Essential Ophthalmic Tamil - Dr Pranesh

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ESSENTIAL PHTHALMIC TAMIL

Dr Pranesh


ESSENTIAL OPHTHALMIC TAMIL DR PRANESH MS OPHTHAL MEDICAL OFFICER ARAVIND EYE HOSPITAL COIMBATORE


PREFACE This book is intended for ophthalmology residents, ophthalmologists and paramedical professionals working/ training in Tamil Nadu as a non-native speaker. This handy manual is a text companion to the Essential Ophthalmic Tamil (EOT) Video series: Part 1 and 2. Please watch the videos completely and then read this manual. More phrases are added in this book to make it a complete reference guide. Once you have watched the videos and glanced through the text, listen to the audio tapes during your transit or before sleep. The video-text-audio learning will reinforce the words and phrases. This course is my little gift to the perennial learners in ophthalmology. Welcome to Tamil Nadu. வா#க த&#! (Long live the language Thamizh). - Pranesh


Scan QR code to access the videos


CONTENTS PART 1: BASICS Anatomy of the eye How to address? Common phrases PART 2: HISTORY TAKING Chief complaints Past History Ocular/ medication history Personal history Family history PART 3: EXAMINATION Slit lamp examination Investigations


PART 4: DISEASES OF THE EYE and RELEVANT ADVICE Orbit Cornea Lens (includes pre op counselling + post op counselling) Glaucoma Neuro-ophthalmology Retina and Uvea Pediatric Ophthalmology General Advice PART 5: OPERATING THEATRE Block Room On Table


PART 1 : BASICS ANATOMY OF THE EYE EYEBALL Eye

Kann = Kannu = Vizhi / Vili (‘ZH’= L with more emphasis ie. your tongue should touch hard palate while pronouncing L)

Eyes

Kangal

Cornea

Karuvizhi

Lens

Lens

Conjunctiva/ Sclera

Kannoda vellai or Venpadalam (white part of eye)

Uveal Tract

Karumpadalam

Pupil

Kann mani

Retina

Vizhithirai

Optic Nerve

Kann narambu

ADNEXA


Upper lid

Mel Imai

Lower lid

Keel Imai

Eyelashes

Imai/ Mudi (Hair)

Lacrimal sac

Neer pai

Lacrimal drainage

Neer paadhai

Lacrimal gland

Neer surappi

Orbit

Kann Kuzhi

Extra-ocular muscles

Kann Thasai


GENERAL ANATOMY - useful for systemic history

Brain

Moolai

Nose

Mooku

Ear

Kaadhu

Mouth

Vaai

Tongue

Naaku

Teeth

Pallu

Throat

Thondai

Neck

Kazhuthu / Kaluthu


Back side of neck

Podani

Shoulder

Thoal pattai

Breast

Marbu

Hand

Kai, kaigal (plural)

Leg

Kaal, kaalgal (plural)

Body

Udambu

Heart

Nenju

Lungs

Nurai eeral

Liver

Eeral

Stomach

Vayiru

Genital

Aan uruppu (male genitals) Penn uruppu (female genitals)

Urine

Onnunku

Feces

Velikku/ rendukku

HOW TO ADDRESS? Old man/ Grandfather

Thaatha

Old female/ Grandmother

Paati

Middle aged man

Ayya/ Appa = father


Middle aged woman

Amma = mother

Young male

Thambi = brother

Young female

Amma

Kid

Paiyan - male; Ponnu - female

Baby

Paapa/ Kulanthai

COMMON PHRASES: Come here

Inga vaanga

Come inside

Ulla vanga

Sir, please come inside

Ayya ulla vaanga

Please sit

Ukkarunga

Wait outside

Veliyae wait pannunga

Sit outside

Veliyae ukkarunga

Is it ok?

Seringala?

Have you understood?

Purinjidha?

Have you understood, sir?

Purinjidhungala ayya (with respect)

Can you hear me?

Pesuradhu ketkudha?

Hard of hearing

Kaadhu ketkadhu


NOTES


PART 2: HISTORY TAKING CHIEF COMPLAINTS: What is the problem with your eye?

