scholarly journals Pattern of Eye Diseases in Dhaka City District Level and Village Areas in Bangladesh

2021 ◽  
Vol 5 (1) ◽  

Background: Ocular morbid conditions are responsible for partial or total blindness. Ocular morbidities by its sheer magnitude form an enormous problem, not only in human suffering, but also in terms of economical loss and social burden. Objective: The aim of this study is to determine the pattern of eye Diseases. Methods: This was a cross sectional study. This study was done in Dhaka city, different districts of Dhaka Division and different Upazilla of Dhaka district. From these three sites 3124 patients were randomly selected. All the members of a family were cross-examined and then diseased individuals were isolated for detail history taking and clinical assessment. Results: The results revealed that 3124 study subjects were had ocular morbidity. Common ocular morbidity was 1153 had Refractive error (36.9%), 105 had Cataract, 15(0.5) had Glaucoma, 63(2.0) had Chronic Dacryocystitis, 14(0.4) had Pterygium, 6(0.2) had Diabetic Retinopathy, 56(0.2) had Retinitis pigmentosa and 1763 (56.4) others. Males were more affected as compared to females. It was observed that as the age increases the prevalence of ocular morbidity increases. Conclusion: The leading cause of eye diseases in this study was Refractive error, Cataract, Glaucoma, Chronic Dacryocystitis, Pterygium, Diabetic Retinopathy, Retinitis pigmentosa and others etc.

1970 ◽  
Vol 1 (1) ◽  
pp. 35-38 ◽  
Author(s):  
P Bastola

Background: There is a lack of study in the pattern of ocular morbidity in western hilly region of Nepal. Therefore a study was carried out to find out the pattern of ocular morbidity, in various age groups in a diagnostic, screening and treatment camp (DST) held in a western hilly remote region of Nepal. Methods: A descriptive, cross sectional study was done to find out the pattern of ocular morbidity in a western hilly region of Nepal. All the cases included in the study were examined thoroughly from Ophthalmological perspective and a diagnosis was made. Patients needing treatment both medical as well as surgical were advised accordingly and referred when indicated. Results: A total of 712 eyes of 356 cases were examined in this study. The range of the age varied from two months of life to 91 yrs of age. Age wise most number of cases were in the school going age group accounting for almost 80% of all the cases. The commonest ocular morbidity encountered were refractive error (15.4%), dry eyes, ocular allergy, followed by cataract. Majority of the cases had both dry eyes and ocular allergy. While 70 eyes of 35 patients had no ocular morbidity. Conclusion: The lower prevalence of age related cataract was due to the extensive cataract surgical coverage provided in the region by various organizations and because of lesser number of cases examined above the age of 40 years. Finding of just three cases of Xerophthalmia (X2B), pointed out towards the success of extensive Vitamin A supplement program run by the ministry of health. Keywords: Refractive error; dry eyes; ocular allergy; cataract DOI: http://dx.doi.org/10.3126/njms.v1i1.5795   Nepal Journal of Medical Sciences. 2012; 1(1): 35-38


Author(s):  
Mitali G. Patel ◽  
Darshankumar K. Mahyavanshi ◽  
Sunil Nayak ◽  
Aayushi Patel ◽  
Brijal Patel ◽  
...  

