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

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 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 other in Wanaparthy (Mahbubnagar district) with generous support from Sight Savers International in 2003

Vision Centre Concept & Background Summary findings – APEDS I 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) 1 IOVS 2001; 42:908-916 2 Clinical and Exp. Ophthal 2003; 31: 23 – 31

Summary findings – APEDS I 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.

In 50,000 population*… Blind MVI (<6/18 T otal (<6/60) to 6/60) 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 otal 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

The LVPEI Model of Eye Care Delivery 50 million population 5 million population 5,00,000 population 50,000 population 5000 population

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

Core Activities of VC • R ecognition of Common Blinding Conditions • R efraction and Dispensing of Spectacles • R eferral to Higher levels of care, as per the need • R ehabilitation • R eporting & Documentation

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

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

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

Suggested Layout of VC - At least 500 Sft area, rented and renovated to meet the requirements for setting-up a Vision centre

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)

EyeSmart - Tele Ophthal Referrals

EyeSmart - Tele Ophthal Consultation

EyeSmart - Tele Ophthal Consultation

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

VC Pictures

VC Signage & Donor Acknowledgement

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

Thank you! L V Prasad Eye Institute Excellence Equity Efficiency