Henstenburg Jeffrey, Thau Avrey, Markovitz Michael, Plumb James, Markovitz Bruce
J Health Care Poor Underserved. 2019;30(3):940-950. doi: 10.1353/hpu.2019.0066.
There are few studies that describe the prevalence of ocular morbidity among people who are homeless in the United States. The goal of this study was to describe rates of visual impairment and ocular pathology of men at a homeless shelter in a major United States city.
An ophthalmologist lead eye-screening clinic was established at a homeless shelter in Philadelphia, Pennsylvania. Results were obtained prospectively from 2015 to 2017.
During the study period, 91 patients were enrolled. Visual impairment, defined as vision worse than 20/40, was identified in 42% and ocular pathology in 57% of those studied. This was higher than the national average and higher than or similar to international studies conducted in homeless shelters. Common findings included cataracts, glaucoma, and past eye trauma.
This study describes a high rate of eye disease and refractive error in an urban homeless sample in the United States.
在美国，很少有研究描述无家可归者眼部疾病的患病率。本研究的目的是描述美国一个主要城市无家可归者收容所男性的视力损害率和眼部病理情况。
在宾夕法尼亚州费城的一个无家可归者收容所设立了一个由眼科医生主导的眼部筛查诊所。前瞻性地获取了2015年至2017年的结果。
在研究期间，招募了91名患者。在研究对象中，42%被确定为视力损害（定义为视力低于20/40），57%有眼部病理情况。这高于全国平均水平，且高于或类似于在无家可归者收容所进行的国际研究。常见的发现包括白内障、青光眼和既往眼部外伤。
本研究描述了美国城市无家可归者样本中眼病和屈光不正的高发生率。
