scholarly journals CATARACT & OTHER CO MORBIDITIES – STUDY FROM NORTH INDIA.

2019 ◽  
Vol 3 (10) ◽  
Author(s):  
Rakesh Kumar ◽  
Angli Manhas ◽  
Rameshwar S Manhas ◽  
Dinesh Gupta ◽  
Aditi Gupta ◽  
...  
Keyword(s):  
Rural Areas ◽  
North India ◽  
Eye Care ◽  
Care Services ◽  
Number Of Patients ◽  
Co Morbidity ◽  
Department Of Ophthalmology ◽  
Medical Facilities ◽  
Systemic Examination ◽  
Eye Camps

Background: Rural areas are away from medical facilities & these areas catters more than 3/4th of Indian populations. Thus, eye care services need to be planned & executed in these areas. Aim: To determine the prevalence of other ocular and systemic co-morbidities among the camp selected cataract patients in rural areas. Methodology: The present observational study was conducted at postgraduate department of Ophthalmology of GMC Jammu & involved patients from various eye camps selected for ECCE (SICS with PC-IOL implantation surgery). Total of 84 patients were participated in the study. Detailed history was taken from the patient & relevant ocular & systemic examination was done.Routine investigations were also done. Results: The most frequently occuring systemic co-morbidities was hypertension i.e.36.9% followed by back pain in 32.1% in the present study. The ocular co-morbities other than cataract were diabetic retinopathy in 4.8%, glaucoma in 3.6% etc. Among other ocular co morbidity, optic atrophy, amblyopia, chorioretinal atrophy, macular scar etc were noted. Conclusion: From present study it has been concluded that large number of patients who came to seek ocular treatment in eye camps has systemic co morbidities also. Thus, other specialities should also be part of team of eye camp so that along with eye other comorbidities should also be treated. Key words: Cataract, Ocular co-morbidities, Systemic co-morbidities.

scholarly journals The Mobile Teleophthalmology Unit in Rural and Underserved Areas of South India

2021 ◽  
Author(s):  
Sheila John ◽  
Lavanya Allimuthu ◽  
Ranjitha Kannan ◽  
Ramesh BabuSekar ◽  
Martin Manoj Mathiyazahan ◽  
...  
Keyword(s):  
Rural Areas ◽  
Tamil Nadu ◽  
South India ◽  
Care Service ◽  
Retinal Disease ◽  
Eye Care ◽  
Internet Connectivity ◽  
Base Hospital ◽  
Number Of Patients ◽  
Eye Camps

Objective: Our objective was to provide an eye care service to rural and underserved areas in Chennai, Kanchipuram, and Thiruvallur districts of Tamil Nadu, South India. Design: We conducted eye camps to provide ophthalmic services to the underserved and rural areas, where people cannot afford to go to a hospital due to lack of accessibility, lack of awareness, or financial constraints. Setting: The study was conducted in rural and underserved areas of Thiruvallur, Chennai, and Kanchipuram districts from January 2015 to December 2019. Participants: Patients (N = 1,05,827) underwent comprehensive eye examination in eye camps with the state-of-art ophthalmic equipment. Main outcome measures: To report on the number of patients examined, number of eye disorders screened, and different types of ocular pathology screened, all clinical findings were recorded and all ocular images were uploaded in the electronic medical records. All patients with ocular diseases underwent teleconsultation with an ophthalmologist at the base hospital with internet connectivity. Video conferencing and teleconsultation were feasible only in areas with good internet connectivity. Results: Over the 5-year study period, 1,05,827 patients underwent eye evaluation at 1,061 eye camps. Among these, 48,354 (45.7%) patients were males, 57,473 (54.3%) patients were females, 15,515 patients were emmetropes. The most common cause of avoidable blindness was uncorrected refractive error detected in 66,137 eyes, referable cataract was seen in 13,536 eyes, 2,491 eyes were identified to have retinal diseases, and there were 789 patients with only diabetic retinopathy, thus totaling to 3,280 comprising of all retinal disease. 2424 patients received teleconsultations. For further investigations and treatment, which were provided free of cost, patients were referred to the base hospital in Chennai. There were 6,309 patients who received free spectacles and an additional 31,192 patients received spectacles at a low cost; 13,536 patients had referable cataract and were referred to the base hospital for further evaluation and surgery. Conclusions: Teleophthalmology holds great potential to overcome barriers, improve quality, access, and affordability to eye care, and has proven to be an innovative means of taking comprehensive eye care facilities to the doorsteps of rural India.

