(DR). Dr. Rohan Chariwala, C16207,
Dr. Uday Ranchhoddas Gajiwala, Dr. Sheetal P
Chaudhari, Dr. Parth Joshi
Dr.RohanChariwala
Dr.UdayGajiwala
Dr.SheetalChaudhari
Dr.ParthJoshiDhavatSukharamwala
AkashShah
Dr.UdayGajiwala,Dr.SheetalChaudhari,Dr.ParthJoshiDhavatSukharamwalaAkashShah
Introduction
Cataract(62%of causesofblindness)remainsmajorcause of blindness inIndiafollowedbyRefractiveerrors(19.7%)whicharereversible
Emergingproblems(Irreversible)
DiabeticRetinopathy
6-10 % ofgeneral population affected with diabetes &25%develop DR.
Indiais “diabeticcapital”ofthe world.– Various modalities to screenfor DR
Glaucoma
opportunisticscreening–Difficulttoscreen
Purpose
To screenpeopleforBP, DM, IOPand DR (Byfundus photography) at their doorsteps
To identify, referandtreat for their ailmentsatthenearestofthe health facilities.
Methods and materials
Door todoorscreeningofpeople inthe villagesofTwotribaldistrictsUmarpada andMangrol
ScreeningofBP (≥150/90,DM(Urine
Sugar and Blood Sugar(≥140 mg%),IOP
(≥20)and fundus
LocalBoysandGirls were trainedas techniciansfordoing Urinesugar, Blood sugar, MeasuringIOPandBPand Capturingfundus photographs.
Methods and materials
U/S-Uristix
RBS- Glucometer
IOP- Reboundtonometry(i Care tonometer) BP- Automated BP instrument
Fundus photography- TrinethraForres Fundus Camera
Imageswere saved at thetimeof capture at community level andscreening done by ophthalmologistat Base hopsital
Patient communicatedby our field workersto cometo base hospital ifany abnormality found
All wereusedwith calibration and alltechnicianswere trainedagainst expert senior staff before they wereallowed todo their respective jobs in the field.
Dataanalyzed bySPSS software
Results
Results
BS
- Blood sugar- agood indicator than Urine sugar
IOP
Results
Results(Fundus Photography)
Results
Follow up (Interim) 
Conclusion
There aregood numberoffreshlydetected Diabetics andHypertensive patients foundin the community
RBS isalways agood indicator thanurinesugar
There arereasonable numbersofGlaucoma patientswhowerereferred tobase hospital batteryof investigations
Focus onlyon DM patients andcapture their fundus photographs rather thanentire population-as this not practical in termsofHR andother resources.
Thank you