Background: Vision is the most important special sense in human being. Normal vision is essential for normal physical, mental, psychological development and education. Causes of the preventable blindness are often the result of a combination of factors such as poverty, lack of education and inadequate health-care services. The objectives of the study were to determine the pattern of ocular morbidity in patient attending ophthalmic OPD and to find out the association of most common ocular morbidity with different variables. Methods: The cross sectional study was conducted in ophthalmic department at GMERS medical college, Valsad, Gujarat, India. It is a part of the research activity during internship period in Community Medicine department. All patients who attended ophthalmic OPD in third week of April at this hospital were enlisted in this study with their consent. The patients were seen in ophthalmic OPD by ophthalmologist, proper anterior and posterior segment evaluation was done. Data includes registration number, name, gender, education, locality, occupation, H/o systemic illness, refractive error and the diagnosis. Results: In majority of patients attending ophtahlmic OPD were with occular morbidity specifically refractory error and cataract i.e. 54% and 50% respectively. The prevalence of cataract is significantly lesser in <40 years of age, as it is an age related disease. Second most common occular morbidities observed in our study period was conjunctivitis. Cataract has correlation with age, rural locality and female preponderance. Conclusions: Majority of ocular morbidity were either preventable or treatable. Cataract (65 patients out of 130) being the commonest. If detection is early in the course, prevalence of ocular morbidity can be greatly reduced. The leading causes of ocular morbidity in our study were cataract, a conjunctivitis, and refractive error. A large number of OPD patients were constituted by follow up of cataract surgeries. 


2015 ◽  
Vol 13 (2) ◽  
pp. 31-34
Author(s):  
Sabina Shrestha ◽  
Aparajita Manoranjan ◽  
Sushan Man Shrestha

Introduction: Community based rehabilitation centers work for the betterment of people with disabilities within the communities. This study was conducted to find out ocular morbidity in Patan community based rehabilitation center.Methods: A cross-sectional study was conducted at Patan Community Based Rehabilitation Center, Patan at Lalitpur district of Nepal with sample size of 42, where children and adults of different age groups come on daycare basis. All patients underwent assessment of visual acuity, orthoptic evaluation, anterior segment and posterior segment evaluation and cycloplegic refraction.Results: Age ranged from 7 to 35 years (mean age 14.5 years) with 64.28% of participants within the age group 11-20 years followed by 26.19% within the age group 1-10 years. Male:Female ratio was 1:1.33. Regarding the ethnicity, 71.43% comprised of Tibeto-Burman origin and 28.57% of Indo-Aryan origin.Regarding the general morbidity, 40.48% among the participants had intellectual disability, 16.67% had autism, 14.29% had cerebral palsy, 11.90% had down syndrome, 11.90% had multiple disabilities, 2.38% had physical disability and 2.38% had visual impairment.Regarding the ocular diseases, 26.19% had refractive error only, 19.04% had strabismus only, 9.52% had refractive error and strabismus, 4.76% had cataract, 2.38% optic atrophy and 2.3% had retinitis pigmentosa.Conclusion: Refractive error and strabismus are the commonest ocular morbidities found in Patan community based rehabilitation center.


Author(s):  
Gulfam Ahmed Hashmi ◽  
Najam Khalique ◽  
Abadan K. Amitava

Background: Ocular morbidity describes any eye disease regardless of resultant visual loss. India is plagued by ocular morbidities in school going children. Refractive error is considered to be the major cause of visual impairment. The objectives of the present study were to compare the pattern of ocular morbidity in urban and rural school children, to study the association of academic achievement with ocular morbidity in study population and to suggest appropriate recommendations for addressing the problem of ocular morbidity in school children.Methods: A cross sectional study was conducted in the 9 primary and 5 junior high schools of field practice areas of Rural Health Training Centre and Urban Health Training Centre respectively, under Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh from September 2005 to August 2006.Results: Prevalence of ocular morbidity in the present study was 23.3%. Maximum prevalence of 28.7% of ocular morbidity was seen in the age group of 14-16 years. Prevalence of ocular morbidity was found to be 100 (51.6%) in males and 64 (40.1%) in females. 29.3% of the 164 school children having ocular morbidity showed poor academic achievement compared to 18.7% of the 541 children not having ocular morbidity and the association was found to be statistically significant.Conclusions: Refractive error was one of the major causes of ocular morbidity among school going children but most of them were of mild degree. Ocular morbidity was found to affect the academic achievement of school going children.


