Dear Henry

Thank you very much for the information
Dr Kagmeni
-------- Original-Nachricht --------
> Datum: Sat, 17 Dec 2011 08:32:02 +0000 (GMT)
> Von: Amadou alpha bio Issifou <bioamadou@...>
> An: "AfricaVision@yahoogroups.com" <AfricaVision@yahoogroups.com>
> Betreff: Re : [AfricaVision] FW: [ophthal.com group message] Ophthalmologists
Required

> Dear Henry
>
> Thank you very much for this useful information
> Dr Amadou
>
>
>
> ________________________________
>  De : Dr Henry Nkumbe <henry@...>
> À : AfricaVision@yahoogroups.com
> Envoyé le : Vendredi 16 Décembre 2011 16h56
> Objet : [AfricaVision] FW: [ophthal.com group message] Ophthalmologists
> Required
>
>
>
> Dear Friends,
>
> Came across this from another forum.
>
> Best wishes,
>
> Henry
>
>
> --- On Fri, 12/2/11, Arun Kumar G.L. <docarunkumar@...> wrote:
>
> From: Arun Kumar G.L. <docarunkumar@...>
> Subject: [ophthal.com group message] Ophthalmologists Required
> To: "EYE SURGEONS YAHOO GROUPS" <eyesurgeons@yahoogroups.com>
> Date: Friday, December 2, 2011, 3:06 PM
>
>
> Dear Collegues,
>
> SunAppasamy Eye Care Center PLC, a full fledged eye hospital in Addis
> Ababa, ETHIOPIA, requires Full Time Anterior Segment Surgeon, VR Surgeon and
> other Specialists in Ophthalmology on a longterm basis for this new project.
>
> Salary will be a minimum of 3500 USD a month and is negotiable. All other
> allowances like Accomodation, Annual To and Fro Air Ticket etc will be
> provided. Those interested can get in touch with their CV to Dr. G.L.Arun
Kumar
> at docarunkumar@... and any clarifications will be answered.
>
>
> With Best Regards,
>
> Dr.G.L.Arun Kumar MS(Ophthalmology), FRCS(GLASG), DNB, MNAMS
> Executive Director – Africa Operations
> Appasamy Eye Hospitals
> email: docarunkumar@...
>

