Ophthalmic Check List for Outreach

Ophthalmic Check List for Outreach
Below is my check list when visiting rural or isolated eye clinics. This is not a list for the O.R. but rather for outreach activities when seeing patients with or without other eye health workers. Depending on the location / situation you may not need some of these supplies.

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Gundersen Flap : Save an Eye

Many years ago while serving as a general medical officer at the National Leprosarium ( Carville ), I was privileged to work with Dr. Margaret Brand, British ophthalmologist, who had spent over 25 years as an ophthalmologist serving leprosy patients in southern India. At that time she probably knew Read more:

Ophthalmic Suggestions From The Field

Ophthalmic Suggestions From The Field
Here are some tips that I'd like to offer anyone who finds them useful. They are in many different areas that I have found helpful. 1. With juvenile cataracts be careful with capsulectomy/ capsulorrhexis as there is almost no nucleus and therefore no protection / barrier / cushion from the Read more:

Lessons learned from the IAPB 9th GA

Lessons learned from the IAPB 9th GA
IAPB, 9th General Assembly
Eye Health : Everyone's Business
September 17-20, 2012 Hyderabad, India The IAPB is an umbrella coordinating organization of over 120 members which was founded in 1978 by Sir John Wilson for the reduction, prevention of avoidable blindness and visual impairment especially Read more:

IAPB Poster Mature Cataract Evaluation Pre Op

This was a poster that I shared at Hyderabad in the most recent IAPB General Assembly. I'm interested in your comments on other signs or reasons that you might not do cataract surgery for a dense cataract. Peace, Read more:

Peripheral Iridotomy For Iris Prolapse

Peripheral Iridotomy For Iris Prolapse
Over the last 15 years plus of operating on mature cataracts, I have not uncommonly encountered an iris prolapse during the operation. Usually this is near the beginning of the operation. There certainly can be many causes for this --- a beginning choroidal hemorrhage ( rare ), to poor wound Read more:

First Do No Harm: Corneal Transplants In The Developing World

First Do No Harm: Corneal Transplants In The Developing World
I have spent many years in many developing countries living and working as an ophthalmologist / ophthalmic surgeon. I have seen, as we all have, many patients who have had one eye operation too many. It is not correct nor appropriate to operate on a developing world eye patient when the surgical Read more:

Treatment Of Bullous Keratopathy In The Developing World

Treatment Of Bullous Keratopathy In The Developing World
The most common serious post op intraocular complication is a permanent bullous keratopathy. As we all know, patients with corneal edema are not happy campers --- discomfort, tearing, redness, foreign body sensation, poor vision, etc., etc. In North America now days these bullous keratopathy Read more:

Poverty vs Blindness : Is There A Connection ?

Poverty vs Blindness : Is There A Connection ?
Last year the IAPB and WHO released the latest figures for world blindness. The good news is the world blindness numbers have turned downward. There previously had been rather depressing predictions for future blindness rates [ stats ] especially in the developing world due to the increasing Read more:

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