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Optometry in india where do we stand small

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Optometry in india where do we stand small

  1. 1. Optometry in India- where do we stand? Optom. Rajesh Wadhwa M.Optom B.Ophth.Tech.(Hons.) AIIMS B.Sc.(Hons.) DUFellow of International Association of Contact Lens Educators (Australia) PGDHRM (IGNOU)
  2. 2. What do we see in a process.... We see what the mind wards to appreciate wishes re hasPublic health try omeAn Intellectual Corporate sees Opt sees professional opportunity for all… sees iety ties Soc ersi - niv ry --U unt -- - Co orate orp tals ---C ospi - H --- Rajesh Wadhwa- New DelhiPh:09868010187 --
  3. 3. When the knowledge of profession and willfull effort of all will flow in the country In addition to improving quality of life for many…..…. Country will also save US$ 23 billion per year through eye-care Ph:09868010187 Rajesh Wadhwa- New Delhi
  4. 4. World has…. Poverty & blindness encourage each other 37 Million blind India owns 15million Visually impaired in world=133million India owns 52 millionPh:09868010187 Rajesh Wadhwa- New Delhi
  5. 5. What is the cost to country? We can save here India: the loss of productivity & economic burden of maintenance is over $23 billion per yearPh:09868010187 Rajesh Wadhwa- New Delhi
  6. 6. Monetary loss is not the realkno ith oth e pain w? .... er  .... aboutD 85% e all g w impairment and o wof rinvision g a in at e artn globally couldibe avoided, do lim n ar 75% ofB p blindnesss is P C or cured b to e by ye prevented en cie jo N ag ab l e ss ” ne nd lind (need personnel, facilities) me less b 0  This m where optometry is eager to share co is eed “n 202 the he t responsibilityPh:09868010187 Rajesh Wadhwa- New Delhi
  7. 7. India Main cause of visual impairment is Who is an “unoperated cataract” (72L) & “uncorrected refractive error” (24L) optometrist ? We have only about 6000 surgically active ophthalmologists (general perception) We need another professional to do non-surgical work in eye-care Answer is “Optometrist” (we are 40,000+)Ph:09868010187 Rajesh Wadhwa- New Delhi
  8. 8. WHO through World Council of Optometry  Classifies Optometry as an independent primary health-care profession  And defines optometrists as the primary healthcare practitioners of the eye and visual system who provide comprehensive eye and vision care, which includes refraction and dispensing, the detection/diagnosis and management of diseases in the eye, and the rehabilitation of conditions of the visual system”Ph:09868010187 Rajesh Wadhwa- New Delhi
  9. 9. Questions regarding optometry today What can optometry offer in eye care ? What can an optometrist do to relieve the time of ophthalmologist ? Is optometrist different from optician ? Who represents optometry in India for any policy? How will society, universities, country,health care Next slide is a busy-slide system & corporate world benefit from growth of optometry? Ph:09868010187 Rajesh Wadhwa- New Delhi
  10. 10. What can an optometrist do as an independent practitioner  Other fields include:Refraction Contact Lenses  Spectacle dispensing  Spread public awareness about common eye Low Vision Aids, conditions, theirTonometry, assistive vision devices treatment and the need fields, & rehabilitation for regular eye check-upA-scan etc.  Timely referral of patients where Childhood blindness medical/surgical Orthoptics , & pre/post op intervention is required co-management Ph:09868010187 Rajesh Wadhwa- New Delhi
  11. 11. An optometrist.. ….is able to deliver appropriate level of high quality eye care from the small clinic or practice in remote region as a stand- alone vision care and eye health expertPh:09868010187 Rajesh Wadhwa- New Delhi
  12. 12. e.g. in my small practice of 10 new cases a day : We detect-by looking at eyes  1/wk we detect a new hypertensive  1/wk we detect a new diabetic  1/mth we detect glaucoma (3 suspect)  1 in 2yrs we detect lesions at higher centersPh:09868010187 Rajesh Wadhwa- New Delhi