--
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#1. Not all patients with optic atrophy have glaucoma. Patients with unilateral
optic atrophy [ poor vision ], normal IOP's, and a healthy [ normal ] other
optic disc should not be started on glaucoma drops. Many patients who do not
have glaucoma are unfortunately on glaucoma medicines. A large cup/ disc ratio
does not always mean glaucoma.
#2. Patients with no light perception vision may not need to use any drops in
that eye. This will save the drops and reduce the cost of treatment of the other
[ good ] eye. If the patient wants to use drops in the NLP eye, then consider
timolol once daily in the morning only to that eye.
#3. Patients with severe advanced bilateral glaucoma [ end stage ] who have no
possibility [ access, availability, affordability ] of obtaining more glaucoma
medicines should not be given any drops.This is sometimes difficult for the
ophthalmologist but the patient may blame you and your drops when they go
totally blind.
#4. Patients should be instructed how to apply drops by the eye tech, nurse, or
doctor. Show the patient and family member how to apply the drops --- raise the
chin, pull the lower lid down, and look at the tip of the bottle. One drop is
all you need --- waste not, want not.
#5. Close the eyes gently for two minutes after applying the drop. Wait ten
minutes between each bottle. Suspension eye drops should be shaken vigorously
before using.
#6. Patients should be told repeatedly that no drops or operation will restore
their vision. As we all know, glaucoma causes irreversible  loss of vision and
the patient needs to be told that. Convincing a glaucoma patient he must use the
drops continuously for the rest of his / her life to retain any vision is a hard
sell.
#7. Pilocarpine 4% can be used twice daily. Start patients on pilocarpine 2% and
switch them to 4% after the first bottle to avoid some of the side affects with
pilocarpine. Pilocarpine 4%  and timolol bid is a good combination that is
cheaper than most options.
#8. Prostaglandin analogs require six weeks to have maximum effect. After
starting a patient on latanoprost, etc., have the patient come back after six
weeks for IOP check.
#9. Timolol [ beta - adrenergic receptor blocking agent ] can lose its
effectiveness with time [ tachyphaxis ]. Timolol works better in the morning
rather than the afternoon or evening.
#10. If you start patients on drops, you should tell the patient he has glaucoma
or at least glaucoma suspect.You should have a discussion with the patient about
glaucoma.
#11. Walk with your drops. Have the patient bring all drops every eye visit ---
often helpful with adherence, directions, etc. Ask the patient how he is
applying each bottle and let him tell you how he is using each bottle. Don't
tell the patient, let him tell you.
#12. The history is an important part of diagnosing and treating patients with
glaucoma, esp. patients with glaucoma suspect or ocular hypertension. Useful
questions are: does anyone in your family have glaucoma, does anyone use drops
every day, did anyone in your family go blind, have your siblings been checked
for glaucoma?
#13. Every eye doctor should be comfortable doing gonioscopic examinations.
There is a lot of variation in the normal filtration angle and you need to do a
lot of gonioscopic exams to appreciate always where is the trabecular meshwork.
If you are treating glaucoma then you need to be doing gonioscopy. It is  as
direct as that. Basic examination techniques for gonioscopy are available at <
www. gonioscopy. org>. Check it out.
#14. If possible, earlier treatment with laser trabeculoplasty, transscleral
cyclophotocoagulation, or incisional filtering surgery is often the best course
for proven glaucoma patients in subSahara Africa.
#15. Congenital glaucoma is a surgical disease and needs surgical intervention
as soon as possible.
#16. Primary angle  closure glaucoma [ asymptomatic ] is more common in Africa
than previously thought.
#17. Avoid over treating [ dosing ] the patient. As a general rule, the more
drops the patient is using, the poorer the adherent.
#18. Oral acetazolamide [ Diamox ] stat is often quite useful with extremely
high IOP's, whatever the cause.

 

