Paradigm Shift from Cataract Selection Camp to Comprehensive camps Dr. Thiruvengadakrishnan Aravind Eye Hospital, Pondicherry

Cataract Identification Paradigm Shift Outreach/ Camp Cataract Identification Cataract Refractive errors Outreach/ Camp Pediatric eye Retina Glaucoma Others

The Need for Comprehensive Camp Causes of NPCB/WHO Pilot Blindness survey (1986-89) survey (1999) Cataract 80% 55% Refractive error 7.35% 19.5% Corneal blindness 1.52% 8.0% Glaucoma 2.00% 3.5% Surgical comp. 4.69% 3.0% Others 4.01% 11.5%

What all age group do you get in your camp ?

What is Done to Patients other than Cataract in your camp ?

Out of 100 OP in a camp Age Group 0 - 15 yrs 16 - 40 yrs 41 - 50 yrs Total No. of OPs % 3175 4% 12083 17% 13583 19% 43693 60% 72534 100% * 2013 – Aravind Eye Hospital, Pondy

Other Details for Comprehensive Eye Camp Out of Total Ops (72534) Age Group Imm. Cataract Mat. Cataract Ref. Error Speciality Total Nos % 2288 3% 24821 34% 25251 35% 4757 7% 57117 79% * 2013 – Aravind Eye Hospital, Pondy

Notice Model to give Information about comprehensive Camp

Beyond Cataract in our Camp Service delivered in 2013 Other Services Glasses Advised Glasses Ordered Speciality Dignosis Speciality Reffered Speciality Registered Total Nos % 18672 26% 16138 86% 4789 7% 2130 44% 1250 59% 42979 Total OP-72534 % of OP % of Glasses Advised % of Spl.Dignosed % of Spl.Reffered * 2013 – Aravind Eye Hospital, Pondy

Benefit of a Comprehensive Camps Vision of Eliminating needles blindness Income Generated for Glasses delivered Opportunity missed to treat patient Referring patients to hospital Government Insurance for Specialty Surgeries

What We Do with Specialty Patients Motivation Card Issued to Patient at Camp Site Information entered into referral form( Urgent Y/N) Date to visit hospital is given Details given to specialty camp counselor at base hospital Camp Specialty counselors follows the patients Patient not visiting hospitals are called over phone Data % of referred and registered monitored

Specialty Referrals Counselor Wise Performance

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