CHV Training - EYE BHoj

सामुदियक स्वयम सेवक को लागि
cfFvf :jf:Yo ;DaGwL tflnd
kf]v/f dxfgu/kfnLsf @@
ldlt M @)&&
Eff]h/fh uf}td
k|lzIfs
p2]Zox?M
!=ljZj / g]kfnsf] cGwf]kgsf] af/]df / g]kfnsf]
afncGwf]kgsf] af/]df hfgsf/L lbg' .
@= g]kfndf cfFvf pkrf/ ;]jfsf] af/]df hfgsf/L lbg' .
३= सामुदियक स्वयम सेवक nfO{ cf+vfdf x'g] /f]ux?sf] klxrfg ug{,
;fwf/0f cfFvf /f]usf] pkrf/ ug{ / hl6n /f]usf] /]km/ ug]
{ ;DalGw l;k tyf 1fg xfFl;n u/fpg] .
ljBfno egf{ ug‘{ clu clgjfo{ cfFvf hfFr ug{ nufp afncGwf]kg
lgjf/0fdf ;xefuL agf}+
s] tkfO{nfO{ yfxfF 5 <
• ;+;f/df k|To]s % ;]s]G8df ! hgf JolSt b[li6lalxg x'g] ub{5g .
• ;+;f/df k|To]s ! ldg]6df ! Affn aflnsf b[li6lalxg x'g] ub{5g .
• ;+;f/df em08} # s/f]8 () nfv dflg; b[li6lalxg 5g, To:t} @$ s/f]8 ^) nfv
dflg; Go"g b[li6 /x]sf] cg'dfg ul/Psf] 5 .
• b[li6 sdhf]/ ePsf () % dflg;x? ul/a ;d'bfodf a:b5g .
• b[li6lalxg dWo] *@ % dfl;x? %) jif{ eGbf dfly pd]/sf /x]sf 5g .
• b[li6lalxg agfpg] k|d'v /f]u dWo] df]ltofljGb / b[li6 bf]if k|d'v /x]sf 5g .
• cGwf]kgsf] *) Ü pkrf/ jf /f]syfd ug{ ;lsG5 .
g]kfndf cGwf]kgfsf] l:yltM
• g]kfndf k|To]s lbg !@% hgf JolSt b[li6lalxg x'g] ub{5g . h;dWo] k|ltlbg & hgf afnaflnsf x?
kb{5g .
• @ nfv !) xhf/ eGbf a9L dflg; b[li6ljlxg 5g .
• x/]s jif{ $@ xhf/ gofF b[li6ljlxgx? Yfkg] cg'dfg ul/Psf] 5 .
• b[li6lalxg x‘g]df @ hgf k‘?if a/fa/ ! Hfgf dlxnf /x]sf 5g .
• k|To]s jif{ s/La #% nfv afnaflnsfsf] cf+vf k/LIf0f cfjZos x'G5 eg] s/La % nfvn] dfq ;f] ;'ljwf
kfO/x]sf] cg'dfg u/LG5 .
• cf+vf ;]jfaf6 al~rt oL afnaflnsfx? ;Dd cf+vf ;]jfsf] kx'+r k'–ofpg xfn ljBdfg k"jf{wf/ tyf dfgj ;
+;fwg cToGt} ckof{Kt 5g\ .
• xfn s/La &) nfv afnaflnsf :s"ndf egf{ ePsf] cg'dfg ul/Psf] 5 . lzIfsx? oL ljBfyL{;Dd
:jf:Yo ;]jfsf] kx'+r k'–ofpg cToGt k|efjsf/L dfWod x'g;S5g\ .
g]kfndf afn cGwf]kgfsf] l:yltM
• g]kfndf s/La #), @$) hgf b[li6ljxLg tyf s/La ! nfv @) xhf/ Go"g b[li6
ePsf afnaflnsf /x]sf] cg'dfg ul/Psf] 5 .
• xfn s/La %,))) b[li6ljxLg afnaflnsfn] dfq lzIffsf] cj;/ kfO/x]sf 5g\ .
• k|To]s @) hgf ljBfno hfg] pd]/ gk'u]sf / k|To]s $ hgf ljBfno hfg] pd]/sf
afnaflnsf dWo] ! hgfsf] b[li6 ;d:of /x]sf] kfOG5 .
• k|To]s lbg ;/b/ & hgf afnaflnsfn] b[li6 u'dfpg k'U5g\ h; dWo] @ hgfsf]
d[To" x'G5 . csf]{ tYofÍ cg';f/ ;dodf pkrf/ gkfPsf sf/0fn] xfn g]kfndf
s/La ! nfv @% xhf/ afnaflnsfsf cf+vf ;+w}sf nflu cN5L ePsf] cg'dfg
ul/Psf] 5 .
g]kfndf afn cGwf]kgfsf] l:yltM
• k|To]s jif{ s/La #% nfv afnaflnsfsf] cf+vf k/LIf0f cfjZos x'G5 eg] s/La
% nfvn] dfq ;f] ;'ljwf kfO/x]sf] cg'dfg u/LG5 .
• cf+vf ;]jfaf6 al~rt oL afnaflnsfx? ;Dd cf+vf ;]jfsf] kx'+r k'–ofpg xfn
ljBdfg k"jf{wf/ tyf dfgj ;+;fwg cToGt} ckof{Kt 5g\ .
• xfn s/La &) nfv afnaflnsf :s"ndf e0f{ ePsf] cg'dfg ul/Psf] 5 . lzIfsx? oL
ljBfyL{;Dd :jf:Yo ;]jfsf] kx'+r k'–ofpg cToGt k|efjsf/L dfWod
x'g;S5g\ .
g]kfndf cfFvf pkrf/ ;]jf
• g]kfnsf] cfFvf pkrf/ ;]jf ;+;f/s} pTs[6 ;fy} ;:tf] pkrf/ ;]jf sf] ?kdf kl/lrt 5
.
• o;sf] ;Dk"0f >]o{ g]kfn g]q Hof]lt ;+3 / To; cGt/u{t ;+rflnt @) j6f
cfFvf c:ktfn / *) j6f k|fylds cfFvf pkrf/ s]Gb| nfO{ hfG5 .
lxdfn cfFvf c:ktfn / cGwf]kg lgjf/0fdf o;sf] e"ldsf
• :yfkgf !((#
• ;]jf lbO{/x]sf] hg;+Vof @( nfv
• hDdf sd{rf/L &!
• cWoIf k|f 8f lbn axfb‘/ If]qL
• lrkm d]l8sn 8fO{/]S6/ 8f O{Gb|dfg dxh{g
lxdfno cfFvf c:ktfn / o;sf zfvfx?
cfFvfsf] agfj6
cfFvfsf] jgfj6
cfFvfsf] u]8f xf8sf] vf]qmf] leq af];f]sf] d'nfod ub\bLdf a;]sf] Ps ;+a]bgzLn
cË xf], o;nfO{ aflx/af6 k/]nf -9sgL_ n] 5f]k]s]f x'G5 . o;n] cfFvfsf] ;'/Iff tyf
cfF;' axfpg] sfd ub{5 . cfFvfsf] u]8fx?nfO{ ^ j6f d;nx?n] 3'dfpg] sfd ub{5 .
cfFvfsf] kf/bz{s efux?n] aflx/sf a:t'x?af6 cfPsf ls/0fx?
nfO{ cfFvfsf] b[li6 k6n Retina ;Dd k'¥ofpg d4t ub{5 . cfFvfsf
k/tx? Sclera n] cfFvfsf] ;'/Iff, Choroid n] kf]ifs tTj k|bfg tyf
Retina n] aflx/L a:t'sf] lrqx? agfpg] sfd ub{5 / lo ag]sf lrqx?
Optic nerve x'Fb} lbdfudf k'u]kl5 b]Vg] sfd x'G5 .
cfFvfsf] kf/bz{s efux?
- slg{of (Cornea)
- gfgL (Pupil)
- n]G; (Lens)
- lel6\o; (Vitreous)
cfFvfsf cGo kqx?
:Sn]/f (Sclera)
sf]/f]O8 (Choroid)
/]l6gf (Retina)
cfFvfsf] 7sgL –-Eye LIDS)
Nasolacrimal Duct
School Vision Screening 18 JBC

