1. A R A V I N D E Y E C A R E S Y S T E M Diseases of lens Sr.Krishnaveni

2. A R A V I N D E Y E C A R E S Y S T E M 2 LENS Anatomy and Physiology

3. A R A V I N D E Y E C A R E S Y S T E M 3 Diseases of lens Cataract - Congenital - Developmental - Senile Immature Mature Hypermature - Traumatic - Complicated and Others

4. A R A V I N D E Y E C A R E S Y S T E M 4 Diseases of lens Subluxation Dislocation - Anterior - Posterior

5. A R A V I N D E Y E C A R E S Y S T E M 5 Age related cataract is the leading cause of blindness in the world today

6. A R A V I N D E Y E C A R E S Y S T E M 6

7. 7 Definition of Cataract Cataract is defined as opacity of the crystalline lens or its capsule, which prevents the passage of the rays of light and causes significant visual loss.

8. Normal Eye Eye with Cataract

9. A R A V I N D E Y E C A R E S Y S T E M 9 Types of Cataract

10. A R A V I N D E Y E C A R E S Y S T E M 10 Lamellar Cataract

11. A R A V I N D E Y E C A R E S Y S T E M 11 Senile Nuclear Sclerosis

12. A R A V I N D E Y E C A R E S Y S T E M 12 Nuclear Cataract Nuclear cataract (early) Nuclear cataract (advanced)

13. A R A V I N D E Y E C A R E S Y S T E M 13 Posterior Polar Cataract

14. A R A V I N D E Y E C A R E S Y S T E M 14 Mature Cataract

15. A R A V I N D E Y E C A R E S Y S T E M 15 Hypermature Morgagnian Cataract

16. A R A V I N D E Y E C A R E S Y S T E M 16 Total Cataract With Thickened Anterior Capsule

17. A R A V I N D E Y E C A R E S Y S T E M 17 Traumatic Cataract- Lens Matter in Ac

18. A R A V I N D E Y E C A R E S Y S T E M 18 Phacomorphic Glaucoma

19. A R A V I N D E Y E C A R E S Y S T E M 19 Phacolytic Glaucoma

20. A R A V I N D E Y E C A R E S Y S T E M 20 Symptoms of cataract Reduced vision Glare Reduced contrast sensitivity Frequent change of glasses White opacity

21. A R A V I N D E Y E C A R E S Y S T E M 21

22. A R A V I N D E Y E C A R E S Y S T E M 22

23. A R A V I N D E Y E C A R E S Y S T E M 23 Treatment of Cataract Medical (Temporary) Spectacles Increase illumination Surgical (permanent)

24. A R A V I N D E Y E C A R E S Y S T E M 24 Types of Surgical Intervention Couching Intracapsular cataract surgery Extra capsular cataract surgery Small incision cataract surgery Phacoemulsification

25. A R A V I N D E Y E C A R E S Y S T E M 25 Couching

26. A R A V I N D E Y E C A R E S Y S T E M 26 ICCE

27. A R A V I N D E Y E C A R E S Y S T E M 27 ECCE with IOL

28. A R A V I N D E Y E C A R E S Y S T E M 28 Manual Small Incision Sutureless Cataract Surgery (M SICS)

29. A R A V I N D E Y E C A R E S Y S T E M 29 Phacoemulisification

30. A R A V I N D E Y E C A R E S Y S T E M 30 Foldable IOL

31. A R A V I N D E Y E C A R E S Y S T E M 31 Out-Patient Procedures Visual Acuity Tonometry Lacrimal patency Administering drugs

32. A R A V I N D E Y E C A R E S Y S T E M 32 Refraction Visual acuity Refraction Autorefractometry

33. A R A V I N D E Y E C A R E S Y S T E M 33 Refraction Biometry (contd)

34. A R A V I N D E Y E C A R E S Y S T E M 34 Operating Room Procedures Anaesthesia, Massaging the eye,

35. A R A V I N D E Y E C A R E S Y S T E M 35 Operating Room Procedures Patient Preparation (contd)

36. A R A V I N D E Y E C A R E S Y S T E M 36 Operating Room Procedures Instruments sterilization and maintenance (contd)

37. A R A V I N D E Y E C A R E S Y S T E M 37 High volume, High quality,Cost effective cataract surgery

38. A R A V I N D E Y E C A R E S Y S T E M 38 Equipments One Cataract Surgery Instrument set – $500 - $600

39. A R A V I N D E Y E C A R E S Y S T E M 39 Phaco Machine Cost varies from $20,000 – $40,000 Consumables, Maintenance

40. A R A V I N D E Y E C A R E S Y S T E M 40 Outcome Benchmarks

41. A R A V I N D E Y E C A R E S Y S T E M 41 Outcome of cataract surgery A charge in the functional disability Change in visual acuity by Snellen charts Quality of life assessment Self care Mobility Socializing Mental outlook

42. A R A V I N D E Y E C A R E S Y S T E M 42 Visual Acuity Charts Snellen LOGMAR

43. A R A V I N D E Y E C A R E S Y S T E M 43 Thank You