scholarly journals Clinical Profile of Ocular Diseases at a Tertiary Eye Care Centre in Mid-Western Nepal

2021 ◽  
Vol 4 (1) ◽  
pp. 439-441
Author(s):  
Pragya Singh Basnet ◽  
Sagun Malla ◽  
Deepa Sharma ◽  
Roshan Gautam
Keyword(s):  
Health Care Services ◽  
Age Groups ◽  
Health Science ◽  
Age Group ◽  
Eye Care ◽  
Cross Sectional ◽  
Care Services ◽  
Number Of Patients ◽  
Study Results ◽  
Department Of Ophthalmology

Introduction: Nepal is a developing country where most of the population does not have access to proper health care services and on top of that eye care services do not reach the entire population. This study aimed to determine the pattern of ocular morbidity in patients attending the ophthalmic OPD of Rapti Academy of Health Sciences. Materials and Methods: This was a prospective cross-sectional study conducted in the Department of Ophthalmology of Rapti Academy of Health Science, Dang. The study period was Poush 2077 to Chaitra 2077.  All the patients visiting the OPD of the Ophthalmology department with an ocular problem were included in the study. Results: A total of 1000 patients were examined during the study period. The patient's ages below 1 year were excluded so a total of 970 samples was selected. In which 625 (64.4%) were female and 345 (35.6%) were male. Most patients 92.9% were from Dang followed by Rolpa 4.1%, Rukum 1.4%, Pyuthan 0.9%, and Salyan 0.6%. Patients were examined from all age groups except for 1 year which was excluded. Out of the total patients, a maximum number of patients were female and the maximum number of patients were in the age group of 21- 30 years and followed by more than or equal to 60 years age group. Conclusions:  This study will help in obtaining epidemiology of Ocular disease for proper planning and management in the hospital.

Bansara Eye Care: Growing Affordable Eye Care for the Rural Population

2018 ◽  
Vol 22 (02) ◽  
pp. 357-384
Author(s):  
Teidorlang Lyngdoh ◽  
G. Sridhar ◽  
Prashant Mishra
Keyword(s):  
Rural Areas ◽  
Rural Population ◽  
Rural Poor ◽  
Care Providers ◽  
Eye Care ◽  
Expansion Strategy ◽  
Rural Markets ◽  
Care Services ◽  
Superstitious Belief ◽  
Ne India

Bansara eye care (BEC) is one of the first eye care providers in the state of Meghalaya, NE India and has brought many innovations in process and reduced cost of eye care treatment in the region. BEC has been trying to penetrate the rural markets, to educate and provide eye care services to the rural poor. The case deals with the challenges and poor acceptance of eye care services especially in the rural areas of the region. Lack of awareness and superstitious belief towards eye surgery was the main reason for poor penetration in the rural areas. The case highlights the key decisions that is required to be taken to be able to penetrate the rural markets and determine the expansion strategy.

Authorship Correction: Effect of Door-to-Door Screening and Awareness Generation Activities in the Catchment Areas of Vision Centers on Service Use: Protocol for a Randomized Experimental Study (Preprint)

2022 ◽  
Author(s):  
Shalinder Sabherwal ◽  
Anand Chinnakaran ◽  
Ishaana Sood ◽  
Gaurav K Gary ◽  
Birendra P Singh ◽  
...  
Keyword(s):  
Experimental Study ◽  
Rural Communities ◽  
Gender Discrimination ◽  
Rural Areas ◽  
Service Use ◽  
Care Service ◽  
North India ◽  
Eye Care ◽  
Primary Eye Care ◽  
Catchment Areas

