National Journal of Integrated Research in Medicine

Abstract
Background and Objective: Training of paramedical ophthalmic assistant (PMOA) for enucleation procedure will help to breach the gap of corneal deficit for eliminating corneal blindness. This study aims to assess the gains from skill based training for enucleation procedure. Methods: 33 paramedical ophthalmic assistants took enucleation training scheduled for 2 weeks at a teaching institute in South Gujarat. Training involved various teaching aids and practical sessions. Pretest and post tests were conducted through pretested questionnaire. Focus group discussion (FGD) was also done. Data were entered in MS Office Excel 2007. Results: Amongst 33 participants, 32 were above 45 years. Approximately 90% were male. Majority (73%) were posted at district /sub district hospitals. The paired pre-test and post-test average scores were 68.13 and 81.25 respectively, difference being statistically significant (P =0.002163). There was significant improvement in knowledge regarding eye donation procedure, eye bank activities and importance of blood sampling. Areas where there was further scope of improvement were donor information collection, knowledge about prerequisites and contraindications of enucleation. FGD showed participants were satisfied with training; however surgical supervision was needed for initial cases before doing enucleation independently. Interpretation and Conclusion: The current training of enucleation procedure leads to skills and capacity building of health workers. This will pave the path to curb corneal blindness. [S Patel, Natl J Integr Res Med, 2018; 9(1):98-102]

Key words: Enucleation procedure; eye donation training; ophthalmic assistant; training module

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