PRIMARY

EYE CARE
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 LEARNING OUTCOME

Define “low vision”& blind condition.

Describe the implication of both condition to
individual factoe , community and country

Describe major elements in primary eye care

Responsibilities as a AMO in Primary Eye
Care

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 DEFINITION
Primary Eye Care
Primary eye care is the service more to
health promotion for eye care and
prevent from “low vision” & blind
condition

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 Low Vision
“low vision” is a maximum vision with
data are less than 6/18 (20/70) but
more from 3/60 (20/400) @ field
visualfield less than 200.

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 Blind
Visual acuaty maximum is 20/200
@ low , @ visual acuity less than
200.

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 Implication
Frustration & stress on individuals &
families.
  Give the hig resposibility for family &
community.
 Can not be independent, restrict
career development & social activities.
 High cost health care , treatment and
rehablitation

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 PEc cOMPONENT

1. Health Promotion for eye

Diet Intake
 Balanced diet, High Vitamin A and
less cholestrol

PERSONAL HYGIENE
 Hygiene at the face and eye.

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 Awareness about Eye Safety

Using the PPE & face cover for high

risk activity such as:-
 Grasscutter – faceshield .
 “welder”
 Motorcycle (Helmet face cover).
 Lab worker exposed with chemical
etc acid , alkaline
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 Healthy Life Style
 Reading and watching TV/Gadget
with the safe distance
 Eye cover from radiation or UV
exposure
 Prevent disease have complication
eye problem – Hpt & DM
 Early treatment
 .
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 PREVENTION PRIMARY,
SECONDARY & TERTIARY
increasing the awareness & positive
attitude
 Causes of blind:-
 Congenital, Attitude and
environement.
 Disease that can be prevented:-
 Xeropthalmia & Tracoma.
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 A disease that can not be prevented:-
 Age Related Macular
Degeneration, Glaucoma, Diabetic
Retinopaty & cataract.
 Eye disease that can be treated :-
 cataract & Ulser cornea.
 Eye disease that can not be tretaed -
 Glaucoma & Xeropthalmia.

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 2. EARLY DETECTION,
TREATMENT AND REFER
BASED ON WHO
A. EARLY IDENTIFICATION &
TREATMENT IN COMMUNITY
Conjuntivitis
 Acute Conjuntivitis,
Oftalmia neonatorum, alergic &
iritation at conjuntiva, mild lession
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 Trauma.
 Mild complicated foreign
body, hemorrhage at subconjuntiva,

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 B. Immediate Refer after tretment
 Ulcer Cornea.
 Leseration @ perforated at
sklera
 Leseration at eye lids
 Entropion Trachiasis.
 Acid and alkali etc chemical
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 C. Immediate refer after
identification
 Redness and severe pain & low
vision / blind.
 Catarac.
 Pterygium.
 Sudden low vision and blind.
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 3. PREVENTIF ACTIVITIES
 Target Group – Communiti,
Students, Workers ,High risk group like
hpt, DM etc
 Health promotion and health
education about eye care
 Epidemiologi & survey.
 “screening” primer phase.
 Vit A diet.
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 4. REHABILITATIF &
SECONDARY PREVENTIVE
 Counselling & advice to patient and
family .
 Career development suitable
career .
 Refer to special agency for tranning
and cereer deveopment like vocasional
training

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  Give the suitable tool element
“tongkat” and home setting for daily
activities and safety

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 Responsibility AMO in PEC
 Proper future planning and
health promotion
 Eye Screnning :-
 “Eye Chart,
Occluder, Pinhole, Flash
light, Magnifying glass”
 Funduscopy & Color
blind test { ishahara chart}
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  Management in ofthalmic
emergency .
 Assist MO and eye specilist in
severe eye disease .
 Record keeping

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  Community programme activity in
promotive, rehabilitatif &
secondary care in community .
 Health education
 Co Operation with another
agencies about aye care in health
promotion

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