Indian Oil Centre for Rural Eye Health, Mithu Tulsi Chanrai Campus, L V Prasad Eye Institute, Bhubaneswar, Odisha, India.
Indian Oil Centre for Rural Eye Health; Pediatric Ophthalmology, Strabismus and Neuro-Ophthalmology, Child Sight Institute, Miriam Hyman Children's Eye Care Centre, Mithu Tulsi Chanrai Campus, L V Prasad Eye Institute, Bhubaneswar, Odisha, India.
Indian J Ophthalmol. 2022 Apr;70(4):1376-1380. doi: 10.4103/ijo.IJO_2082_21.
To describe and validate the eye health program protocol of Dongria tribal community, a particularly vulnerable tribal group (PVTG) in Rayagada district, Odisha, India.
The program would consist of three segments. At people's residences, trained community health workers (CHWs) will measure the vision and collect demographic data. In addition, vision technicians (VTs) will refract using a hand-held device and prescribe spectacles to people who improve to >6/12, N8. Others would be referred to the vision center (VC). At VC, the VT will perform a slit-lamp examination and re-refract. They would refer people with vision ≤6/12 to the secondary center (SC). At SC, referred people will receive a comprehensive eye examination and treatment. The ophthalmologist will assign the cause of blindness and visual impairment for people with visual acuity <6/12. The entire process was rehearsed in a pilot study.
The target population is approximately 10,000 people residing in 101 hutments on the hills of Rayagada district. The pilot study included 126 people. The mean age was 44 ± 18 years; 70% of the people were illiterate, and in this cohort, 97.6% (n = 123) had never worn spectacles. In the pilot study, 41% of the people had cataract, and 12% had pterygium. The agreements between optometrist versus VTs and between optometrist versus CHWs were good (k = ~0.8-1.0) in all eye conditions except for strabismus (k = ~0.56-0.65).
The pilot study confirms the program modality, and when completed, it would help in the planning and resource allocation of Odisha PVTG eye care.
描述并验证印度奥里萨邦雷亚加达区东加里亚部落社区这一特别脆弱部落群体（PVTG）的眼保健项目方案。
该方案将包括三个部分。在居民家中，经过培训的社区卫生工作者（CHWs）将测量视力并收集人口统计数据。此外，视力技术员（VTs）将使用手持设备进行折射，并为视力提高至>6/12、N8 的人开具眼镜处方。其他人将被转介到视力中心（VC）。在 VC，VT 将进行裂隙灯检查和重新折射。他们将把视力≤6/12 的人转介到二级中心（SC）。在 SC，被转诊的人将接受全面的眼科检查和治疗。眼科医生将为视力<6/12 的人分配失明和视力障碍的原因。整个过程在试点研究中进行了排练。
目标人群约为 10000 人，居住在雷亚加达区山区的 101 个棚屋内。试点研究包括 126 人。平均年龄为 44 ± 18 岁；70%的人是文盲，在这一组中，97.6%（n = 123）从未戴过眼镜。在试点研究中，41%的人患有白内障，12%的人患有翼状胬肉。在所有眼部疾病中，除斜视外（k = 0.56-0.65），验光师与 VT 以及验光师与 CHW 的一致性均较好（k = 0.8-1.0）。
试点研究证实了该方案模式，当方案完成后，它将有助于奥里萨邦 PVTG 眼保健的规划和资源分配。
