Role of MLOP

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Role of MLOP
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FOCUS OF VISION 2020
Eliminate and control blinding diseases

• Increase in workload
• Increase in adequately trained human resources

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Challenges in India
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• Enormous eye morbidity
• Growing Aging population
• Inadequate infrastructure
• Low income
• Lack of awareness
• of available facilities and treatment options

Inadequate ophthalmologists
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• Total Population
• of India - 1,027,015,247
• Total Population
• of Tamil Nadu - 62,110,839

• 12 million blind people in India

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Focus of eye care providers
Community oriented service
Pure clinical practice
Technological Advancements
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MLOP

• Non doctor professionals working only in eye care
• Facility based
• Out reach based-camp

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Role of OAS

• Support services to ophthalmologist
• Collect data
• Transmit and execute orders
• Supervise and administer treatment ordered

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Duties delegated to OPS

• Patient evaluation
• Monitoring
• Diagnostic tests
• Surgical assistance
• Counselling
• Proper direction/referral

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What can hospital Based OPS do?

• In the OPD carry out all measurements
  VA,tonometry Fields, Biometry, Refraction,contact
  lens fitting
• In the OR anaesthesia, patient preparation,
  dressing, assisting,sterilisation
• In the ward administer drugs, identify problems
  early
• Counseling at all stages

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Tamil Nadu
Aravind-Pondicherry (proposed)
Aravind-Coimbatore
Aravind-Theni
Aravind-Madurai
Aravind-Tirunelveli
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Out-patient Visits 1978-2001(Madurai,
Tirunelveli, Theni, Coimbatore)
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Surgeries 1978-2001(Madurai, Tirunelveli, Theni,
Coimbatore)
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Community Outreach Activities

• Free Eye Camps where surgery, food and
  accommodation are provided free of cost.
• Village Volunteers Programme
• School Eye Health Screening
• Community Based Rehabilitation Programme
• Increasing community involvement
• Community eye health education

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Base Hospital Approach

• The patients screened at the camps are
  transported to the base hospital for surgery
• - for maximum utilisation of resources and
• - to maintain high quality.

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Selection Criteria for Ophthalmic Assistants

• Education - 12th (H.S.C) standard
• Age 17-18 years
• Experience - Fresh candidates with no work
  experience
• Background - Rural, low income

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Structure of the Two Years Training Programme

• Orientation Basic training 4 months

Out patient Department
Optics and Refraction
Operating Room
Ward
Supervised Practical training in specialty( 6
months)
Evaluated Independent practice 6 months
Final Assessment