Free Surgical Eye Camp

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Moses Kelley
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1 Post Camp Report Free Surgical Eye Camp Miran Shah, North Waziristan Al-Shifa Trust Eye Hospital, Rawalpindi organized a six day surgical eye camp, 13th - 18th September, at Miran Shah, North Waziristan in collaboration with Pakistan Army. The camp was sponsored by Al-Shifa Foundation of North America. The six day free surgical eye camp was a huge success in every aspect, from organization to execution everything was well managed and exceeded expectations. 370 KM from Rawalpindi, traveling to a war torn area like Miran Shah, North Waziristan and serving the affected population was a new and unique experience for Al-Shifa s surgical team. Pakistan Army s contributions and efforts in this regard are indeed commendable, as almost all the patients treated during the camp were poverty stricken, needy and deserving. Al-Shifa s surgical team moved to the campsite on 13th September, 2017 along with all equipment necessary to set field OT. The team took along advanced technological equipment and machinery for the OT, which included Microscopes, Phaco Machines, Cataract sets and a host of other essentials. Although the team reached the campsite around 6:15 PM, after a 10 hour long drive, the steadfast and dedicated surgical team went right ahead to the Agency Headquarter Hospital, Miran Shah to set up and fumigate the operation theater. 14th-17th September the entire team left no stone unturned while running the free surgical eye camp. From general OPD to biometry, not to mention the lab, OT and Post OP follow-ups everything was up to the mark, timely and worthy of appreciation. The patients were screened, selected and cross checked diligently for the cataract surgery by the dedicated team of doctors and surgeons. The OT experience in Miran Shah, North Waziristan was flawless, all the team members along with surgeons performed 118 cataract and pterygium surgeries. Most of the patients were operated with the latest Phaco technology, while only a few were treated with ECCE. A few patients were postponed due to Severe Eye Infection, Corneal Opacity, Retinal Detachment and Diabetic Retinopathy, while others due to high sugar and blood pressure. (Statistical breakdown mentioned below)

2 Surgical Camp - Miran Shah, North Waziristan I - Registration Desk

3 II - Refraction/Computer Eye Test using Auto-Refractometer III - Eye Examination by Senior Doctors for prevalence of Cataract IV - Provision of Free Glasses & Medicines

4 V - Biometry and Lab Testing of Patients selected for Surgery VI - Registration for OT (Monitoring BP, file formation and transfer to OT) VII - OT (Patients were operated for Cataract and Pterygium accordingly)

5 VIII - Post-OP (Follow-up of operated Eye & Provision of glasses /medicines)

School Screening - North Waziristan Al-Shifa s

screened around 3000 children in four days.

Agency Headquarter Hospital, Miran Shah the

place to cover as many schools as possible.

Boya and Miran Shah, a total of seven schools

The screening experience at Cadet College,

6 School Screening - North Waziristan Al-Shifa s school screening team did an exemplary job and screened around 3000 children in four days. Although the surgical camp was set up in Agency Headquarter Hospital, Miran Shah the school screening team moved from place to place to cover as many schools as possible. The main areas covered were Eidak, Razmuk, Boya and Miran Shah, a total of seven schools with 3000 children were screened. The screening experience at Cadet College, Razmuk, Orphan Sweet Home, Mir Ali Camp and AFPS Government school, Razmuk was memorable.

7 Statistical Summary of Surgical Eye Camp 13th - 18th September, 2017 Day 1-14th September, 2017 OPD 347 Cataract Patients Reported on Camp Site 053 Cataract Surgeries Performed 028 Phaco surgeries 015 ECCE surgeries 008 Pterygium Surgeries 002 Patients Not willing for Cataract Surgery 006 Patients Postponed due to Severe Eye Infection/Corneal Opacity/ RD/Diabetic Retinoscopy 012 Patients Postponed due to High Blood Sugar 003 Patients Postponed due to High Blood Pressure 004 Free Glasses Dispensed 163 Free Medicines Dispensed (Drops) 190 Day 2-15th September, 2017 OPD 323 Cataract Patients Reported on Camp Site 047 Cataract Surgeries Performed 022 Phaco surgeries 014 ECCE surgeries 007 Pterygium Surgeries 001 Patients Not willing for Cataract Surgery 005 Patients Postponed due to Severe Eye Infection/ Corneal Opacity/ RD/Diabetic Retinoscopy 011 Patients Postponed due to High Blood Sugar 004 Patients Postponed due to High Blood Pressure 005 Free Glasses Dispensed 192 Free Medicines Dispensed (Drops) 211

8 Day 3-16th September, 2017 OPD 545 Cataract Patients Reported on Camp Site 099 Cataract Surgeries Performed 039 Phaco surgeries 020 ECCE surgeries 015 Pterygium Surgeries 004 Patients Not willing for Cataract Surgery 009 Patients Postponed due to Severe Eye Infection/ Corneal Opacity/ RD /Diabetic Retinoscopy 042 Patients Postponed due to High Blood Sugar 002 Patients Postponed due to High Blood Pressure 007 Free Glasses Dispensed 336 Free Medicines Dispensed (Drops) 458 Day 4-17th September, 2017 OPD 162 Cataract Patients reported on camp site 043 Cataract surgeries performed 029 Phaco surgeries 019 ECCE surgeries 009 Pterygium Surgeries 001 Patients Postponed due to Severe Eye Infection/ Corneal Opacity / RD / Diabetic Retinoscopy 011 Patients Postponed due to High Blood Sugar 001 Patients Postponed due to High Blood Pressure 001 Patients Postponed in OT due to Non Availability of Power IOL 001 Free Glasses Dispensed 091 Free Medicines Dispensed (Drops) 249 Total no of Patients Screened 1394 Total no of Glasses Issued 782 Total Surgeries 118

9 Statistical Summary of School Screening No of Students Screened 3000 Referred Students 381 Disease Breakdown High Hyperopic 016 Squint 019 Amblyopic 020 Allergy 076 CF 003 High Astigmatism 013 Traumatic Cases 029 Congenital Cataract 006 Keratoconus 091 C/o Night Blindness 003 Iris Coloboma 001 VKc 028 Pseudophakic 006 Severe Conjunctival Congestion 004 Pterygium 006 Corneal Opacity 007 Albinism 002 Nystagmus 002 Ptosis 003 Blepharitis 009 NLD Blockage 001 Epiphora 012 Refractive Error 120

10 The Surgical Eye Camp at Miran Shah, North Waziristan was a commendable joint effort of Pakistan Army and Al-Shifa Trust Eye Hospital, Rawalpindi. The team changed 118 lives through giving patients hope and a gift of sight. Moreover, provision of free glasses and medicine was also highly appreciated by the local community. Over all the locals, Miran Shah Agency Headquarter Hospital administration and Pakistan Army officials were very happy with the services rendered by Al-Shifa Trust, so much so that Brigade commander 205 Bde NWA, Brigadier Irfan invited Al-Shifa to organize yet another free surgical eye camp at Kurram Agency.

JINNAH SINDH MEDICAL UNIVERSITY STUDY GUIDE- OPHTHALMOLOGY YEAR 4,

JINNAH SINDH MEDICAL UNIVERSITY STUDY GUIDE- OPHTHALMOLOGY YEAR 4, INTRODUCTION Pakistan, the 7th most populous country in the world, has an urban population of 38.8% and rural dwellers of 61.2%. The country has faced challenges with vision impairment and blindness as