A Unique Experience of Retinal Diseases Screening in Nepal

Figures & data

Figure 1 Showing Retina Screening Algorithm.

Abbreviations: FEUM, fundus evaluation under mydriasis; CHEERS, Hospital for Children, Eye, ENT & Rehabilitation Services; ACD, anterior chamber depth; mg/dl, milligrams/decilitres.

Table 1 Data of Retina Screening Patients

	Chapagaun	Bode	Lele	Risthe
	SORC	SORC	DSTS	RRHC
Total patients registered	60	60	65	153
Male	27	25	31	70
Female	33	35	34	83
Mean age in years(Range)	57.5 (40-90)	61.5 (21-91)	60.5 (30-74)	56.5 (35-78)
Diabetic	27 (45%)	37 (61.6%)	40 (61.5%)	3 (1.96%)
Hypertensive	31 (51.6%)	23 (38.3%)	26 (40%)	10 (6.53%)
Diabetic hypertensive	10 (16.6%)	16 (26.6%)	15 (23%)	2 (1.3%)
High RBS >200 mg %	19 (31.6%)	22 (36.6%)	25 (38.46%)	1 (0.65%)
Uncontrolled DM	12 (32.43%)	17 (32%)	19 (34.5%)	NA
DR awareness	26 (43.3%)	30 (50%)	33 (49%)	NA
Previous FEUM	20 (34.48%)	24 (40%)	30 (45.45%)	Na
Fundus photography	14	10	15	50
Referred to CHEERS	10 (16.6%)	9(15%)	11 (16%)	3 (1.96%)

Abbreviations: FEUM, fundus evaluation under mydriasis; RBS, random blood sugar; DM, diabetes mellitus; DR, diabetic retinopathy; CHEERS, Hospital for children, Eye, ENT & Rehabilitation Services; SORC, static outreach clinic; DSTS, daily screening and treatment services; RRHC, remote rural health camp; NA, not available.

Table 2 Data of Retinal Diseases Distribution

	Chapagaun	Bode	Lele	Risthe
	SORC	SORC	DSTS	RRHC
Non-proliferative DR	4	2	5	1
Sight threatening DR	2	1	3	1
Hypertensive retinopathy I--II	3	4	3	0
Macular hole	1	1	1	0
Old retinal detachment	1	1	0	0
Macula dystrophy	1	0	0	0
Posterior vitreous detachment	0	1	0	0
Age related macular degeneration	0	0	0	1
Epi retinal membrane	0	1	1	1
Total	12 (20%)	11 (18.3%)	13 (20%)	4 (2.61%)

Abbreviations: DR, diabetic retinopathy; SORC, static outreach clinic; DSTS, daily screening and treatment services; RRHC, remote rural health camp.