#1. Not all patients with optic atrophy have glaucoma. Patients with unilateral optic atrophy [ poor vision ], normal IOP's, and a healthy [ normal ] other optic disc should not be started on glaucoma drops. Many patients who do not have glaucoma are unfortunately on glaucoma medicines. A large cup/ disc ratio does not always mean glaucoma.
#2. Patients with no light perception vision may not need to use any drops in that eye. This will save the drops and reduce the cost of treatment of the other [ good ] eye. If the patient wants to use drops in the NLP eye, then consider timolol once daily in the morning only to that eye.
#3. Patients with severe advanced bilateral glaucoma [ end stage ] who have no possibility [ access, availability, affordability ] of obtaining more glaucoma medicines should not be given any drops.This is sometimes difficult for the ophthalmologist but the patient may blame you and your drops when they go totally blind.
#4. Patients should be instructed how to apply drops by the eye tech, nurse, or doctor. Show the patient and family member how to apply the drops --- raise the chin, pull the lower lid down, and look at the tip of the bottle. One drop is all you need --- waste not, want not.
#5. Close the eyes gently for two minutes after applying the drop. Wait ten minutes between each bottle. Suspension eye drops should be shaken vigorously before using.
#6. Patients should be told repeatedly that no drops or operation will restore their vision. As we all know, glaucoma causes irreversible loss of vision and the patient needs to be told that. Convincing a glaucoma patient he must use the drops continuously for the rest of his / her life to retain any vision is a hard sell.
#7. Pilocarpine 4% can be used twice daily. Start patients on pilocarpine 2% and switch them to 4% after the first bottle to avoid some of the side affects with pilocarpine. Pilocarpine 4% and timolol bid is a good combination that is cheaper than most options.
#8. Prostaglandin analogs require six weeks to have maximum effect. After starting a patient on latanoprost, etc., have the patient come back after six weeks for IOP check.
#9. Timolol [ beta - adrenergic receptor blocking agent ] can lose its effectiveness with time [ tachyphaxis ]. Timolol works better in the morning rather than the afternoon or evening.
#10. If you start patients on drops, you should tell the patient he has glaucoma or at least glaucoma suspect.You should have a discussion with the patient about glaucoma.
#11. Walk with your drops. Have the patient bring all drops every eye visit --- often helpful with adherence, directions, etc. Ask the patient how he is applying each bottle and let him tell you how he is using each bottle. Don't tell the patient, let him tell you.
#12. The history is an important part of diagnosing and treating patients with glaucoma, esp. patients with glaucoma suspect or ocular hypertension. Useful questions are: does anyone in your family have glaucoma, does anyone use drops every day, did anyone in your family go blind, have your siblings been checked for glaucoma?
#13. Every eye doctor should be comfortable doing gonioscopic examinations. There is a lot of variation in the normal filtration angle and you need to do a lot of gonioscopic exams to appreciate always where is the trabecular meshwork. If you are treating glaucoma then you need to be doing gonioscopy. It is as direct as that. Basic examination techniques for gonioscopy are available at < www. gonioscopy. org>. Check it out.
#14. If possible, earlier treatment with laser trabeculoplasty, transscleral cyclophotocoagulation, or incisional filtering surgery is often the best course for proven glaucoma patients in subSahara Africa.
#15. Congenital glaucoma is a surgical disease and needs surgical intervention as soon as possible.
#16. Primary angle closure glaucoma [ asymptomatic ] is more common in Africa than previously thought.
#17. Avoid over treating [ dosing ] the patient. As a general rule, the more drops the patient is using, the poorer the adherent.
#18. Oral acetazolamide [ Diamox ] stat is often quite useful with extremely high IOP's, whatever the cause.

 

Dear Colleagues,

FYI.

Henry

----- Forwarded Message -----
From: Francis Uba <afranu@...>

Sent: Tuesday, March 6, 2012 5:08 AM
Subject: Manuscript and Grant Proposal Writing Workshop Countdown

 

Dear Colleagues

 

Manuscript/Grant Proposal Writing & CPD Workshop

 

Please find attached the comprehensive program for the forthcoming workshop on manuscript/grant proposal writing in Abuja between 12 & 14 April, 2012.

 

We have about 6 weeks to the Manuscript/Grant Proposal Writing Workshop being scheduled to hold as follows:

 

Target Audience:

 

ü    Academics & researchers;

ü    Lecturers in all fields/specialties in tertiary institutions: Universities,

ü    Operators of non-governmental organizations (NGOs)

ü    Government agencies: Ministries, parastatals, etc.

ü    Medical Doctors & Dentists;

ü    Policy makers, etc.

 

Learn how to:

·                     publish your research work in Peer Reviewed International Scholarly Journals

·                     write grant proposal for projects and attract project funding, etc

·                     write original articles, case reports, review articles, letters to editors, etc,

·                     get promoted  

 

SCHEDULING

·                      Date:           Thursday 12th – Saturday 14th April, 2012

·                    Theme:        Learning the Basics of Scientific Writing

·                     Venue:       PARKVIEW HOTELS, Plot 2390, Takoradi Street,

                         Opposite  Amusement Park, Wuse Zone, Abuja, Nigeria

 

ENTRY:         N55, 000 [BREAKFAST & LAUNCH INCLUSIVE]

 

PLEASE FIND ATTACHED THE DETAILED POSTER FOR YOUR PERUSAL

 

Accommodation could be arranged on request within the hotel

 

Note: This Workshop is also a CPD with Significant Credit Unit

For further inquiries, contact: Organizers; ajpseditor@...; 08037154469