Shrestha P, Kaiti R, Shyangbo R, Dhakal K
Department of Ophthalmology, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre, Nepal.
Nepal Eye Hospital, Kathmandu, Nepal.
Kathmandu Univ Med J (KUMJ). 2022 Apr-Jun;20(78):209-213.
Background Medical students spend long time in academic activities that increases the risk of developing refractive errors and dry eyes that can affect their learning and social abilities. Only a few studies are available regarding ocular problems and its contribution to visual impairment among medical students in Nepal. Objective To evaluate the ocular problems among the medical students in a University hospital. Method An observational, descriptive, cross-sectional study was conducted among five batches undergraduate medical students until 2022 of Kathmandu University School of Medical Sciences, Dhulikhel, Kavre. A self-administered questionnaire was used to obtain demographic data and information on visual problems followed by a detailed ocular examination that included refraction, color vision and Schirmer test. Result Total of 284 medical students (with 568 eyes) with mean age of 22.8 years, 179 males and 105 females were enrolled. Among them, 270 (47.5%) eyes were emmetropic. Simple Myopia was the commonest followed by Compound Myopic Astigmatism. The mean spherical equivalent in right and left eye were -0.914 ± 1.54 and -0.886 ± 1.53 respectively. Approximately 18% students had some form of dry eye. Nineteen students (6.7%) had color vision deficiency and 13 (4.6%) had deuteranomalia, 3(1.1%) had deuteranopia and 3(1.1%) had protanomalia. Conclusion Eye defects, like refractive errors, dry eyes and color blindness, are common among medical students. They need to be advised for frequent eye check up in order to diagnose eye defects timely and arrest visual impairment at early stage.
背景 医学生长时间从事学术活动，这增加了患屈光不正和干眼症的风险，而这些问题可能会影响他们的学习和社交能力。关于尼泊尔医学生的眼部问题及其对视力损害的影响，仅有少数研究。目的 评估一所大学医院中医学生的眼部问题。方法 对加德满都大学医学院杜利凯尔校区（位于卡夫雷）截至2022年的五批本科医学生进行了一项观察性、描述性横断面研究。使用一份自填式问卷获取人口统计学数据和视力问题信息，随后进行详细的眼部检查，包括验光、色觉检查和泪液分泌试验。结果 共纳入284名医学生（568只眼），平均年龄22.8岁，其中男性179名，女性105名。其中，270只眼（47.5%）为正视眼。单纯近视最为常见，其次是复合性近视散光。右眼和左眼的平均等效球镜度分别为-0.914±1.54和-0.886±1.53。约18%的学生患有某种形式的干眼症。19名学生（6.7%）有色觉缺陷，其中13名（4.6%）为绿色盲，3名（1.1%）为绿色盲，3名（1.1%）为红色弱。结论 屈光不正、干眼症和色盲等眼部缺陷在医学生中很常见。需要建议他们定期进行眼部检查，以便及时诊断眼部缺陷并在早期阻止视力损害。
