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Pattern of childhood ocular morbidity in rural eye hospital, Central Ethiopia
1Nigist Eleni Mohammed Memorial Hospital, Eye unit, P,O, Box 672, Hossana, Ethiopia. zadissu@yahoo.com.
Insights
Conjunctivitis, ocular trauma, and refractive errors were the most common childhood eye conditions in rural Ethiopia. Early detection and management are crucial to prevent visual impairment and blindness.
Area of Science:
- Ophthalmology
- Public Health
- Pediatrics
Background:
- Childhood eye disorders represent a significant public health concern, particularly in resource-limited settings.
- Understanding the epidemiological patterns of pediatric ocular morbidity is essential for targeted interventions.
Purpose of the Study:
- To determine the prevalence and patterns of childhood eye disorders.
- To identify the primary causes of ocular morbidity and visual impairment in children attending a rural eye hospital in central Ethiopia.
Main Methods:
- A cross-sectional survey was conducted among children under 15 years old.
- Data on demographics, visual acuity, ocular injuries, refractive errors, and diagnoses were collected and analyzed.
- Statistical significance was determined using a p-value less than 0.05.
Main Results:
- Conjunctivitis (35%), ocular trauma (11.8%), and refractive errors (11.4%) were the most frequent ocular morbidities.
- Refractive errors (47.1%) and keratitis/corneal opacity (16%) were leading causes of bilateral visual impairment.
- Older children (11-15 years) constituted the majority of cases.
Conclusions:
- Conjunctivitis, ocular injuries, and refractive errors are the leading causes of childhood eye morbidity in this Ethiopian population.
- Prompt management and referral are vital to prevent vision loss.
- Health education on injury prevention and early presentation for treatment is recommended.
Background:
This study was aimed to determine the pattern of childhood eye disorders in patients attending outpatient eye department of a rural eye hospital in central Ethiopia.
Methods:
A cross-sectional survey of ocular morbidity among children less than 15 years of age who presented at a rural eye hospital in central Ethiopia between August - October 2012 was conducted. Demographic data, visual acuity, source and type of injury, type of refractive errors and diagnosis were collected and analyzed using SPSS. A p value less than 0.05 was considered statistically significant.
Result:
A total of 735 children were examined in this study. The age range of the children varied from three months to 15 years of age. The mean (SD) age of the study population was 9.37 (4.95) years. 369 (50.2%) of the patients were females. The majority of cases were observed in older children (11-15 years) accounting for almost half of all the cases. The most common ocular morbidity encountered was conjunctivitis (35%), then ocular trauma (11.8%), refractive error (11.4%) and trachoma (7.6%). Bilateral visual impairment (UCVA < 6/18 in the better eye) was found in 119 children, and the causes were refractive errors (47.1%), keratitis/corneal opacity (16%), amblyopia (14.3%), ocular trauma (11.8%), cataract (6.3%), Glaucoma (2%) and uveitis (2%).
Conclusion:
The three most common causes of childhood ocular morbidity in this study were conjunctivitis, ocular injuries and refractive errors. These disorders require attention of all the health professionals for proper management or early referral because they can lead to visual impairment and blindness. Health education is necessary for the prevention of childhood eye injuries, as well as early presentation of children to eye care centers for the treatment of eye disorders.
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