cfFvfsf] kf/bz{s efux?n] aflx/sf a:t'x?af6 cfPsf ls/0fx?
nfO{ cfFvfsf] b[li6 k6n /]l6gf ;Dd k'¥ofpg d4t ub{5 .
cfFvfsf kqx? dWo] cfFvfsf] 9sgLn] cfFvfnfO{ rf]6k6s nfUg
tyf cfFvfleq kmf]xf]/ k:gaf6 arfpb5 ;fy} o;n] cfFvf leq
k/]sf] kmf]xf]/d}nfnfO{ s'rf]n] a9f/]/ lgsfn] h;/L kmf]xf]/
klg a9f/]/ lgsfNb5 . o;n] cfFvfsf] aflx/L gfgLnfO{ dflyNnf]
9slgn] gfgLsf] k'/f efusf] !÷^ efu;Dd 5f]k]sf] x'G5 eg]
tNnf]9slgn] 5f]Psf] dfq x'G5 . :Sn]/fn] cfFvfsf] ;'/Iff,
sf]/f]O8 n] kf]ifs tTj k|bfg ug]{ tyf /]l6gfn] aflx/L a:t'sf]
lrqx? agfpg] sfd ub{5 / lo ag]sf lrqx? cFfvfsf] bl[i6 g;f
x'Fb} lbdfudf k'u]kl5 b]Vg] sfd x'G5 .
:j:Yo cfFvfsf nIf0fx?
oL s'/f x?nfO{ Wofg lbg'cToGt h?/L 5 x}
• Eyelid 9Ssg of] v'Ng] / aGb x'g'k5{

