title: Role of the Vision Van, a mobile ophthalmic outpatient clinic, in the Great East Japan Earthquake.
abstract: OBJECTIVE
  The Great East Japan Earthquake of March 11, 2011 triggered powerful tsunami waves off the northeastern Pacific coast of Japan that destroyed almost all of the built-up areas along the coast. The study reported here examined the role played by the Vision Van, a mobile outpatient ophthalmological clinic, in providing eye care to disaster evacuees.
  
  
  METHODS
  This was a retrospective case-series study of 2,070 victims (male: 732, female: 1,338) who visited the Vision Van. The subjects' medical records were examined retrospectively and analyzed in terms of age, sex, and date of visit to the Vision Van. Information regarding each patient's chief complaint, diagnosis, medication(s) prescribed, and eyeglasses and contact lenses provided, was also examined.
  
  
  RESULTS
  The Vision Van was used to conduct medical examinations on 39 days between April 23 and June 29, 2011. The average number of subjects visiting the Vision Van each day was 53±31 (range: 7-135), with examinations carried out in Miyagi Prefecture and Iwate Prefecture. The most frequent complaint was a need for eye drops (871/2,070 [42.1%]). The second and third most frequent complaints, respectively, were the need for contact lenses (294/2,070 [14.2%]) and eyeglasses (280/2,070 [13.5%]). The most frequent ocular disease diagnosis was cataract (497/2,070 [24.0%]). Eye drops were prescribed to 74.1% of the subjects.
  
  
  CONCLUSIONS
  Mobile clinics such as the Vision Van provide valuable care, in this case, particularly to individuals who lost or left behind eyeglasses or contact lenses while escaping a natural disaster, and to subjects with chronic eye disease.
authors.affiliation: Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.
authors.forename: Kenya
authors.initials: K
authors.lastname: Yuki
authors.affiliation: Department of Ophthalmology, Tohoku University Graduate School of Medicine, Miyagi, Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Nakazawa
authors.affiliation: Department of Ophthalmology, Iwate Medical University, Iwate, Japan.
authors.forename: Daijiro
authors.initials: D
authors.lastname: Kurosaka
authors.affiliation: The House of Representatives of Japan, Tokyo, Japan ; Nagoya University Hospital, Aichi, Japan ; Aichi Medical University Hospital, Aichi, Japan.
authors.forename: Tsunehiko
authors.initials: T
authors.lastname: Yoshida
authors.affiliation: Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
authors.forename: Eduardo C
authors.initials: EC
authors.lastname: Alfonso
authors.affiliation: Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
authors.forename: Richard K
authors.initials: RK
authors.lastname: Lee
authors.affiliation: Japan Ophthalmological Association, Tokyo, Japan.
authors.forename: Shigeru
authors.initials: S
authors.lastname: Takano
authors.affiliation: Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.
authors.forename: Kazuo
authors.initials: K
authors.lastname: Tsubota
keywords: disaster relief; eye care; mobile medical services; natural disaster
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