Ocular manifestations and its associated factors in patients with dermatitis at a tertiary care hospital in Kathmandu

Abstract

Dermatitis also known as eczema, is inflammation of the skin, typically characterized by itchiness, redness and a rash. Dermatitis was estimated to affect 245 million people globally in 2015 or 3.34% of the world population. In Nepal, studies from different parts of the country have reported the prevalence of dermatitis between 15.9 to 39.2%. Severe dermatitis with repeated scratching and rubbing of the face predisposes the patient to various ocular complications. A hospital-based, cross-sectional, descriptive study was conducted to assess the overall frequency and type of ophthalmological complications among patients with dermatitis at a tertiary care hospital in Kathmandu. A total of 91 patients were enrolled for this study. The minimum age was 5 years and maximum was 78 years, with the mean of 30.48 with a standard deviation of ± 20.28. The upper and lower limits for estimated mean age were 34.63 years to 26.33 years at 95% confidence interval. Seventy-one (78.0%) of all patients had ocular manifestations, many of them had more than one manifestation. Females outnumbered the males (41.8%; 36.3%) with respect to the occurrence of ocular manifestations in dermatitis. The commonest ocular manifestations were blepharitis in 35 (38.5%) patients, followed by eyelid eczema in 13 (14.3%) patients, allergic conjunctivitis in 5 (5.5%) and patients with other manifestations. Based on professional classification, over one fourth of the participants were students accounting for 44.0%, followed by homemakers accounting for 23.1% and shopkeepers accounting for 11.1%, respectively. A statistically significant association was observed with the ocular manifestation in relation to gender (p value=0.03) and occupation (p value=0.03). However, no association was observed between ocular manifestation with duration of dermatitis (p value=0.65), type of dermatitis (p value=0.94), personal and family history of allergy/atopy (pvalues=0.26; 0.58, respectively).

Patient satisfaction and their determinants in outpatient department of a tertiary public hospital in Nepal: a cross-sectional study

“…This study aims to bridge this research gap by conducting a thorough evaluation of patient satisfaction levels among those receiving services at the Outpatient Department of Nepal’s government-run tertiary care Mental Hospital. The findings of this research hold the potential not only to illuminate the patient experience within tertiary care public hospitals but also to contribute to the broader global discourse on enhancing healthcare service quality [ 5 ].…”

Diabetic retinopathy in patients with newly diagnosed type 2 diabetes mellitus

“…Diabetic retinopathy (DR) is the leading cause of visual impairment among working aged individuals in both western worlds as well as in Nepal. [1][2][3][4] Detailed understanding of the prevalence of Diabetes Mellitus (DM), as well as the association of DR with other detectable conditions allows for improved awareness, screening and treatment, and subsequently lower incidence and severity of vision loss. [1][2][3][4] Previous population-based screening studies from Nepal have shown a higher percentage prevalence of DR than India.…”

“…[1][2][3][4] Detailed understanding of the prevalence of Diabetes Mellitus (DM), as well as the association of DR with other detectable conditions allows for improved awareness, screening and treatment, and subsequently lower incidence and severity of vision loss. [1][2][3][4] Previous population-based screening studies from Nepal have shown a higher percentage prevalence of DR than India. 4 Different community based screening for DR found a prevalence of 19.3%, 5 and a subsequent community-based study in two different metropolitan cities of Nepal reported a slightly lower DR prevalence of approximately 12%.…”