Vision Screening in Guangxi

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Vision Screening in Guangxi

• 6 - 10 December 2006

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Gifts- MM to stationery, towels, warm
clothing.....(PP Ramesh, PE Angela David W
outside donations)
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Starting out.
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On our way to Duan.
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New hotel !!
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1st night in Duan work first
Packing gifts (stationery) for the kids
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Supermarket next.
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A stroll in the night market
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Finally, food glorious food. First the green
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Then, the main course
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2nd day

• Morning
• Vision screening in?? Primary school
• Afternoon
• Joined by President Maureen PP Nic
• Dormitories
• Loong Yan Primary School
• School for handicapped children
• LAPs

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Dormitories..
4-5 children squeezed in each bed
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• PP Nic, showing off his dance steps to the kids..

• Serious discussion about possible help from RCKN

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Vision Screening.
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• Screened a total of 150 children
• Quite a number of students returned home for the
  weekend
• (very cold so did not want to detain the
  children)
• Only 2 needed glasses
• Quite a number of cases of
• conjuntivitis and/or keratitis (inflammation of
  the cornea)
• Special case

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School for handicapped children

• Cheerful, happy children
• Communicative (body language)

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• Visit to the LAPs with gifts from
• PE Angela
• David W
• PP Ramesh

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Also found time to relax..
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Ouch..ouch.ouch.. OUCH!!!
!!?
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Case Report Pang Meng-liang???

• Age12
• Vision Finger counting
• Help from brothers and classmates
• cooking lunch and going to toilet
• Teachers very concern
• Going blind but why?

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• Examination with the ophthalmoscope
• cataract (both eyes)
• Teachers
• parents said girl was very sick a few years back
• Not sure, but vision got worse after recovery
  from sickness (?)

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Cataract

• Risk factors
• Everyone is at risk of developing cataracts
• age is the single greatest risk factor
• By age 65 about half of all Americans have
  developed some degree of lens clouding, although
  vision may not be significantly impaired

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• Other factors that increase risk of cataracts
  include
• Diabetes
• Family history of cataracts
• Previous eye injury or inflammation
• Previous eye surgery
• Prolonged use of corticosteroids
• Excessive exposure to sunlight
• Exposure to ionizing radiation
• Smoking

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What causes cataracts in children?

• Can be congenital or may develop during the first
  few months/years of life
• Inherited or related to metabolic or systemic
  abnormalities
• Many cases, cause unknown
• IF visually significant cataract occurs in a
  child,
• ?prompt surgery and rehabilitation required to
  maximize visual development
• (cataract does not allow the eyes to get proper
  visual stimulus to develop)

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• visual outcome for children with cataracts is
  much more optimistic now than it was a few years
  ago
• However, if associated with abnormalities
• ? limit visual potential that can be obtained,
  despite early surgery and adequate visual
  rehabilitation

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Treatment

• cataracts can be remedied by relatively simple
  surgery
• operation generally lasts only about 15 minutes,
  usually performed on an outpatient basis
• If left untreated.
• Glaucoma is a potential complication

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The case of Meng Liang??

• Mr Wei (Assistant Minister of UF)
• Free cataract surgery available in big towns eg.
  Nanning
• ???
• Emailed Mr Li
• Arrange for Meng Liang?? to have surgery ASAP
• Winnie to follow up

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(Email from Winnie)

• Mr Li
• Follow up
• Long queue (over 200) for free cataract surgery
• will sent report..

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Thank you. Come and visit again