Special Olympics Healthy Athletes Program

SPECIAL OLYMPIC HEALTHY ATHLETE PROGRAM

(SECOND SPECIAL OLYMPICS STATE GAMES)
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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.

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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

COMPUTER donations for the Pediatric clinic

On the 7th of January, LIONS club Miri Host is donating 4 computers to the Miri Hospital, 3 in the pediatric ward and day care and one to the eye department.

Picture showing President Miss Bong Shi Yee and the lions in picture one with the 4 patient from kg puyot and second picture with the representative from hospital Dr Teh Shiao Hian and Dr Chieng.

Cataract campaign for the Kampong puyot longhouse folks:

Out of the 271 screened in Kampong Puyot longhouse back in November 2009, 13 required surgery, 3 patients had been treated in Miri GH but 9 was unable to make it to Miri Hospital.

Following this, Lions club miri host had agreed to go even further for these folks and they actually agreed to sponsor the 9 patients' transport fare and even daily allowance for the spending for them to come for treatment in Miri Hospital. Eye department had thus organized a mini cataract camp to help those patients.

However, only 4 patients agreed to come for the treatment. The patients arrived in Miri GH eye department on the 7th of January about 12pm in the afternoon. Biometry and assessment was done on the same day and Intraocular lens was order (sponsored by the Sarawak society for the blind) using sensar foldable intraocular lens. Surgery was performed on the 9th of January 2010.

The surgery was performed by Dr Sim Pek Eng (volunteer from Sabah Medical center and Dr Chieng Lee Ling, assisted by a very supportive and dedicated staffs of Miri eye clinic ie:

1. Haji Musa Zaini

2. SN Lai Oi Khuan

3. JM Khalidah Subeli

4. JM Khatijah

5. Optometrist Nur Hafizah

6. Optometrist Noor Aida

7. Dr Adeline Kueh Mei Ling

Apart from the 4 patients, another 8 patients from local who required urgent treatment were also added to the list. Thus 12 cataract surgeries was completed from 1.30am till 11.30pm, and most of the cases were hard rock cataracts with very poor vision.

A. First picture showing Dr Sim and Dr Adeline working diligently on the post operative notes.

B. Second picture showing happy patient Mdm Jelawai who had finally gain back her vision

after seeing hand movement for many years.

C. Third picture was taken at 1145pm after completing the last case of Mdm Jelawai in

operation theatre in Miri Hospital. These tired but happy faces after more than 10 hours of agony.

PENGENALAN
Unit oftalmologi mula-mula sekali ditubuhkan pada Ogos tahun 1991 bertempat di Poliklinik Jalan Merbau dengan penempatan seorang pakar mata (kontrak). Beliau dibantu oleh seorang pembantu Perubatan, seorang penolong jururawat dan seorang atenden kesihatan sahaja. Pada 5.5.1995, selepas beroperasinya bangunan Hospital baru, ia secara resminya diserap dan dipindah ke dalam Klinik Pakar 5 Hospital Miri.Penubuhan unit oftalmologi adalah mustahak kerana kepesatan pengembangan pengetahuan dalam bidang oftalmologi dan kepesatan teknik teknik terperinci dalam perawatan penyakit mata. Banyak masalah mata tidak lagi dapat diuruskan oleh bahagian pesakit luar, bahagian perubatan umum mahupun bahagian pembedahan umum.Selepas hampir 10 tahun, unit oftalmologi telah berkembang menjadi sebuah jabatan dengan seorang pakar mata tempatan, seorang pakar kontrak, dibantu oleh seorang pegawai perubatan, tiga orang pegawai optometri dan 6 orang paramedic. Unit oftalmologi kini menjadi pusat rujukan kepada zone utara Sarawak; yakni rujukan daripada hospital Limbang, hospital Lawas dan hospital Marudi.


Misi
Melaksanakan perkhidmatan yang berkesan dan cekap untuk menyumbang kepada pencapaina masyarakat yang sihat dan gemilang.


Objektif
1. Mewujudkan perkhidmatan perawatan mata berkualiti dan berkesan di zone Miri
2. Mengurangkan kes-kes kebutaan akibat penyakit yang boleh dicegah (preventable blindness)
3. Menambahbaikkan lagi penglihatan pesakit mata yang bermasalah.
4. Meningkatkan kesedaran kesihatan mata di zone Miri.
5. Memberi sumbangan latih semula untuk Primary eye care personal termasuk para pegawai perubatan, penolong perubatan dan jururawat dalam bidang oftalmologi.


Klinik Mata merupakan pusat rujukan sekunder untuk kes-kes masalah mata. Pada dasarnya, klinik mata menjalankan klinik pada waktu pejabat berdasarkan sistem temujanji. Namun, pegawai perubatan mata juga bertugas atas panggilan pada luar waktu pejabat untuk merawat kes-kes kecemasan. Untuk menjalankan perkhidmatan dengan berkesan, pesakit-pesakit perlulah dirujuk oleh seorang Primary eye care taker seperti doktor atau pegawai perubatan sama ada daripada:
1. Jabatan Kecemasan
2. Wad wad hospital
3. Poliklinik
4. Doktor- doktor swasta
5. Hospital lain.

Perkhidmatan utama yang diberikan
Antara perkhidmatan utama yang diberikan termasuk:
1. Memberi Rawatan kepada pesakit-pesakit mata baru yang dirujuk
2. Mengadakan lawatan klinik pakar ke hospital Limbang (dua bulan sekali) dan Hospital Marudi
(3 bulan sekali)
3. Membuat rawatan ulangan untuk penyakit mata kronik seperti glaucoma atau Diabetik
Retinopati.
4. Membuat pembedahan-pembedahan mata seperti
a. Pembedahan Katarak (phacoemulsification and extracapsular surgery)
b. Pembedahan Selaput luaran mata, Pterygium.
c. Pembedahan juling mata biasa
d. Pembedahan penyakit glaucoma
e. Pembedahan kelopak mata
5. Membuat Rawatan LASER mata untuk penyakit mata seperti
a. Penyakit proliferatif diabetik retinopati dan makulopati
b. Retina break (pencegahan masalah kelucutan retina)
c. Posterior capsular opacity
d. Periphery iridotomy – untuk penyakit glaukoma
6. Refraksi mata untuk pemastian kuasa cermin mata dan kanta sentuh


Jadual klinik dan waktu beroperasi:
Isnin hingga Jumaat (waktu pejabat)
Masa dan tarikh Temujanji menjumpa doktor dibahagikan kepada tiga sesi iaitu
Sesi pertama: 8pg hingga 10pg
Sesi kedua: 10.30pg hingga 12tgh
Sesi ketiga: 2ptg hingga 4 petang
Kita menerima sebanyak 15-20 pesakit untuk setiap sesi untuk mengurangkan kesesakan. Pesakit-pesakit dinasihatkan mematuhi masa yang tertera pada kad temujanji untuk mengelakkan masa menunggu yang terlalu lama.

**Perhatian: Sila maklum, sebagai langkah bertimbang rasa, para pesakit difahamkan bahawa,
keutamaan akan diberikan kepada pesakit berikut:
1. Tenat, berkerusi roda, atau kes kecemasan
2. Baru lepas pembedahan,
3. warga emas lebih daripada 80 tahun dan
4. kanak-kanak kurang daripada 7 tahun.