Search

Purpose: To evaluate rural community-based eye care models from the perspective of community ophthalmology experts and suggest sustainable technological solutions for enhancing rural eye care delivery. Methods: A semi-structured descriptive survey, using close-ended and open-ended questions, was administered to the experts in community ophthalmology sourced through purposive sampling. The survey was self-administered and was facilitated through online platforms or in-person meetings. Uniform questions were presented to all participants, irrespective of their roles. Results: Surveyed participants (n = 22 with 15 from India and 7 from Nepal) in high-volume tertiary eye hospitals faced challenges with resources and rural outreach. Participants had mixed satisfaction with pre-operative screening and theatre resources. Delayed presentations and inexperienced surgeons contributed to the surgery complications. Barriers to rural eye care included resource scarcity, funding disparities, and limited infrastructure. In rural/peri-urban areas 87% of participants agreed with providing primary eye care services, with more than 60% of the experts not in agreement with the makeshift center model of eye care delivery. Key components for an effective eye care model are sustainability, accessibility, affordability, and quality. These can be bolstered through a healthcare management platform and a human-chain supply distribution system. Conclusion: Tailored interventions are crucial for rural eye care, emphasizing the need for stronger human resources, optimized funding, and community awareness. Addressing challenges pertinent to delayed presentation and surgical training is vital to minimizing complications, especially with advanced cataracts. Enhancements in rural eye care demand a comprehensive approach prioritizing accessibility, affordability, and consistent quality. Keywords: Community ophthalmology, eye care, eye care barrier, perspectives, primary eye care, Author(s): Renee Liu [1]; Ashita A Sule [2]; Choo Sheriel Shannon [3]; Thulasiraj Ravilla [4]; Hugh Taylor [5]; William Rojas-Carabali [3,13]; Rohit C Khanna [6]; Chitaranjan Mishra [7]; Alok Sen [...]

Byline: Chitaranjan. Mishra, Nabatika. Mohanty Non-center-involving diabetic macular edema (NCI-DME) is defined as the retinal thickening in the macular area outside the central subfield zone that is 1 mm in [...]

Byline: Chitaranjan. Mishra, Nabatika. Mohanty, Sagnik. Sen Dear Editor, We went through the article titled 'Antibiotic prophylaxis for cataract surgery - Practice patterns amongst Indian Ophthalmologists' by Kelkar et al [...]

Byline: Sahithya. Bhaskaran, Jitendra. Sahoo, Chitaranjan. Mishra Retinal dystrophies constitute around 30% of patients with visual impairment (VI).[1] These patients with retinal dystrophies have a myriad of visual difficulties like [...]

Byline: Piyush. Kohli, Chitaranjan. Mishra Post-operative cystoid macular edema (PCME) is a sight-threatening complication that could affect visual recovery following a successful ocular surgery. Irvine-Gass syndrome, that is, PCME following [...]

Byline: Chitaranjan. Mishra, Adyasha. Dash, Sindhu. Sahoo, Jitendra. Sahoo, Bikash. Sah, Raghudev. Bhattacharjee, Anshu. Sharma, Shiva. Sahoo A 10-year-old boy presented with defective vision in the dark since childhood. His [...]

Byline: Madhu. Shekhar, Chitaranjan. Mishra, Senthil. Prasad, Tony. Koshy Patients who have cataracts as well as preexisting corneal astigmatism are now able to attain the best uncorrected distant visual acuity [...]

Byline: Naresh. Kannan, Anirban. Chakrabarti, Chitaranjan. Mishra, Girish. Baliga, Karthik. Arumugam A 58-year-old hypertensive male presented with sudden onset painless, defective vision in the left eye (LE) for 1 week. [...]

Byline: Radha. Shanthi, Chitaranjan. Mishra, Kuppamuthu. Dharmalingam, Ramasamy. Krishnadas During the histopathological interpretation of a cadaveric iris tissue for the study of pseudoexfoliation syndrome, an interesting observation was captured under [...]

Byline: Piyush. Kohli, Chitaranjan. Mishra Torpedo maculopathy (TM) presents as an asymptomatic, solitary, oval, flat, sharply circumscribed, hypopigmented lesion located along the horizontal axis in the temporal macula with its [...]

Byline: Piyush. Kohli, Chitaranjan. Mishra The initiatives started under the VISION 2020 program have made a huge impact on global eye health, especially in developing countries like India. One such [...]

