Dev Narayan Shah's research while affiliated with Tribhuvan University and other places
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Publications (17)
Abstract: Purpose: To evaluate the pattern of presumed tuberculous uveitis and
its various clinical presentation. Methods: This hospital based, cross-sectional
descriptive study was conducted in B.P. Koirala Lions Centre for Ophthalmic
Studies, Kathmandu, Nepal from January 2013 to June 2014. All uveitis patients
presenting to uveitis clinic were i...
Purpose:
To assess the change in visual function in uveitis patients after treatment.
Materials and methods:
This one and a half year prospective study was conducted among 180 new uveitis patients. A questionnaire was used to assess the visual function in uveitis cases and analysis of effect size change was also done.
Results:
The male to fema...
Objective:
To find out eye findings among HIV positive patients in the era of antiretroviral therapy. Method This Hospital based cross sectional descriptive study was carried at B. P. Koirala Lions Centre for Ophthalmic Studies. Patient profile, WHO clinical stage, CD4+ cell count, duration of HIV, antiretroviral therapy, and systemic diseases wer...
Introduction . Orbital myiasis is the infestation of the orbital tissues by fly larvae or maggots. Compromise of periorbital tissues by malignant disease, surgery, ischemia, or infection may predispose the patient to orbital myiasis. Case Report . A 73-year-old male patient with neglected recurrent basal cell carcinoma of the eyelid invasive into t...
Background:
Lupus retinopathy is one of the most common vision-threatening complications of systemic lupus erythematosus. The presence of lupus retinopathy is an accurate guide to the presence of active systemic disease activity.
Results:
A prospective study was conducted looking at 91 established cases of systemic lupus erythematosus to evaluat...
Visual impairment (VI) affects physical, psychological, and emotional well-being, and social life as well. The purpose of this exploratory study was to assess the psycho-social impact of VI on health-related quality of life (HRQoL) among nursing home residents.
This cross-sectional study involved 272 residents of 60 years or older residing in seven...
Introduction:
In April 2006, the people of Nepal organised mass demonstrations demanding the restoration of democracy in the country. The ocular injuries that resulted during the riots that ensued, their pattern and the visual outcome of the injured have not yet been reported.
Objective:
To study the demographic profile, type, severity and the v...
Background:
Visual impairment (VI) has a significant negative impact on quality of life (QoL) amongst older people living in nursing homes. The purpose of this study was to determine the prevalence of VI and blindness and to explore the association between severity of VI and vision-specific QoL among older people living in nursing homes of Kathman...
Purpose:
To determine IOP fluctuation in uveitic eyes treated with corticosteroids.
Design:
Prospective Observational Study.
Method:
Study of 116 consecutive new uveitis patients visiting Uveitis clinic, BPKLCOS. IOP was meticulously monitored. Data was analyzed in SPSS-16 using paired samples 't-test'.
Results:
The mean IOP in all patients...
The frequency of visual impairment and blindness increases with age and is more prevalent among older adults living in residential care centers. The main aim of this study was to assess the visual status and determine the prevalence and major causes of visual impairment and blindness among the older adults living in residential care centers of Kath...
Aim of the study was to evaluate the effects of ethambutol therapy in visual functions.
Prospective evaluation of 88 eyes of 44 patients on ethambutol therapy under Directly Observed Treatment Short-course (category I) for primary tuberculosis was done before start of ethambutol therapy and after 2 months of starting the therapy. Parameters evaluat...
Manifestations of Systemic lupus erythematosus are protean and the eye can get affected in more than a third of the cases. This study was conducted to evaluate the spectrum of ocular manifestation among Nepalese patients diagnosed with Systemic lupus erythematosus.
In this hospital based cross-sectional study, 91 established cases of Systemic lupus...
Glial heterotopias are rare, benign, congenital, midline, non-teratomatous extracranial glial tissue. They may masquerade as encephalocoele or dermoid cyst and mostly present in nose. Herein, we present an unusual case of glial heterotopia of the orbit with unilateral blindness.
A 6 year-old-boy presented with a progressive painless mass over the n...