UNSTRUCTURED A vision center (VC) is a significant eye care service model to strengthen primary eye care services. VCs have been set up at the block level, covering a population of 150,000-250,000 in rural areas in North India. Inadequate use by rural communities is a major challenge to sustainability of these VCs. This not only reduces the community’s vision improvement potential but also impacts self-sustainability and limits expansion of services in rural areas. The current literature reports a lack of awareness regarding eye diseases and the need for care, social stigmas, low priority being given to eye problems, prevailing gender discrimination, cost, and dependence on caregivers as factors preventing the use of primary eye care. Our organization is planning an awareness-cum-engagement intervention—door-to-door basic eye checkup and visual acuity screening in VCs coverage areas—to connect with the community and improve the rational use of VCs. In this randomized, parallel-group experimental study, we will select 2 VCs each for the intervention arm and the control arm from among poor, low-performing VCs (ie, walk-in of ≤10 patients/day) in our 2 operational regions (Vrindavan, Mathura District, and Mohammadi, Kheri District) of Uttar Pradesh. Intervention will include door-to-door screening and awareness generation in 8-12 villages surrounding the VCs, and control VCs will follow existing practices of awareness generation through community activities and health talks. Data will be collected from each VC for 4 months of intervention. Primary outcomes will be an increase in the number of walk-in patients, spectacle advise and uptake, referral and uptake for cataract and specialty surgery, and operational expenses. Secondary outcomes will be uptake of refraction correction and referrals for cataract and other eye conditions. Differences in the number of walk-in patients, referrals, uptake of services, and cost involved will be analyzed. Background work involved planning of interventions and selection of VCs has been completed. Participant recruitment has begun and is currently in progress. Through this study, we will analyze whether our door-to-door intervention is effective in increasing the number of visits to a VC and, thus, overall sustainability. We will also study the cost-effectiveness of this intervention to recommend its scalability. ClinicalTrials.gov NCT04800718; https://clinicaltrials.gov/ct2/show/NCT04800718

scholarly journals A clinicopathological study of vernal conjunctivitis in urban and rural areas of Eastern India: A hospital based study

2018 ◽  
Vol 6 (3) ◽  
pp. 966
Author(s):  
Suman Adhikari ◽  
Asok Kumar Naskar ◽  
Samarendra Kabasi ◽  
Sujata Deb ◽  
R. K. Deb ◽  
...  
Keyword(s):  
Rural Areas ◽  
Vernal Keratoconjunctivitis ◽  
Treatment Groups ◽  
Medical College ◽  
Biopsy Specimens ◽  
Number Of Patients ◽  
Department Of Ophthalmology ◽  
Conjunctival Biopsy ◽  
Urban And Rural Areas ◽  
Vernal Conjunctivitis

Background: Vernal keratoconjunctivitis (VKC) is a relatively rare, chronic form of ocular allergy that can potentially cause severe visual complications.Methods: The present study was carried out amongst the patients suffering from vernal conjunctivitis and attending the Outpatient Department of Ophthalmology of Mata Gujri Memorial Medical College & Lions Seva Kendra Hospital, Kishanganj (Bihar). The conjunctiva and cornea were examined for any complication of the disease. The patients were categorized into two treatment groups, each group treated with one topical drug. As the total number of patients in the study was 100, each treatment group consisted of 50 patients, one group of patients was treated with 0.05% azelastine eye drop and the other group treated with 2% sodium cromoglycate eye drop.Results: Greater incidence during the period from March to June (59%) and the highest number in the month of May (18%). Of the 100 patients in the study group, the largest group of 89 patients presented with limbal vernal conjunctivitis; 7 patients presented with palpebral vernal conjunctivitis and 4 patients suffered from a mixed type (both limbal and palpebral) type of the disease.Conclusions: Examination of the conjunctival biopsy specimens of the patients showed chronic nonspecific inflammatory reaction, mostly confined to the subepithelial region. Patients in both groups showed dramatic results of the treatment proving the efficacy of steroids. 

scholarly journals Sociodemographic profile of pterygium patients attending Government Medical College, Jammu, Jammu and Kashmir- a study from North India

2017 ◽  
Vol 5 (4) ◽  
pp. 1384
Author(s):  
Angli Manhas ◽  
Dinesh Gupta ◽  
Rameshwar S. Manhas ◽  
Gaurav S. Manhas
Keyword(s):  
Rural Areas ◽  
Prospective Observational Study ◽  
Sociodemographic Factors ◽  
North India ◽  
Government Medical College ◽  
Jammu And Kashmir ◽  
Medical College ◽  
Department Of Ophthalmology ◽  
Sociodemographic Profile ◽  
The Right

