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VIII Curso de Oftalmología tropical. TRACHOMA:SURGICAL CAMPS. Sr.Berhanu OMA. Epidemiology: Etiopía. Ahmara: TF + TI:70% TT: 3.5-7.3% - Tigray: TF + TI :39,6% TT: 3.3% - South: TF + TI :50-90% TT:3% .
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VIII Curso de Oftalmología tropical TRACHOMA:SURGICAL CAMPS Sr.Berhanu OMA
Epidemiology: Etiopía • Ahmara: TF + TI:70% TT: 3.5-7.3%- Tigray: TF + TI :39,6% TT: 3.3%- South: TF + TI :50-90% TT:3% ¡¡¡ 35-50% blindness ¡¡¡¡¡
Outreach Camps:Why? • Bring the service to the people rather than expecting them travel long distances • Screen patients for cataracts and trachoma • Perform lid surgery for trichiasis / ectropion • More economical as compared to the Base Hospital • People doesn´t come in rainy season • The people don´t have a place to stay in town • Don´t separate from their family
Outreach Camps:How? • Inform the local staff • They notify the local habitants • in market day when countryside • people come toghether for the • market. • -We prepare all the material need for • the operation. • -We operated in health centers and • clinics
Outreach Camps: How? • Before surgery we teach patiens health • educations to the group of patiens , about • face washing , sanitation , keep the • enviroiment clean , getting rid of flies • Eight times: Four Trachoma / Four cataract • Each one at least five days • Time average: 20 minutes both eyes • Postoperative follow up:After a week • remove the suture
How to improve triquiasis surgery • Surgery must be done in the own village • A small number of triquiasis syugeons may produce better results • Careful sterilization of instruments and sutures • All the patiens must be warn that the triquiasis may recur and they should seek help if the symptons retorn • Keep good records of each patient:address ,VA, operation done surgeon • Audit the results of each surgeon to improve it
Surgical Camps : 2004 Total : 5824