  13. 13. Why is optometrist a health care professional s in a c le stto systemic diseases ob  Diagnose conditions due ing other health t point and refer patients to ach com needed. s firs ine practitioners as utre ver O O ti tl ris e firs s et  This integrates optometrist or rest of s op tom eref with ndne health-care system th lly t & bli cia tMalaysia, Mauritius, Philippines, US, o Kong, ac nst S  Hong gai con Canada are some countries where the ea UK,Australia, ens of fd ef drugs is now permitted to o use of diagnostic qualified optometristsPh:09868010187 Rajesh Wadhwa- New Delhi
  14. 14. Organization of eye-care  Ophthalmologist represents the highest level of eye-care- provider in India  We have optometrist & opticians alsoPh:09868010187 Rajesh Wadhwa- New Delhi
  15. 15. India-in a process at this time  Optician dispenses Every one does almost spects….ALSO prescribes everything spects & fits contact lenses  Optometrist does orthoptics, investigations,Ophthalmologists prescribing spects, contact Optici lenses etc, also manages anist rs minor eye-ailments & runs et optical outlets p tom  Ophthalmologist practices medicine & surgery O ….AND does orthoptics, refractions & runs opticalPh:09868010187 outlets Rajesh Wadhwa- New Delhi
  16. 16. In countries with mature eye-care system A & pp ro x US a, a In i ar e us t r al ey ec A of all 70 % i de d by pr o v i s ts is e tr op to mPh:09868010187 Rajesh Wadhwa- New Delhi
  17. 17. InIn countries with mature India when quality eye-care system somestudents qualify, tend to move to Ind led countries where ca pto ia oph is “O t t h l n h o thalm optometry is a “ In op dia In me eve tha t” is tr l of p tan recognized profession l lm is s ess ic om ional ic ass e(in USA this is 4 most as th ist tim . rof t” is sis ant es preferred profession) inPh:09868010187 Rajesh Wadhwa- New Delhi
  18. 18. As optometry professionals  Our primary public health responsibility is to eliminate uncorrected refractive error (URE).  In national interest: It costs so much less time, money & resource to train an optometrist than to train an ophthalmologist for non-medicinal work (e.g. Refraction, contact lens, orthoptics etc)Ph:09868010187 Rajesh Wadhwa- New Delhi 2
  19. 19. As optometrists- we are a major component of solution We stand united in strength of 40,000+ to fight the problem by getting involved in national policies NO CONFUSION: the earlier confusion of who represents “optometry” & who represents “education in optometry” is resolvedPh:09868010187 Rajesh Wadhwa- New Delhi
  20. 20. With help of several agencies “Delhi declaration” was signed in Jul.2010…… DELHI DECLARATION ON OPTOMETRY AND BLINDNESS PREVENTIONr_wadhwa@yahoo.comPh:09868010187 Rajesh Wadhwa- New Delhi IN INDIA
  21. 21. Example of commitments (out of 11)  Assisting in the development and provision of accessible, affordable and excellent vision care services to all people of India – regardless of their geographical location or socio-economic status (public:priv=10:90)  Developing competent human resources in Optometry to meet the current and future eye care needs and reduce the burden of vision impairment and blindness in India (mango tree)Ph:09868010187 Rajesh Wadhwa- New Delhi
  22. 22. We have created the base Any agency now needs to talk only to one organization regarding “optometry” in India Indian Optometry Federation (IOF) Education in optometry ASCO (Association Of Schools & Colleges Of Optometry)Ph:09868010187 Rajesh Wadhwa- New Delhi
  23. 23.  Is a registered body Has membership of VISION 2020 Is voice of all (40000+ optometrist) Is working towards partnership with Govt., NGOs and international agencies to standardize & regulate optometry Is committed to Delhi DeclarationPh:09868010187 Rajesh Wadhwa- New Delhi
  24. 24. NPCBAt IOF we have adoptedIn India A Nationaloneofsingle nomenclatureProgramme forcontrol Blindness “Optometrist” for all 2was started in 1975with the motto that years or higher (4,6,11 yr)‘One of the basicHuman rights isthe right to see,……” qualificationsPh:09868010187 Rajesh Wadhwa- New Delhi
  25. 25. Public health contribution of optometry can not be overlooked  As Next 2 slides show an individual practitioners  example of success  institutional professionals with optometry  schools of optometry involvement in  Also done work in  schoolnational programs screening, vision screening, cataract special children screening, etc.Ph:09868010187 Rajesh Wadhwa- New Delhi
