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[Internet]. The British Journal of Ophthalmology. 1997 ;81(11):965-971.Available
                      from: http://www.ncbi.nlm.nih.gov/pubmed/9505820

               4.     Whitcher JP, Srinivasan M. Corneal ulceration in the developing world--a silent
                      epidemic [Internet]. The British Journal of Ophthalmology. 1997 ;81(8):622-
                      623.Available from: http://www.ncbi.nlm.nih.gov/pubmed/9349145


                RESOURCES REQUIRED

          Situation          HUMAN RESOURCES           INVESTIGATION      DRUGS AND            EQUIPMENT
                                                                          CONSUMABLES
          1) Secondary       1)Ophthalmologist     - 1   1)  Smear test   1) Antibiotics eye   1)Slit lamp -
          level              2)OP Nurse                 – 1   2) Gram stain   drops            biomicroscope         -1
                             3)Refraction  nurse  -       microscopy      2) Antifungal eye    2)Light microscope -1
                             1(shared )                3) KOH smear          drops
                                                       4) Blood sugar     3) Systemic
                                                       5) Lacrimal           antibiotics and
                                                          syringing          anti fungal
                                                                          4)  Vitamin  A
                                                                          5) Cyclopiegics

          2) Tertiary level   1)Cornea specialist - 1   1) Smear test     1) Antibiotics eye   1)Slit lamp -
                             2)Refraction  nurse  -    2) Culture            drops/ointment    biomicroscope         -1
                             1(shared )                   medium          2) Antifungal eye    2)Light microscopy -1
                             3)OP Nurse              - 1   3) Antibiotic     drops/Ointment    3)Confocal
                             4)lab technician     – 1     sensitivity     3) Systemic          microscope              -1
                             5)Scrub  nurse        – 1   4) Corneal biopsy   antibiotics and   4)Specular
                             6)OT nurse              – 1   5) AC tap         anti fungal       microscope              -1
                             7)Ward nurse          - 1   6) PCR           4)  Vitamin  A       5) OT microsurgical
                                                       7) Blood sugar     5) Topical and       instruments including
                                                       8) Lacrimal           systemic          trephines.
                                                          syringing          steroids          6)Well equipped
                                                                          6) Suture materials   microbiological
                                                                          7) Needles and       laboratory for smear,
                                                                             syringes          culture and  PCR)
                                                                                               7)Eye Bank
                                                                                               equipment























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