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Prevalence and patterns of childhood ocular morbidity in Kinshasa. A population-based study
Nadine Nsiangani Lusambo1, Janvier Kilangalanga Ngoy2, Angèle Dilu Ahuka3
1Eye department, University Clinic, Medical School, University of Kinshasa, Democratic Republic of the Congo.
Insights
Childhood ocular morbidity in Kinshasa is primarily allergic conjunctivitis and refractive errors. Many children do not receive treatment due to ignorance and cost, highlighting a critical public health gap.
Area of Science:
- Ophthalmology
- Public Health
- Pediatrics
Background:
- Childhood ocular disorders significantly impact development and quality of life, particularly in low-resource settings.
- Data on the prevalence and patterns of childhood eye diseases in the Democratic Republic of Congo (DRC) are scarce.
- Understanding these patterns is crucial for targeted interventions and improving child eye health outcomes.
Purpose of the Study:
- To determine the prevalence and patterns of childhood ocular disorders in Kinshasa, DRC.
- To identify common childhood eye conditions and their associated factors within the study population.
- To provide baseline data for public health initiatives addressing pediatric eye care in the region.
Main Methods:
- A population-based cross-sectional study was conducted in Kinshasa from July to August 2017.
- Household screening of children under 16 years old was performed by volunteers, followed by examination by ophthalmologists for those with identified pathologies.
- Prevalence and patterns of ocular diseases were systematically determined.
Main Results:
- The study screened 13,197 children, identifying ocular pathologies in 399 (3.6% prevalence).
- Allergic conjunctivitis (56.2%) and refractive errors (27.4%) were the most common conditions, followed by strabismus (5%).
- Age was the sole significant risk factor; 45% of affected children received no treatment, with self-medication and traditional remedies being common alternatives.
Conclusions:
- Childhood ocular morbidity in Kinshasa is largely characterized by allergic conjunctivitis and refractive errors, with age-related variations in frequency.
- Significant barriers to seeking professional medical care for childhood eye problems include ignorance and financial constraints.
- There is an urgent need for increased awareness and accessible treatment options for childhood ocular disorders in Kinshasa.
Context:
Childhood ocular disorders can seriously impact on development and education, future employment opportunities and quality of life, their consequences are especially severe in low resource settings. There is a lack of data on pattern and prevalence of ocular morbidities among children in Democratic Republic of the Congo (DRC).
Objective:
The aim of this study was to determine the pattern and magnitude of childhood ocular disorders in children in Kinshasa, the capital city of DRC.
Methods:
A population-based cross-sectional study was conducted from July to August 2017. Children aged less than 16 years old were screened by volunteers in households and those with ocular pathologies were examined by two ophthalmologists. Prevalence and pattern of ocular diseases were determined.
Results:
A total of 4307 households were visited by the surveyors and 13,197 children were screened. Ocular pathologies were diagnosed among 399 children. Girls represented 50.7% of the children and the mean age ± SD was 9.2 ± 4.1 years. The overall prevalence of ocular morbidity in our population was 3.6% [95% CI 3.3-3.9]. Allergic conjunctivitis was the most frequent pathology (56.2%) followed by refractive errors (27.4%) and strabismus (5%). Age of children was the only risk factor with a significant impact on the frequency of ocular pathology. Forty-five percent of children had never benefited from any treatment, self-medication, and recourse to traditional treatments concerned respectively 18.%, and 2.3% of children.
Conclusion:
Childhood ocular morbidity in Kinshasa city was dominated by allergic conjunctivitis and refractive errors. The frequency of these conditions varies depending on the age of the children. Very few parents consult medical staff when their children have ocular problems, ignorance and limited financial resources are the principal barriers to consult.
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