Purpose: To evaluate visual problems, major symptoms, and their associations among VDT users in Nepal.
Methods: Among 76 hospital attendees, assessment included visual acuity, retinoscopy, convergence, accommodation, fusional vergence and Schirmer's II. Subjects’ symptoms were recorded in the structured 5 point intensity scale questionnaire.
Result...
Background: HIV has the capability to affect every organ system in the body. Ocular manifestations have been re-ported in up to 70% of individuals infected with HIV and the ocular manifestations reflect systemic disease and may be the first sign of disseminated infection. Aim: To identify different types of ocular involvement in the cases known to...
Citations
... The origin of the published studies was noticed in endemic areas such as India, Nepal, and Sri Lanka. [12,[15][16][17][18]20,22,[24][25][26] Furthermore, several reports originated from the USA, UK, and European countries. [9][10][11]13,14,17,21,23] Two studies were published before the discovery of streptomycin and its activity against MTB in 1944. ...
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... Fundus photography of 23 years male patient showing a solitary posterior pole choroidal tuberculoma[31]. ...
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... Clinicians tend to evaluate and quantify diseases by assessing structural changes or direct measures of physiology, but these may not be meaningful to patients and carers, nor directly relate to the things that matter most to them e.g. aspects of function in daily life [10,11]. It is therefore necessary to understand which outcomes matter to healthcare professionals, compare and assess their views with those of patients and carers. ...
... Studies from sub-Saharan Africa reported that 48% of PLHIV in Ghana [4] and 70% of PLHIV in Tanzania [5] had ocular abnormalities. Elsewhere, ocular conditions have been reported in 53 to 65% of PLHIV at some point in their disease course [6,7]. ...
![[object Object]](https://i1.rgstatic.net/ii/profile.image/316706512146433-1452520124935_Q64/Rajan-Labh.jpg)
... Ophthalmomyiasis which is responsible for less than 5% of cases can be occasionally a life-threatening condition. Crowded places, poor personal hygiene, a low socioeconomic status, surgery, cancer, ischemia, and infection can make patients prone to orbital myiasis [2]. Myiasis is more prevalent in rural regions with a warm climate. ...
... Occlusions may occur due to either thrombosis from co-occurring antiphospholipid syndrome or immune complex deposition with subsequent inflammatory response in the vessels. 4,6 Typically, signs of retinopathy and large vessel occlusions have been associated with active and severe SLE. 7 However, a review of the indexed literature between 2012 and 2022 found at a least 11 cases in which a CRAO, CRVO, BRAO, or some combination of these were a patient's primary presenting sign of SLE [ Table 1]. ...
... [3] These ocular manifestations have shown changes in prevalence in studies done after the advent of HAART in different countries including India. [4,5] We studied the pattern of ocular manifestations related to HIV/AIDS in seropositive patients at our Tertiary Care Center with the objective of identifying its spectrum in the HAART era and to emphasize on the role of ophthalmologists in fighting this battle against HIV: An Everlasting Challenge! ...
... Visual impairment plays an important role in the independence and quality of life of the elderly [11]. It is associated with other significant co-morbidities including mental health conditions, reduced mobility and increasing falls [12][13][14]. It is well recognised that regular access to eye care allows earlier detection of age-related eye diseases when treatment can be most effective [15][16][17]. ...
![[object Object]](https://i1.rgstatic.net/ii/profile.image/776855485427712-1562228189046_Q64/Mahesh-Dev.jpg)
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... 29,30 But there are only a few studies reporting on the elderly in residential care. 19,35 Researchers from Australia reported an adverse impact on visual functioning among those with UVI, though the impact was less when compared to those with bilateral vision loss. 10,15 As UVI is based on worse eye acuity, we did not find a significant difference in the visual symptom domain. ...
... First, open-angle mechanisms related to topical corticosteroid use are a well-known risk factor for IOP elevation. Studies report that 13%-62% of eyes with acute and chronic uveitis of any etiology are steroid-responders [28][29][30]. During the acute stage of VKH disease, eyes usually have low IOP secondary to low aqueous production by the ciliary body, which may protect them from OHT development. ...
