Retinal laser services in Bhutan: a 3-year national survey
| Autor: | Thukten Tshering, Paul S. Bernstein, Michael Morley, Ted Maddess, Pema Zangmo, Bhim Bahadur Rai, Abi N. Khatiwara |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Retinal Vein Operating theatres Referral Macular Edema 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Laser therapy lcsh:Ophthalmology Diabetes mellitus Occlusion medicine Humans 030212 general & internal medicine Bhutan Child Aged Diabetic Retinopathy Laser Coagulation Photocoagulation business.industry Lasers Infant Newborn Retinal General Medicine Diabetic retinopathy Middle Aged medicine.disease Ophthalmology Retinal laser chemistry lcsh:RE1-994 030221 ophthalmology & optometry Female business Laser services in Bhutan pan-retinal photocoagulation Research Article |
| Zdroj: | BMC Ophthalmology, Vol 20, Iss 1, Pp 1-6 (2020) BMC Ophthalmology |
| ISSN: | 1471-2415 |
| Popis: | Background We conducted this study to report on the indications and types of retinal laser therapy (RLT) performed in Bhutan, knowing which is critical for proper planning and successful delivery of the services. Methods We reviewed the laser registers maintained in the laser rooms and vitreoretinal (VR) operating theatres (including paediatric cases managed under anaesthesia) over three years at the national and the two regional referral hospitals (RRHs). Intraoperative laser treatments (endolaser) were excluded. Patient demography, indications and types of RLT were recorded and quantified. Comparisons of the expected and observed frequencies used Chi-squared tests. Results A total of 685 patients, including 8 cases of bilateral retinopathy of prematurity (ROP) received RLT. The majority of patients (411 cases, 60.0%, p Conclusions The majority of patients were within working-age. Common indications for RLT were preventable such as DR, DMO and RVO, indicating need to control systemic diseases such as diabetes, hypertension, and dyslipidaemia. Currently, regular RLT is provided only at the national referral hospital in Thimphu, and periodically in the eastern and central RRHs when the retinal specialist visits. There is need to extend the retinal services to the eastern and central RRHs to improve accessibility and patient coverage in these regions challenged with difficult terrain and poor public transport system. |
| Databáze: | OpenAIRE |
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