Kannula enna prechanai? (Prechanai = thondharavu = problem)

1. Defective vision (DV)

Kammi paarvai / Mangalaana paarvai

Which eye?

Endha kannu?

- Right eye

Valadhu kann = Sothu kann

- Left eye

Edathu kann

Sudden onset DV

Thideernu paarvai kammi

Gradual onset DV

Konjam konjama paarvai kammi

Night defective vision

Night la paarvai kammi

a. Duration: How many days?

Evlo naal?

1

Onnu

2

Rendu


3

Moonu

4

Naalu

5

Anju

6

Aaru

7

Yelu

8

Ettu

9

Onbathu

10

Paththu

Days

Naal (4=Naalu)

Week

Vaaram

Month

Maasam

Year

Varusham

eg. 3 weeks

Moonu Vaaram

Long time

Romba Naala/ Romba varusham’a

Don’t remember

Nyabagam illa

b. Glasses usage: Are you using glasses?

Kannaadi podreengala?

Do you want glasses?

Kannaadi venuma?


Do you have glasses?

Kannaadi iruka?

Near vision/ presbyopic glasses

Kitta paarvai kannaadi

Distant vision glasses

Dhoora paarvai kannaadi

Presbyopia

Kitta paarvai kurai = Saaleswaram

Astigmatism

Oli sidharal (light scattering)

c. Trauma Any injury to the eye?

Kannula adi pattucha?

Trauma = injury

Adi

Injured lesion

Kaayam/ Punnu

Swelling/ contusion

Veekam

Laceration

Vettu kaayam

Abrasion

Siraaipu

How did the injury occur?

Eppudi adi paatuchu?

Leaf/plant

Chedi = plant Ilai = leaf Sogai = Crops’ leaves

Cow’s tail

Maatu vaal

Stick

Kuchi


Iron foreign body from welding

Pisiru

Insect

Poochi

Dust

Dhoosi

Iron rod

Irumbu Kambi

Stone

Kallu

Acid

Acid/ Amilam

Alkali/ Lime

Sunnaambu

Occupation

Velai

Head injury

Thalai’ku adi

Brain injury

Moolai la adi

Road traffic accident

accident/ vibathu

Any h/o ENT bleeding?

Kaadhu mooku vaayula (Ear, nose throat) irundhu raththam vandhucha?

Any sutures?

Thayyal pottangala?

Any neurosurgeries for head Thalaiku operation injury? senjagala?


2. Pain Eye pain

Kann vali

Do you have eye pain?

Kann valikudha?

Which eye do you have pain?

Endha kann valikudhu?

Is the pain severe?

Romba valikudha?

Is the pain mild?

Kammiya valikudha?

Headache

Thalai vali

One sided headache

Oru pakkam thalai vali

Neuralgic pain

Nama Nama’ nu iruku

H/o Herpes zoster

Akki

Skin rash

Thoal punnu

3. Acute red eye symptoms Redness

Sivapu/ sevapu

Iritation

Uruththal

Watering

Thanni varudhu (water is coming) / thanni vadiyuthu

Discharge

Poolai/ Azhuku = dirt

Itching

Arippu

Do you have itching?

Kannu arikudha?

Do you rub the eyes?

Kann’a theipeengala?


4. Swelling Localised swelling (Chalazion/ stye)

Kann Katti

Diffuse swelling

Veekam

Gradually increased in size?

Konjam konjama perusu aacha?

5. Growth Pterygium

Kann Sadhai

Pterygium should be removed

Sadhai operation pannanum

Pterygium inflamed

Sadhai veekam

Pinguecula = cholesterol swelling

Kolupu katti

6. Floaters & flashes Floaters = insect flying like sensation

Poochi parakura madhiri iruku

Flashes = Lightening like sensation

Minnal vetra madhiri iruku


Do you experience floaters? Poochi parakura madhiri iruka? (Replace iruku with iruka for questions)

7. Defective field of vision Do you have Central Scotoma?

Centre ‘la karuppu pulli theriyudha?