Byline: Chitaranjan. Mishra, Usha. Kim, Mulasthanam. Dheera, Krishin. Krishnakumar Purpose: To study the clinical presentations and outcomes of phthiriasis palpebrarum (PP) managed with combined treatment modality comprising of 20% fluorescein [...]

Byline: Vijayalakshmi. Senthilkumar, Chinmayee. Pradhan, Sharmila. Rajendrababu, Chitaranjan. Mishra, Naresh. Kannan Dear Editor, We thank the authors for their valuable inputs and providing us an opportunity for clarifying our case [...]

Byline: Anupama. Janardhanan, Vijaylakshmi. Perumalswamy, Shashikant. Shetty, Chitaranjan. Mishra, Matt. Dunn A retinal infectious pathology, an acquired vertical nystagmus, and a suspicious neuroimaging result! Independently, these three entities are not [...]

Byline: Piyush. Kohli, Naresh. Babu, Chitaranjan. Mishra, Sourav. Damodaran, S. Bhavani, Mahesh. Kumar, Kim. Ramasamy Dear Editor, We thank the authors for their interest in our article.[1] We sincerely appreciate [...]

Byline: Vijayalakshmi. Senthilkumar, Chinmayee. Pradhan, Sharmila. Rajendrababu, Chitaranjan. Mishra, Naresh. Kannan Goldenhar syndrome is a congenital craniofacial syndrome, and the classical triad includes epibulbar dermoid, preauricular skin tags, and vertebral [...]

Byline: Chitaranjan. Mishra, Roopam. Duvesh, Susmita. Chowdhury, Rupa. Anjanamurthy, Naresh. Kannan, Kim. Ramasamy, Periasamy. Sundaresan Juvenile X-linked retinoschisis (JXLR) is an X-linked recessive retinal dystrophy caused by retinoschisin (RS1) gene [...]

Byline: Vijayalakshmi. Senthilkumar, Thandra. Shreya, Naresh. Kannan, Sharmila. Rajendrababu, Chitaranjan. Mishra, Dhipak. Arthur Cyclodialysis creates a direct communication between the anterior chamber and suprachoroidal space leading to ocular hypotony probably [...]

Byline: Vijayalakshmi. Senthilkumar, Chitaranjan. Mishra, Naresh. Kannan, Priyanka. Raj Purpose: To present a selected case series of advanced glaucoma-associated peripapillary and macular retinoschisis and response to various treatment strategies with [...]

Byline: Sourav. Damodaran, Chitaranjan. Mishra, Naresh. Babu Dear Editor, The use of diagnostic lenses is an important part of the clinical evaluation of posterior segment in ophthalmology. Lens fogging has [...]

Byline: Piyush. Kohli, Naresh. Babu, Chitaranjan. Mishra, Sourav. Damodaran, S. Bhavani, Mahesh. Kumar, Kim. Ramasamy Purpose: To evaluate the incidence of ocular and systemic disease affecting visual function among state [...]

Byline: Renu. Rajan, Chitaranjan. Mishra, Naresh. Kannan, Kim. Ramasamy A 52-year-old male presented with defective vision in the left eye (OS) for 1 month. He had undergone sectoral pan-retinal photocoagulation [...]

Byline: Chitaranjan. Mishra, Anubhav. Upadhyay, Radhika. Thundikandy, Vedhanayaki. Rajesh, Girish. Baliga, Sivakumar. Rathinam Patients with tubercular uveitis can present in a myriad of clinical findings. Tubercular retinal vasculitis (TRV) mimicking [...]

Byline: Koushik. Tripathy, Chitaranjan. Mishra, Sujit. Addya Early treatment of acute central serous chorioretinopathy (CSCR) using the subthreshold green laser (532 nm) was noted to accelerate the resolution of subretinal [...]

Byline: Chitaranjan. Mishra, Naresh. Kannan, Anirban. Chakrabarti, Mahesh. Kumar, Kim. Ramasamy A 58-year-female with a history of chronic kidney disease presented with defective vision in both the eyes (BE). Her [...]

Byline: Chitaranjan. Mishra The treatment of diabetic macular edema (DME) comprises intravitreal injections, laser photocoagulation, and in some cases control of systemic factors without any active ophthalmic intervention. Currently, intravitreal [...]