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So being the first Paediatric eye care centre in the entire state having all the trained staff members, with in a two years time, the team has screened more than 63,000 children and has conducted more than 100 paediatric eye surgeries. Not only that it is also empowering the community to identify and refer the children affected with any kind of ocular problems.
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Diabetic Eye Diseases |
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Diabetic retinopathy has been identified as one of the significant causes of blindness or vision impairment in India. Though cataract is still the leading cause of blindness, the intense work under the national programme for control of Blindness (NPCB) with the support of international non-governmental organizations has brought down its contribution to blindness from 80% in the year 1988 to 62% in year 2002. |
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There are 41 million of diabetics in India at present and every diabetic is a potential candidate for loss of vision due to diabetic retinopathy. This number is poised to increase significantly. Thus it is an appropriate time now to concentrate on diabetic retinopathy and bring the problem under control as we have done in the case of Cataract blindness. However, we have to recognize that the issues in managing vision impairment due to diabetic retinopathy are different from cataract. While cataract blindness is curable by a simple one time surgical intervention, diabetic retinopathy encompasses a multitude of problems and can be prevented if detected early and treated. It is an asymptomatic condition at the treatable stage but when a person presents for treatment with loss of vision, it often is too late for intervention. |
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Diabetes mellitus currently affects more than 170 million persons worldwide, and this scale is estimated to touch 366 million by 2030. The eye is the most commonly affected organ by diabetes leading to Diabetic Retinopathy (DR). More than 75% of patients who have diabetes mellitus for more than 20 years will have some form of diabetic retinopathy. (Report of WHO consultation in Geneva, Switzerland, 9-11 November 2005). |
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According to WHO,31,7 million people were affected by diabetes in India in the year 2000. This figure is estimated to rise to 79.4 million by 2030, the largest number in any nation in the world. It is estimated that 15 to 25% of the diabetic population have diabetic retinopathy, and everyone has the potential to develop it over a period of time. |
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This initiative is directed towards improving health care services for persons with diabetes and diabetic retinopathy. Diabetic retinopathy is one of the foremost frequent causes of blindness world-wide. In India, it was the 17th cause of blindness 20 years ago but has now ascended to the 6th position. The World Health Organisation under its VISION 2020 initiative aims to control eye diseases, and diabetic retinopathy is one among them. |
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As per the US Census of Bureau the current Prevalence of Diabetic mellitus in India is 3.2% and within next twenty years the prevalence will reach to 5.6%. Which implies no of persons are going to suffer from blindness from the diabetic, so qualitative and effective intervention is required at an urgent basis to prevent the blindness from DR. Out of 39,276,000 population of Orissa, 1,571,040 (4%) are suffering from Diabetics and 172,814 (11%) are suffering from the DR. |
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The existing number of medical professionals trained in India to treat diabetic retinopathy is low. Currently there are only 11,000 ophthalmologists, and most of them are trained in cataract surgery. Only 7-8% of the ophthalmologists are trained in the management of DR. All diabetic patients have to be detected early, and screening is the only effective way. At present, most of the diabetic patients come to the ophthalmologists only after experiencing considerable vision loss. Good specialized training of ophthalmologists to diagnose and treat diabetic retinopathy thus becomes a key aspect of blindness prevention. The current need is for a holistic model inculcating awareness creation, community screening service delivery and training to deal with the problems of diabetes and diabetic retinopathy in the community. |
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So with the support of World Diabetes Foundation, Denmark the hospital has started a service project for the people those are affected with diabetic. The project aims to strengthen the services of the hospital on DR so that quality services can be rendered to the community and create awareness, provide services through outreach camps to screen diabetic patients for diabetic retinopathy and provide appropriate treatment of diabetic retinopathy in the form of laser photocoagulation, surgery, and follow-up as required. Each patient is receiving appropriate treatment regardless of ability to pay. Patients are also referred for treatment of diabetes to the Diabetologists. |
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For more deatail plese visit ............
www.worlddibetsfoundation.org |
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