• Conjunctiva ;]tf] efu ;]tf] efu ;]t} x'g'kb{5
• Cornea aflxl/ gfgL ;kmf / /l;nf] x'gkb{5
• Pupil leqLgfgL of] sfnf] /Ësf] / uf]nf] x'g'kb{5
Vision ( b[li6_ )
xfd|f] cfFvfn] s'g} klg j:t'sf] cfs[lt b]Vg'nfO{ b[i6L

elgG5 . xfd|f] cfFvfsf] cuf8L /x]sf] s'g} klg j:t'nfO{
xfd|f] cfFvfn] b]v]k5L To;j:t'sf] cfs[lt bl[i6 k6n
(Retina) bl[i6 g;f (Optic Nerve) x'Fb} lbdfudf k'u]kl5
b]Vg] sfd x'G5 . To;kl5 Tof] j:t'sf] ;xL cfsf/, k|
sf/ / /+u cfbL b]Vg ;Sb5f} .
b[li6 kl/If0f ug]{ tl/sfx?
!= pHofnf], alQ (Light)
@= b[li6 kl/If0f ug]{ rf6{ (Snellen’s VA Chart)
b[li6kl/If0f ug{]tl/sf
 leGbfleGb} cfFvf kfn}kfnf] /fd|f];Fu 5f]k]/ lng' kb{5 .
 lj/fdL / b[li6 kl/Iff rf6{ ljrsf] b'/L @) lkm6 jf ^ ld6/ x'g'kb{5 .
 b[li6 kl/Iff ubf{ k|z:t pHofnf] x'g'kb{5 t/ 3fddf ug{'x'b}g . 3fd nfu]sf] a]nf 5fofFdf lng
;lsG5 .
 b[li6 kl/Iff rf6{df n]lvPsf] dflyNnf] ;+Vofn] b]lvPsf] b'/L tyf tNnf] ;+Vofn] b]Vg'kg{] b'/L
hgfpF5 . h:t} M lj/fdLn] ^÷^ sf] nfOg lrGg ;Sof] eg] tNnf] ;+Vof ^ b]Vg'kg{] b'/L ld6/ ^ /
dflyNnf] ^ n] b]v]sf] b'/L hgfpF5, of] cj:yfdf lj/fdLn] ^ ld6/jf6 b]Vg'kg]{ cIf/ ^ ld6/af6}
b]V5 eGg] j'lemG5 .t/ olb lj/fdLn] ^÷#^ b]Vof] eg] o; ;+Vofn] #^ ld6/ 6f9fjf6 b]Vg'kg{]
cIf/nfO{{{{ ^ ld6/ 6f9fjf6 dfq b]V5 eGg] hgfpF5, of] ePdf lj/fdLsf] cfFvf lgs} sdhf]/ 5
eGg] a'lemG5 .
 ;j} eGbf dflysf] cIf/ klg gb]v]df lj/fdLnfO ^ ld6/jf6 cuf8L qmd;M %,$,#,@,!ld6/ b'/Ldf
;fb}{hfg'k5{ / To;}cg';f/ %÷^) , $÷^), #÷^) ,@÷^), !÷^) b[li6 Ifdtf /]s{8 ug'kb{5 . olt ubf{
klg gb]v]df cf}nf uGg nufpg'kb{5 (Finger count) . olt ubf{ klg gb]v]df xft xNNffPsf
gxNnfPsf]] (Hand Movement) kQf nufpg'kb{5 . olt ubf{ klg gb]v]df 6r{nfO6sf] jlQ k5\ofP
gk5\ofPsf]÷b]v] gb]v]sf] (Perception of light / Projection of ray ) kQf nufpg'kb{5 / ;f]lx cg';f/ b[li6
Ifdtf /]s{8 ug'kb{5 . olb of] klg gb]v]df jlQ gb]Vg] (NPL) b[li6 a'lemG5 .
 ;fdfGotof k|To]s Joltmsf] b[li6 ^÷^ x'g'kb{5 .
aRrfsf] b[li6 lasfz / p;n] b]vfpg] lqmofsnfk
 gjhft hGdg] lalts} ?G5 ,cfFvf vf]N5 / aQLdf x]b{5 .

