Vision Centre Model L V Prasad Eye Institute L V Prasad Eye - - PowerPoint PPT Presentation

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Vision Centre Model L V Prasad Eye Institute L V Prasad Eye - - PowerPoint PPT Presentation

Jul 10, 2023 332 likes •615 views

Vision Centre Model L V Prasad Eye Institute L V Prasad Eye Institute Gullapalli Pratibha Rao International Centre for Advancement of Rural Eye Care Kismatpur, Hyderabad, India An experiment First Vision Centre was established on June

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Vision Centre Model

L V Prasad Eye Institute

L V Prasad Eye Institute Gullapalli Pratibha Rao International Centre for Advancement of Rural Eye Care Kismatpur, Hyderabad, India

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An experiment…

  • First Vision Centre was established on June 01, 1993

at Ramnagar, an urban slum in Hyderabad with support from VST Industries.

  • Second centre was established in Chagallu village,

West Godavari in 2002

  • Two centres, one in Bhainsa (Adilabad district) and
  • ther in Wanaparthy (Mahbubnagar district) with

generous support from Sight Savers International in 2003

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Vision Centre Concept & Background

Summary findings – APEDS I

1 IOVS 2001; 42:908-916 2 Clinical and Exp. Ophthal 2003; 31: 23–31

  • Andhra Pradesh Eye Disease Study (APEDS) 1996 -

2000

  • Prevalence of blindness - 1.84% (1)
  • Moderate visual impairment to be 8.1% (2)
  • Both blindness and visual impairment was higher in

rural areas(1,2)

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  • Cataract

responsible for 60.3% blindness and uncorrected refractive errors responsible for 87.5% moderate visual impairment(1,2)

  • Approximately 20 - 40% of eyes remain blind post

cataract surgery(3,4)

  • Uptake of services was lower among lower socio

economic strata, women and rural population.

Summary findings – APEDS I

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In 50,000 population*…

Blind (<6/60) MVI (<6/18 to 6/60) T

  • tal

Cataract 405 1600 2005 Refractive errors 150 1850 2000 Cornea 65 95 160 Glaucoma 75 40 115 Retina 100 150 250 Others 125 315 440 T

  • tal

920 4050 4970

  • Over 55% of the people aged 30 years and older have presbyopia (about

10,000 people)

* Based on results from Andhra Pradesh Eye Disease Study

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The LVPEI Model of Eye Care Delivery

50 million population 5 million population 5,00,000 population 50,000 population 5000 population

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Vision Centre

  • Permanent Primary Eye Care facility
  • Covers 50,000 population in remote communities
  • Basic undilated eye examination, including retinoscopy
  • Provision of spectacles at low cost
  • No user fee, sale of spectacle is the only source of

income

  • Referral
  • Part of a Sustainable system
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Core Activities of VC

  • Recognition of Common Blinding Conditions
  • Refraction and Dispensing of Spectacles
  • Referral to Higher levels of care, as per the need
  • Rehabilitation
  • Reporting & Documentation
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Vision Centre – Human Resource

  • One year trained Vision Technician
  • Higher Secondary education
  • Locally recruited and trained at LVPEI Bausch &

Lomb School of Optometry and at tertiary centres

  • Predominantly ‘hands - on’ training with basic

theoretical teaching

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Vision Centre - Equipment

Vision Centre Equipment Purpose Vision Charts (Distance & Near) Vision Assessment Streak Retinoscope and Trial set Refraction Slit Lamp Biomicrpscope Anterior segment examinations Applanation tonometer Intraocular pressure measurements Direct Ophthalmoscope Optic Disc and Retinal examination Spectacle frames and optical lenses Dispensing of spectacles Lensometer Determining power of current spectacles UPS / Inverter Power back-up Computer with printer Reports / Electronic Medical Records

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Planning a Vision Centre

  • Projected Demand for Services (Need)
  • Accessibility and Distance (Location)
  • Recruitment and training of

Vision Technician

  • Infrastructure (Room & Equipment)
  • Community Participation and Support
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Suggested Layout of VC - At least 500 Sft area, rented and renovated to meet the requirements for setting-up a Vision centre

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EyeSmart – T

ele-Ophthalmic Consults

  • Photo of Eye / Upload Pictures
  • Notify Administrator & Ophthalmologist (SMS alert)
  • Base centre Ophthalmologist does consultation and

gives advice

  • VT informs the patient about Doctor’s advice
  • Can avoid patient travelling to base centre for

consultation (Money & Time)

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EyeSmart - Tele Ophthal Referrals

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EyeSmart - Tele Ophthal Consultation

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EyeSmart - Tele Ophthal Consultation

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Score Card

Screened 20.41 mn people so far

2017 - 18 Screened

  • 3,10,003

Spects Rxed

  • 92,324

Spects Dispensed - 60,257 Referred

  • 43,976
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VC Pictures

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VC Signage & Donor Acknowledgement

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Our Sincere Thanks to

  • Lavelle Fund for the Blind, Inc.,
  • LDS Charities, USA
  • Sightsavers International, UK
  • VST Industries, Hyderabad
  • OneSight Foundation
  • RayBan Sun Optics India Private Limited
  • TOMS-SEVA
  • Rama Krishna Math, Hyderabad
  • Operation Eyesight Universal, Canada
  • Rotary Club
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Thank you!

Excellence Equity Efficiency

L V Prasad Eye Institute