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洞察不可见之事:非洲眼部急症的低治疗率

Seeing the unseen: The low treatment rate of eye emergencies in Africa.

作者信息

Bale Babatunde Ismail, Zeppieri Marco, Idogen Obehi Suzan, Okechukwu Clinton Ifeanyi, Ojo Onakhe Emmanuel, Femi Daniel Ayodele, Lawal Abiola Afeez, Adedeji Shalom Jesufunminiye, Manikavasagar Pirakalai, Akingbola Adewunmi, Aborode Abdullahi Tunde, Musa Mutali

机构信息

Department of Optometry, University of Benin, Benin 300283, Nigeria.

Department of Ophthalmology, University Hospital of Udine, Udine 33100, Italy.

出版信息

World J Methodol. 2025 Sep 20;15(3):102477. doi: 10.5662/wjm.v15.i3.102477.

Abstract

BACKGROUND

Emergency medical care is essential in preventing morbidity and mortality, especially when interventions are time-sensitive and require immediate access to supplies and trained personnel.

AIM

To assess the treatment rates of eye emergencies in Africa. Ocular emergencies are particularly delicate due to the eye's intricate structure and the necessity for its refractive components to remain transparent.

METHODS

This review examines the low treatment rates of eye emergencies in Africa, drawing on 96 records extracted from the PubMed database using predetermined search criteria.

RESULTS

The epidemiology of ocular injuries, as detailed in the studies, reveals significant relationships between the incidence and prevalence of eye injuries and factors such as age, gender, and occupation. The causes of eye emergencies range from accidents to gender-based violence and insect or animal attacks. Management approaches reported in the review include both surgical and non-surgical interventions, from medication to evisceration or enucleation of the eye. Preventive measures emphasize eye health education and the use of protective eyewear and facial protection. However, inadequate healthcare infrastructure and personnel, cultural and geographical barriers, and socioeconomic and behavioral factors hinder the effective prevention, service uptake, and management of eye emergencies.

CONCLUSION

The authors recommend developing eye health policies, enhancing community engagement, improving healthcare personnel training and retention, and increasing funding for eye care programs as solutions to address the low treatment rate of eye emergencies in Africa.

摘要

背景

紧急医疗护理对于预防发病和死亡至关重要,尤其是当干预措施具有时间敏感性且需要立即获取物资和训练有素的人员时。

目的

评估非洲眼部紧急情况的治疗率。由于眼睛结构复杂且其屈光组件必须保持透明,眼部紧急情况格外棘手。

方法

本综述利用预先设定的搜索标准从PubMed数据库中提取的96条记录,研究了非洲眼部紧急情况治疗率较低的情况。

结果

研究中详述的眼外伤流行病学揭示了眼外伤的发病率和患病率与年龄、性别和职业等因素之间的显著关系。眼部紧急情况的原因从事故到基于性别的暴力以及昆虫或动物袭击不等。综述中报告的管理方法包括手术和非手术干预,从药物治疗到眼球摘除或眼球剜除。预防措施强调眼部健康教育以及使用防护眼镜和面部防护。然而,医疗保健基础设施和人员不足、文化和地理障碍以及社会经济和行为因素阻碍了眼部紧急情况的有效预防、服务利用和管理。

结论

作者建议制定眼部健康政策、加强社区参与、改善医疗保健人员培训和留用情况,并增加对眼科护理项目的资金投入,作为解决非洲眼部紧急情况治疗率低问题的办法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70bd/11948193/564af5f4a46b/102477-g001.jpg

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