Phaco Training in Nepal

Dhulikhel Hospital is established in 1996 in the joint initiative of Dhulikhel Health Service Association, Dhulikhel Municipality and NepaliMed. It is a not-for-profit community initiated hospital providing tertiary clinical services in Dhulikhel and surrounding community areas.

Dhulikhel Hospital is established in 1996 in the joint initiative of Dhulikhel Health Service Association, Dhulikhel Municipality and NepaliMed. It is a not-for-profit community initiated hospital providing tertiary clinical services in Dhulikhel and surrounding community areas.

Last April 2013, Dr. Mack Cheney (Office of Global Surgery and Health, Mass Eye and Ear) was invited to meet with Dr. Ram Shrestha and his colleagues at Dhulikhel Hospital in Nepal.  An hour outside of downtown Kathmandu, Dhulikhel Hospital is poised to add much needed ENT and Ophthlamology capacity to Nepal’s healthcare system in the form of formalized residency programs.  To advance their programs, they have identified a need for faculty and an academic partnership.  We are working with Dr. Ram Shrestha, Dr. Ram Chaya (ENT), and Dr. Purnima Rajkarnikar (Ophthalmology) to identify priorities and navigate the Nepalese healthcare ecosystem.

Dr. Roberto Pineda working with Dr. Purnima Rajkarnikar and the rest of the ophthalmology team at Dhulkihel Hospital to use their new phaco machine

Dr. Roberto Pineda working with Dr. Purnima Rajkarnikar and the rest of the ophthalmology team at Dhulkihel Hospital to use their new phaco machine

In December 2013, Drs. Roberto Pineda (Mass Eye and Ear) and Ankoor Shah (Boston Children’s Hospital) visited Dhulikhel Hospital to provide instruction in the use and operation of the hospital’s new phaco machine as they transitioned from more traditional cataract surgery methods, improving their output in the first week to 19 cases.  In addition to providing interoperative surgical instruction, Dr. Pineda worked with Dr. Purnima Rajkarnikar to modify the preoperative care plan for improved outcomes and lowered infection rates.

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