 Ps dlxgf ;Dddf c? Dfflg;sf] cg'xf/df x]b{5 .
 ^ xKtf ;Dddf cfFvf h'wfpg],xfF:g] ub{5 .
 # dlxgf :fDddf xft / cFFfvfsf] ;dGjo u/fpFb5 .
 ^ dlxgf :fDddf Binacular Vision / Steropsis sf] lasfz x'G5 ;fy} jftfj/0fdf
ePsf a:t' 5'6fpF5 .
 ! aif{ leq 3/leq v]Ng], lx8g] cflb ub{5 .
 @ aif{ leq 6f9fs]f a:t' -dflg;, lstfa / v]n}fgf lrGg] ;fy} lrqdf Wofg
lbG5 .
 $ aif{ leqdf glhs 6f9f b'j} b]V5 / ;fDffGo dflg;sf] h:t} b[li6 x'G5 .
kfFr jif{ d'lgsf aRrfx?sf] b[li6k/LIf0f ug{] tl/sf M–
kfFr jif{ d'lgsf aRrfx?n] b[li6 kl/Iff rf6{df n]lvPsf cIf/x? k9g jf cIf/
kms]{sf] lbzf b]vfpg ;Sb}gg\ t;y{ To:tf aRrfnfO{ 6r{nfO6sf] ;xotfn]
b[li6 k/LIf0f ug{'kb{5. .
6r{nfO6n] b[li6 k/LIf0f ubf{ lgDg s'/fdf Wofg k'¥ofpg'kb{5 M–
 b'j} cfFvfsf] gfgLsf] larefudf 6r{nfO6sf] Hof]lt b]lvg'kb{5 .
 aRrfn] 6r{sf] jlQ k5ofpg'kb{5 .
 aRrfsf] gfgLdf jlQ afNbf v'DrLG5 .
 aRrfsf] b[li6 lasfz / p;n] b]vfpg] lqmofsnfk;+u jRrfsf] t'ngf
ug'{kb{5.
æ cfkm\gf] cfdfsf] d'vdf x]/]/ s'g} k|ltlqmof ghgfOpg], 6f]nfO{/xg], cfFvfsf]
u]l8x?x? xNnfO/xg], cfFvfsf] leqLgfgL ;]tf] b]lvg], cfFvf8]9f], 7'nf] jf ;fgf]
b]lvPsdf t'?Gt cfFvf c:ktfn jf cfFvf s]Gb|df k7fO{xfNg' kb{5 . Æ
Definition of Blindness
• WHO has classified visual impairment and blindness into
various grade:
6/6-618 Normal vision

<6/18-6/60 Visual impairment
<6/60-3/60 Severe visual impairment
<3/60-NPL Blind
(Best available correction in the better eye)
Saturday, October 17, 20 School Vision Screening 29 JBC

Major Causes of Childhood
Blindness
• Refractive Errors
• Cataract
• Ocular Tumor (Retinoblastoma)
• Congenital Glaucoma
• Squint
• Amblyopia
• Xeropthalmia (VAD, Measules,)
• Ophthalmia Neonatrum
• Ocular Trauma
• Retinopathy of Prematurity
• Use of Harmful Traditional Medicine
Normal eye
Refractive Error Management
spectacles Contact lens

LASIK
Congenital cataract hGdhft df]ltljGb'
Sensory deprivation
Bilateral cataract Unilateral cataract
amblyopia
Aphakic glasses Intraocular lens implantation
Patching
Retinoblastoma
b[li6kbf{sf] SofG;/
Retinoblastoma should be
ruled out in any case of
white reflex
Leukocoria
Coat’s Disease
Retinopathy of PHPV
Prematurity
Congenital glaucoma hGdhft
hnljGb'
Early stage
Late stage
congenital ptosis – cf+vfsf] dflysf] 9sgL tn
v;]sf]
Squint -8]9f] cf+vf_
Surgical
correction
Alternating
unilateral
patching
Spectacle correction
Surgical correction
Xerophthalmia /tGwf] –le6fldg P sf] sdL
Early stage
•Bitots spots Later stages
•retinopathy •Corneal xerosis
•keratomalacia
Neonatal conjunctivitis
gjhft lzz'sf] cf+vf kfSg] /f]u
Congenital nasolacrimal duct obstruction
cf+;' hfg] gnL aGb ePsf]
Congenital entropion& Epiblepharon –cf+vfsf] k/]nf
tyf /f}+ leqkl§ kms]{sf]
Albinism (kf08'/f]u_

Affnaflnsfsf] cf+vfdf x'g ;Sg] vt/fsf nIf0fx?
• cf+vfsf] ;]tf] efu ;]tf] / sfnf] efu sfnf] gb]lvg]]] .

