1. DR.TARAKESWARA RAO.MS; REH VISAKHA.

2.  WHY ? School going children—25% WHAT IS THE NEED ?  School going children represent a needy and Big target group

3.  School eye health programme started in1984  AIM  PREVENTION OF BLINDNESS IN SCHOOL GOINING CHILDREN.  BY

4.  COMPONENTS  examination by teacher at school  Vision not good V good  examination by PMOA  at PHC  Simple complicated V good  Spectacles examination by  ophthalmic surgeon

5. Magnitude Of The Problem -2-10 Children are blind per 10,000 -1.5million Children are blind –global figure INDIA Children in school going age > 25% of the population. -150 million school going children are there. -Every year 50,000 children go blind in

6. Main Causes - Malnutrition - Illiteracy - Accessibility to eye facility is difficult in 70-80% children SCHOOL EYE HEALTH

7. Why Teachers are involved in school eye screening programme ? SCHOOL EYE HEALTH

8.  1.they are the large group  2.reading and writing are their felt needs.  3.the teachers see their pupils daily.  4. the teachers can insist on the children to use them spectacles regularly.

9. School Eye Screening Programme Aim Objective Strategy Need Between 2,000-10,000 children per million population have refractive errors > -1D sphere in both eyes. Approximately 20,000 children/million population have refractive errors in both eyes and hypermetropia of greater then +3 D Sphere.

11. 1.Hypermetropia 2.Myopia 3.Astigmatism II Squint & Ambolypia III Infectious Diseases IV Trauma V Vit. A Deficiency I. REFRACTIVE ERRORS

13. Characteristics Of The Children With Visual Defects. - Children usually don’t complain of defective vision. - They may not even beware of their visual problem. - They adjust to the poor eye sight by sitting near the black board,holding the books closer to their eyes,squeezing the eyes and even avoiding work requiring visual concentration. - Try to copy from the next child sitting beside. - Slow student. - Hesitate to participate in curricular & extra curricular activities.

14.  The condition in which incident parallel rays of light do not come tofocus up on the retina.  It may be due to  1.abnormal length of the globe  2.abnormal curvature of the cornea or lens  3.abnormal position of the lens.

15.  Parallel rays of light come to focus on the retina

16.  Parallel rays of light come tofocus anterior to the retina

17.  Sympom is distant vision is blured.  Obsers tv very closely

18.  Treatment  1.spectales.  2.laser assisted insitu  Keratomileusis.(LASIK)

19.  Parallel rays come to focus posterior to the retina.

20.  Symptoms are noticed after close work.  The eye ache and burnningsensation.they may feel dry, so, that blinking movements are more frequent. prolonged near work produces head ache.  Recurrent attacks of styes, blepharitis, chalazion present.

21.  1.correcting lenses prescribed.

22.  Parallel rays of light come to focus at more than one point.

23.  Causes lowering of visual acuity.  Head ache.

24.  1.spectales.  2.c l.

25.  Crystalline lens has been removed

27.  Cong.cataract causes squint

28. Common in developing countries. South & EastAsia and Africa. Treatment of Keratomalacia AgePreprationDose < 6monthsRetinyl palmitate50,000iu 6-12months,,1,00,000iu <8kgs >12months,, 2,00,000iu >8kgs Vit.A Administered in three doses.The first dose is to be given at diagnosis.The second dose after 24hrs and third after two weeks. Nutritional Blindness

30.  trauma

31.  infections

32. THANK Q 