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Magnitude of problem
In our country the increase in life expectancy & improved medical care has lead to large
geriatric population . Cataract , a major cause of blindness is a common geriatric
problem .India is home to nearly one fifth of world's blind people.
An estimated 18.7 million Indians are blind . Nearly 80% blindness is due to cataract and is
treatable .This leads to significant loss in productivity , placing an enormous economic burden on the individual ,
family & state .
National Programme for Control of Blindness (NPCB) was launched in 1976 with a
goal of reducing the prevalence of blindness.
VISION-2020;"The Right to Sight" a global initiative was launched in 1999 against
avoidable blindness. Government of India made a commitment to incorporate elements &
strategies of VISION -2020 in NPCB.
Need of the hour
About 80% of the pupil in India live in rural areas. A high percentage of cataract is seen in
rural population . They are elderly ,poor ,dependent , illiterate & mostly females and unable
to move long distances to avail services of hospitals.
For this there is a need for mass cataract surgery ,to reduce the backlog & the prevalence rate.
Advantages of Eye camps
-Conducted in remote & rural areas where there is lack of eye care facility.
-Large number of surgeries are perfomed in shorter duration of time with lesser amount of manpower.
-Poor people who cannot afford the cost of surgery are benefitted.
-Patients feel comfortable & secure to be with their own familiar surroundings.
-Patients trust the local organisers that they have arranged a good surgical team.
Aims & Objectives of Eye camps
-To identify cataract patients & to provide surgery.
-To detect other eye problems &provide appropriate treatment / advice.
-To create awarerness amongst general public & to utilise the existing facilities available.
Role of Mobile Surgical Unit (M.S.U) Rajasthan; Jaipur
Mobile Surgical Unit, Rajasthan is the biggest surgical unit of
Asia ,working since 1956.It is performing
not only eye surgeries in desert, tribal & backward areas of Rajasthan but also all major general surgeries
gynaecolgy orthopaedic&E.N.T. surgeries.
Methodology of Eye camps in M.S.U.
-Screening of patients is done on day 1&2 of camp.
-Preoperative preparation is done by checking Blood -Pressure, routine laboratory investigations,
measuring Intra ocular pressure & taking written consent.
-Keratometery & IOL power calculation are done by A- scan in all patients who are to undergo surgery.
-Preoperative intensive local antibiotic drops & antiseptic povidine drops are used
along with systemic drugs.
-Operation theatre is prepared in permanent building taking all aseptic precautions.
-All the patients of cataract surgery are operated under microscope.
-3 postoperative dressings are done before patient is discharged.
-Patient is given safety goggles and postoperative medicines.
-Follow -up of patients is done after a month , sutures are removed & necessary medicines are given.
Out- come
Since 1956 total 1,46,037 Eye surgeries have been performed by this unit Statistics is as follow
Year No.of Op.
1956 - 65 15635
1966 - 75 22220
1976 - 85 32956
1986 - 95 36449
1996 - 2005 38777
For last four years IOL surgery is being done regularly.
From April 2004- March 2005 total 3889 cataract operations were done including 80% IOL.
EYE OPERATIONS IN M.S.U. |
