Browsing by Author "Dhungel, P"
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Publication Efficacy of small incision cataract surgery in community based eye camps: a report from Sindupalchowk, Nepal(Institute of Medicine, 2015) Gautam, P; Dhungel, P; Adhikari, HB; Dhungel, SAbstract Introduction: Health camp provides service to patients, near to their home, living in remote places with inadequate health facilities, like remote places of Nepal. This study was carried to assess the visual outcomes and complications associated with cataract surgery in camp patients, operated in a camp setting at community level in Sindhupalchowk. Methods: In a retrospective study, 23 outreach camp patients had undergone cataract surgeries with chamber intraocular lens implantation under peri-bulbaranaesthesia. Post-operative complications on day-1 were examined. Patients with any complications were managed conservatively and referred for further management to tertiary eye care centre. Results: 23 eyes underwent cataract extraction with intra ocular lens implantation. Small incision cataract surgery (SICS) was the commonest method (91.6%) used. 69.57% were female and 30.43% were male. The commonest first post- operative day complication was mild conjunctival congestion and sub-conjunctival haemorrhage. On Day-1 of post-operative Normal to Near-normal vision (6/6-6/18) was seen in 14(60.82), Moderate low vision 6/24 to 6/36 in 5 (21.74%), Severe low vision 6/60-3/60 in 3(13.04%), and Moderate blindness <3/60 in 1(4.35%) of the operated patients. Conclusion: High quality cataract surgery with low rate of intraoperative complications and good visual outcome can be obtained in camp patients operated in community level under skilled man power suggesting more similar surgical camps to reduce the burden of preventable blindness due to cataract. Keywords: community eye camp, cataract surgery, visual outcomesPublication Knowledge and Attitude on Eye Donation among Undergraduate Medical Students of Kathmandu University School of Medical Sciences, Nepal(Kathmandu University, 2021) Kaiti, R; Dhungel, P; Pradhan, A; Chaudhry, MABSTRACT Background Corneal blindness accounts for a significant proportion of avoidable visual impairment in developing countries. Eye donation is voluntary and awareness in undergraduate medical students being a future practitioner in any field are expected to be linked to patients during death in hospitals. Objective To assess the awareness of medical students on eye donation at Kathmandu University School of Medical Sciences (KUSMS). Method This was a cross-sectional study conducted among undergraduate medical students of KUSMS. Students’ responses were recorded using a predesigned, pretested, semi- structured questionnaire inquiring knowledge and attitude of eye donation, sources of information, their willingness to donate eyes as well as the reasons for donating/ not donating eyes. Result Less than half of the medical students (45.6%) were aware of eye donation only after death. Newspapers (72.2%) were the major source of information. The final year medical students were more aware (Average knowledge score = 11.56 ± 2.05) than their juniors. 80.7% of the students were willing to donate their eyes. The adjudged reasons for willingness to donate were that eye donation is a noble work and pleasure in helping a blind person while the reasons for unwillingness to donate were lack of awareness followed by family objection to eye donation. Conclusion Future medical practitioners possessed satisfactory knowledge about eye donation. Educating this cadre of human resources to sensitize them towards the need for eye donation would be a crucial step towards reducing the global burden of corneal blindness. KEY WORDS Attitude, Eye donation, Knowledge, Medical students, Transplantation