• dflyNnf] 9sgLn] cf+vfsf] sfnf] efu w]/} 9fSg‘ .
• 6fpsf] ;f]emf] /flv l;wf x]bf{ b'a} cf+vf l;wf gb]lvg‘ .
• 6f9fsf] j:t' x]bf{ cf+vf lrD;f] kf/L x]g'{ .
• ;fdfGo k|sfz ePsf] 7fp+df ;d]t cf+vf k'/f vf]ln x]g{ g;Sg' .
• sd k|sfz ePsf] 7fp+df ;fdfGo JolQm ;/x lx+88'n ug{ g;Sg' .
c;fdfGo b[li6 s;/L 5'6\ofpg] <
• gof+ 7fp+df lx+8\g sl7g x'g' jf lx+8\bf oq tq 7f]sL+b} lx+8\g'
• j:t' 5f]P/ jf 5fd]/ klxrfg ug{ vf]Hg'
• j:t'sf] rfn tyf cfjfh ;'g]/ k|ltls|of ug'{
• lx88'n ug{ s'g} ;xf/f jf s;}sf] ;xfotfsf] vf]lh ug'{
• cf+vf lrD;f] kf/]/ x]g{ vf]Hg' / rsf]{ 3fddf x]g{ dg gk/fpg'
• k9\bf, n]Vbf lstfa sfkL w]/} glhs lng', dl;gf cIf/ k9\g sl7g x'g'
• n]vk9 ubf{ jf s]xL j:t'x? x]bf{ cf+vf af/Daf/ ldRg' jf cf+vf aGb
ug{ vf]Hg'
• rln/x]sf, u'l8/x]sf j:t'x?nfO{ x]/]/ cf+vfn] k5\ofpg g;Sg'
• cf+vfsf] u]8L nuftf/ xlNn/xg'
cfFvfsf] cfsl:ds ;]jf
o:tf] cfFvfsf] cj:yf h'g ;dodf pkrf/ gu/] b[li6 ljxLg x'G5 .
 Vft/f /lxt / vt/gfs /ftf] cfFvf
s;/L lrGg] <
s] ;a} vfnsf /ftf] cfFvf Vft/f /lxt
/ vt/gfs 5g <
cfFvfsf] cfsl:ds ;]jf
• cfFvfdf /f;flgs • cfFvfsf] gfgL kfl5g'
kbfy{ kg'{ tyf tftf] j:t' ,
kbfy{n] kf]Ng'
• cfvfF leq /ut hDg'
• ltvf] tyf jf]wf] j:t'n] • cfFvfsf] kbf{ Rofltg'
rf]6nfUg'
• cfFvfdf jfXo j:t' kg'{ ,
• hnljGb'
• cfFvfsf] gfgL sf] wfp
Vft/f /lxt cFfvf / vt/gfs cFfvf
Vft/f /lxt cfFvf vt/gfs cfFvf
cfFvf /ftf] x'G5 . cfFvf /ftf] x'G5 .
cfFvfaf6 sr]/f cfpg] x'G5 . cfFvfaf6 lkk h:tf] sr]/f cfpg ;S5 .
3fddf x]g{ ufx\/f] x'b}g 3fddf x]g{ ufx\/f] x'G5 .
cfFvf c;lhnf] x'G5 . cfFvfsf] u]8L b'Vg] x'G5 .
b[li6 Ifdtfdf sld cfpb}g . b[li6 Ifdtfdf sld cfpF5 .
cfFvfsf] kf/bz{s gfgL -slg{of_ kf/bz{s g} slg{of wldnf] jf km'nf] k/]sf]
x'G5 . x'g ;Sb5.
;fdGotof cfFvfsf] gfgL ;fgf] / k|sfzdf v'lDrg cfFvfsf] gfgL 7[\nf] / k|sfzdf
x'G5 . gv'lDrg]] x'G5 .
s] cj tkfO{n] Vft/f /lxt / vt/fhgs
/ftf] cfFvf 5'§fpFg ;Sg‘x'G5 <
cfFvfdf /fVg] cf}ifwLx?
!_ vt/fhGo k/Dk/fut cfvfdf /fVg] cf}ifwL