2017 ◽  
Vol 5 (3) ◽  
pp. 95-97
Author(s):  
Arun Prasad Dhungana

Background: Childhood blindness is a priority area because of the number of years of blindness that ensues. Data on the prevalence and causes of blindness and severe visual impairment in children are needed for planning and evaluating preventive and curative services for children.Objective: The aim of the study is to determine the prevalence of ocular morbidity among school children in eastern Nepal.Method: A cross-sectional study was designed to evaluate ocular status of primary school children in six government schools of the eastern region of Nepal. A complete eye examination was carried out in all children including slit lamp examination, fundus examination, retinoscopy and subjective refraction. Data was analyzed using Microsoft excel. The screening is based on the Indiana school vision screening guideline.Results: A total of 847 children were examined in visits. The mean age of study population was 10.25 years. Among them 450 were males and 397 were females. The results showed that 12.05% of the total students had ocular and visual morbidities. Refractive error was found to be the commonest abnormality (62%) in school children. The commonest type of refractive error found in the study was myopia followed by hyperopia. Alternate divergent squint is the commonest type of strabismus. Other abnormalities found were BSV (binocular single vision) abnormalities, amblyopia and conjunctival disorder.Conclusion: The vision screening program has proved to be very helpful in early detection, diagnosis, referral and management of ocular morbidities in school children. The results of the study strongly suggest that screening of school children for ocular problems should be done at regular intervals and it should be one of the prime components of school health program.Journal of Kathmandu Medical CollegeVol. 5, No. 3, Issue 17, Jul.-Sep., 2016, page: 95-97


1970 ◽  
Vol 3 (1) ◽  
pp. 78-79 ◽  
Author(s):  
Y Gupta ◽  
RR Sukul ◽  
M Gupta ◽  
A Phougat ◽  
R Jain ◽  
...  

Objective: To find out the prevalence of refractive errors and pattern of ocular morbidity amongst the school children of a rural village. Materials and methods: A cross sectional study was carried out in children of age group 3 – 12 years in a rural village of Hathras, Uttar Pradesh, India. All the children were examined including visual acuity measurement using Snellen’s E chart, retinoscopy and refraction under cycloplegia. Examination of the anterior segment, media, and fundii was also done. Myopia was defined as spherical/cylindrical equivalent refractive error of at least -0.50 D and hypermetropia as +0.50 D or more (Dandona et al 2002). Results: In the survey 220 eyes of 110 children were examined, majority of them were in 5-10 year age group. The prevalence of uncorrected visual acuity of 6/6 was 85.40%. Refractive error was the cause in 6.81% of eyes with vision impairment, out of which myopia and hypermetropia were present in 26.67% of eyes. Blepharo-conjunctivitis was present in 15.45% of children and Bitot’s spots were present in 0.90% of them. Colour blindness was found in one child. Conclusion: The prevalence of refractive error in rural school is 6.81 %. Blepharitis is the commonest cause of ocular morbidity.  DOI: 10.3126/nepjoph.v3i1.4282Nepal J Ophthalmol 2011;3(5):78-79


Author(s):  
Maneesha Godbole ◽  
N. P. Kavya ◽  
Manjunath S. Nekar ◽  
D. D. Bant

Background: About 30% of blind population of India loses their eyesight before the age of 20 years and many of them are under 5 when they become blind. Childhood blindness will have serious impact on development, education and quality of life. Therefore it is essential that ocular morbidity is detected and treated at an early stage.Methods: A cross-sectional study was conducted among 120 children aged 3-5 years attending 6 anganwadi centres of Hubballi taluk which were selected by stratified random sampling. Data was collected using pretested semi-structured questionnaire. Ocular examination was conducted to identify ocular morbidity. Test for visual acuity, colour blindness and refractive status was done using lea chart, ischihara charts and plusoptix mobile vision screener respectively. Nutrition status was assessed by clinical examination and anthropometry. Statistical analysis was done using SPSS package.Results: Out of 120 children 51.7% were male. Majority, 63.3% were residing in urban area and 40% belonged to class IV of modified B G Prasad classification of socio-economic status scale. The prevalence of ocular morbidity was found to be 20%. 15.8% of children had refractive error, 2.5% had vitamin A deficiency and 1.7% had squint. No statistically significant association was found between ocular morbidity and any risk factors.Conclusions: Refractive error was found to be the most common ocular morbidity among pre-school children. This if detected early can be corrected. Therefore it is important to screen for refractive error at the preschool age itself and to create awareness among parents and anganwadi teachers regarding common ocular symptoms.