Hemianopia

Side paarvai theriyala

Do you have defective side vision while driving?

Vandi oattum podhu side paarvai theriyalaya?

8. Transient Obscuration of Vision Screen/ veil before eyes

Thirai pottu moduna madhiri

From lying to sitting

Paduthutu ukkarumbodhu

From bent to straight posture

Kuninju nimirumbodhu

After getting up from bed

Thoongi endhirikum bodhu

9. Drooping/ Ptosis Drooping of lids

Pattai (=imai) erangina madhiri


Do you have drooping of eyelids

Pattai erangina madhiri iruka?

Shortening of eyeball

Kannu chinnadhu aana madhiri

Drooping since childhood

Chinna vayasula irundhu, pattai erangiruka?

Worsening of ptosis during evening

Sayandharam aana pattai erangudha

10. Squinting Deviation of eye = squint

Maaru kann

Do you have squint?

Maaru kann iruka? / Kann vilagi iruka?

From childhood

Chinna vayasula irundhu

From birth

Piravi la irundhu

Any History of Patching?

Kanna moodi vechangala?

Any surgery for squint

Maaru kann operation senjangala?

11. Diplopia Do you have double vision

Rendu renda (=Double Double’ah) theriyudha?


Do you experience diplopia Oru kanna moodum bodhu on closing one of your eyes? double double ah theriyudha? Diplopia on which gaze?: a. Straight gaze

Nera paarkum bodhu

b. Side gaze

Side la paarkum bodhu

PAST HISTORY: Diabetes mellitus

Sakkarai noi/ ‘sugar’

Hypertension

Raththa kodhippu/ ‘pressure’

Asthma

Elapu noi (noi = disease)

Cardiac disease

Irudhaya noi/ ‘heart problem’

Fever

Kaaichal

Skin rashes

Thoal punn

Cough

Irumal

Cold

Sali (means phlegm)

Tuberculosis

TB kaaichal

Past h/o TB

Idhuku munnadi TB kaaichal


Any past H/o intake of ATT? Aaru (6) maasam attai = intake of tablets for 6 maathirai saptingala? months Any present H/o intake of any tablets for DM?

Sugar maathirai sapadringala?

Any present H/o intake of any tablets for Hypertension?

Pressure maathirai sapadringla?

Stroke/ cardiovascular accident

Stroke/ Moolaiku pora raththa kolai la adaipu (=occlusion to blood vessel supplying brain)

Any h/o Hemiplegia?

Kai kaal velangama pocha? (=paralysis of limbs)

Any h/o Slurring of speech?

Vaai kolarucha

Facial palsy

Muga vaadham

Seizures

Valippu

Rheumatoid arthritis

Saravaangi/ Mudaku vaadham

Joint pain

Mootu vali

Back pain

Mudhugu vali


Neck pain

Kaluthu vali

Past h/o surgeries Cataract surgery

Purai/ Porai operation

Did you underwent cataract surgery?

Porai operation senjangala?

Which eye?

Endha kannu?

Where you underwent cataract surgery?

Enga operation pannanga?

Phacoemulsification

Laser/ machine

Small incision cataract surgery

Kaiyila (=using hands/ manual) operation

OCULAR MEDICATION/ PROCEDURE Did you visited any ophthalmologist outside?

Vera engayavadhu Kann Doctor patheengala?

Eye drops

Sottu marundhu

Eye ointment

Pidhuku marundhu/ Kalimbu

Any eye drops given?

Sottu marundhu edhavadhu koduthangala?

Are you using any eyedrops Ippo edhavadhu sottu now? marundhu podreengala?


Any anti-glaucoma medications using now

Kannu’ku pressure marundhu podreengala?

Any anti-glaucoma Kannu’ku pressure medications used in the past marundhu poteengala? How many days you are using eye drops?

Evlo naala podreenga?

How many times per day you are using e/d?

Evlo velai oru naalaiku podreenga?

Any h/o neuroimaging

Moolaiku/ thalaiku scan eduthangala?

Any h/o lasers given

Laser senjangala?

