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Dear Readers,
We have recognized that for all the major eye problems there is a clinical solution as well as a clinical know how. Yet the uptake for simple problems like cataract which is a one time curable condition or for refractive errors continues to be abysmally poor. Awareness, Health education or IEC continue to play a very important if we want to transcend the barriers and make eye care availed by all. Hence the theme for this issue is about Creating awareness about eye care.
We provide articles in this issue which cover the different eye diseases. Cataract, refractive error, childhood eye care, glaucoma, diabetic retinopathy, low vision are focused. Variuos materials like brochures, posters are provided which can be used as part of the awareness programme.
Unless time and efforts are invested in doing this in a campaign mode by service providers, INGOs, policy makers there will not be a quantum jump for eye care services as desired by VISION 2020: The Right to Sight.
We look forward to receiving your suggestion about awareness strategies that we can adopt in order to make this happen.
We would like to receive your feedback about how you used any of the material provided through this Sitenews.
Wish you a productive reading!

Happy reading!
Regards,
Vision 2020 e-resource team
The Issue Features...
Creating Awareness about Eye Care
Vol. 5 No. 6 June 2008
•   Introduction
•   Cataract
•   Refractive Error
•   Childhood Eye Care
•   Glaucoma
•   Diabetic Retinopathy
•   Low Vision
•   Other Disease
•   Featured Organization

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      Worldwide, it is estimated that at least 38 million people are blind and that an additional 110 million have severely impaired vision. In all, about 150 million people are visually disabled in the world today, and the number is steadily increasing because of population growth and aging. Overall, the data show that more than 90% of all blind people live in developing countries and that more than two-thirds of all blindness is avoidable (either preventable or curable). Unfortunately, little information is available on the incidence of blindness around the world; it seems probable, however, that there are some 7 million new cases of blindness each year and that despite every intervention, blindness in the world is still increasing by 1 to 2 million cases a year. Thus, trend assessment points to a doubling of world blindness by the year 2020 unless more aggressive intervention is undertaken.
      As a first step (gait means walk which is an inappropriate word in this context) , we feature management issues and solutions related to increasing awareness of eye care disease.
All the below articles are focused on India there should be similar articles from other parts of the world as well)

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      A cataract is clouding of the lens of the eye, which impedes the passage of light. Most cataracts are related to ageing, although occasionally children may be born with the condition, or cataract may develop after an injury, inflammation or disease.
      Risk factors for age-related cataract include diabetes, prolonged exposure to sunlight, tobacco use and alcohol drinking. Vision can be restored by surgically removing the affected lens, and replacing it by an artificial one.
  • CATARACT

  • Abstract:
    This brochure contains some basic information about what is Cataract, the types of Cataract, the symptoms, also the treatment procedure followed, and the advantages of IOL implantation for Cataract surgery.

  • MANAGEMENT AND PLANNING FOR PRIMARY EYE CARE OF THE ELDERLY: THE NEED TO CREATE PUBLIC AWARENESS OF AGE-RELATED CATARACT IN PAKISTAN

  • Abstract:
    This article focuses on the significance of management and planning for primary eye care for the population aged 60 and over, in Pakistan. It takes the case of age-related cataract and highlights the importance of creating public awareness about cataract in terms of the respective roles of health planners, policy makers and service providers.

  • IOL IMPLANTATION IN CHILDREN

  • Abstract:
    This brochure deals with the indications of cataract in children, the surgery techniques, types of IOL, and the pre-operative investigations required and the post-operative care required and management.

  • ADVANTAGES OF PHACOEMULSIFICATION

  • Abstract
    This poster educates the patients on the types of surgeries given to the patients and the advantages of the sutureless phaco surgery.

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      It is estimated that worldwide, the number of people with refractive error range from about 800 million to 2.3 billion. In developing countries, like India, it is estimated to be the second largest cause of treatable blindness, after cataract. A recent survey shows an increase in the incidence of refractive errors as a cause of social blindness from 12% to 15%. An easily detectable and correctable condition like Refractive Error still remains a significant cause of avoidable visual disability in our world primarily because appropriate methods of refractive correction are not employed. It is a major cause of concern because it can be easily corrected by a simple pair of spectacles which benefits much more than an operated patient of senile cataract in terms of years of good vision enjoyed and in terms of overall personality development.
  • REFRACTIVE ERRORS

  • Abstract:
    This poster provides information on the types of refractive errors that occur and their symptoms with treatment options.

  • LASIK LASER

  • Abstract:
    This brochure briefly explains the use of Lasik to get rid of glasses, the equipment used for it, and the procedures adopted, and also the goals and purpose of Lasik surgery.

  • LASIK

  • Abstract:
    This brochure very nicely explains the comfortability in undergoing Lasik- the refractive surgery, very minute side effects and other steps to be followed.

  • REFRACTIVE ERRORS IN CHILDREN

  • Abstract:
    This brochure provides information on refractive erros in children, short sight, long sight and their treatment.

