1. REPORT ON LOWVISION SERVICE AT ARAVIND EYE HOSPITALS

2. Comparison Name of the Hospital 2013 2014 2015 Madurai 4967 5120 5558
CBE
3182
3743
3389
TVL
2378
2575
2396
Pondy
1560
1613
1527

3. No of patient improved with LVD No of Patient Recommended LVA
 Name of the Hospital
Total No of Patient
No of patient improved with LVD
No of Patient Recommended LVA
Acceptance
2013
2014
Madurai
4967
5120
1214
2379
1055
1478
621 (59%)
706 (48%)
Cbe
3182
3743
867
861
493 (57%)
539 (63%)
Tvl
2378
2619
1463
2017
885
810
336 (38%)
555 (69%)
Pondy
1560
1613
574
588
446
469
169 (38%)
176 (38%)

4. LVD – Acceptance (Jan – June, 2015)
Total No of Patient
No of patient improved with LVD
No of Patient Recommended LVA
Acceptance %
Madurai
3024
1245
635
398
63%
Cbe
1866
617
502
81%
Tvl
1214
1000
302
185
61%
Pondy
686
574
269 69
26%
Salem
Sold 3 Hand Magnifier & 1 Spectacle Magnifier

5. Man Power Man Power Madurai CBE TVL Pondy Salem Medical Officer 1 1 1 
Rehabilitationist -  -
Refractionist 2

6. Referral Pattern (Madurai)
Name of the clinic
No of Patient
Percentage
Cornea 9 1%
Free
231
15%
Glaucoma
121 8%
IOL 30 2%
Neuro 88 6%
Orbit 12
Paed
618
41%
Retina
451
30%
Unit I 64 4%
Unit II 71 5%
Unit III
130 9%
Uvea 57
Total
1882

7. Assessment Equipment Madurai Vision Assessment Charts
Log MAR - Distance
‘E’, ‘C’, Letter & Number
Log MAR - Near
Alphabet & Regular NV chart
Reading Book
Contrast
Auro Chart
Hiding Heidi & Lea Symbol for Paed.
Colour vision
PV 16
Ishihara
Peadiatric Vision Assessment
Distance
Lea Symbol - 3mt
Teller card
Lea Gratings
Lea Single & crowding chart
Near
Lea Symbol
Mail Box
Lea Rectangular game
Lea Puzzle
Lang Stereo test chart
Advanced LVD
Electronic Video Pocket magnifier
Bioptic Telescope
Smart Cane (Channel Partner)

8. CBE
Vision Assessment Charts
Log MAR - Distance
E & C – Chart
Log MAR - Near
Alphabet & Regular NV chart
Contrast
Mars Letter Contrast sensitivity chart
Hiding Heidi.
Colour vision
PV 16
Peadiatric Vision Assessment
Distance
Lea Single & crowding chart
Advanced LVD
Electronic Video Pocket magnifier

9. TVL
Vision Assessment Charts
E chart
Contrast
Pellirobson chart
Colour vision
Ishihara
Advanced LVD
Electronic Video Pocket magnifier

10. Pondy
Vision Assessment Charts
Auro Chart
Contrast
Mars letter contrast chart (Not using)
Colour vision
Ishihara
Advanced LVD
Electronic Video Pocket magnifier (Not working)

11. Salem: Has basic needed lvd for assessment Using only snellen chart
No tint, Running light and Electronic device

12. Other Activities & Projects
Madurai:
USAID PROJECTS "Ensuring healthy eyes and quality life in premature infants (Proposal for developing a comprehensive ROP program)”
Developmental assessment
Paediatric Vision assessment
Identification of person with low vision in VC (Completed)
Dr. Rupa study for cone dystrophy patient
Dr. Sathya study – Spectrum of Disorder for children 0 – 3 yrs.
Online Education – Low vision
Customised Training in Low vision – 15 Ophthalmic Technicians from Srilanka

13. USAID PROJECT Coimbatore
“An approach to the detection and rehabilitation of children with low vision”
Organizing camps in special schools, integrated schools and Government day care centers.
Vision Stimulation Therapy

14. Tirunelveli Pondy & Salem Low vision Camp in NGO and School
No activities

15. Mahema Endowment Fund Utilization (Jan – Nov, 2015)
No of Devices
Cost
Madurai 87
123,090
Tirunelveli 59
25,445
Pondicherry 52
33,500
Coimbatore 61
86,390
Total
259
2,68,425

