Hussain Ahm Enayet, Al Azdi Zunayed, Islam Khaleda, Kabir Anm Ehtesham, Huque Rumana
Ministry of Health and Family Welfare, Dhaka 1000, Bangladesh.
ARK Foundation, Dhaka 1212, Bangladesh.
Trop Med Infect Dis. 2020 Feb 4;5(1):21. doi: 10.3390/tropicalmed5010021.
Early detection of pediatric eye problems can prevent future vision loss. This study was to estimate the prevalence of common eye problems among infants born in a resource-constrained emergency setting with a broader aim to prevent future vision loss or blindness among them through early detection and referral. We conducted a cross-sectional survey among 670 infants (0-59 days old) born in Rohingya refugee camps in Bangladesh between March and June of 2019. The most common eye problem found was watering from the eye and accumulation of discharge by which 14.8% of the children were suffering (95% CI: 12.2-17.7). More than 5% of the infants had visual inattention (95% CI: 3.5-7.0), and 4% had redness in their eyes (95% CI: 2.7-5.8). Only 1.9% of infants (95% CI: 1-3.3) had whitish or brown eyeballs, and 1.8% of children might have whitish pupillary reflex (95% CI: 0.9-3.1). None of the eye problems was associated with the gender of the infants. The prevalent eye problems demand eye care set up for the screening of eye problems in the camps with proper referral and availability of referral centres with higher service in the districts.
早期发现儿童眼部问题可预防未来视力丧失。本研究旨在估计在资源有限的紧急情况下出生的婴儿中常见眼部问题的患病率，其更广泛的目标是通过早期发现和转诊来预防他们未来的视力丧失或失明。2019年3月至6月期间，我们对孟加拉国罗兴亚难民营中出生的670名婴儿（0至59天）进行了横断面调查。发现最常见的眼部问题是流泪和分泌物积聚，14.8%的儿童受此影响（95%置信区间：12.2 - 17.7）。超过5%的婴儿存在视觉注意力不集中（95%置信区间：3.5 - 7.0），4%的婴儿眼睛发红（95%置信区间：2.7 - 5.8）。只有1.9%的婴儿（95%置信区间：1 - 3.3）眼球呈白色或棕色，1.8%的儿童可能有白色瞳孔反射（95%置信区间：0.9 - 3.1）。没有任何眼部问题与婴儿性别相关。这些普遍存在的眼部问题需要在难民营设立眼科护理机构，以便对眼部问题进行筛查，并进行适当转诊，同时在各地区设立服务水平更高的转诊中心。