Mcf}iflWfdf /S;LhGo kbfy{, jf]6la?jfsf] /;,
cfdfsf] b'w, jfv|fsf] b'w, hl8j'6L, dflg;sf] lk;fj,
dl§t]n, vfg]t]n, nfnu]8L, cfbL kb{5g .
o:tf cf}ifwLdf ;+qmd0f hGo ls6f0f' x'g]x'bf
cfFvf l7s geO emg lju|g] x'G5 .
cfFvfdf k/Dk/fut cfFvfdf /fVg] cf}ifwL
/fVg'x'b}g, /fv]sf] yfxfkfPdf t'?Gt ;kmf kflgn]
cFfvf w'g'kb{5 / t'?Gt cFFfvf c:ktfn df
k7fpg'kb{5 .
cGo cfw'lgs cf}ifwLx? <<

cfFvfdf nfUg] rf]6k6sx?
cfFvfdf nfUg] rf]6k6sx?nfO{ # efudf afF8\g ;lsG5

!= ltvf] jf wfl/nf] a:t'n] sf6\g] (Perforating)
@= 3f/ gePsf] a:t'x?;Fu 7f]lSsg'
#= sl;u+/ k:g'
cfFvfdf rf]6k6s nfu]df ug'{kg]{ s'/fx?
!= olb s'g} klg rf]6 nfu]/ cfFvf sfl6Psf] 5 eg] cfFvfdf s'g}klg cf}iflw
gxfnL To;nfO{ sjh (Eye Shield ) nufP/ t'?Gt cfFvf c:ktfn k7fOxfNg'
kb{5 .
@=olb km'6an v]Nbf es'G8f]n] jf s'g} j:t';+u 6fpsf] jf cfFvf 7f]lsbf
o:tf]lsl;dsf] rf]6 nfUg ;Sb5 . o:tf] lsl;dsf] rf]6k6sdf d'Votof
cfFvfleqsf] /utsf] g;f km'6\g], cfFvf leqsf] s'g} efun] cfk\mgf] 7fFp
5f]8\g], Rofltg]jf cfFvfsf] arfj ug]{ xf8sf] efug} s'lRrg], bf]la|g] cfbL x'g
;Sb5 . o:tf]lsl;dsf] rf]6 nfu] kl5 cfFvf xf8df efl;Psf] jf 3'dfpbf ;a} lt/
3'dfpgc;dy{ ePsf] 5 eg] vt/gfs jf Hofg} hfg] l:ylt klg ePsf] x'g ;Sb5 .o:tf]
lsl;dsf] rf]6k6s af6 slxn]sflx b'O{ ltg xKtf kl5 klg b[li6 c;/ ug]{]{ x'G5
t;y{ cfFvfnfO{ wSsf k'Ug] s'g} klg rf]6k6sdf cfFvf c:ktfnuO{ Psrf]l6
cfFvf hrfpg' plrt x'G5 . ;fwf/0ftof o:tf] lsl;dsf] rf]6nfu]kl5 rf]6 nfu]sf]
cfFvfsf] b[li6 Ifdtfdf x|f;, cfFvf leq b'Vg], Pp6f lrhnfO{ b'O{j6f b]Vg]
h:tf nIf0f b]lvPdf t'?Gt cfFvf c:ktfn hfg] / o:tf nIf0fx? gb]lvP klg rf]6
nfu]sf] cfFvf ;Dej eP c:ktfndf Psrf]6L kl/If0fu/fpg' /fd|f] x'G5 .
#= cfFvfdf sl;Ë/ k;]df cfFvfdf kfgL 5\ofkL lgsfNg] sf]l;;
ug{'kb{5 / olb glgSn]df ;kmf skf;sf] 6'qmfn] lgsfNg]
sf]lz; ug'{kb{5 / klg glgSn]df c:ktfn k7fpg' kg{]5 . To:tf
sl;Ë/x?df kmnfd jf wft' ePdf cGwf] klg u/fpg ;Sg]
ePsfn] To; ;DjlGw /f]syfd klxn] g} ug{] ;Nnfx lbg'kb{5
.
cfFvfdf /f;folgs kbfy{ k/]df (Chemical Burn)
cfFvfdf s'g} klg /f;folgs kbfy{ k/]df t'?Gt sDtLdf cfwf 306f ;Dd
;kmf kfgLn] 5\ofkL /xg' kb{5, To; kZrft lj/fdLnfO{ cfFvf c:ktfn
k7fpg' kb{5 .
cfFvfdf cfuf]n] kf]n]df
cfFvfdf cfuf]n] kf]n]df cfFvf ;kmf kfgLn] w'g] /

cfFvfdf sl;+u/ eP skf;sf] 6'qmfn] lgsfNg] sf]lz;
ug{] / t'?Gt} cfFvf pkrf/ s]Gb| jf cfFvf c:ktfndf
k7fpg] .
/ftf] cfFvf
/ftf] cfFvfnfO{ vf; u/]/ # efudf afF8\g ;lsG5 .
!= ev{/} hGd]sf] jf hGd]sf] @* lbg leq /ftf] x'g' -o;f]

