education Events conducted in RPC

12. REACH-IN-PROGRAMME FOR CATARACT
SURGERY IN RURAL AND REMOTE AREAS
• Cataract screening camps organized
• People examined
• Refraction
• Patients referred to R.P. Centre

13. SCHOOL EYE SCREENING (SES)
PROGRAMME
• Numbers of Children screened
• Refractions Conducted
• Spectacles Prescribed
• Spectacles Booked

14. DIABETIC RETINOPATHY SCREENING
CAMPS
• Total number of DR screening camps organized
• Diabetic patients screened in camps
• Total DR Patients identified
• Total DR Patients referred to R.P Centre

15. PATIENT REPORTED FOR TREATMENT AT DR.
R.P. CENTRE UNDER COMMUNITY
OPHTHALMOLOGY
• Total Patient Reported under community ophthalmology:
• Total Patient Operated for cataract surgeries under community
ophthalmology
• Follow-up camps organized
• Patients examined in Follow-up camps
• Total Patient Reported under community ophthalmology:

16. LOW VISION REHABILITATION
• Mobility Training
• ADL Counselling
• Visual Disability Certification
• Vocational Training
• Special School Admission

17. MAINTAINING QUALITY IN COMMUNITY EYE
CARE – THE ARAVIND MODEL
Types of Aravind Camps:
• Comprehensive Eye Camps: A clinical team consisting of doctors and
paramedical staff examines patients for eye problems.
• DR screening camps: These camps are arranged in partnership with local
diabetologists or physicians.
• Refractive error screening camps for working population: Around 48% of
the total population in the age group of 25 to 59 years are working in
various sectors.

18. • School eye screening camps: Refractive errors are the single largest cause
of visual impairment among school-going children.
• aediatric screening eye camps: These camps focus on prevention and
treatment of eye problems in children aged 0 to 5 years (babies and
preschool children). Parents are educated about eye safety, prevention of
eye diseases, childhood illnesses, and nutritional deficiencies that can lead
to blindness.

19. • Retinopathy of prematurity (ROP) screening: With improving neonatal care
leading to the better survival rate of premature infants, ROP is fast
emerging as a common preventable cause of vision impairment in India.

20. LIONS ARAVIND INSTITUTE OF COMMUNITY
OPHTHALMOLOGY (LAICO)
• LAICO, Aravind's consulting and training arm shares best practices of the
organizations with eye care communities across the globe. This is done
through consultancy for capacity building, management and technical
training and advocacy with governments and policymakers. LAICO has
worked with over 360 hospitals in India and other developing countries and
has trained over 2000 professionals from 70 countries. It is conservatively
estimated that LAICO's work has resulted in an additional 700,000
surgeries annually.

21. IN SHORT, AN EFFECTIVE COMMUNITY
EYE CARE PROGRAM SHOULD:
• Address community needs
• Understand community constraints
• Provide easy access in terms of logistics, timings etc.,
• Ensure services are affordable and the charges reflect the paying capacity
• Provide affordable services
• Keep abreast of the relevant technological advances
• Help in improving the health-seeking behavior of the community
• Generate demand for healthcare in the community who needs but not seeking for.

22. THANK YOU