Professional Documents
Culture Documents
Glaucoma
Glaucoma
Dr G. Chandrasekhar
+
10 Vision Centres
+
100 Vision Guardians
Direct Service to 100-200 villages
Adv. Tertiary 1987 Tertiary 2003 Secondary 1992 Primary 2002 Community 2004
Community Level
(Vision Guardian)
Service Centre
Vision Centre
Vision Guardian
Service Centre
Vision Centre
Vision Guardian
Service Centre
Vision Centre
Vision Guardian
Service Centre
Vision Centre
Vision Guardian
Service Centre
Vision Centre
Vision Guardian
Service Centre
Redesigning of physica space Equipment Training of Trainers Implementation Monitoring and evaluation
+
10 Vision Centres
+
100 Vision Guardians
Direct Service to 100-200 villages
Total
249160
0.68% - High IOP > 21
1709
Methodology
Population based cross sectional study
Methodology
Inclusion criteria People aged 40 years and above Residents for a min 6 months Willing to participate Exclusion criteria Cannot be contacted after 3 attempts People who are immobile
Vision Guardian
Vision screening
Vision Technician 1
Optometrist
Results
Analysis I Agreement of Optometrists with Glaucoma Specialist Ophthalmologist in gonioscopy and Optic Disc evaluation Analysis II Diagnostic accuracy of a VG in vision screening, pupillary abnormalities and anterior chamber
Results
Analysis III Skills of a VT in Gonioscopy and image acquisition
Sample Size
Gonioscopy 150 eyes with 25 PACS and 25 PAC
Optic Disc Assessment 200 eyes with 30 disc suspects and 30 glaucoma eyes
Results
Agreement between Optometrists and Glaucoma Expert
(SE) Gonioscopy (UK) Optic Disc Assessment (UK) Gonioscopy (JGB) Optic Disc Assessment (JGB) 0.92 (0.12) 0.90 (0.09) 0.84 (0.10) 0.89 (0.09)
Corresponding ASOCT
BEST NMFP
Corresponding OCT
BEST MFP
WORST NMFP
Corresponding OCT
WORST MFP
Thank you!
Excellenc e
Equity
Efficienc y