Eye Clinic Blog retiring

Hopsital IT department and KKM weren't encourage for separate eye clinic blog. Any activities of the department would be in the future included into the official website of the Miri hospital maintained by the IT department. Well, thats for good I guest.

http://hmiri.moh.gov.my/v2/?id=33

Primary eye care course 2010 part 1

Report for the Primary eye care course 2010

The primary eye care course had been completed succesfully from the 24th to 26th of May 2010. The objectives of this course is to assist and help primary eye carer in their daily practice and referral .

Among the objectives:

1. Continuous Medical Educations

2. Improve the knowledge in primary eye care among the primary care personels

3. Training of the use of slitlamp and diagnosis of cataract to facilitate the running of the cataract campaign

4. Intoduction of the registry like Diabetic eye registry, Blind registry

5. Prevention of blindness

There were 52 participants which include 8 doctors and 44 paramediks coming from all the peripheral clinics in the northern zone of Sarawak includes Lawas, Limbang, Miri, Marudi and even Bintulu. It was officially opened by Dr Jamil Omar whom was the acting hospital director during that moment. He is also the Medical Advisory Committee chairman of Hospital Miri since 2009.

We are honoured to have speaker from Sarawak General Hospital Dr Mohd Aziz Salowi, who is the Sarawak National eye Database coordinator.The course is organized with the funds contributed from the unit latihan hospital Miri and also morning tea sponsored by the Sarawak Society for the blind (SSB). SSB also sponsored the traveling and expenses of the visiting speaker. We also obtained great support from the leading intraocular lens company AMO for the Goodies and vision taking occluders. Last but not least Professor Chua CN, Head of the ophthalmology Unit UNIMAS who generously sponsored 25 copies of the book “Eye care manual for non ophthalmologist”

Regarding the schedule, we included four plenaries. Plenary one of the course includes Basic in anatomy and clinical examination, plenary two the registries and national eye database, plenary three regarding eye pathologies and finally plenary regarding referrals and eye emergencies. The course also equiped with practical sessions including vision taking, examination techniques, tonometer schiotz checking and video shows and so on. Active discussions were made during the practical session which is the most valuable moment during the course.

We included pre course assessment and post course assessment to ascertain the message and information getting across to the participants. The post assessment marks shown tremendous improvement. Nevertheless, some got little marks compare to the pre course assessment but we attribute it to the increase in the understanding and cautious sense in managing eye complaints. We gave small award to the best achiever pre and post assessment as recognition. To our astonishment, and with heartfelt honoured, each of the organizing committees too received appreciation from the participants leaded by MA David from the emergency department .

From the feedback forms, we receive good feedback and most think it was an outstanding course but there are some comments on improvements these were being looked into seriously especially the lacking of lecture notes and request for more efficient practical sessions.

Appreciations to all the staffs which worked hard to make this successful. Including the secretariates JT Selehah and JM Katijah, SMA Musa, JT Lai and not to forget all the rest of the staffs who were covering us during the course. Bravo, my team, the eye team of Miri Hospital !!

Primary eye care course 2010 part 2

the big family photo during the course

Participants in another angle

Participants of the course

Dr Aziz is the invited speaker for the day

Dr Chia was the best student for the post course assessment.

Special Olympics Healthy Athletes Program

SPECIAL OLYMPIC HEALTHY ATHLETE PROGRAM

(SECOND SPECIAL OLYMPICS STATE GAMES)
________________________

Special Olympics Second Sarawak State Games 17th -18th April 2010

Venue Sibu Tun Zaidi Stadium

Healthy Athletes program was organized and the Disciplines include:

1. Opening Eyes (Special Olympics Lion International Opening Eyes)

2. Healthy Hearing

3. Health promotion

4. Fun fitness

5. Fit Feet

6. Special Smiles

During the games, healthy athlete program would screen the healthy athletes by these discipline. Optimize their vision, hearing, general health, joint movement and coordinations, properly fitted shoe, etc. In many instances, Healthy athletes may not be able to communicate well with parents or teacher or coaches.

Many of the Healthy athletes actually were found having poor vision, never had their eye checked and with this program they would invariable do better in the games.

Want to find out more what is Special Olympics: please visit

http://www.specialolympics.org/

http://specialolympics.sabah.org.my/So%20Web/index.htm

http://www.mylongkang.com/2010/04/18/special-olympics-track-and-field-eventsbocce-and-football/

http://www.bernama.com.my/bernama/v3/news_lite.php?id=489869

For the Opening Eye Program

Clinical coordinator: Dr Chieng Lee Ling

Eye care professional volunteers: The whole team of eye department hospital Sibu

Dr Peter Chong, Dr Ting, MA Khajudin, SN Ragaya, JM Wong, Optometrist Ridzuan, Optometrist Sulastry, Optometrist Suzzana

We are also helped by 7 LIONs volunteers from Ulu Kapit, Sibu and Bintangor.

Athletes screened 140

Athletes prescribed with Free glasses: 41

(Glasses are sponsored by Essilor)

An athlete underwent interesting color vision testing

Blindness awareness campaign

Blindness

awareness

campaign

In conjunction with the JCLA curtin university student Mr Ogi et al, Miri eye department had participated in organizing the talk series among the school teenager (Form 2 secondary students in selected school in Miri) meant to increase the awareness of blindness among the youngster.

