Shrestha M K, Wolf L, Shrestha U, Gurung K, Chansi B S, Dhungana P, Gurung R, Ruit S
Tilganga Eye Centre, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2010 Jan-Mar;49(177):29-32.
The study assesses the spectrum of ocular morbidity and predictors of morbidity in children living in orphanages in the Kathmandu Valley.
A descriptive, cross-sectional survey was performed at 12 orphanages over a period of three months. The survey included a questionnaire and a complete eye examination, which included measurement of refraction, ocular deviation, and a fundus exam. Prevalence of ocular morbidity was calculated. Factors associated with ocular morbidity were examined using logistic regression.
A total of 660 children were included in the study (median age nine years [range 0.25-15]; 53% male). The prevalence of ocular morbidity was 17.9% (118). Of those with ocular morbidity, 88.1% (104) had similar ocular problems bilaterally. The most common type of morbidity was refractive error, found in 70.3% (83) of those with ocular morbidity (12.6% overall).
Refractive errors, which are largely correctable, are the greatest source of morbidity. In order to reduce childhood blindness, children living in orphanages are an appropriate group to target for future ocular screening in Nepal.
本研究评估了加德满都谷地孤儿院儿童的眼部疾病谱及发病预测因素。
在三个月的时间里，对12所孤儿院进行了描述性横断面调查。调查包括一份问卷和一次全面的眼部检查，其中包括验光、眼位偏差测量和眼底检查。计算眼部疾病的患病率。使用逻辑回归分析与眼部疾病相关的因素。
共有660名儿童纳入研究（中位年龄9岁[范围0.25 - 15岁]；53%为男性）。眼部疾病的患病率为17.9%（118例）。在患有眼部疾病的儿童中，88.1%（104例）双眼存在类似的眼部问题。最常见的疾病类型是屈光不正，在患有眼部疾病的儿童中占70.3%（83例）（总体占12.6%）。
屈光不正大多可矫正，是发病的最大来源。为减少儿童失明，尼泊尔孤儿院的儿童是未来眼部筛查的合适目标群体。