Background: Pterygium is a fibrovascular wing or triangular shaped tissue that develops from the conjunctiva and encroaches on to the cornea.Methods: This prospective observational study was conducted at postgraduate department of Ophthalmology of GMC Jammu, Jammu and Kashmir, India. A total of 90 pterygium patients were selected to analyze various sociodemographic factors especially age, sex, residence, occupation, position etc. on the occurrence of this problem.Results: In the present study, out of 90 pterygium patients, 40% were in the age of 31-40 years followed by 24.44% in 41-50years, 60% were males whereas 66.67% belong to rural areas. The incidence was found to be maximum among farmers 35.56% followed by labourers 20%. The right eye was involved in 55.56% cases while majority 97.78% cases of pterygium were nasal. Progressive pterygium was found in 80% while 20% reported with atrophic pterygium.Conclusions: People who work outdoors are subjected to involuntary U.V. B exposure, dust. Workers must be aware of this and they must take appropriate precautions like wearing protective photochromatic glasses, caps etc.

scholarly journals Co morbidities among cataract- operated patients in Rural Nepal

2018 ◽  
Vol 9 (2) ◽  
pp. 156-159
Author(s):  
Eliya Shrestha ◽  
Hari Bikram Adhikari ◽  
Indra Man Maharjan ◽  
Babita Gurung
Keyword(s):  
Back Pain ◽  
Rural Area ◽  
Rural Areas ◽  
English Language ◽  
Medical Terminology ◽  
Eye Care ◽  
Interventional Study ◽  
Care Services ◽  
Total Burden ◽  
Rural Nepal

Introduction: Himalaya Eye Hospital (HEH), established in 1993, is providing eye care services in Gandaki, Dhaulagiri and Karnali zones. It has been providing surgical and nonsurgical eye camps in rural areas of Gandaki, Dhaulagiri and Karnali zones. The aim of this study was to determine the prevalence of ocular and systemic co morbidities among the persons treated in rural Asian setting.Method: This is the prospective non-interventional study. Patients who came to take services in surgical eye camp in rural area of Nepal were included. Data were collected by interviewing the patients. They were interviewed by local volunteers with he questionnaires prepared in English language. The volunteers were explained about the medical terminology and they interviewed the patients in native language.Result: Out of 675 patients 401(59%) had systemic co morbidities. Back pain and arthritis being the most common with 321(48%) and 260(38%) respectively.Conclusion: This study shows the systemic co morbidities among the patients who came to seek ocular treatment in eye camp in rural area of Nepal. We should do this kind of studies in different area of Nepal. These kinds of study give us total burden of systemic morbidity and help to treat accordingly.

scholarly journals Ocular Status, Health Seeking Behaviours and Barriers to Uptake Eye Care Services among Children of Slum Community in Chittagong, Bangladesh

2017 ◽  
Vol 1 (2) ◽  
Keyword(s):  
Rural Areas ◽  
Care Center ◽  
Health Seeking ◽  
Eye Care ◽  
General Measure ◽  
Ocular Abnormalities ◽  
Care Services ◽  
Health Seeking Behaviors ◽  
Very High ◽  
Slum Community

Purpose: The purpose of this study was to find out the ocular status, ocular health seeking behaviors and barriers to uptake eye care services among children of slum community in Chittagong, Bangladesh. Methods: The study was conducted in several urban slums in Chittagong city, which is home of slum children. A total of 410 children aged 5 to 16 years were clinically examined. Their accompanying guardians were also interviewed for collecting data about health seeking behaviors and identifying the barriers, if any, to uptake eye care services. Three focus group discussions were also held with guardians. Results: About 47.3% of the sampled children were male and 52.7% female. About 40% of the children had some complain where we found 36.6% having some ocular abnormalities. Among the respondents (n=410), related with ocular abnormalities (n=150), the diagnosed problems were; Refractive Error (26.7%), Allergic Conjunctivitis (21.3%), Blepharitis (16.0%), Squint (7.3%), Convergence Insufficiency (6.6%), Meibomian Gland Dysfunction (8.7%), Dacryocystitis (3.3%), Conjunctivitis (4.0%), Congenital Cataract (2.7%), Corneal scar 2.0%, Pseudophakia 2.0%, Xerophthalmia (1.3%). Infrequently Entropin, Ptosis, Corneal Opacities, Retrobulbar Neuritis, Retinal Detachment, Episcleritis, Scleritis, Microphthalmos, Ocular FB, Chalazion, Stye, Nystagmus and Proptosis were also present in limited percentage. However 25.70% were referred to tertiary eye care center, 39.60% were treated with medicine, 22.20% were given optical correction, and 25.70% were given general measure. Most of them (73%) never went to an eye care specialist. The main reasons assigned for not going to a doctor were: financial constraints (16.30%), didn’t feel necessary (33.70%), lack of escort (3.4%), lack of time (3.7%), traditional belief (0.3%) and not aware of hospital doctor (4.5%). The Guardians consider recent cost of treatment is very high. They want low cost treatment, provide free spectacle, increase more hospital facilities and hold free eye camps. Conclusion: This study found very high ocular morbidities among slum children, the vast majority of the guardians’ cannot afford medical treatment for lack of money, awareness, escort, time and indifference to eyes. Though adequate eye care facilities are available in Chittagong city compared to many other urban and rural areas in Bangladesh, most of the slum dwellers can’t take advantage of it for financial reason and lack of knowledge.

