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CONTENTS
Stimulus
Clinical
-
Histopathology
Hypertensive Retinopathy
Intraocular Lens Induced Uveitis
C Reactive Protein
Toxic Anterior Segment Syndrome
Non-clinical
- Common Equipment used in Intensive Care Unit
It Happened to Me
- Customised Prosthetic Eye for a Sri Lankan Tamil girl
hit by bullet in the war
Hot Updates
- Lenstar
Quiz
- Quiz
Moral Stories
- Parents are so important for us ...
Inspiration
- Proactive approach to life
Situational Analysis
- Aravind’s intervention prevents another son’s vision
loss in a glaucoma family
Editorial
Many of us often come across the term histopathology
in our day to day clinical settings. A basic knowledge
of histopathology and the commonly used terms in
the report help the mid level ophthalmic personnel
interpret the results to the patients in a simple
manner. Here one chapter is dedicated to detailing
its uses and the various techniques involved therein.
Many types of retinopathy are progressive which may
lead to blindness. The possible etiological causes, risk
factors and treatment for Hypertensive Retinopathy
discussed at length provides the readers a firsthand
knowledge of the disease.
Though not a very popular term among the common
people, C – Reactive Protein plays a vital role in
influencing inflammation and defense mechanisms
in the body. A section on CRP attempts to
familiarize the readers with this concept. Often Toxic
anterior segment syndrome (TASS) is confused with
infectious endophthalmitis. An article here presents
the clinical features of TASS and how it can be
differentiated from infectious endophthalmitis. In
this issue, the readers also get introduced to some of
the common equipment used in intensive care units
and an optical biometer named Lenstar.
Apart from the regular columns, a new section
named “Inspiration” dedicated to some practical
thoughts on our life is also included and hope this
will be of interest to the readers.
We wish you all a happy reading and hope this issue
of “Compassion” provides you with informative and
interesting articles.
EDITORIAL TEAM
Dr. Usha Kim
Ms. Anuja
Printed at Leo Prints, Madurai
Compassion October - December, 2011
1
Individual Development
We are responsible for what we are, and whatever we wish
ourselves to be, we have the power to make ourselves.
If what we are now has been the result of our own past
actions, it certainly follows that whatever we wish to be
in future can be produced by our present actions; so we
have to know how to act.We are what our thoughts have
made us; so take care about what you think. Words are
secondary. Thoughts live; they travel far.
Never think there is anything impossible for the soul. It
is the greatest heresy to think so. If there is sin, this is the
only sin, to say that you are weak, or others are weak.
- Swami Vivekananda
Heresy - stupidity
Compassion OCTOBER - DECEMBER, 2011
2
Clinical
Histopathology
Introduction
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Fixation
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Tissue processing
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Bactericidal - capable of killing bacteria; Perforation - small hole in a thin material; Impregnation - to fill throughout
A R A V I N D
E Y E
C A R E
S Y S T E M
3
Sectioning
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Staining and mounting
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- Sr. Pappathi
Lab Technician, Pathology Lab
Aravind - Madurai
Compassion OCTOBER - DECEMBER, 2011
4
Clinical
Hypertensive Retinopathy
Introduction
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Risk factors
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Keith Wegner Barker classification
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Phagocytosis - process by which certain living cells called phagocytes absorb other cells or particles; Exudate - fluid escaped
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A R A V I N D
E Y E
C A R E
S Y S T E M
5
Dry retina
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Associated conditions
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Diagnostic techniques
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- Sr. Ramalakshmi
Retina Counsellor
Aravind - Tirunelveli
Compassion OCTOBER - DECEMBER, 2011
6
Intraocular Lens Induced Uveitis
Clinical
Definition
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Persistent - continual; Hypopyon - pus in anterior chamber of eye
A R A V I N D
E Y E
C A R E
S Y S T E M
Ocular Features
Symptoms
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Investigation
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- Sr. V.P. Muthulakshmi
Ward, Aravind - Coimbatore
Compassion OCTOBER - DECEMBER, 2011
8
Clinical
C Reactive Protein
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How is CRP measured ?
Dose CRP have any role to play in other
organic diseases ?
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What are normal levels of CRP ?
What about CRP levels in smokers ?
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What is the impact of injury on CRP ?
Can alcohol cause elevated CRP levels ?
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What is the value of CRP in the case of heart
disease ?
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A R A V I N D
E Y E
C A R E
S Y S T E M
What is the connection between CRP and
obesity ?
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Are CRP values constant ?
9
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How can we control CRP levels ?
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- Sr. R.Shanthi
Eye bank, Aravind-Coimbatore.
Compassion OCTOBER - DECEMBER, 2011
10
Toxic Anterior Segment Syndrome
Clinical
Introduction
Clinical features
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7\b`OdWb`SOZO\Rb]^WQOZ/\bWPW]bWQ
A R A V I N D
E Y E
C A R E
S Y S T E M
11
Possible etiological causes
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- Sr.Krishnammal
Operation Theatre, Aravind - Tirunelveli
Compassion OCTOBER - DECEMBER, 2011
12
Common Equipment used in Intensive
Care Unit
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The most common equipment used in an ICU
are
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A R A V I N D
E Y E
C A R E
S Y S T E M
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Advantages
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Disadvantages
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dS\bWZObW]\
-Sr. A.Y. Bagyalakshmi
Ward, Aravind - Madurai
Inflammable - easily set on fire; Non-invasive - not penetrating the body
Compassion OCTOBER - DECEMBER, 2011
14
It happened to me
Customised Prosthetic Eye for a
Sri Lankan Tamil girl hit by bullet in the war
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Source: S. Deva Rani
Aravind- Madurai
Script: K.V.S. Lakshmanan
Fabricate - construct
A R A V I N D
E Y E
C A R E
S Y S T E M
15
Hot Updates
Lenstar
Lenstar 900
Lenstar LS 900 is an optical biometer
that is capable of making highly accurate
measurement along the visual axis and over
the curvature of the cornea. In addition
other parameters can also be calculated
which provides accurate estimation of
patients IOL power.
Special features
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Principle or technology
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- Sr. Manjula
Refraction, Aravind - Madurai
Compassion OCTOBER - DECEMBER, 2011
16
Quiz
Quiz
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A R A V I N D
E Y E
C A R E
S Y S T E M
17
Parents are so important for us.....
Moral Stories
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Grab - take hold of; Chop - cut; Trunk - main stem of a tree
Courtesy - Ms. Rhoda
Training Co-ordinator, Aravind - Madurai
Compassion OCTOBER - DECEMBER, 2011
18
Proactive approach to life
Inspiration
From this issue of onwards, we introduce a new column, “Inspiration” dedicated to some
thoughts or articles which may prove beneficial in leading a successful life. Hope this will be of
interest to the readers and provide with some basic ideas which if practised, help fare well in life.
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Continued ...
Courtesy: Seven Habits of Highly Effective People by Stephen Covey
Reconcile - come to terms; Purview - scope or range
A R A V I N D
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19
Aravind’s intervention prevents another
son’s vision loss in a glaucoma family
Situational Analysis
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Source : Alagammal
Aravind – Madurai
Script : K.V.S.Lakshmanan
Compassion OCTOBER - DECEMBER, 2011
20
Answers to Quiz on Page 19
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OT, Aravind - Theni
A R A V I N D
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Compassion OCTOBER - DECEMBER, 2011
22
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A R A V I N D
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