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“...ResearchGate
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Ocular morbidity among earthquake survivors in a community based hospital in Nepal
Article in Kathmandu University Medical Journal • April 2017
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“...Earthquake Survivors in a Community
Based Hospital in Nepal
Shrestha P, Sthapit PR
ABSTRACT
Department of Ophthalmology Background Nepal suffered a massive loss of lives and property following devastating earthquake
Dhulikhel Hospital, Kathmandu University Hospital on Saturday 25 April, 2015 and 12 May, 2015. Though Nepal is prone to natural disasters and ocular trauma being important cause of visual morbidity, the impact of
Dhulikhel, Nepal. ocular trauma in disaster setting has rarely been studied.
Corresponding Author Objective The aim of this study was to report the spectrum of ocular morbidities among the earthquake survivors who presented to a tertiary care Hospital which lies close to
Pooja Shrestha major earthquake hit districts of Nepal.
Department of Ophthalmology Method
Dhulikhel Hospital, Kathmandu University Hospital This is a hospital based retrospective study where details of all the cases with ocular
Dhulikhel, Nepal injury or ocular diseases during first three weeks of...”
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“...significant visual impairmentand lossof vision. Annually morethan 2.4 million cases of ocular trauma with morethan 40,000 patients sustain significant visual impairment permanently due to ocular trauma and isthe second leading cause of unilateral blindness in Nepal accounting for 13.6% of total blindness.5-6
Despite its importance, there are no data and studies carried out which estimates the burden and impact of ocular morbidity due to natural disasters like earthquake in our local context inspite of Nepal lying in the earthquake prone zone. So, this study aims to analyze the pattern of ocular morbidity among the earthquake survivors in a community based Hospital of Nepal which lies close to the major earthquake hit districts of Nepal.
METHODS
This was a hospital based retrospective study conducted in department of Ophthalmology in Dhulikhel Hospital, Kathmandu University Hospital. Informed consent was not necessary for this study as it was a retrospective study which included the pre-existing...”
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“...reduce normal ocular functioning. Ocular trauma is one of the important and unrecognized cause of visual impairment and blindness in developing countries like Nepal. There are many literatures available which describes the epidemiology of ocular injuries in hospital setting and studies have been conducted in larger population in different regions of Nepal stating the prevalence of ocular injuries which ranges from 1.6%- 4.9%.810 Likewise, a population based study on epidemiology of ocular trauma in rural Nepal, by Khatri et al. showed the incidence of 0.65 per 1000 male populations per year and that of 0.38 per 1000 females population per year.11 However, there have been very few studies regarding the prevalence of ocular injuries or morbidities in a natural disaster conditions like earthquake in Nepal or worldwide, although Nepal lies in the earthquake prone belt. This study reveals that among the total earthquake affected patients presenting to our hospital, 2.5% had ocular morbidities...”
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“...REFERENCES
1. Post Disaster Needs Assessment. Nepal Earthquake 2015. National Planning Commission. Government of Nepal: Kathmandu 2015.
2. Post Disaster Recovery Framework. Nepal Earthquake 2015. National Reconstruction Authority. Government of Nepal Kathmandu: May 2016.
3. Naghii MR. Public impact and medical consequences of earthquakes. Rev Pan am Satud Pubtica; Pan Am J Public Health 2005:18(3); 216-1.
4. Khan AR, Lateef ZN, Yousuf SA, Alramadan MJ, Khan SA, Fatima S. A study of ocular morbidity, utilization, and impact on patient’s satisfaction in an ophthalmic clinic at primary health center in Al Ahsa district of Saudi Arabia. Quality in Primary Care 2015;23{2):78-4.
5. Albert DM, Miller JW. Principles and Practice of Ophthalmology. 3rd edition{4): Elsevier; 2018.
6. Brilliant LB, Pokhrel RP, Grasset NC, Lepkowski JM, Kolstad A, Hawks W, Para raja sega ram R, Brilliant GE, Gilbert S, Shrestha SR, Kuo J. Epidemiology of blindness in Nepal. Bulletin of the World Health Organization 1...”
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“...Khatry SK, Lewis AE, Schein OD, Thapa MD, Pradhan EK, Katz. The epidemiology of ocular trauma in rural Nepal. BrJ Ophthalmol 2004; 88:456-60
12. Muhammad S, Khan NF. Ocular Injuries in Earthquake victims, lournal of Rawalpindi Medical College. 2007; 11{1): 30-2.
13. Sthapit PR, Marasini S, Khoju U, Thapa G, Nepal BP. Ocular trauma Hospital in patients presenting to Dhulikhel Hospital. Kathmandu Univ Med J 2011; 33: 54-7.
14. Noji EK, Kelen GD, Armenian HK, Oganessian A, Jones NP, Silverston KT. The 1988 earthquake in Soviet Armenia: a case study. Ann Emerg Med. 1990;19:891-7.
15. Abraham DI, Vitale SI, West SI, Issemel. Epidemiology of eye injuries in rural Tanzania. Ophthalmic Epidemiol 1999;6{2):85-94.
16. Niiranen M, Raivio I. Eye injuries in children. Br J Ophthalmol. 1981;65{6):436-8.
17. Pradhan E, Limbu B, Thakali S, Jain NS, Gurung R, Ruit S. The impact of ocular trauma during the Nepal Earthquake in 2015. BMC Ophthalmology 2017; 17{32):l-6.
18. Maza MS, Molina N, Gonzalez LA, Doctor...”
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