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Nepalese Journal of Ophthalmology

Publisher:
—
ISSN:
2072-6805
Category:
OPHTHALMOLOGY
Impact factor:
0.3

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2025-11-13

Nepalese Journal of Ophthalmology

Volume 17, Number 1, Issue 33 (January - June 2025)

Bleb-related Infection following Trabeculectomy

2025-11-13

Madhu Thapa, Pragati Gautam, Sareena Pachai

Introduction : Bleb-related endophthalmitis after trabeculectomy is a rare but sight threatening complication. Thin walled blebs, occurring after adjunctive use of antimetabolite like mitomycin C and 5-flurouracil, is an important risk factor for bleb-related infections. Case : Forty-five years old one-eyed male had undergone trabeculectomy in past, had presented with diminution of vision, pain, photophobia in his seeing eye. Observation : On examination, best corrected visual acuity was 5/60, thin walled avascular bleb with congested conjunctiva, minimal hypopyon, pupil had fibrinous exudate and vitreous reaction. He was diagnosed as bleb-related endophthalmitis. He improved after intra-vitreal and topical antibiotics Conclusion : Bleb-related infections can be controlled if diagnosed and treated on time.

Risk Factors of Central Serous Chorioretinopathy among Nepali Population

2025-11-13

Nayana Pant, Subash Bhatta, Suresh Raj Pant

Introduction : Central Serous Chorio-retinopathy (CSCR) is a common cause of retinal blindness in Nepal. Objective : To identify risk factors of Central Serous Chorio-retinopathy (CSCR) in the Nepali population. Methodology : A case-control study was conducted on patients with CSCR presenting at tertiary eye center of Nepal, from 2019 to 2021. Data on age, gender, ethnicity, stress, axial length, alcohol drinking and other risk factors were collected. Chi-square tests were conducted to find associations between variables and CSCR. Binary logistic regression was utilised to determine the odds of developing CSCR among the cases and to adjust for potential confounders. Wilcoxon Rank Sum test was used to compare means. Result : The study included 145 eyes from 132 cases of CSCR and 145 age- and sex-matched controls. Young adults in the age group of 31-40 years and male gender were significantly associated with CSCR (p<.05). Tharu ethnicity (adjusted OR= 3.3 95% Confidence Interval=1.890-5.444), shorter axial length (adjusted OR= 1.725; 95% CI=1.271-2.342) and alcohol use (adjusted OR=2.779, 95% CI=1.136-6.799) were significantly associated with CSCR. Smoking, stress, inadequate sleep, and night duties were common among CSCR cases but did not reach statistical significance. Conclusion : This is first study in Nepal to report higher prevalence of CSCR in tharu ethnic group. Young adult male, alcohol drinking and short axial length are other significant risk factors of CSCR among Nepali population. Although the study does not establish temporal causation, it underscores need to suspect CSCR in tharu patients presenting with relevant symptoms. Further research is warranted to explore why the tharu population is more susceptible to CSCR.

Role of Nepal Ophthalmic Society as a Professional Association

2025-11-13

Tejsu Malla, Sabin Sahu

Introduction : Role of professional organisations is to set and promote standard, ultimately creating professional and personal excellence in supportive environment. Nepal Ophthalmic Society (NOS) plays crucial role in advancing ophthalmology in Nepal through education, research, and advocacy. Established in 1985 AD to promote professional development and enhance health care delivery, NOS has grown from handful of ophthalmologists, to 504 members and 50 associate members (2024 November 20). Objective : To assess perspectives of ophthalmologists on impact, activities, and role of NOS. To prepare framework for future to strengthen its organisation with happy members. Methodology : A cross-sectional survey was conducted among ophthalmologists in Nepal from 2024 May to 2024 July using structured questionnaire. The survey assessed their perspectives on NOS's impact, activities, and role in advancing ophthalmology. Data were collected through online surveys, ensuring a representative sample of practising ophthalmologists across Nepal. Result : The study included 309 ophthalmologists and residents. Majority were young (60.1% aged ≤40 years) and female (54%). Most participants (49.52%) believed primary function of NOS was professional development, followed by advocacy, and public awareness (34.73%). The mean satisfaction rating for NOS’s role was 5.6 ± 1.85 out of 10. The major challenges faced by ophthalmologists in Nepal included low salary and financial difficulties (25.72%) as well as poor residency training and lack of surgical exposure (22.51%); 75.56% of respondents considered misuse of ‘Doctor” title by non-ophthalmologists a significant issue, with most suggested solutions being press releases and public awareness campaigns (63.43%), followed by notifying regulatory bodies (39.62%) Conclusion : The NOS has been significantly contributing to professional development, advocacy, and skill enhancement in Nepal. Key challenges include low salaries, inadequate surgical training, and misuse of ‘Doctor” title. Strengthening membership outreach, advocating professional rights, and addressing concerns will enhance NOS's impact and ensure its long-term sustainability in shaping Nepal’s ophthalmology landscape.