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 Table of Contents  
LETTER TO THE EDITOR
Year : 2021  |  Volume : 33  |  Issue : 1  |  Page : 104-106

The green glaucoma cricket championship: An innovative glaucoma titled based cricket match initiative for screening and promoting awareness on glaucoma disease process and compliance


1 Department of Glaucoma and Research, Department of Vitreo Retinal Services, Mahatma Eye Hospital Private Limited, Tiruchirappalli, Tamil Nadu, India
2 Department of Cataract and Refractive Surgery, Department of Vitreo Retinal Services, Mahatma Eye Hospital Private Limited, Tiruchirappalli, Tamil Nadu, India
3 Department of Optometry, Department of Vitreo Retinal Services, Mahatma Eye Hospital Private Limited, Tiruchirappalli, Tamil Nadu, India
4 Department of Medical officer, Department of Vitreo Retinal Services, Mahatma Eye Hospital Private Limited, Tiruchirappalli, Tamil Nadu, India
5 Chief Medical Officer, Mahatma Eye Hospital Private Limited, Tiruchirappalli, Tamil Nadu, India

Date of Submission27-Feb-2021
Date of Decision28-Feb-2021
Date of Acceptance01-Mar-2021
Date of Web Publication19-Apr-2021

Correspondence Address:
Dr. Prasanna Venkatesh Ramesh
Mahathma Eye Hospital Private Limited, No 6, Tennur, Seshapuram, Tiruchirappalli - 620 017, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/kjo.kjo_52_21

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  Abstract 


World glaucoma week is celebrated annually in the 2nd week of March, to raise awareness on glaucoma. In the light of the existing manpower and resource constraints, we propose this novel concept of glaucoma awareness, through the green glaucoma cricket championship. The overarching goal of this cricket championship was to screen the general public attending the event with noncontact tonometry, confocal fundus scanner and portable virtual reality perimetry; and refer suspicious patients to the base hospital. Every single protocol of this cricket match was specifically designed with a glaucomatous nomenclature, so that the public gathering, can be educated with those terminologies at various phases of the match. Two hundred and twenty people visited during the 3 h awareness cricket match. A total of 154 people above the age of 40 years were screened for glaucoma, of which 15 (9.7%) were found to be glaucoma suspects, and were referred to the base hospital. Ten out of 15 (66.6%) glaucoma suspects presented to the hospital during the glaucoma awareness week 2020, of which 4 (40%) were confirmed to have glaucoma. This manuscript highlights the promotion of awareness and knowledge toward glaucoma, to the general public through cricket, because in India cricket is like religion and Indian's love for the sport is unparalleled.

Keywords: Cricket, glaucoma awareness, glaucoma titled-based cricket match, green lapel ribbon


How to cite this article:
Ramesh PV, Ramesh SV, Ray P, Balamurugan A, Ramesh MK, Rajasekaran R. The green glaucoma cricket championship: An innovative glaucoma titled based cricket match initiative for screening and promoting awareness on glaucoma disease process and compliance. Kerala J Ophthalmol 2021;33:104-6

How to cite this URL:
Ramesh PV, Ramesh SV, Ray P, Balamurugan A, Ramesh MK, Rajasekaran R. The green glaucoma cricket championship: An innovative glaucoma titled based cricket match initiative for screening and promoting awareness on glaucoma disease process and compliance. Kerala J Ophthalmol [serial online] 2021 [cited 2021 Jun 18];33:104-6. Available from: http://www.kjophthal.com/text.asp?2021/33/1/104/314099



World glaucoma week is celebrated annually in the 2nd week of March, as a global joint initiative between the World Glaucoma Association and the World Glaucoma Patient Committee to raise awareness on glaucoma. Raising public awareness and spreading knowledge about glaucoma are the key for preventing irreversible blindness as individuals at risk may need to be more aware and seek timely assessment to diagnose this condition early.[1]

On the basis of the available Indian data, it is estimated that there are approximately 11.2 million aged 40 years and older with glaucoma; with primary open-angle glaucoma patients comprising approximately 6.48 million, primary angle-closure glaucoma comprising approximately 2.54 million and any form of primary angle-closure disease comprising 27.6 million.[2] Most of those with the disease are undetected and there exist major challenges in detecting and treating them. In the light of the existing workforce and resource constraints, we propose this novel concept of glaucoma disease and compliance awareness among people, through the green glaucoma cricket championship between two pre-decided teams of eleven members named as open-angle gladiators (OAG) and angle-closure sixers (ACS).

