WORLD SIGHT DAY

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WORLD SIGHT DAY

• Dr. Madhuri. Dixit.
• 
  M.S.(Ophth)
• Managing Trustee
• Vivekanand Nertalaya . Belgaum.

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W S D

• World Sight Day (WSD) is an annual day of
  awareness held on the second Thursday of October,
  to focus global attention on blindness and vision
  impairment.

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The global day for awareness of blindness and
vision impairment
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W H Y W S D

• Raise public awareness of blindness vision
  impairment as major international public health
  issues
• Influence Governments/Ministers of Health to
  participate in and designate funds for national
  blindness prevention programmes
• Educate target audiences about blindness
  prevention, about VISION 2020 and its activities,
  and to generate support for VISION 2020 programme
  activities

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What is VISION 2020
VISION 2020 the Right to Sight
VISION 2020 Working
together to eliminate
avoidable blindness
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VISION 2020 Partnerships
W H O
Technical Assistance
Capacity Building
National Partners - National Vision 2020
Plans Sustainable program delivery
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What is Avoidable Blindness

• Avoidable blindness is defined as blindness which
  could be either treated or prevented by known,
  cost-effective means.

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Global Avoidable Blindness
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INDIAN SENARIO

• India has HIGHEST number of blind globaly-12
  MILLION
• Every year 2 MILLIONS are added
• 62 are from CATARACT
• NPCB from 1976 supported by World bank

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India a land of contrasts

• A third of the worlds poor, nearly 400million
  living on less than 1/day
• 46 of children malnourished
• Highest number of illiterate people in the world
• The infant mortality rate of 57/1000 live births.
• Sex ratio of 933 females/1000 males

• Very Rich
• Levels of rising overnutrition
• World class academies and institutes.
• World class health care facilities and booming
  health tourism
• Women with education, power and influence

Source 1) Sample Registration System 2003-
Annual Report, Office of the Registrar General,
India 2) census of India
2001 3) Department of
International Development (DFID)
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Gender Disparity

• Gender disparity are high in almost in every
  sector of health sector
• Prevalence of cataract more in females than males
• In addition, there exists spatial disparities
  between urban and rural areas, and across Sates

• RAAB 2007 prevalence of blindness 9.2 in women
  and 6.6 in men (over 50)
• 5 lower rate of IOL implantation
• State to State Cataract Surgical Rate (CSR)
  varies from 500 to 6,000

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INNOVATIVE INITIATIONS

• Vivekanand Netralaya.Belgaum.
• (Priyadarshini Eye Health Care Reseach
  Foundation)
• Clear Mission for VISION-Comprehensive qwality
  eye care for poor underpriviledged blind
  people , free of cost training medical
  paramedical peressonel for this noble cause .

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INNOVATIVE INITIATIONS

• Vivekanand Netralaya
  
• How we work?
• Focus is only on underpriveledged
• Reaching out to them in remote places
• Identifying cataract patients
• Trasporting them to base hospital
• Catract removal with IOL Implantation
• Transporting back to their villages
• Follow up

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Vivekanand Netralaya Belgaum

• Total No. of Cataract operations 5070
• 99.99 with IOL
• More females than males

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Blindness Scenario in India
Govt. Hosp.
Pvt. Hosp.
NGO Hosp
Eye Camp
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Emerging priorities and patterns of eye diseases

• Cataract remains the leading cause of blindness
  despite impressive advancements in surgical
  services.
• Uncorrected Refractive Errors is now recognised
  as the second leading cause, followed by
  Glaucoma, cornea.
• Childhood Blindness is now gaining attention.
• Diabetic Retinopathy is now becoming a major
  problem.
• Despite an over increasing need, low vision
  services are dramatically lacking

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Cataract

• First cause of blindness (50)
• backlog 20 million un-operated cases
• only 10 million surgeries year
• major constraints
• coverage
• access
• quality

Cataract operations/million population/year
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Cataract Surgical Rate in India
2001 - 2002
2003 - 2004
WHO 2004
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SICS Ray of hope to combat avoidable blindness
due to Cataract

• Easy
• Effective
• Economical

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Childhood Blindness in India

• 320,000 children are blind (19 of the worlds
  blind children)
• 50 of these cases are treatable or preventable
• In addition, an estimated 9.2 million children
  are visually impaired
• Causes Cataract, Ref Errors, Corneal ulcer/
  opacity, ROP, Glaucoma
• Life expectancy of a blind child is assumed to be
  48 years, resulting in a loss of 33 working years
  
• Burden of childhood blindness measured in
  blind-person years is next only to cataract.
• Loss estimated to Indias GNP is US11.1 billion

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Analysis of blindness profile in Blind School
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Corneal Blindness Scenario - India

• Backlog of corneal blind people 1.1 million
• Added every year
  25,000 - 30,000
•  
• Corneas required / year 75,000 -
  1,00,000
• Corneas collected / year 28,000
  - 30,000
• Cornea utilized for sight restoration 12,000 -
  15,000
• Collection vs. Utilization 40-55

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Need for Eye Banking

• Non availability of grafts
• Lack of quality in preservation assessment of
  cornea tissue
• Lack of trained human resources
• Lack of standardized protocols, accreditation
  need for appropriate legislation
• Lack of awareness of eye donation (gap between
  pledge and actual donation)

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Diabetes rising worldwide

• Nearly 171 Million Worldwide have Diabetes
• Likely to double to nearly 366 million by
  2030.

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DR Scenario - India

• An estimated 200 increase in next two decades
• 5.5 Diabetic prevalence Rate
• 1/3 to 1/5 of Diabetic patients have DR
• There may be approximately 11-20 million with
  diabetic retinopathy by 2025
• 75 diabetic for more than 20 years will develop
  some form of diabetic retinopathy
• If not contained, India may be home for the
  largest number of diabetic blind
• (Source WHO)

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Reasons for Rise in Diabetes

• Denial of diabetes and no regular treatment
• Limited awareness of diabetes and related eye
  disease
• Asymptomatic nature of DR gives patient no
  warning
• No routine eye examination as a health seeking
  behavior
• Misconceptions
• Controlling blood sugar levels eliminates the
  risk of visual loss
• If I can see well, why seek medical help

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Gaps in Eye Care Program

• Human Resources
• Under utilized HR
• 12,000 ophthalmologist
• Of them 50 surgically inactive
• (Need of 25,000 by 2020)
• The ophthalmology population ratio
• Urban125,000
• Rural 1250,000
• Lack of mid level personnel
• Current 24,000 need 75,000
• Remoteness and lack of
• awareness health promotion

• Poverty
• Eye Care Delivery System
• Quality
• Equity
• Supply and Equipment
• National sub national structures
• Urban - rural divide
• Life style
• Long life expectancy

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• Eye Health Promotion is the key to early
  detection.
• Early Detection is the key to early
  intervention.
• Early Intervention is the key to controlling
  avoidable blindness.

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LET US ACT NOW

• One person goes blind every 5 seconds and One
  child goes blind every minute
• Without proper interventions 76 million people
  could be blind by year 2020

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• Through collaboration let us commit to bring
  light smile to as many as blind fellow human
  beings

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• Together we can make a difference.
• Thank you for your kind attention

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