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   Table of Contents      
LETTER TO EDITOR
Year : 1988  |  Volume : 36  |  Issue : 2  |  Page : 105-106

Letter


Professor of Ophthalmology, CMC Ludhiana, India

Correspondence Address:
Richard Daniel
Professor of Ophthalmology, CMC Ludhiana
India
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Source of Support: None, Conflict of Interest: None


PMID: 3235158

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How to cite this article:
Daniel R. Letter. Indian J Ophthalmol 1988;36:105-6

How to cite this URL:
Daniel R. Letter. Indian J Ophthalmol [serial online] 1988 [cited 2020 Jul 4];36:105-6. Available from: http://www.ijo.in/text.asp?1988/36/2/105/26152

Dear Editor,

My personal views regarding "Rural Operating Camps' (Editorial, Vol 35, No. 3) is as follows

Since the word "Eye Camp" carries the stigma of law care, many unqualified eye surgeons exploited the situation and left behind a trail of incurable blind because of the substandard surgical procedures.

According to our system at CMC, Ludhiana, we use the first three days for pre-operative check-ups like selection for surgery, refraction, medical treatment and other investigations under the supervision of a senior person not below the rank of an Assistant Professor. Post operative care is. looked after by a junior staff at the level of Registrar. Follow-up is being done after 4-6 weeks of discharge. In our experience with the above system no one is pressed for time many intra and post-operative complications can be prevented, and quality is the main objective.

Tragic episodes of postoperative infection can occur in any eye camp due to oversight or negligence of staff To avoid such mishaps strict supervision should be conduc­ted during each step, viz selection of the site, preparation of the theatre, pre-operative selection of cases,. sterili­zation etc The one day camp approach with hit and run attitude is the cause for many of these casualities which should be totally banned in principle.­

Selection of peripheral hospitals with optimum facili­ties is a good idea wherever feasible. Though bringing of patients to a hospital has been successful in many part of the country, it is found to be impractical in many areas of Punjab and other northern states.

Keeping in view all these, we derive that for sometime more, we have to continue the mobile eve service, but "eye camps" in principle should be banned. Only institutions which have the infrastructure to provide quality comprehensive eye care service in terms of committed personnel, finance, expertise and time to devote for this cause should be allowed to render such services.

I agree that a state level credential committee should put defenite guide lines, rules and regulations to conduct such services and to monitor and evaluate them from time to time.




 

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