Bilateral severe microphthalmos with bilateral colobomatus orbitopalpebral cyst: accessibility of speciality eye-care and rehabilitation services in low and middle-income countries

2021 ◽  
Vol 14 (5) ◽  
pp. e241783
Author(s):  
Suwarna Suman ◽  
Arushi Kumar ◽  
Hement Uttamraw Rathod ◽  
Taruna Yadav
Keyword(s):  
Rural Areas ◽  
Large Mass ◽  
Lower Eyelid ◽  
Late Presentation ◽  
Eye Care ◽  
Middle Income ◽  
Middle Income Countries ◽  
Care Services ◽  
The Right ◽  
Low And Middle Income

A 12-year-old girl presented with an unusually large mass under the right lower eyelid and a smaller mass under the left lower lid since the last 6 months. The parents had noticed the absence of the right eyeball and a very small left eyeball and no vision in both eyes since birth but did not approach the healthcare system. The patient was diagnosed as a case of bilateral severe microphthalmos with colobomatous cyst with late presentation and was treated surgically. The parents were counselled for education and training of the child in schools for visually impaired. Early treatment and rehabilitation help patients lead a normal life in these cases. In rural areas, patients face challenges in getting access to the specialty eye-care services due to several barriers, including lack of availability and affordability. This case highlights the disparities in essential health services in low and middle-income countries.

scholarly journals Clinical profile of patients with abdominal tuberculosis in rural North India

2019 ◽  
Vol 6 (3) ◽  
pp. 836
Author(s):  
Saurabh Agrahari ◽  
Maneshwar Singh Utaal ◽  
Sharadendu Bali
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Clinical Features ◽  
Rural Areas ◽  
Health Hazard ◽  
Abdominal Tuberculosis ◽  
Clinical Profile ◽  
North India ◽  
Bowel Habit ◽  
Number Of Patients

 Background: Tuberculosis is a very serious health hazard in India. The nonspecific clinical features of abdominal tuberculosis (TB) have made its diagnosis difficult, which can lead to the poor outcome in patients who are not able to receive early treatment especially from rural areas. Aim of our study was to determine the clinical profile including various clinico-pathological manifestations, demographic profile, spectrum of clinical presentation, etiology, pathological and radiological investigations of patients with abdominal TB.Methods: A total of 30 patients with abdominal TB were analysed. All diagnosed patients received anti-tubercular treatment and were followed up at 1 to 3 months of ATT.Results: The disease was common in both sexes. Most common symptoms were abdominal pain (93%), weight loss (83%), anorexia (68%). Most commonly observed signs were ascities (73.3%) abdominal distension and abdominal tenderness (43.3%) and lymphadenopathy (40%). Most of the patient were diagnosed via radiological and histo-pathological studies. Evidence of active pulmonary TB was present in nearly three fourth of patients. CB-NAAT was positive in 73% of the patients. Most common site of involvement was ileocecal region (36.9%). All patients had a good clinical response to ATT.Conclusions: The diagnosis of GI tuberculosis is often delayed. The onset usually is insidious with symptoms present for many months before diagnosis. A considerable number of patients can be diagnosed from common but non-specific clinical features (like fever, weight loss, altered bowel habit, Abdominal pain and distension). Laparoscopic examination is the Gold standard for diagnosis of peritoneal tuberculosis. Although AFB detection is difficult, a representative tissue biopsy and radiological findings are good method of diagnosis of abdominal tuberculosis.

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