x'g' vt/gfs /f]us]f nIf0f xf], t'?Gt cfFvf c:ktfn k7fpg]_ .
@= /ftf] cfFvf b'Vg] / b[li6 klg sd x'Fb} uPsf]
-vt/gfs /f]usf] nIf0f xf] t'?Gt} cfFvf c:ktfn k7fpg]_ .
;g{ glbO{ slDtdf klg, lbgsf] # k6s ;kmf kfgLn] w'g] / c?nfO{
;g{ glbg ;kmf ?dfnn] lrk|f ;kmf ug{], cfFvf ;kmf ul/;s]kl5 ;fj'g
kfgLn] xft w'g], Pp6} ?dfn jf tlsof k|of]u gug{] ;fgf gfgLx?
nfO{ cfFvf kfs]df c? ;Fu v]Ng glbg] tyf :s'n gk7fpg] ug{'kb{5 .
Ciproflaxacin, Chloramphenical, oflaxacin , Moxifloxacin h:tf cf}ifwL
k|Tof]s 3G6f jf @ @ 3G6fdf /fVg nufpg‘ kb{5
Acute . Conjunctivitis
Bacterial
Steroid or steroid ldl;Psf cf}ifwL

lbg' x'b}g .
cfFvfdf nfUg] rf]6k6sx?(Ocular Trauma)
cfFvfdf nfUg] rf]6k6s eg]sf] s] xf] <
s'g} afx\o a:t'sf] 7Ss/ tyf afx\o j:t'sf]
k|j]zaf6 cfFvfsf kg]{ c;/nfO{ cfFvfdf nfUg] rf]6k6s elgG5 .
s] s] sf/0f af6 cfFvfdf rf]6k6s nfUg ;S5 <
3/fo;L tyf v]taf/Lsf] sfdx? ubf{
k]zfut -pwf]u,snsf/vfgf cflb_ sfdx? ubf{
ltvf] , af]wf] / wfl/nf xltof/x? rnfpFbf
tftf] kfgL ,tftf] t]n ,cfuf],s]fOnf cflbn] kf]Ng',
sf/0fj; cfFvfdf rf]6k6s nfu]df s] ug]{ <
olb cfFvf km'6]sf] jf RofltPsf] z+sf nfu]df cfFvfdf s'g} klg cf}ifwLsf] k|of]u gu/L t'?Gt cfFvf s]Gb| jf cfFvf c:ktfndf uO{ pkrf/ u/fpg' kb{5 . cfFvfdf ls/fkm6\ofªu|f tyf /;folgs kbfy{ kbf{ / tftf] kfgL , t]n, cfuf]
kf]Nbf slDtdf klg cfwf 306f ;kmf kfgLn] cfFvf w'g'sf] ;fy} cfFvf lehfO/fVg'kb{5 / t'?Gt cfFvf s]Gb| jf cfFvf c:ktfndf uO{ pkrf/ u/fpg' kb5{ .
cfFvfdf nfUg] rf]6k6saf6 aRg s] s] ug'{ kb{5 <
x/]s sfdx? ubf{ xf]l;of/L ckgfpg' k5{ . ;–;fgf afnaflnsfx?nfO{ wfl/nf] / ltvf v]n}fgf, xftxltof/x? v]Ng rnfpg lbg'x'b}g . ljiffbL tyf /f;flolgs kbfy{ afnaflnsfn] ge]6g] 7fpFdf /fVg'kb{5 . To; jfx]s
;d'bodf hgr]tgf km}nfpg] sfd ug'{ kb{5 .
cfFvfdf nfUg] rf]6k6ssf] pkrf/ ;dodf g} gu/fP s] x'G5 <
o;sf] pkrf/ ;dodf gu/fP cfFvfsf] ;+/rgf g} lau|g] tyf ;bfsf] nflu b[li6lalxg x'G5 . rf]6k6s nfu]sf] cfFvf /fd|/L pkrf/ gu/] To;sf] c;/ csf]{ cfFvfdf klg blvg ;S5 . Pp6f cFfvfdf rf]6 nfu]df csf]{ cFfvfdf klg rf]6 nfUg] ;+efjgf j9L x'G5 .
Lid Laceration
Subconjunctival Hemorrhage
Corneal Foreign Body
Corneal Abrasion
Curling Iron Burn
Corneal Laceration
Iris Sphincter Rupture
Hyphema
Traumatic Cataract
Vitreous Hemorrhage
Retinal Hemorrhage
Optic Disc Hemorrhage
Corneal Abrasion
Corneal Foreign Body
Mid dilated pupil, ciliary flush, shallow AC
IRITIS
Motorcycle Accident; comatose
Tilganga Eye Cntre

