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Grossing of Non-neoplastic Globes, Including Fetal Eyes

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Published on: May 30, 2025

Ocular morbidity among orphanages.

M K Shrestha¹, L Wolf, U Shrestha

¹Tilganga Eye Centre, Kathmandu, Nepal. research@tilganga.com.np

JNMA; Journal of the Nepal Medical Association

|December 25, 2010

Summary

Refractive errors are the main cause of eye problems in children living in Nepal

Area of Science:

Ophthalmology
Pediatric Ophthalmology
Public Health

Background:

Children in Nepalese orphanages face significant ocular health challenges.
Understanding the prevalence and causes of eye conditions in this vulnerable population is crucial.

Purpose of the Study:

To determine the spectrum of ocular morbidity in children residing in Kathmandu Valley orphanages.
To identify predictors of ocular morbidity in this population.

Main Methods:

A descriptive, cross-sectional survey was conducted across 12 orphanages.
Data collection involved questionnaires and comprehensive eye examinations, including refraction and fundus evaluation.
Logistic regression analysis was used to identify associated factors.

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Main Results:

17.9% of 660 children studied exhibited ocular morbidity.
Refractive errors were the most prevalent condition, accounting for 70.3% of cases (12.6% overall).
The majority of ocular morbidity (88.1%) was bilateral.

Conclusions:

Correctable refractive errors represent the primary cause of ocular morbidity in this cohort.
Targeting orphanage children for ocular screening in Nepal is a viable strategy to reduce childhood blindness.