Shrestha Gauri Shankar, Manandhar Sarita, Joshi Niraj Dev, Shrestha Jeevan Kumar
Koirala Lions Centre for Ophthalmic Studies, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Optom Vis Sci. 2013 Sep;90(9):1012-8. doi: 10.1097/OPX.0b013e31829d8e51.
To determine the prevalence of ocular morbidity and refractive error among the children of the squatter settlements in Kathmandu.
A cross-sectional study was carried out at five squatter settlement areas at Kathmandu, including 366 children younger than 16 years. Detailed eye examination included the visual acuity testing, cycloplegic refraction, binocular vision assessment, anterior segment examination, and posterior segment examination. Variations in age, sex, and ethnic distribution of the study population were analyzed through analysis of variance. Pearson χ test with Yate correction was used to analyze different types of ocular morbidity. Pearson correlation coefficient test was performed to correlate refractive error in the right eye and the left eye.
Majority of children (28.9%) belonged to the age group 8 to 10 years, and most of them belonged to the Manohara settlement area (40.2%). Male-female ratio was 0.7. Uncorrected and best-corrected visual acuity of better than or equal to 6/9 in at least one eye was found in 87.9% and 99.0% children, respectively. Total ocular morbidity was observed in 33.7%. The common type of ocular morbidity was conjunctivitis (11.2%), refractive error (9.0%), and blepharitis (5.4%). Ocular morbidity was common in infants (57.9%; p = 0.043; odds ratio, 2.8) and 14- to 15-year-old children (52.8%; p = 0.002; odds ratio, 2.5).
Ocular infection and refractive error represent the common ocular morbidity in children living in squatter settlements.
确定加德满都棚户区儿童的眼部疾病患病率和屈光不正情况。
在加德满都的五个棚户区进行了一项横断面研究，纳入366名16岁以下儿童。详细的眼部检查包括视力测试、散瞳验光、双眼视觉评估、眼前节检查和眼后节检查。通过方差分析研究人群的年龄、性别和种族分布差异。采用经Yate校正的Pearson χ检验分析不同类型的眼部疾病。进行Pearson相关系数检验以关联右眼和左眼的屈光不正情况。
大多数儿童（28.9%）属于8至10岁年龄组，其中大多数来自马诺哈拉定居点地区（40.2%）。男女比例为0.7。分别有87.9%和99.0%的儿童至少一只眼睛的未矫正视力和最佳矫正视力优于或等于6/9。观察到眼部疾病总患病率为33.7%。常见的眼部疾病类型为结膜炎（11.2%）、屈光不正（9.0%）和睑缘炎（5.4%）。眼部疾病在婴儿（57.9%；p = 0.043；比值比，2.8）和14至15岁儿童（52.8%；p = 0.002；比值比，2.5）中较为常见。
眼部感染和屈光不正为生活在棚户区儿童常见的眼部疾病。
