Road traffic accident was found to be the main cause of TSCI in Kuwait, whereas acute and degenerative disc lesions were the leading causes in NTSCI. Prevention strategies should be directed toward these causes to reduce the incidence of SCI in Kuwait.
In Southern Nepal 100 eyes were examined on which a couching operation (reclination of the lens) had been performed by "quacks". The postoperative period extended from 1 month to more than 10 years. At the time of the examination 42 eyes were found to be blind; 26 of these were still blind immediately after the operation or went blind again during the following 6 months. In the eyes in which vision was preserved throughout the first postoperative year, subsequent loss of vision was less than 10% a year. These surgical results may not appear desirable but they are at least acceptable considering that the couching had been performed in regions of Nepal where modern ophthalmic care is not yet available.
The incidence of cataract in Nepal was determined from data collected in 14 mobile eye hospitals (called 'eye camps'). Of a total of 12,217 patients examined in the out-patient department (OPD), cataract surgery was performed on 2,163. The percentage of cataract patients in the OPD was less in the mountains (13.8%) than in the Tarai plains (19.8%). In the inhabitants of the mountains, the majority of whom belong to the Tibeto-Birman race, cataracts appeared at a significantly later age in both males and females compared to the people of the plains, who are mostly Indo-Aryan. Cataracts were discovered in both groups at a younger age in women than in men.
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