  • RADIAL KERATOTOMY

  • Abstract:
    This brochure on Radial Keratotomy provides answers to frequently asked questions about the treatment and its aftereffects.

  • FREEDOM FROM SPECTACLES

  • Abstract
    This is a poster for Lasik surgery promoting the advantages of Lasik surgery over Spectacles. This poster enables the people to know about the Lasik surgery, which is the very latest in correcting refractive errors without glasses and contact lenses.

  • ARE YOU SHORT SIGHTED

  • Abstract
    This is a poster on the Lasik surgery performed today to get rid of the glasses. It explains the advantages of undergoing a Lasik surgery over wearing spectacles.

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      There should be real comparisons to be made between services but also, more importantly, assist in ensuring that specialised activity is taking place in appropriate locations. Specialised eye care for children should be provided by Paediatric ophthalmologist either directly in a specialist centres or in partnership with local hospitals through a shared care or outreach arrangement, or in children's own homes and schools through a specialist outreach team. The location of care is not the determining factor in identifying the specialised nature of a treatment regime. Any place of delivery should be child-tailored because of the long-recognized need to treat children as children, as close to home as possible, and to involve families in their care.
  • WHAT YOU SHOULD KNOW ABOUT YOUR CHILDS EYE SURGERY?

  • Abstract:
    This brochure provides greater information on the procedures to be followed before surgery, immediately after surgery etc. for children to make surgery more comfortable.

  • CAN CHILDREN ALSO DEVELOP CATARACT

  • Abstract:
    This brochure deals with the Cataract development in children, the symptoms, effect of Cataract in children, the treatment required, types of surgery performed and the frequently asked questions about Child Cataract.

  • CONGENITAL CATARACT

  • Abstract
    It deals with how children are affected by cataract and also the advice to take care of the early diagnosis of the child cataract.

  • LARCRIMAL DUCT BLOCKAGE IN CHILDREN

  • Abstract
    This brochure instructs on the causes of this disease in children, signs and symptoms, treatment options available etc.

  • TREAT AMBLYOPIA EARLY AND SAVE SIGHT

  • Abstract
    This brochure explains what is amblyopia, why and how does it develop in children, how it should be treated for gaining normal vision power.

  • IS SQUINT A SIGN OF GOOD LUCK OR A SIGHT STEALING CONDITION?

  • Abstract
    This brochure explains how squint affects children and the need for early treatment.

  • THE USAID CHILD BLINDNESS PROGRAM

  • Abstract
    This USAID Child Blindness Program brochure gives information about the Causes of Blindness and Visual Impairment, magnitude and the preventive measures and the Treatment procedures that could be adopted by the public.

  • RETINOPATHY OF PREMATURITY

  • Abstract
    This brochure provides information on what is Retinopathy of Prematurity, how it develops in babies, how it is diagnosed and its treatment procedures.

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      The number of persons estimated to be blind as a result of primary glaucoma is 4.5 million, accounting for slightly more than twelve per cent of all global blindness. Risk factors are those limited to the onset of disease and those associated with progressive worsening in already established disease. The primary risk factors that are linked to the individual and the onset of the disease are age and genetic predisposition. The incidence of Primary open-angle glaucoma rises with age and its progression is more frequent in people of African origin. Angle Closure Glaucoma is the common form of glaucoma in people of Asian origin.
      As the majority of cases of glaucoma can be effectively managed, it is desirable to include this condition in VISION 2020 national plans. This is particularly appropriate in countries and regions where some of the 5 principally targeted eye conditions are not a public health problem, and more resources and attention can be dedicated to this eye disease.

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      Awareness creation is a vitally important step in the creation of a successful program to battle against any disease in the community. This is especially true of the growing problem of Diabetic Retinopathy. Studies previously completed have revealed that Diabetic Retinopathy, despite its status as one of the greatest causes of blindness in both developed and developing countries, is virtually unknown to a large majority of the population. This lack of knowledge is not restricted to the general public, but pervades the medical and paramedical communities as well.
      Without awareness of the disease it is impossible for any individual to aid the cause of preventing blindness from Diabetic Retinopathy, either in him or herself or in the community as a whole. Awareness creation is therefore necessary as one of the first steps in any program aimed at reducing Diabetic Retinopathy.
  • AWARENESS ABOUT EYE DISEASES AMONG DIABETICS - A SURVEY IN SOUTH INDIA

  • Abstract:
    This article tells in detail about the study conducted to analyze the awareness about the eye diseases among diabetes from the survey conducted in the rural South India. It also discuss about the analysis of the questionnaire that was devised and distributed in the outpatient department to assess awareness about the eye complications of diabetes and to seek the opinion of patients about how awareness can be increased.

  • CREATING AWARENESS OF DIABETIC RETINOPATHY AT TALUK HOSPITAL

  • Abstract:
    This article describes in detail about the magnitude of the Diabetic Retinopathy and suggests the useful methods that could be followed for creating awareness among the rural community at Taluk and District government hospitals within their reach.