- Barrage for retinal hole

Narambu ottai ku laser

- Yag Peripheral Iridotomy

Kann Pressure ku laser

- Yag Capsulotomy for Posterior capsular opacification (PCO)

Lens pinnadi javvuku laser (Lens pinnadi javvu = PCO)


PERSONAL HISTORY + BIRTH HISTORY Do you smoke cigarette?

Cigarette pidipeengala?

Do you drink alcohol?

Thanni adipeengala? / Saraku adipeengala?

Consanguinous marriage

Sondhathula kalyanam

Preterm birth

Korai maasam

Any forceps delivery during birth?

Pirakum bodhu aayudhatha vechu eduthangala?

Mental retardation

Moolai valarchi kammi

FAMILY HISTORY Anybody at home suffering from …

Veetula yaarukavadhu

Any family h/o glaucoma

Veetula yaarukavadhu glaucoma/ kannula pressure iruka?

Any family h/o TB

Veetula yaarukavadhu TB iruka?


NOTES


PART 3: EXAMINATION SLIT LAMP EXAMINATION Vision test

Paarvai test

Slit lamp

‘Machine’

Chin rest

Kuzhi/ Kuli (=depression)

Let’s test your eyes

Kann’a test pannikalam

Place your chin on the chin rest

Thaadai ya kuzhi la vaiyunga

Keep your forehead pressing Nethi ya mutti vaiyunga against the headrest Keep your head straight

Thalai ya naera vaiyunga

Left ear

Edathu kaadhu

Right ear

Valadhu kaadhu

Look at my left ear

Ennoda/ Doctor’ oda edathu kaadha paarunga

Look at my right ear

Ennoda valadhu kaadha paarunga

Don’t move your eyes

Kanna urutatheenga

Open both the eyes

Rendu kanna thoranga/ Rendu kanna thiranga

Close both the eyes

Rendu kanna moodunga


Blink the eyes

Kanna thirandhu moodunga

Look straight

Neraa paarunga

Don’t close your eyes

Kanna moodatheenga

Please adjust for a while

Konja neram poruthukonga

Don’t panic/ be afraid

Bayam padatheenga

Look up

Mela paarunga

Look down

Keela paarunga

Look to right

Valadhu pakkam paarunga

Look to left

Edathu pakkam paarunga

Look here

Inga paarunga

Look there

Anga paarunga

Look at the light

Light’ a paarunga/ Velichatha paarunga

INVESTIGATIONS a. Dilated exam We will instil dilating drops and check retina

Kannula sottu marundhu pottu narambu check paniklam

Dilating drops

Sottu marundhu (=eye drops)


Retina evaluation

Narambu/ vizhithirai check

Blurred vision for 3 hours

Moonu mani neram paarvai mangal’a irukum

Don’t drive

Vandi oatadheenga

b. Other investigations Duct patency/ syringing

Neer pora padhai adaipu check

Tell me if water comes to your mouth

Vaayula thanni vandha sollunga

Applanation tomometer/ Non Contact tonometer

Kannula pressure check

You should undergo Gonioscopy

Kannula lens vechu pakunum

Indirect ophthalmoscope

Narambu check pannanum

OCT/ FFA/ HFA/ B scan

Narambu scan

Instillation of anaesthetic drops

Kannula ‘marathu pora’ sottu marundhu pottu pakunum

There will be no pain

Vali irukaadhu


NOTES


PART 4: DISEASES OF THE EYE and RELEVANT ADVICE ORBIT: Hordeolum/ chalazion

Kann katti

Dacryocystitis

Neer pai veekam

Nasolacrimal duct obstruction (NLDO)

Neer pai adaippu

Thyroid eye disease

Thyroid kann noi

Meibomian gland dysfunction

Kann pattai la ennai surappi problem Kann pattai = lid Ennai surappi = oil gland

Tumour

Katti

Cancerous tumour

Putru noi

We should remove the tumour and biopsy the specimen

Katti operation pannitu test panni paakunum

Hot fomentation

Venneer oththadam


Lid massage

Pattai ya massage

Pustule prick

Seel kaati ya odaikunum

Chalazion Incision and Curettage

Kann katti operation

Criggler massage = Lacrimal Neer pai massage sac massage in congenital NLDO You should press here and drag down

