BACKGROUNDPseudoexfoliation syndrome is a systemic disorder characterised by the deposition of white dandruff-like material within the anterior segment of the eye and other organs such as the heart, lungs and kidneys. The deposition of this material in the trabecular meshwork can result in aqueous flow obstruction, raised intraocular pressure and glaucoma. In fact, pseudoexfoliation glaucoma is the most common form of secondary open-angle glaucoma. In contrast to primary open-angle glaucoma, this disease runs a more aggressive clinical course with high intraocular pressure at onset, faster rates of progression, poor response to medical therapy and increased need for surgical intervention.

BACKGROUND The aim of this study is to know the level of awareness among patients, general physicians, para-ophthalmic personnel and ophthalmologists regarding diabetic retinopathy in tribal dominated state of Jharkhand, India. MATERIALS AND METHODS Screening camps and workshops with patients, general physicians, para-ophthalmic personnel and ophthalmologists were conducted in Ramgarh district of Jharkhand. Patients were counselled about complexities of diabetic retinopathy. Diabetics were counselled about importance of yearly examination of fundus. Leaflets containing information about diabetic retinopathy were distributed in workshops. Para-ophthalmic personnel and general physicians were trained in using direct ophthalmoscope to screen cases and prompt referral to higher centres. Ophthalmologists were updated in proper diagnosis and management of diabetic retinopathy. The patients, general physicians, para-ophthalmic personnel and ophthalmologists were also asked to respond to 3-point questionnaires. RESULTS A total of 110 diabetics, 4 general physicians, 12 para-ophthalmic personnel and 5 ophthalmologists participated in the 1 st camp whereas there were 123 diabetics, 2 general physicians, 12 para-ophthalmic personnel and 3 ophthalmologists in the 2 nd camp. The patients in the 2 nd camp performed much better as compared to the 1 st camp. The performance of para-ophthalmic personnel was slightly better in the 2 nd camp in comparison to the 1 st camp. The response of the general physicians and ophthalmologists were almost similar in both the camps. CONCLUSION At the end of 1 year, a perceptible change in knowledge, attitude and awareness was felt among patients, general physicians, paraophthalmic personnel and ophthalmologists.