16. Low vision service at Different service delivery level
Eye Care Service
Inventory
Diagnostic Equipment
Primary Level
Vision Centre
Hand & Stand Magnifier * 3x Pocket Magnifier * 4x Dome Magnifier * 4x Led Hand Magnifier * 6x Cutaway stand Magnifier * 7x Led Hand Magnifier Spectacle Magnifier * 5D Prismosphere * 8D Prismosphere * 10D Half Eye Spherical * 16D Half Eye Spherical * 20D Half Eye Spherical
* Auro chart * Tinted glass for trial * Jaeger chart for near vision

17. Low vision service at Different service delivery level
Eye Care Service
Inventory
Diagnostic Equipment
Secondary Level
Secondary Hospital, Community centre & City centre
Hand & Stand Magnifier * 3x Pocket Magnifier * 4x Dome Magnifier * 4x Led Hand Magnifier * 6x Cutaway stand Magnifier * 7x Led Hand Magnifire * 8x Pocket magnifier Spectacle Magnifier * 5D Prismosphere * 8D Prismosphere * 10D Half Eye Spherical * 16D Half Eye Spherical * 20D Half Eye Spherical Telescope * 4x Telescope * 3.25x Spec Mounted Telescope Non optical devices
* Auro chart * Tinted glass for trial * Jaeger chart for near vision * Black board / White board for telescope trial

18. Low vision service at Different service delivery level
Eye Care Service
Inventory
Diagnostic Equipment
Tertiary Level
All Satellite hospital (Madurai, CBE, TVL, Pondy and Salem)
Hand & Stand Magnifier * 3x Pocket Magnifier * 4x Dome Magnifier * 4x Led Hand Magnifier * 6x Cutaway stand Magnifier * 7x Led Hand Magnifire * 8x Pocket magnifier Spectacle Magnifier * 5D Prismosphere * 8D Prismosphere * 10D Prismosphere * 10D Half Eye Spherical * 16D Half Eye Spherical * 20D Half Eye Spherical * 24D Half Eye Spherical Telescope * 4x Telescope * 3.25x Spec Mounted Telescope * 3x Clipon Telescope * 3x Spectacle Binocular * Bioptic Telescope Electronic Devices * CCTV & Portable video magnifier Running Light Non optical devices (With smart cane) Special Software Tinted Glass for trial
Vision Assessment chart: * Log MAR - Distance # ‘E’, Letter & Number * Log MAR - Near # Alphabet # Jaeger chart for Near vision * Reading Book Contrast: * Auro Chart * Hiding Heidi * Lea Symbol for Paed Peadiatric Vision Assessment * Distance # Lea Symbol - 3mt # Teller card # Lea Gratings * Near # Lea Symbol * Mail Box * Lea Rectangular game * Lea Puzzle * Lang Stereo test chart

20. Comprehensive Vision Rehabilitation
Primary Level
Secondary Level
Tertiary Level
Reporting should happen from primary to secondary and secondary to Tertiary level.
Tertiary level should posses a complete inventory and manpower to provide comprehensive rehabilitation and it will complete the rehabilitation circle.
Tertiary level have the responsibility to monitor the primary and secondary level service.

21. Referral to Tertiary Level (Jan – June 2015)
Madurai
CBE
TVL
Pondy
Primary Level 14 6 2
Secondary Level 17 9 3 1

22. Human Resource & Service delivery in Primary level
Optometrist
Screening, Referral & Reporting

23. Human Resource & Service delivery in Secondary level
Optometrist & Ophthalmologist
Treatment, Referral & Reporting

24. Human Resource & Service delivery in Tertiary level
Ophthalmologist,
Rehabilitationist
& Optometrist
Screening,
Referral
&
Reporting

25. Human Resource & Service delivery in different level
Primary Level
Human Resource
Optometrist
Services
Screening, Referral & Reporting
Secondary Level
Ophthalmologist & Optometrist
Screening, Treatment, Referral & Reporting
Tertiary Level
Ophthalmologist, Rehabilitationist & Optometrist
Treatment, Training, Research, Advocacy, Awareness creation & Monitoring

26. RECOMMENDATIONS
Madurai,Coimbatore has Rehab staff,to consider recruiting such cadre in tirunelveli and Pondicherry who will be coreperson of the Team
To standardise inventory at tertiary centres
Capture referral pattern in parameter ,now only in Madurai only it is documented
Introduce LOWVISION aids in primary and secondary centres in future