TRACHOMA:SURGICAL CAMPS

1
TRACHOMASURGICAL CAMPS
VIII Curso de Oftalmología tropical

• Sr.Berhanu OMA

2
Epidemiology
Etiopía

• Ahmara TF TI70 TT 3.5-7.3-
  Tigray TF TI 39,6 TT
  3.3- South TF TI 50-90
  TT3

35-50 blindness
3
Outreach
CampsWhy?

• 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 doesnt come in rainy season
• The people dont have a place to stay in town
• Dont separate from their family

4
Outreach
CampsHow?

• 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

5
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 upAfter a week
• remove the suture

6
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 patientaddress ,VA,
  operation done surgeon
• Audit the results of each surgeon to improve it

7
Surgical Camps
2004

Total 5824
8

Thanks for your attention