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Abstract: This article illustrates the various economic aspects to be considered in the procurement of ophthalmic equipment using the Excimer Laser for Lasik Surgery as a representative case example. Source: Dr. P. Balakrishnan , Managing Director, Aurolab
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| Ophthalmic equipment is a major resource required for delivery of quality eye care at an appropriate cost. This resource should be selected carefully and once purchased it should be maintained and used efficiently in order to generate adequate return on the investment. The typical economic issues that need to be addressed to adequately justify this investment are the following:
Abstract: With the advent of modern technology, in order to provide quality eye care the hospitals are forced to purchase several equipments. Purchasing of equipments not only involves capital cost of the equipment but also the cost for supporting facilities like air-conditioning, special foundations and construction. It also involves some recurring costs like salaries to technicians, annual service contract charges, cost of spares, consumables, interest and depreciation charges. Due to all these costs many of the charity hospitals find it difficult to invest in new technology. In this context, the hospitals face a situation as to how to mobilize resources (money) to procure the necessary equipments and also whether to charge patients and if so what would be the amount they would charge? Source: Mr. S. Saravanan Abstract: With the advent of modern technology, in order to provide quality eye care the hospitals are forced to purchase several equipments. Purchasing of equipments not only involves capital cost of the equipment but also the cost for supporting facilities like air-conditioning, special foundations and construction. It also involves some recurring costs like salaries to technicians, annual service contract charges, cost of spares, consumables, interest and depreciation charges. Due to all these costs many of the charity hospitals find it difficult to invest in new technology. In this context, the hospitals face a situation as to how to mobilize resources (money) to procure the necessary equipments and also whether to charge patients and if so what would be the amount they would charge? Source: Mr. S. Saravanan Abstract: To find out the pay back period for the investment made on the paediatric eye department based on its workload and also helps you to estimate the annual patient load required to sustain the project. Source: Mr. R. D. Thulasiraj, Mr. S. Saravanan
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A wide range of ophthalmic equipment is available for diagnosis and treatment of eye disorders. The purpose of each of these ophthalmic equipments varies, this section basically provides an overview of its use in the field of ophthalmology.
Abstract: This article deals with the relationship between the numerical aperture of the objective lens and the various aspects of the image formed in a slit lamp microscope like magnification and field of view, resolution and contrast, brightness, depth of field and stereopsis is described. The effect on quality of the image due to change in the magnification of the eyepiece, without changing the total magnification of the microscope is pointed out. Source: Prof. V. Srinivasan, Consultant, Instruments and Maintenance Department - Aravind Eye Care System. Abstract: This article introduces the concept and advantages of Closed Circuit Systems and their use as low vision aids, it details the different types available and also describes the cost-effective system designed and being used at the Aravind Eye Care System Source: Dr. Ilango, Mr. A. Manikanda Selvan, Mr. T. Saravana Kumar, Prof.V. Srinivasan Abstract: This article explains how common decorative lights can be used in vision exercises to help children who do not have visual fixation. Source: Dr. P. Vijayalakshmi, Mr. A. Manikanta Selvan, Mr. T. Saravanakumar, Prof.V.Srinivasan Abstract: This article analyses the cons of undergoing phaco surgery for patients with Pacemaker and also gives some precautionary measures that should be adopted for those who undergo phaco surgery with pacemaker Source: Dr. Banushree, Er. Shree Vidhya, Prof. V.Srinivasan Abstract: This article identifies the various problems that may be encountered in retinoscopy and provides suggestions for troubleshooting Source: Prof. Sukumaran, Head- Dept of Optometry, Aravind Eye Care System Abstract: This article provides the basic differences between various types of ophthalmoscopes that exist and their degrees of usefulness. Source: Ms. A.S. Meenachi, Instruments Maintenance Department, Aravind Eye Care System Abstract: This booklet explains the use of Closed Circuit Television system for low vision patients for reading text, to see the time in watches, to load the insulin syringes etc. It also explains how to use the CCTV scanner, arrangements required and also the troubleshooting techniques.
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| Vision Centre: Vision centers are started with the main objective to create permanent access to the rural communities to increase the uptake for eye care services. This centre offers primary eye care services with the help of trained ophthalmic technician at an affordable cost. The centre is connected with the base hospital through internet services to enable direct patient consultation and interaction with the ophthalmologist. In order to make health behavioral changes in the community it advocates awareness programs to promote better eye health practices. Community ownership is important to sustain the activities of the centre and hence village volunteers are identified and trained to create link between the community and the centre. For the effective reach of the community concrete efforts have been taken to network with Government, NGO’s and other prominent leaders in the area.
Abstract: The tool contains Instruments and equipments required for setting up vision center. Secondary eye care services refers to providing a mix of preventive, curative and rehabilitative eye care interventions with a greater focus on curative services within the basket so as to bring about a significant reduction in blindness and ocular morbidity in its service area. Since most of the blindness can be prevented or treated with secondary level interventions, it is important that this level remains most cost effective.
