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Ocular morbidity among the children of squatter settlements in Kathmandu
Gauri Shankar Shrestha1, Sarita Manandhar, Niraj Dev Joshi
1Koirala Lions Centre for Ophthalmic Studies, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal. gs101lg@hotmail.com
Insights
Ocular infections and refractive errors are common health issues for children in Kathmandu
Area of Science:
- Ophthalmology
- Public Health
- Pediatrics
Background:
- Squatter settlements in Kathmandu house a vulnerable population.
- Children in these areas may face unique health challenges, including eye conditions.
- Understanding the prevalence of ocular morbidity is crucial for targeted interventions.
Purpose of the Study:
- To determine the prevalence of ocular morbidity and refractive errors.
- To assess the eye health of children residing in squatter settlements in Kathmandu.
Main Methods:
- A cross-sectional study involving 366 children under 16 years old.
- Comprehensive eye examinations including visual acuity, refraction, and segment assessments.
- Statistical analysis using ANOVA and Pearson chi-square test with Yate correction.
Main Results:
- 33.7% of children experienced ocular morbidity, with conjunctivitis (11.2%), refractive error (9.0%), and blepharitis (5.4%) being most common.
- Ocular morbidity was higher in infants (57.9%) and adolescents aged 14-15 (52.8%).
- Best-corrected visual acuity of ≥6/9 in at least one eye was achieved by 99.0% of children.
Conclusions:
- Ocular infections and refractive errors are significant causes of morbidity in children from Kathmandu's squatter settlements.
- Early detection and management of these conditions are essential for this population.
Purpose:
To determine the prevalence of ocular morbidity and refractive error among the children of the squatter settlements in Kathmandu.
Methods:
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.
Results:
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).
Conclusions:
Ocular infection and refractive error represent the common ocular morbidity in children living in squatter settlements.
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