Trauma
Corneal Abrasion
Sub tarsal foreign body
Corneal foreign body
Iridodialysis following contusion
Lid laceration punctum involved
Lid laceration punctum involved
Lid laceration punctum not involved
Perforation of globe
Perforation of globe
Chemical Burn
S/C Hemorrhage Glaucoma
Corneal Ulcer Corneal Perforation

Thank you
cfFvfsf] gflgdf 3fp x'g' (Corneal
Ulcer)
xfd|f] cfFvfsf] aflxl/ gfgLdf 3fp x'g'nfO{ Corneal Ulcer
elgG5 . xfd|f] cfFvfdf ePsf] ;a}eGbf jflx/ k§Lsf] of] efu
cfFvfsf] cGo efux? eGbf al9dfqfdf aflx/ /xG5
To;}sf/0f ;fgf] rf]6n] klg o;nfO{ Iflt k'-ofpg ;Sb5 . o;/L
rf]6k6s nfu] kl5 o;sf] aflxl/ kq (Epithelium) 5'l§G5
-RofltG5_ hxfF ls6f0f'n] ;lhn};+u cfqmd0f u5{g\ /
cfFvfsf] gflgdf 3fp x'G5 .
BACTERIAL KERATITIS
VIRAL KERATITIS
FUNGAL KERATITIS
DYSTROPHIES
2. cf+vfdf cN;/ ePsf] cj:yf
Corneal Ulcer
-b-/-w_
4 Abnormalities of the cornea
Corneal ulcer
Corneal Ulcer
Corneal Ulcer
Foreign body Cornea(old)
Pterygium
Allergic Conjunctivitis
Conjunctivitis with Chemosis
Mature Cataract
Cataract - NS
Cataract Surgery
Cataract Surgery
cf+vf :j:y / t]lhnf] agfO /fVg] pkfox?
!= lbgx'+sf] vfgfdf le6fldg P o"Qm vfgf vfg] ug'{ kb{5 .
@= lbgsf] sDtLdf b'O{k^s ;kmf kfgLn] cf+vf w'g] ug'{ kb{5 .
#= s8f k|sfz tyf ;'o{ u|x)f slxNo} x]g{ x'+b}g
$= cf+vfsf] cf}iflw cfkm'v'zL ahf/ af6 lsg]/ tyf hl8j'l6 cf+vfdf xfNg
x'b}g .
cf+vfdf s'g} klg ;d:of kbf{ ;dod} b]vfpg] ug{' kb{5 .
^= dw'd]x ePsf / pRr /Qmrfk ePsf x?n] clgjfo{ cf+vf b]vfpg] ug'{ kb{%
&= pd]/ 40 s^]kl% cf+vfdf w]/} ;d:of cfpg] x'+bf a]nfa]nfdf cf+vf hf+r
u/fpg] ug'{ kb{% .
tkfO{x?sf] glhs}sf] cfFvf c:ktfn jf cfFvf pkrf/
s]Gb|
• lhNnf cfFvf pkrf/ s]Gb|
• cfFvf c:ktfn
• cfFvf pkrf/ s]Gb| v‘Ng] ;do M
• ;fj{hlgs labf / zlgjf/sf] lbg cfFvf pkrf/ s]Gb| aGb /xg] 5 .
wGojfb ÛÛ

CHV Training - EYE BHoj

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सामुदियक स्वयम सेवक को लागि

cfFvf :jf:Yo ;DaGwL tflnd

School Vision Screening 18 JBC

• Eyelid 9Ssg of] v'Ng] / aGb x'g'k5{

xfd|f] cfFvfn] s'g} klg j:t'sf] cfs[lt b]Vg'nfO{ b[i6L

 gjhft hGdg] lalts} ?G5 ,cfFvf vf]N5 / aQLdf x]b{5 .

6/6-618 Normal vision

(Best available correction in the better eye)

Saturday, October 17, 20 School Vision Screening 29 JBC

spectacles Contact lens

• cf+vfsf] ;]tf] efu ;]tf] / sfnf] efu sfnf] gb]lvg]]] .

cGo cfw'lgs cf}ifwLx? <<

cfFvfdf nfUg] rf]6k6sx?nfO{ # efudf afF8\g ;lsG5

cfFvfdf cfuf]n] kf]n]df cfFvf ;kmf kfgLn] w'g] /

!= ev{/} hGd]sf] jf hGd]sf] @* lbg leq /ftf] x'g' -o;f]

Steroid or steroid ldl;Psf cf}ifwL

Tilganga Eye Cntre

Corneal Ulcer Corneal Perforation

@= lbgsf] sDtLdf b'O{k^s ;kmf kfgLn] cf+vf w'g] ug'{ kb{5 .

#= s8f k|sfz tyf ;'o{ u|x)f slxNo} x]g{ x'+b}g

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