東日本大震災早期の石巻中学避難所における眼科疾患の検討

Eye patients treated at an emergency medical center in Ishinomaki City soon after the Great Earthquake in Northeastern Japan

要約　背景：東日本大震災は2011年3月11日に起こった。筆者は3月24～27日まで兵庫県医師会が派遣した医師団に加わり，石巻市で診療を行った。目的：石巻市仮設診療所で行った眼科診療の報告。対象：4日間に受診した眼科患者59名を対象とし，解析した。結果：男性23名，女性36名が受診した。年齢は70歳代が23名（39％）と最も多く，60歳以上が41名（69％）を占めた。受診疾患は，アレルギー性疾患25％，緑内障22％，白内障21％，眼底疾患14％，ドライアイ4％，その他14％であった。急性緑内障，網膜裂孔，網膜出血の重症者3名は石巻赤十字病院に紹介した。結論：震災の13日後には眼科医療のニーズが高まっていた。今後の大災害発生の際には，全国的な眼科組織による早急な支援チームの派遣が望まれる。

Abstract.　Background：The Great Earthquake with Tsunami in Northeastern Japan took place on March 11, 2011. The present author, an ophthalmologist in practice in Western Japan, participated in a medical team dispatched to Ishinomaki City that is located near the epicenter and that has a population of about 150,000. Purpose：To present a report on 59 eye patients seen at the emergency eye center from March 24 through 27. Results：The series comprised 23 males and 36 females. There were 41 patients（69％）over 60 years of age including 23 septuagenarians（39％）. Medical advice was sought for allergic eye diseases 25％, glaucoma 22％, cataract 21％, fundus diseases 14％, dry eye 4％ and others 14％. Three patients, including acute glaucoma, retinal break and retinal hemorrhage, were referred to nearby Red Cross Hospital. Conclusion：Professional eye care was highly needed 2 weeks after the Great Earthquake. Immediate action in a nation-wide scale ought to be made in such a disaster in future.