PRIMARY
EYE CARE
03/28/23
LEARNING OUTCOME
Define “low vision”& blind condition.
Describe the implication of both condition to
individual factoe , community and country
Describe major elements in primary eye care
Responsibilities as a AMO in Primary Eye
Care
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DEFINITION
Primary Eye Care
Primary eye care is the service more to
health promotion for eye care and
prevent from “low vision” & blind
condition
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Low Vision
“low vision” is a maximum vision with
data are less than 6/18 (20/70) but
more from 3/60 (20/400) @ field
visualfield less than 200.
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Blind
Visual acuaty maximum is 20/200
@ low , @ visual acuity less than
200.
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Implication
Frustration & stress on individuals &
families.
Give the hig resposibility for family &
community.
Can not be independent, restrict
career development & social activities.
High cost health care , treatment and
rehablitation
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PEc cOMPONENT
1. Health Promotion for eye
Diet Intake
Balanced diet, High Vitamin A and
less cholestrol
PERSONAL HYGIENE
Hygiene at the face and eye.
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Awareness about Eye Safety
Using the PPE & face cover for high
risk activity such as:-
Grasscutter – faceshield .
“welder”
Motorcycle (Helmet face cover).
Lab worker exposed with chemical
etc acid , alkaline
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Healthy Life Style
Reading and watching TV/Gadget
with the safe distance
Eye cover from radiation or UV
exposure
Prevent disease have complication
eye problem – Hpt & DM
Early treatment
.
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PREVENTION PRIMARY,
SECONDARY & TERTIARY
increasing the awareness & positive
attitude
Causes of blind:-
Congenital, Attitude and
environement.
Disease that can be prevented:-
Xeropthalmia & Tracoma.
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A disease that can not be prevented:-
Age Related Macular
Degeneration, Glaucoma, Diabetic
Retinopaty & cataract.
Eye disease that can be treated :-
cataract & Ulser cornea.
Eye disease that can not be tretaed -
Glaucoma & Xeropthalmia.
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2. EARLY DETECTION,
TREATMENT AND REFER
BASED ON WHO
A. EARLY IDENTIFICATION &
TREATMENT IN COMMUNITY
Conjuntivitis
Acute Conjuntivitis,
Oftalmia neonatorum, alergic &
iritation at conjuntiva, mild lession
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Trauma.
Mild complicated foreign
body, hemorrhage at subconjuntiva,
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B. Immediate Refer after tretment
Ulcer Cornea.
Leseration @ perforated at
sklera
Leseration at eye lids
Entropion Trachiasis.
Acid and alkali etc chemical
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C. Immediate refer after
identification
Redness and severe pain & low
vision / blind.
Catarac.
Pterygium.
Sudden low vision and blind.
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3. PREVENTIF ACTIVITIES
Target Group – Communiti,
Students, Workers ,High risk group like
hpt, DM etc
Health promotion and health
education about eye care
Epidemiologi & survey.
“screening” primer phase.
Vit A diet.
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4. REHABILITATIF &
SECONDARY PREVENTIVE
Counselling & advice to patient and
family .
Career development suitable
career .
Refer to special agency for tranning
and cereer deveopment like vocasional
training
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Give the suitable tool element
“tongkat” and home setting for daily
activities and safety
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Responsibility AMO in PEC
Proper future planning and
health promotion
Eye Screnning :-
“Eye Chart,
Occluder, Pinhole, Flash
light, Magnifying glass”
Funduscopy & Color
blind test { ishahara chart}
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Management in ofthalmic
emergency .
Assist MO and eye specilist in
severe eye disease .
Record keeping
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Community programme activity in
promotive, rehabilitatif &
secondary care in community .
Health education
Co Operation with another
agencies about aye care in health
promotion
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