  26. 26. OPTOMETRISTS to OPHTHALMOLOGISTS Countries Optometrists Ophthalmologists Australia 12.5 3.3 Canada 10.26 3.3 U.K 13.27 1.06 New Zealand 10 2 USA 10.99 5.7 India 0.65 2 Ratio for 100000 people (per 0.1mill) (source Dr.Hofstetter in WCO monthly bulletin) Ph:09868010187 Rajesh Wadhwa- New Delhi
  27. 27. OPTOMETRISTS to OPHTHALMOLOGISTS Blindness  New Zealand= blind: popu= 0.003 per mill  India= blind: popu =0.012 per mill  India has 4 times more blind per mill. Countries Optometrists Ophthalmologists New Zealand (Pop 4.4mil) 10 2 India (Pop 1210mil) 0.65 2 Ratio for 100000 people (per 0.1mill) Ph:09868010187 Rajesh Wadhwa- New Delhi
  28. 28. Universities: Time line (IOF)  Our internal timeline target=No university will offer less than 4 year course in optometry by 2020 (grandfather clause till then)  Draft Common-minimum optometry curriculum & bridge courses to upgrade 2 year diploma to 4 year degree is ready  Several universities are now accepting lateral entryPh:09868010187 Rajesh Wadhwa- New Delhi
  29. 29. The IVI project  India Vision Institute (IVI) inaugurated on oct.18,2011  Task force set up to look into optimizing existing human resources and developing new professionalsPh:09868010187 Rajesh Wadhwa- New Delhi 2
  30. 30. What will IVI do ? An enthusiastic plan for the development of optometry & vision industry over 5 years  Develop human resources  Ensure fundamental infrastructure is in place  Establishing professional and regulatory framework for optometryPh:09868010187 Rajesh Wadhwa- New Delhi
  31. 31. IVI PhD scholarship available within India On our agenda specialties like  Contact lenses  Low & assistive vision devices  Rehabilitation  Paediatric optometryPh:09868010187 Rajesh Wadhwa- New Delhi 2
  32. 32. Opportunity for the industry The global vision and eye care industry is worth approximately $89 billion in retail product sales $180 billion including professional fees India’s vision industry sits at a modest 1% of the world’s consumption and is valued at $5 billion at the retail level Yet India has 17% of the world’s populationPh:09868010187 Rajesh Wadhwa- New Delhi
  33. 33. Opportunity for all Partnership between Educational institutions + optometry + corporate world will lead to a win- win situation for all three & also for the country,hospitals & societyPh:09868010187 Rajesh Wadhwa- New Delhi
  34. 34. Availability of optometry education in India  119 recognized universities/ institutions offer optometry courses  65 Offer 3 or 4 year graduate level program  16 offer M.Optom  4 offer Ph.D. program  4 Optometrists in India are at “Professor” levelPh:09868010187 Rajesh Wadhwa- New Delhi
  35. 35. Indian optometrists are no less of on international standards w  44 out of 253 FIACLE s in n o areas k world t h here dy n(esp. out  Lot of international research t bo io ha ny ess donewitIndian.? s a rof h CCLRU/BHVI, LVPE) is oe p l by ovt ve y G D e optometrists r le b ot his ze a h hastreceived d Padmasree  Our optometrist n a wn to gni o reco  We hold a national/international conference gr g every year in be foreign universities……  As faculty inPh:09868010187 Rajesh Wadhwa- New Delhi
  36. 36. Regulation through a council  We require support from the Government to form a Council.  Meanwhile, in the interim period, we are in the process of creating a self-regulatory body that will act as a council.Ph:09868010187 Rajesh Wadhwa- New Delhi 2
  37. 37. Our wish-list.. We wish to serve the people “Freely and fully” We need a council Actually, now India needs a council of optometry We request the government to make use of existing professionals & avoid re-inventing the wheelPh:09868010187 Rajesh Wadhwa- New Delhi
  38. 38. The day is not far.. When optometry in India will have similar place as in developed countries like Australia & USAPh:09868010187 Rajesh Wadhwa- New Delhi
  39. 39. The country needs Optometry & Optometrists standready & motivated tomeet the challenge of Right to Sight in India by 2020
  40. 40. My contact details: Rajesh Wadhwa 9868010187 Thank You!Ph:09868010187 Rajesh Wadhwa- New Delhi