Inga press panni/ massage panni keela iluthu vidanum

Do it for both eyes

Rendu kannukum pannanum

CORNEA: Acute conjunctivitis

Kann vali/ Madras eye

Allergic conjunctivitis

Kann allergy

Subconjunctival hemorrhage Kannoda vellai la raththa kasivu = bleeding in the white part of the eye Foreign body cornea/ conjunctiva

Kannula pisiru

Corneal ulcer

Kannula/Karuvizhi punn

Keratoconus

Koombu karuvizhi


Pterygium

Sadhai

Dry eye

Kann varatchi

Corneal scar

Karuvizhi la thalumbu/ poo vilundhuruku

We should scrape the ulcer and test

Punna surandi test panni pakunum

Herpes zoster

Akki

Chicken pox

Ammai

Corneal transplant surgery

Maatru karuvizhi operation

Corneal graft failure

Maatru karuvizi yethukala

Dry eye counselling: Use eye drops regularly

Sottu marundhu correct ah podunga

Limit the use of phones

Phone romba neram pakadheenga

Lower the brightness of screen

Phone velichatha kammi pannunga

20 minutes

Irubadhu Nimisham

20 seconds

Irubadhu seconds/ vinaadi


20 feet distant object

Irubadhu adi dhoorathula ulla porul

Blink eyes frequently

Kann’a adikadi simitunga

Sleep well

Nalla thoongunga

Drink water

Thanni kudinga (NOT thanni adinga which means to drink alcohol!)

LENS - cataract related vocabulary Cataract

Kann purai/ porai

Early cataract

Aaramba nilai purai

IOL

Seyarkai lens (=artificial lens)

You don’t require surgery now

Operation thevai padaathu

It’s in operable stage. It’s your wish

Operation panra madhiri iruku. Venumna pannikonga

It’s in operable stage. You should undergo.

Operation kandippa pannanum

Mature cataract

Muthina purai


It’s a mature cataract. You should undergo surgery immediately

Purai muthiruku. Udanadiya operation pannanum

Phacolytic/ phacomorphic glaucoma

Purai muthi vedichiruchu (=erupted). Pressure jaashti iruku (=pressure is high)

Posterior sub capsular cataract/ Posterior polar cataract

Pinnadi padincha purai

Traumatic cataract

Adi patta purai

Phacodonesis

Purai aaduthu

PRE OP COUNSELING Cataract will be removed and IOL will be placed

Purai eduthutu, seyarkai lens vaikunum

Cataract will be removed but IOL cannot be placed

Purai eduthukalam, aanal seyarkai lens vaika mudiyaathu

Blood sugar is high

Raththa sakkarai jaasthi ah iruku

Surgery cannot be done

Operation panna mudiyathu

It can be done after you control blood sugar

Sugar control pannadhuku aprom operation panlam


Intra op vocabulary will be discussed later POST OP COUNSELING PCIOL has been placed well Seyarkai lens nalla vechachu You should wear glasses for near

Kitta paarvai ku kannaadi podanum

Corneal edema/ striate keratitis

Kann veekam

Cortex left/ hyphema

Kannula konjam aluku (=dirt) iruku

Cortex wash

Kanna suththam paniklam = we will clean the eye

Post op instructions Don’t worry

Kavalai padatheenga

Use eye drop regularly

Marundhu correct ah podunga

Wash hands before using eye drops

Kaiya soap poattu kaluveetu sottu marundhu podunga

Avoid soap in eyes

Kannula soap poda koodathu

Avoid head bath

Thalai’ku kulika vendam

Avoid rubbing eyes

Kanna poattu theika koodathu


Sutures placed

Thaiyal potrukanga

We can remove sutures later Thaiyal apromel pirichikalam We should remove sutures today

Inniku thaiyal pirichikalam

Aphakia counselling: Posterior capsule was weak. Pai (=bag) weak ah irundhuchu PCIOL could not be placed