The objectives of the talk is to make aware among the youngster the reality of blindness in the society, nurture their mind to prevent blindness and also change their perceptions to persons with poor vision or blindness.

In the exercise, the students would required to be blindfolded and walk a distance of path full with obstacles leaded by another student. After the experience, they would gather around listening to a lecture by the ophthalmologist.

We kick-started begining with students from SMK permaisuri Miri on the 12 April 2010 5-6pm

Instilling eye drop for another person may look easy but it can be difficult when putting eye drop for ourselves.

_______________________________________________

Instilling eye drop or ointment yourself:

1. Wash your hands

2. Gently shake the eydrop bottle and open the cap.

3. Face up and look directly to the ceiling.

4. Use index finger of the left hand to pull the lower lid down exposing lower fornix of the eye.

5. Hold the eye drop in the right hand and rest the palm of the right hand on to the index finger of the left (this maneuver would help as a guard to prevent touching the eye.)

6. Bring the tip of the eye drop to about 1cm from eye and you should be now directly looking into the mouth of the bottle

7. Now, keep the position still, roll up the eye and squeeze the bottle until one drop reaches the eye and a cooling sensation felt in the eye.

8. Closed the eye for 1 minute

Instilling eye drop for a patient:

1. Wash your hands

2. Gently shake the eydrop bottle and open the cap.

3. Patient need to face up and look directly to the ceiling.

4. Use index finger of your left hand to pull the lower lid down to expose the lower fornix of the eye.

5. Hold the eye drop in the right hand and rest the palm of the right hand on to the index finger of the left (this maneuver would help as a guard to prevent touching the eye.)

6. Squeeze the bottle until one drop reaches the eye and a cooling sensation felt in the eye.

7. Closed the eye for 1 minute

Tips:

1. Aim at the lower fornix and not the corneal
2. If the eye drop is in, you should feel sense of coldness into the eye and the drops would have pooled the sac and the vision will be blurred for a moment but it would clears up immediately with blinking.
3. Closing the eyes for a minute helps to prevent the loss of the medicine into the nose due to pumping mechanism resulting from blinking.
4. Use the little finger of either finger to hold the cap to prevent contamination of the cap. (refers to the animations)
5. For elderly patient or patients with stiff neck, lying down would help.

Pulling the lower lid down

will expose the lower fornix

of conjunctiva sac

Aiming the drop to the sac is

easier and safer than aiming

at the cornea

Clinically instilling drop

posterior to the lashes will

do the job.

1-limbus

2-bulbar conjunctiva

3-lower fornix

4-palpebral conjunctiva

5-Meibomian gland opening

6-Grey line

Common mistake during eye drop instillation.

1. Touch the corneal before squeezing the eye

2. Touch the sac before squeezing the eye

3. Touch the lashes

4. Missed drop

5. Instill multiple drop (If instill effectively, a drop is adequate otherwise you would run out of the medication very soon.

Video showing an efficient method of instilling

eye drop in clinic set up. Note the cap is held

by little finger of another hand to prevent

contamination

Pre operative assessment pamphlet

There has been few clinches and confusion of the work flow during the preoperative assessment day among the patients. Preoperative day normally is a week before the surgery day but it normally was booked many months ago. Due to the long wait and the complicated workflow during the assessment day, they prove to be difficult for the patients.

Recognizing the problems, eye clinic QAP team have designed a pamphlet to help the patients and facilitate the work flow. Apart from that, we attached also peri-operative advice on the pamphlet as to kill two birds in one stone. This pamphlet is given to all the patients booked for surgery, together with the blood and ECG forms. We had been introduced the pamphlet in March 2010 and we shall see the result in 5-6months time.

Forms to claim for intraocular lens for civil servants

For civil servants, pensioner or first degree relatives of the civil servants. The receipt for the intraocular lens can be claimed using these forms from the respective department if he/she is still working and from the JPA if already retired. These forms and instruction can be easily downloaded from the JPA website: http://www.jpa.gov.my/borang/

Arabian feast by Dr Hisham k

Our expatriate specialist Dr Hisham had initiated a arabian night for all the eye clinic staffs to celebrate the new year of 2010. All the roasted mutton, onion soup, rice, special dish of eggplant were all cooked by himself and is very special and delicious. Staffs were also entertained by Dr Hisham with his arabian organ music. These are among the dishes served during that day and all had a very "good filling" night (10th Jan 2010)

Bario eye screening

2 Optometrists from Miri eye clinic participated in this 3 days 2 night adventure. about 400 folks screened. The screening was organized by Rotary club Kuching.

Program: Rotary brings vision and health to the people of Bario

Organizer: Rotary Club, Kuching with co-operation of KK Bario

Date: 22-23 January 2010

Sponsored by:

1. MAS Wings
2. Zeiss
3. Association of Malaysian Optometrists

Project Advisor: Mr Andre Suharto

Project Director: Mr Chai Koo Jee

Other team members:

1. 2 ophthalmologists
2. 5 optometrists
3. 1 surgeon from Miri GH
4. 2 doctors from Rotary Club
5. 7 other Rotarians

No of people screened:

1. Students: 297
2. Registered patients with KK Bario: 76
3. Walk-ins: 37
4. Total: 410

No of free spectacle given: 44 pairs