The green glaucoma cricket championship was conducted on March 8 2020 with doctors and paramedical staffs of XXX representing the OAG team and ACS team. The teams were named with glaucoma terminologies to instruct the public gathering about the two different variants of glaucoma. The name and color of the match were inspired from the green lapel ribbon logo [Figure 1] used for glaucoma awareness. Teams were provided with two contrasting green color jerseys, i.e., OAG team jersey was predominantly white in color with green lettered names on the back and ACS team jersey was predominantly green in color with white lettered names on the back, respectively [Figure 2].
Figure 1: The team jerseys named after the two different variants of glaucoma manifestations in view of glaucoma awareness week are shown here. (a and b) The front and back aspect of the jersey for team open angle gladiators are shown. (c and d) The front and back aspect of the jersey for the team angle closure sixers are shown. (e) The green ribbon lapel signifying glaucoma awareness week

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Figure 2: (a and b) The green cricket jersey unveiling done for the team open angle gladiators and team angle closure sixers respectively

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The overarching goal of this match was for the general public attending the event, to know about the disease called “glaucoma” and screen them with noncontact tonometry, confocal fundus scanner (Eidon, CenterVue, Italy), and portable virtual reality perimetry (Elisar Vision Technology). Informed consent was obtained from each participant willing to undergo screening. If they were diagnosed with either high intraocular pressures or suspicious cups or specific glaucomatous visual field (VF) defects, they were referred to the base hospital for further detailed evaluation free of cost, if they reported to the hospital within the world glaucoma week (8–14 March 2020).

Every single protocol of this cricket match was specifically designed with a glaucomatous nomenclature so that the public gathering can be educated at various phases of the cricket match. The match started with the “Gonioscopic Toss” [Figure 3]. The nomenclature in naming the toss with “gonioscopic” prefix was; the captain calling for it either called open angles (i.e. heads) or close angles (i.e., tails) instead of the routine heads or tails.
Figure 3: (a) The inauguration of the “Green Cricket Championship”. (b) The gonioscopic-toss performed before commencement of the game. (c) The cricket kit utilized for the game along with the trophies

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All awards were named based on the diagnostic and treatment components [Figure 4] of glaucoma. The championship award for the team winning the match was named “Green Glaucoma Cricket Championship.” The player of the match was named “Ocular Hypertensive Man of the Match” with the leading run-scorer being awarded the “Applanative Tonometric Batsman,” most economical and wicket taking bowler being named “Compliant Economic Bowler,” and most electrifying fielder being named “Gun Visual Fielder.”
Figure 4: The various awards named in-order to depict the important aspects in glaucoma awareness are shown here. The various awards are as follows: Green test championship, ocular hypertensive man of the match, applanative tonometric batsman, compliant economic bowler and gun visual fielder

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As it is well known, intraocular pressure (IOP) is the only modifiable risk factor, we have named the player of the match as ocular hypertensive man of the match, as he is the predominant game changer, just like the modifiable IOP for glaucoma therapy. Applanation tonometry terminology was given as suffix to the best batsman who guided his team with the bat, just like how the applanation tonometer guides in measuring IOP and diagnosing glaucoma patients. Compliance terminology was given as suffix to the best bowler because economical bowling by preventing runs and taking wickets with the ball, just like good compliance toward antiglaucoma medication is very important to have adequate control over the reduction of runs (i.e., reduction of IOP). VFs terminology was given to the best fielder of the match, who just like the VF machine, scans the field of the cricket ground saving runs (i.e. diagnosing defects).

Not only did we emphasize on glaucoma diagnoses but also stressed the role of compliance. As the famous saying goes, “Batsmen win you matches, but bowlers win you tournaments.” Similarly, our motto of this Green Glaucoma Cricket Championship between the OAG and Closed Angle Sixers was “Glaucoma diagnosis win you matches, but compliance toward therapy, follow-up and re-treatment if necessary win you the tournament.”

Different strategies of glaucoma awareness have been reported in literature but according to our knowledge, this unique innovative awareness module has never been reported before. As people in India absolutely love the cherished sport of cricket, from kids playing it in the streets to the oldies having the fun of it at their home, cricket has grown to be a widely popular sporting event in India, especially after the inception of the Indian Premier League. Hence, we have initiated glaucoma awareness through cricket [Figure 5] to cater to a wider audience.
Figure 5: (a and b) Bowling done by team angle closure sixers and batting done by team open angle gladiators are shown here. (c and d) Teams discussing gaming strategies during fall of a wicket are shown here

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Two hundred and twenty people visited during the 3 h awareness match. A total of 154 people above the age of 40 years were screened for glaucoma, of which 15 (9.7%) were found to be glaucoma suspects and were referred to the base hospital. Ten out of 15 (66.6%) glaucoma suspects presented to the hospital during the glaucoma awareness week 2020, of which 4 (40%) were confirmed to have glaucoma.

Raising public awareness and knowledge of glaucoma is the key for addressing the overwhelming consequences of this disease.[3] Hence, this manuscript aimed to promote awareness and knowledge towards glaucoma and associated factors through cricket, because in India, cricket is like religion and Indian's love for the sport is unparalleled.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient (s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Kaur G, Gupta A. Awareness & knowledge of glaucoma in rural areas of Eastern Uttar Pradesh. J Adv Med Dent Sci Res 2018;6:4.  Back to cited text no. 1
    
2.
Sathyamangalam RV, Paul PG, George R, Baskaran M, Hemamalini A, Madan RV, et al. Determinants of glaucoma awareness and knowledge in urban Chennai. Indian J Ophthalmol 2009;57:355-60.  Back to cited text no. 2
[PUBMED]  [Full text]  
3.
Quigley HA, Broman AT. The number of people with glaucoma worldwide in 2010 and 2020. Br J Ophthalmol 2006;90:262-7.  Back to cited text no. 3
    


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  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]



 

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