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