Abstract: This worksheet gives you required equipments for a seconday eye hospital with the type, model, cost and location of the equipment etc. Source: Mr. R.D. Thulasiraj and Mr. Jeyachandran Abstract: The list has been produced to assist project managers and medical personnel who are involved in providing eye care services. It aims to cover the essential equipment, instruments and supplies for primary and secondary (district) level eye care. Tertiary eye care provides the complete spectrum of sub-specialty eye care services and has the expertise to handle complicated cases. Tertiary health center also plays a vital role in training; deployment and professional updating of all categories of eye care personnel.
Abstract: This worksheet gives you required equipments for a Speciality clinin with the type, model, cost and location of the equipment etc. Source: Mr. R.D. Thulasiraj and Mr. Jeyachandran Abstract: A worksheet giving required equipments for a paediatric unit with the type, model, cost and purpose of the equipment etc. Source: Mr. R.D. Thulasiraj, Mr.S. Saravanan, Ms. Sheela Devi Abstract: This cataract kit contains the minimum and desirable equipments and medicines needed for five surgeries. The Items needed, their brand option, manufacturer, category&use, and quantity for ECCE and SICS for preoperative, intraoperative and postoperative care is given in detail that enables the user to prepare for a surgery. Source: Dr. P. Balakrishnan Abstract: This standard list gives the different kind of instruments and equipments like Ophthalmic, Vision Assessment, Optical, CCTV and Computer devices needed for the Low Vision clinic. Source: WHO/ IAPB Low Vision Working Group Journal of Community Eye Health
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The quality and efficiency of medical service provided in any hospital depends very much on the proper functioning of the equipment and instruments used by the doctors and other clinical staff. Even under normal and careful use, instruments fail to function properly. The frequency of such failures can be considerably reduced by proper care, maintenance and timely repair. Hence we are providing you with resources which will be help for Care and Maintenance of Ophthalmic Instruments and Equipments.
Abstract: This manual provides information on the general maintenance of the ophthalmic instruments and equipments, its management, maintenance protocol with some simple electrical calculations. Source: Prof. V. Srinivsan, Mr. R.D. Thulasiraj Abstract: This articles deals with the procedures to be followed in maintaining the ophthalmic equipment and provides some tips in maintaining them. Source: Mr. A. Manikanda Selvan, Ms. A.S. Meenachi, Prof. V. Srinivasan, Mr. R.D. Thulasiraj and Dr. P. BalaKrishnan Abstract: Provides an overview of the role and importance of sterilization and its different types as well as presents details of equipment-specific sterilization techniques, best practices, precautions and policies relating to sterilization in the Operating rooms and tips on how to prevent infections from spreading in hospital units. Source: Dr. Lalitha Prajna, Ms. R. Charu Priya, Ms. Sharmila Noor Abstract: This protocol deals with how to sterilize the equipments and instruments to avoid infections or another problems during treatment with these instruments. Sterilizing the equipments and instruments is very difficult job to maintain. It invlolves how to sterilize the instruments during surgery, how to sharpen them etc.
Sterilization CDs: |
STERILISATION AND ASEPTIC PRACTICES in an Ophthalmic Operation Theatre
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We have compiled the following list of Global manufacturers of Ophthalmic Instruments, Equipments and consumables for use in Secondary and Tertiary Eye Care. This list was collected through various websites and other sources. Most of the Manufacturers have websites or accessible through E-mail, we have also listed the products they manufacture.
This worksheet gives you some of the Global Instruments and Equipments manufacturers with there address, website and the type of product they manufacture.
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The six-week maintenance courses run in LAICO (Lions Aravind Institute of Community Ophthalmology), Aravind Eye Care System, Madurai, India aims to teach the skills needed for equipment and instruments maintenance. The courses have been organised since 1996. As of this date, we have conducted 27 such courses, training 151 technicians. Thirty-seven technicians (almost 25%), are from 14 developing countries outside India - Jamaica, Ghana, Nigeria, Uganda, Kenya, Malawi, Zambia, Zanzibar, Pakistan, Philippines, Nepal, Papua New Guinea, Indonesia, and Bangladesh. Course content: Organizational management, General maintenance, Maintenance of electrical and electronic instruments, Maintenance of Optical instruments, Maintenance of mechanical parts of equipment, Anatomy of eye and its parts, Common refraction defects and the remedy, Common eye diseases and their treatment, Working principles of the common instruments used in an eye hospital. Course content: Proper use of equipment, General maintenance, Maintenance of electrical and electronic instruments, Maintenance of optical instruments and Maintenance of mechanical parts of equipment.
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The Global Initiative for the Elimination of Avoidable Blindness (World Health Organization ,1997), which is VISION 2020's base document, emphasizes the need for an appropriate and affordable technology for the delivery of eye care on a global scale. The past ten years have already seen initiatives which have immeasurably increased access to eye care in developing countries, the outstanding achievement being the mass production of low cost high quality intra-ocular lenses, first by Aurolab in India, and then by the Fred Hollows Foundation. These lenses, now widely distributed, have substantially reduced the cost of IOLs on the world market and brought high quality cataract surgery within the reach of millions more people.
Catherine Cross Sight Savers International Email:ccross@sightsavers.org
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