The document discusses blindness, including its definition, categories of visual impairment, major causes, and the problem statement. It covers changing concepts in healthcare with regards to eye care and prevention of blindness through primary, secondary and tertiary prevention methods. The Vision 2020 initiative to eliminate avoidable blindness is also summarized. Major causes of blindness in India are discussed, along with epidemiological determinants and methods of intervention through primary, secondary and tertiary care. Specific prevention programs like trachoma control, vitamin A prophylaxis and occupational eye health services are highlighted.

7. CHANGING CONCEPTS IN HEALTH CARE Primary eye care Promotional & protection of eye health On the spot treatment of commonest eye diseases Improve coverage and quality Establishment of National Prog. > Need for PHC approach Team Concept Deprofessionalisation VHG, Ophthalmic assistant, MPW, Voluntary agencies Epidemiological Approach Measurement of Incidence, prevalence, risk factors of disease

22. Prof. leadership, strategy.developmnt, CME,Standards,quality assurance, Research . C.O.E. 20 Training centers Tertiary care including retinal surg.,Corneal transplant. 200 Service Centers 2000 Cataract Surgery Othr common eye surg. Facilities for refraction Referral services Vision Centers 20,000 Refraction and prescription of glasses Primary eye care School eye screening Screening and referral services

23. Thank You