2017 ◽  
Vol 33 (12) ◽  
pp. 573
Author(s):  
Rimawati Aulia Insani Sadarang ◽  
Hari Kusnanto ◽  
Mohammad Bayu Sasongko

Predictors of severe visual impairment and blindness among diabetic patients in Special Territory of YogyakartaPurposeThe purpose of this study was to identify any predictors of severe visual impairment and blindness among diabetic patients in Daerah Istimewa Yogyakarta.MethodsThis research was a cross-sectional study by analyzing registry data from (JOGED.COM). Data included sociodemographic characteristics, diabetic status, health record, and eye diseases. The analysis was done using chi-square and simple logistic regression tests follow with semi-partial correlation, stratification tests and multilevel analysis with Generalized Estimation Equation (GEE).ResultsAs much as 1093 data were included in this study. The prevalence of severe visual impairment was 12% and blindness was 6.5%. Cataract, diabetic retinopathy and diabetes duration >10 years were statistically significant with severe visual impairment and blindness while glaucoma and hypertension only significant with severe visual impairment. The contribution of cataract in severe visual impairment (4.73%) and blindness (3.11%) was highest among eye diseases. There was modification effect of cataract to severe visual impairment and blindness by diabetes duration. Based on GEE, cataract, diabetic retinopathy and diabetes duration > 10 years was the best model to predict the occurrence of severe visual impairment and blindness.ConclusionsPredictors of severe visual impairment and blindness among diabetic patients in Daerah Istimewa Yogyakarta were the cataract, diabetic retinopathy and diabetes duration >10 years. Modification effect of cataract by diabetes duration only was significant in a model to predict blindness.


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e043997
Author(s):  
Charilaos Lygidakis ◽  
Jean Paul Uwizihiwe ◽  
Michela Bia ◽  
Francois Uwinkindi ◽  
Per Kallestrup ◽  
...  

ObjectivesTo report on the disease-related quality of life of patients living with diabetes mellitus in Rwanda and identify its predictors.DesignCross-sectional study, part of the baseline assessment of a cluster-randomised controlled trial.SettingOutpatient clinics for non-communicable diseases of nine hospitals across Rwanda.ParticipantsBetween January and August 2019, 206 patients were recruited as part of the clinical trial. Eligible participants were those aged 21–80 years and with a diagnosis of diabetes mellitus for at least 6 months. Illiterate patients, those with severe hearing or visual impairments, those with severe mental health conditions, terminally ill, and those pregnant or in the postpartum period were excludedPrimary and secondary outcome measuresDisease-specific quality of life was measured with the Kinyarwanda version of the Diabetes-39 (D-39) questionnaire. A glycated haemoglobin (HbA1c) test was performed on all patients. Sociodemographic and clinical data were collected, including medical history, disease-related complications and comorbidities.ResultsThe worst affected dimensions of the D-39 were ‘anxiety and worry’ (mean=51.63, SD=25.51), ‘sexual functioning’ (mean=44.58, SD=37.02), and ‘energy and mobility’ (mean=42.71, SD=20.69). Duration of the disease and HbA1c values were not correlated with any of the D-39 dimensions. A moderating effect was identified between use of insulin and achieving a target HbA1c of 7% in the ‘diabetes control’ scale. The most frequent comorbidity was hypertension (49.0% of participants), which had a greater negative effect on the ‘diabetes control’ and ‘social burden’ scales in women. Higher education was a predictor of less impact on the ‘social burden’ and ‘energy and mobility’ scales.ConclusionsSeveral variables were identified as predictors for the five dimensions of quality of life that were studied, providing opportunities for tailored preventive programmes. Further prospective studies are needed to determine causal relationships.Trial registration numberNCT03376607.


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