Seyarkai lens vaika mudilae

But cataract removed completely

Purai full ah eduthachu

We can place IOL after 2 months

Rendu masam kalichu lens vechukalam

Don’t worry

Kavalai padatheenga

GLAUCOMA Rise in IOP

Kannula pressure jaasthi ah iruku

Glaucoma

Kann alutha noi


Glaucomatous nerve damage

Kann pressure naala narambu badhipu

Glaucomatous optic atrophy Narambu pattu poyiruchu Vision cannot be regained

Paarvai thirumbi kedaikaathu

We can conserve existing vision

Irukura paarvai thakka vachukalam

Angle closure

Neer pogura padhai adaipu (Same as nasolacrimal duct obstruction)

Primary angle closure suspect - AC is shallow

Neer pogura padhai kurugala iruku

You should undergo Laser PI Laser pannanum You should undergo glaucoma surgery

Pressure operation pannanum

You should use eyedrops

Sottu marundhu podanum

You should use eyedrops for Aayusukum sottu marundhu lifetime podanum

NEURO-OPHTHALMOLOGY Disc edema

Narambu veekam

Optic neuropathy

Narambu prechanai

Optic atrophy

Narambu pattu poyiruchu


3/4/6 nerve palsy

Kann urutura narambu ‘weak’ ah iruku

7th nerve palsy

Muga vaadham

You require intravenous steroids

Narambu oosi podanum

You require urgent neuroimaging

Udanae thalaiku scan pannanum

You require patching

Kanna moodi vaikunum

Neurobiotics

Saththu maathirai

RETINA AND UVEA Retina

Vizhithirai/ Kann narambu

Retinopathy

Narambu baadhipu/ Vizhithirai baadhipu

Diabetic retinopathy

Sugar naala kann narambu baadhipu/ Sugar naala vizhithirai baadhipu

Hemorrhage

Raththa kasivu

Macular edema / CSCR

Narambu veekam

Retinal detachment

Narambu pirinchiruku = nerve has split


Retinal tear/ hole

Narambu Oattai

Retinitis pigmentosa

Maalai kann noi

Age related macular degeneration

Vayasu naala kann narambu baadhipu

Retinopathy of Prematurity

Korai maasam naala kann narambu badhipu

Retinoblastoma

Kann narambu putru noi

Uveitis

Kann allergy

Scleritis

Kann vellai allergy/ sigappu

Silicon Oil

Ennai

Gas

Gas/ Kaathu = air

During surgery it will be decided whether to put oil or gas

Operation appo ennai ya illa kaathu veikunuma’ nu doctor mudivu pannuvanga (Mudivu = decide)

If oil is put then there will be Ennai vechanga na, moonu a small surgery after 3 maasam kalichu ennai ya months to remove oil velilae edukanum (Moonu maasam = 3 months) Lie/ sleep on supine position Naera padukonum


Lie in Prone position

Kupurra padukonum

Vitrectomy

Narambu operation

Lasers

‘Laser’/ current

Intravitreal injection

Narambu oosi

Post injection there won't be Injection panna udanae immediate vision paarvai nallaa varaadhu. Oru improvement. maasam aagum. It will take around a month for vision improvement Indirect ophthalmology instructions: Stretch your thumb

Kattai viral neetunga

Right thumb

Valadhu kattai viral

Left thumb

Edathu kattai viral

Lie on the couch

Bed la paduthukonga (Or) Bed la saanjukonga

Wherever I place the thumb, Kattai viral enga vaikreno look there anga paarunga Look at my finger

Ennoda viral paarunga


PEDIATRIC OPHTHALMOLOGY Amblyopia

Sombal kann = lazy eye

Refractive error

Kannula power

Myopia

Kitta paarvai

Hyperopia

Dhoora paarvai

Squint

Maaru kann

Is the squint present since birth?

Maaru kann piravi la irundhae iruka?

Binocular vision anomaly/ Muscle balance issues

Kann thasai weak ‘a iruku

Any h/o patching`

Oru kann’a moodi innoru kanna vechu exercise pannengala / Kann’a moodi vechangala?

