Ophthalmology

Ophthalmology

The Ophthalmology Department at Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) provides comprehensive eye care services ensuring continuity of care from diagnosis to surgical management and inpatient recovery.
The department is staffed by a multidisciplinary team comprising 2 ophthalmologists (consultant surgeons), 3 ophthalmic clinical officers, 2 ophthalmic nurses, 7 general nurses—four of whom are trained in ophthalmic care—alongside records and support staff.
Services are offered from Monday to Friday between 8:00 AM and 4:00 PM at the Eye Clinic, where patients undergo registration, clinical assessment, refraction, and specialist consultations for a wide range of eye conditions. The clinic manages an average of 60 patients daily, translating to approximately 1,800 patients per month, with about 15% requiring surgical intervention. Common conditions seen include cataracts, glaucoma, diabetic retinopathy, refractive errors, corneal diseases, and paediatric eye conditions. Treatment approaches include medical therapy, optical correction, minor and major surgical procedures, eye dressing, irrigation, injections, and patient counselling to support long-term management.
Surgical services are conducted within a dedicated ophthalmic theatre and are available daily based on patient need, with emergency procedures also handled during weekends and after hours. Following surgery, patients are admitted to the eye ward, where specialized inpatient care is provided, including post-operative monitoring, medication administration, wound care, and recovery support to ensure optimal visual outcomes and minimize complications.
The department is equipped with modern diagnostic and surgical technology that enhances accuracy and treatment outcomes.
Key equipment includes a Fundus Camera for high-resolution retinal imaging and early detection of diseases such as diabetic retinopathy and glaucoma, a Zeiss OPMI Lumera 300 microscope for precision in complex retinal and paediatric surgeries, an iCare Tonometer for painless intraocular pressure measurement, and a 3-step slit lamp for detailed eye examinations.
Beyond facility-based care, the department plays a critical role in community eye health through outreach programs and training of Community Health Promoters, extending services to underserved populations and strengthening early detection and referral systems. In collaboration with partners such as the Fred Hollows Foundation and the Ministry of Health, ongoing initiatives focus on reducing cataract-related blindness and promoting optical wellness through screening and sensitization programs.
Through its integrated approach—combining outpatient services at the Eye Clinic, surgical care, and inpatient management at the Eye Ward—the department continues to improve access to specialized eye care, prevent avoidable blindness, and enhance quality of life for patients across the region.

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