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Drashti Netralaya

Patient Education & Eyecare Awareness

Practical and easy-to-understand guidance for patients and families — covering daily eye care, childhood eye conditions, diabetic retinopathy and childhood glaucoma.

Patient Education

Essential information for safe eye care, treatment compliance, warning signs and post-operative recovery.

The principal goal of patient education is to facilitate a change in behaviour.

Everyday Eye Care

Basic practices patients should understand and follow.

Patient Assessment
General Eye Care
Avoid Rubbing Eye
Lid Hygiene
Instillation of Eye Drops
Compliance
Post-Op Advice

Complications

Important warning symptoms.

  • Severe pain in the eye
  • Dramatic change in vision

Retinal Detachment Advice

Practical guidance following treatment.

  • Posturing
  • Sleep
  • Air travel
  • Other surgery
  • Posturing is the most important and difficult part of the operation for the patient.
  • Various ways and aids to help make patient more comfortable hence better compliance.
  • Washing hair as long as head position is maintained and soap does not get into eye.
  • Inform patient: if silicone oil is in the eye, the oil may be removed at a later date.

Glaucoma & Medication

Long-term medication and compliance guidance.

  • Glaucoma is leading cause of blindness.
  • Blindness is preventable if glaucoma is diagnosed and treated early enough.
  • Medication
  • Emphasis on putting correct drop in correct eye.
  • Patient with this condition will have to use drops throughout life.
  • Compliance is extremely important.
  • Patient leaflet to take home.
  • Any Questions?
  • Stoop and bend with care.
  • Stay off work till advised by doctor.

When nurses value patient education and are able to implement it into practice, patients will be better prepared for assuming their own health care responsibilities.

Childhood Blindness

Understanding risk factors, preventable causes and the importance of early identification, counseling and treatment.

Risk Factors & Prevention

Maternal, nutritional and neonatal factors that require attention.

  • Poor antenatal care
  • Poor nutritional status of mother and children
  • Maternal and children infections
  • You are close link between children and health care service providers.
  • Awareness about previous reasons. Maintain hygiene to avoid maternal and children infections.
  • Hospital deliveries and neonatal care
  • Counseling for early treatment if problem is found
  • Diet counseling

Causes of Childhood Blindness

Important conditions associated with childhood visual loss.

Cataract
Strabismus
Nutritional Blindness / Vitamin A Deficiency
Glaucoma
Injury
ROP
Ptosis
Orbital Cellulitis

Explanatory Note: Opacity in the lens of the eye leading to gradual diminution of vision.

Key Facts

Important figures from the educational material.

4 Minutes

Every 4 minutes child goes blind.

5,00,000

Approximately 5,00,000 blind children per year.

About Half

About half of them die within one or two years of becoming blind.

More Blind Person Years

Children have more blind person years than adults.

Diabetic Retinopathy

Understanding retinal changes in diabetes, treatment options and the importance of regular eye examinations.

Every Diabetic is at risk of blindness. All diabetic need regular eye examination.

Management & Treatment

Laser, surgery, investigation and counseling.

  • Prevention by Laser
  • Those who need laser treatment
  • Cost of laser treatment: 2 sittings per patient, Rs. 750 per sitting
  • Wide Angle Viewing System During Surgery
  • Fundus Photography and Green Laser
  • Counseling
  • Lasers
  • Surgery
  • Ophthalmic Medications
  • Prevention by Laser by slit lamp or indirect delivery

Clinical Points

Important retinal findings and disease considerations.

  • Retinal Edema
  • Ischemia: IRMA, Intra Retinal Microvascular Anomalies
  • Visual loss with late symptoms of Diabetic Retinopathy
  • Common causes of Blindness
  • Diabetic Retinopathy status in India

Eye Examination

Screening and follow-up guidance.

Every Diabetic is at risk of blindness.
All diabetic need regular eye examination.
Eye Examination Schedule according to Duration of Diabetes

Data & Estimates

Figures included in the patient education material.

  • Estimated DR Patients
  • Estimated Diabetics
  • Estimated number of DR Patients requiring treatment
  • Estimated number of DR Patients
  • Number of Diabetics in Crores
  • Prevalence of Diabetes
  • Estimated number of DR Patients who are blind: 3%
  • Trained for cataract surgery: 8,000
  • Trained Doctors + Setup: 200

Childhood Glaucoma

Understanding congenital glaucoma, its symptoms, surgical treatment and long-term follow-up.

Overview

Key facts about glaucoma in children.

  • Childhood glaucoma / Glaucoma in children
  • Primary congenital glaucoma is hereditary with variable incidence in different populations, with overall occurrence of 1 in 10,000 births.
  • Majority of cases are sporadic, but 10-40% are familial with frequent association with consanguinity.
  • Signs and symptoms vary depending on the child’s age and severity of glaucoma.
  • Basic pathology: abnormal malformed angle structures.

Classic Symptoms

Common signs seen in affected children.

Photophobia / intolerance to light
Watering from eye
Blepharospasm

Treatment

Surgical management of childhood glaucoma.

  • Treatment: only surgical.
  • Passage of fluid from inside the eye to outside is obstructed.
  • By surgery, an artificial pathway is created to reduce intraocular pressure.

Follow-Up After Surgery

Regular monitoring remains essential.

Glasses
Intraocular Pressure
Optic Disc Checkup
Visual Fields

Long-Term Effects

Some changes may remain even after treatment.

Large Corneas
Whitish Scars in Cornea
Visual Field Defects

Prepared by Dr. Jitendra Jethani — Pediatric Ophthalmologist.

Need Eye Care Guidance?

Have Questions About Your Eye Health?

Our eye care team is here to guide you. Schedule a consultation at Drashti Netralaya for evaluation, treatment advice and appropriate follow-up care.