  • DIABETIC RETINOPATHY AWARENESS STRATEGIES

  • Abstract:
    This article reveals the need for awareness creation in the community since any successful programme to combat any disease relies on the effectiveness of the awareness among the people and also the strategies that could be used to create such awareness in the community.

  • KEY MESSAGES FOR DIABETIC PATIENTS - DIABETIC RETINOPATHY

  • Abstract:
    This provides information on the instructions to be followed by the diabetic patients to keep themselves away from diabetic retinopathy.

  • ADVANTAGES OF LASER TREATMENT

  • Abstract
    This Poster reveals the advantages of undergoing laser treatment for Diabetic Retinopathy. This is very simple and easily understandable by the patients and community.

  • DURATION OF DIABETES AND VISION LOSS

  • Abstract
    This poster explains how Diabetic Retinopathy develops in patients having Diabetes in the first 5, 10,15, and 20 years. Hence, the importance of undergoing Diabetic Retinopathy diagnosis and constant treatment is enlightened clearly.

  • RETINAL DISORDERS CAUSED BY DIABETIC RETINOPATHY AND ITS PREVENTION METHODS

  • Abstract
    This brochure provides the basic information on diabetes, causes, symptoms and preventive methods, the retinal damages that arise due to diabetes and their preventive measures.

  • STAGES OF DIABETIC RETINOPATHY

  • Abstract
    This poster reveals the stages of Diabetic Retinopathy with all the pictures for more clarity.

  • DIABETES AND THE EYE

  • Abstract
    This brochure on Diabetic Retinopathy deals about the causes and treatment for Diabetic Retinopathy, the diagnosing methods etc.

  • RISK FACTORS FOR DR

  • Abstract
    This is a poster on the risk factors that lead to Diabetic Retinopathy. All the factors related to Diabetes and increase of blood glucose level, alcohol usage, aneamia, and renal diseases are listed as the risk factors for Diabetic Retinopathy.

  • ARE YOU DIABETIC

  • Abstract
    This is a Camp advertisement poseter giving details about how diabetic affects eye with the photographs and also the treatment required for the Diabetic Retino pathy diagnosis.

  • SCREENING FOR DIABETIC EYE DISEASE INCREASES WITH AWARENESS, ACCESS

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      Low Vision is a bilateral impairment to vision that significantly impairs the functioning of the patient and cannot be adequately corrected with medical, surgical, therapy, conventional eyewear or contact lenses.
      It is often a loss of sharpness or acuity but may present as a loss of field of vision, light sensitivity, distorted vision or loss of contrast.
      Low vision often may occur as a result of birth defects, injury, and the aging process or as a complication of disease. Low Vision services do not cure the cause of the vision problem but rather utilize the remaining vision to its fullest potential.
      Low vision care does not replace the need for other concurrent treatments such as laser, medication and surgery. Low vision doctors prescribe prescription eyewear, filters, microscopic - telescopic eyewear, magnifiers, adaptive equipment, closed circuit television systems, independent living aids, training and counsel patients.

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      The first global estimate on the magnitude and causes of visual impairment was based on the 1990 world population data (38 million blind). This estimate was later extrapolated to the 1996 world population (45 million blind), and to the projected 2020 world population (76 million), indicating a twofold increase in the magnitude of visual impairment in the world by 2020.
      The extent of the global burden of visual impairment in 2002 is not strictly comparable to the previous estimates of 1990, which indicated there were 148 million visually impaired, of which 38 million were blind. While the 2002 world population has increased by 18.5% as compared to 1990, the population 50 years of age and older has increased by nearly 30%. The population increase is more prominent in developing countries. Taking into account the changes in world population over the past 12 years, the extent of blindness and visual impairment in 2002 appears to be lower than was projected 37 million instead of the projected 52 million.
      The global disparity and inequity in the availability of eye health care services still fails to prevent and control an overwhelmingly increasing magnitude of avoidable blindness in the highly populated poorest parts of the world.
  • SQUINT

  • Abstract:
    This brochure on Squint provides basic, easy-to-read information about its causes, symptoms and treatment.

  • PTOSIS - UPPER EYELID DROOPING

  • Abstract:
    This brochure on Ptosis explains what is Ptosis, its types, symptoms and the treatment and surgery adopted for the disease.

  • THYROID EYE DISEASE

  • Abstract:
    This brochure provides basic easy-to-read information on thyroid eye disease, its causes, symptoms, investigations and treatment.

  • VITRECTOMY

  • Abstract:
    This brochure on Vitrectomy explains what is Vitrectomy, how surgery is done, and also the postoperative care to be adopted for good results.

  • EYELID SKIN CANCER

  • Abstract
    This brochure provides information about the eye lid skin cancer, who is affected by this, its symptoms, types and treatment required.

  • CORNEAL ULCER - HOW TO PREVENT

  • Abstract
    This poster provides information on the preventive measures of corneal ulcer when eye gets injured.

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