Vision Screening in Guangxi 6 - 10 December 2006

Vision Screening in Guangxi Vision Screening in Guangxi

6 - 10 December 20066 - 10 December 2006

Gifts- M&M to stationery, towels, warm clothing.....(PP Ramesh, PE Angela & David W & outside donations…)

Gifts- M&M to stationery, towels, warm clothing.....(PP Ramesh, PE Angela & David W & outside donations…)

Starting out….Starting out….

On our way to Duan….On our way to Duan….

New hotel !!New hotel !!

1st night in Duan… work first1st night in Duan… work first

Packing gifts (stationery) for the kids

Packing gifts (stationery) for the kids

Supermarket next….Supermarket next….

A stroll in the night market…A stroll in the night market…

Finally, food glorious food. First the green…Finally, food glorious food. First the green…

Then, the main course…Then, the main course…

2nd day…2nd day…

• Morning– Vision screening in 建橋 Primary school

• Afternoon– Joined by President Maureen & PP Nic– Dormitories – Loong Yan Primary School– School for handicapped children– LAPs

• Morning– Vision screening in 建橋 Primary school

• Afternoon– Joined by President Maureen & PP Nic– Dormitories – Loong Yan Primary School– School for handicapped children– LAPs

Dormitories…..Dormitories…..4-5 children squeezed in each bed

• PP Nic, showing off his dance steps to the kids…..

• PP Nic, showing off his dance steps to the kids…..

• Serious discussion about possible help from RCKN…

• Serious discussion about possible help from RCKN…

Vision Screening….Vision Screening….

• 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 …

• 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 …

School for handicapped childrenSchool for handicapped children

Cheerful, happy children– Communicative (body

language)

Cheerful, happy children– Communicative (body

language)

Visit to the LAPs with gifts from

• PE Angela

• David W

• PP Ramesh

Visit to the LAPs with gifts from

• PE Angela

• David W

• PP Ramesh

Also found time to relax…..Also found time to relax…..

Ouch..…ouch….ouch..

OUCH!!!

!!?

Case Report: Pang Meng-liang 潘夢良 Case Report: Pang Meng-liang 潘夢良

• Age:12• Vision: Finger counting• Help from brothers and classmates

– cooking lunch and going to toilet

• Teachers very concern• Going blind but why?

• Age:12• Vision: Finger counting• Help from brothers and classmates

– cooking lunch and going to toilet

• Teachers very concern• Going blind but why?

• 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 (?)

• 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 (?)

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

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

CataractCataract

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

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

What causes cataracts in children?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)

• 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)

• 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

• 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

• 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

• 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

TreatmentTreatment

• Mr Wei (Assistant Minister of UF)

– Free cataract surgery available in big towns eg. Nanning

– ???

• Emailed Mr Li

– Arrange for Meng Liang 夢良 to have surgery ASAP

• Winnie to follow up

• Mr Wei (Assistant Minister of UF)

– Free cataract surgery available in big towns eg. Nanning

– ???

• Emailed Mr Li

– Arrange for Meng Liang 夢良 to have surgery ASAP

• Winnie to follow up

The case of Meng Liang 夢良 …The case of Meng Liang 夢良 …

(Email from Winnie)(Email from Winnie)

• Mr Li

– Follow up

– Long queue (over 200) for free cataract surgery

– will sent report…..

• Mr Li

– Follow up

– Long queue (over 200) for free cataract surgery

– will sent report…..

Thank you. Come and visit again…Thank you. Come and visit again…