Sunday, November 28, 2010

Dr.S.Natarajan in Doha Press


More attention needed to curb ocular trauma Sunday, 28 November 2010 02:43
By Fazeena Saleem
DOHA: Advanced medical expertise and technology is available in Qatar to handle Ocular Trauma, while more attention should be paid to prevent eye injuries among children and construction workers, say experts.
The Ophthalmology Department at the Hamad Medical Cooperation (HMC) is equipped and the surgeons are skilled to meet the dramatic rise in the number of eye injuries suffered by children and young adults in Qatar, said Dr Szilard Kiss, Assistant Professor of Ophthalmology and Director of Clinical Research, Weill Cornell Medical College.
“It is completely equipped; the equipment is as good as we have in New York and some times even better. The surgeons possess top knowledge and the techniques they use are equal to any other place in the world,” he said on the sidelines of the 2nd Qatari Ophthalmology conference.
This three-day conference emphasised to create public awareness on the measures and tools required to prevent eye injuries at construction sites, schools and at the work place.
“It can give hope to patients who had no hope after any eye injury. What, the doctors and audience will take out of this conference is about undergoing a surgery and getting the vision back,” said Dr Kiss, who is also a visiting surgeon at the Ophthalmology Department, HMC.
The conference saw many presentations and lectures from international eye experts from different parts of the world including USA, Europe, Middle East, India and GCC in addition to the local speakers from the HMC. The Ophthalmology conference had dedicated sessions each day, which dealt at length on the various issues related with ocular trauma and how best to prevent it.
“We should aim at prevention from injuries. We have several deceases to tackle. In case if we can prevent injuries the Ophthalmologist can spend more time on other diseases,” said, Dr S. Natrajan, Chairman, Academic research Committee, All India Ophthalmological Society.
“Children should have adult’s supervision; usually parents leave children with maids or at the play schools. Even at play schools if there is an adult supervision injuries could be prevented,” he said.
Sports injuries and work place injuries occur more because of carelessness and not following the proper safety measures.
“For workers the norms should be followed. Where ever there is a risk, the protection measures are important. Many accidents happen when they are lazy for few minutes,” said Dr Natrajan, who is looking for a clinical and expertise exchange programme.
Immediately after an injury the eye will be malformed. This will be addressed on early stage, to reform the shape of the eye. And often the next is rehabilitation carried out at second and third surgery, to maximise the visual potential, says experts.
However, patients in the Middle East mostly don’t do follow up treatment said Dr Farthy Elsayyad, IRCS, Misiri University for Science and Technology, Cairo Egypt. Only less than five percent of the patients take follow up treatment after an eye injury said Dr Fathy, while sating the real statistics of Ocular Trauma in the Middle East is unaware.
The Peninsula




Ocular trauma can be treated, says expertDescription: http://www.gulf-times.com/site/images/spacer.gif Description: http://www.gulf-times.com/site/images/Icons/add-artical.gif
By Noimot Olayiwola
Dr Kiss (second left) listens to a question during the conference
People suffering from ocular trauma have hopes of regaining their vision even after several surgeries, a clinical researcher said yesterday.
“They might not regain the same level of vision they had before the trauma but potentials for visual recovery are there through many interventions available now,” Weill Cornell Medical Centre Clinical Research director Dr Sziland Kiss said.
He was speaking to the Gulf Times on the sidelines of the Second Qatar Ophthalmology Conference on Ocular Trauma, which concluded yesterday.
The focus of the conference was on prevention and treatment of ocular trauma as many children and young adults in Qatar and around the world suffer from eye injuries.
In the last four years, Qatar has seen a huge increase in serious eye injuries suffered by young people. The Hamad Medical Corporation’s ophthalmologic emergency receives and treats more than 50 cases of ocular injuries every day.
“Ocular trauma is a growing problem among people within the working age bracket and the highest incidences occur among people in the construction sector,” Kiss said.
However, he said people can also suffer trauma to the eyes in the home setting.
“When something strikes the eye or it goes into the eye causing damage or bleeding, that is ocular trauma. The first thing that comes to mind after a trauma is to put the eye together for repair,” he said.
Dr Kiss added that the repair of an eye can be likened to the repairing of a punctured balloon.
“Just think of a balloon that got shrunk when it is punched, the same thing applies to an eye and what to do is to sew it back into shape. Then after two-three weeks you can do a procedure called pars plana vitrectomy,” he said.
“Fortunately, Qatar has most of the advanced technologies to take care of patients in terms of repairing their eyes.”
Dr Kiss occasionally attends to patients, most of them diabetics, at the Hamad Hospital in co-operation with the Cornell Medical College.
He plans to collaborate soon with the Qatar Foundation on conducting research on diabetes.
Speaking at the inaugural session, the ophthalmology department head Dr Fatima al-Mansouri said that annually about half a million post-ocular trauma blindness occurs worldwide.
“Ninety percent of these cases occurred due to causes that were preventable and exposure to risks that could have been controlled with simple and effective occupational safety procedures, proper health education or driving precautions,” she said.
Dr al-Mansouri said effective management protocols to maintain complications are among measures required to meet the growing problem.
She said when the rate of ocular trauma increases without any effective controlling measures, ocular disability rate also increases imposing its negative burden on individuals and communities alike.

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