Avoid seeing near objects

Kitta porutkala romba neram parka koodathu

Avoid phones/ tablets

Phone/ tablet use panna koodathu

Wear glasses continuously

Kannadi thodarndhu use pannanum

Play outside

Veliyae poi vilayadunum

Eat healthy food

Saththana unavu sapadanum


GENERAL ADVICE Sister will counsel you

Sister vivaram solluvanga

Please wait outside

Veliya ukkarunga

A specialist will see you

Special doctor ungala paarpanga

I have prescribed you eyedrops

Sottu marundhu ezhudirukaen

Use them regularly

Sonna padi correct ah podanum

Use 3 times a day

Moonu velai podunga

For 1 week

Oru vaaram

1 drop only

Oru sottu mattum

For right/ left eye

Valadhu/ Edathu kannuku mattum

For both eyes

Rendu kannukum

Review after 1 month

Oru masam kalichu vaanga


Duration repeated for easy reference How many days?

Evlo naal ?

1

Onnu

2

Rendu

3

Moonu

4

Naalu

5

Anju

6

Aaru

7

Yelu

8

Ettu

9

Onbathu

10

Paththu

Days

Naal (4=Naalu)

Week

Vaaram

Month

Maasam

Year

Varusham


NOTES


PART 5: OPERATING THEATRE BLOCK ROOM What is your name?

Unga paeru enna?

Sir

Ayya

Ma’am

Amma

Where you are coming from?

Enga irundhu vareenga?

Is Ramesh your son?

Ramesh unga paiyana?

Is Ramya your daughter?

Ramya unga ponna?

Which eye is to be operated?

Endha kannu operation?

Right eye

Valadhu Kann = Soathu kann

Left eye

Edathu kann

I will apply topical anaesthetic drop

Kannula marathu poradhuku sottu marundhu podraen

I will do block to numb your Vali illama irukarathuku oru eyes oosi potuklam Don't panic/ fear

Bayapadatheenga


Look at my right shoulder

Ennoda valadhu thoal pattai paarunga

Don’t move your eyes

Kann’a urutatheenga

Don't touch your eyes

Kann’a thodatheenga

Look up

Mela paarunga

Look down

Keela paarunga

Look to the right

Valadhu pakkam paarunga

Look to the left

Edathu pakkam paarunga

There will be no pain while operating

Operation pannum bodhu vali edhum irukaadhu

ON TABLE Please lie down calmly

Amaidhiya paduthukonga

Lift the chin up

Thaadai ya thooki vachukonga

Breathe with your mouth open gently

Vaaya thirandhu mocha vidunga

Don’t strain/ exert positive pressure

Mukkatheenga

Do you have difficulty in breathing?

Moochu vida siramam iruka?

Do you have eye pain?

Kannu Valikudha?


If you have any trouble, let me know

Edhavadhu thondharavu irundha sollunga

Look only at the light

Light’ a mattum paarunga

Your cataract is mature

Purai muthiruku

It will take some time to finish surgery

Operation mudiya konjam neram aagum

Cataract has been removed

Purai eduthachu

IOL placed well

Lens nalla padiya vechachu

Sister will put drops/ injection

Sister sottu marundhu/ oosi poduvanga

Bandage will be put

Kattu poduvanga

Black glasses will be given

Karuppu kannadi tharuvanga

Note: Please refer Post-op Counselling in Lens section


NOTES


ABOUT THE AUTHOR

Dr Pranesh is a Comprehensive Ophthalmologist with special interest in Ophthalmologic Pedagogy and Uveitis. He is currently working in Aravind Eye Hospital, Coimbatore as a Medical Officer. He creates quality academic content on his YouTube and Facebook forums called ‘King’s Crux - Ophthalmology Pearls’. He has authored two books: Clinical Embryology of the Eye and Online Resources in Ophthalmology (ORIO) and made them freely available for all to learn and benefit. Youtube link: YouTube.com/kingsclasses Facebook link: facebook.com/ophthalcrux


Scan QR code to access the books

Clinical Embryology of the Eye

Online Resources in Ophthalmology


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