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Vitreo-retinal disorders at high altitude in Nepal
R Thapa1, G Poudyal, A S Crandall
1Vitreo-retinal Unit, Tilganga Institute of Ophthalmology, Kathmandu, Nepal.
Summary
High altitude living in Nepal is associated with vitreo-retinal disorders like age-related macular degeneration (AMD) and hypertensive retinopathy. These findings highlight the importance of regular eye screenings for mountain communities.
Area of Science:
- Ophthalmology
- High-altitude medicine
- Public health
Background:
- Nepal's mountainous terrain necessitates understanding health challenges for high-altitude dwellers.
- Mountain climbing and high-altitude living are common occupations and lifestyles in Nepal.
Purpose of the Study:
- To investigate the prevalence and patterns of vitreo-retinal disorders among individuals residing at high altitudes in Nepal.
- To identify common eye conditions affecting the older population in a high-altitude region.
Main Methods:
- A cross-sectional study was conducted at a micro-surgical eye camp in Lukla, Nepal (2,860m).
- Included were 81 consecutive patients aged 40 years and older.
- Ocular and systemic histories were collected, followed by comprehensive eye examinations, including dilated fundus evaluation.
Main Results:
- Age-related macular degeneration (AMD) affected 19.6% of patients, hypertensive retinopathy 12.2%, and retinal vein occlusion (RVO) 7.1%.
- Dilated and tortuous retinal vessels were observed in 25.9% of cases, often concurrent with AMD or hypertensive retinopathy.
- Hypertension was the most common systemic issue (28%), and agriculture was the primary occupation (51.9%).
Conclusions:
- Age-related macular degeneration (AMD), hypertensive retinopathy, and retinal vein occlusion (RVO) are significant vitreo-retinal disorders in Nepal's high-altitude population.
- The presence of dilated and tortuous retinal vessels is notable in this demographic.
- Findings underscore the need for targeted eye care interventions in high-altitude communities.
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