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Prevalence and patterns of refractive error among adults in Sagamu, South-West Nigeria 尼日利亚西南部萨加穆成人屈光不正的患病率和模式
Pub Date : 2022-09-29 DOI: 10.4102/aveh.v81i1.724
H. Ajibode, Victoria O. Fafilolu, O. Bodunde
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引用次数: 0
Prevalence of amblyopia among the children of Saudi Arabia: A systematic review, 1990–2020 沙特阿拉伯儿童弱视患病率:1990-2020年的系统回顾
Pub Date : 2022-09-26 DOI: 10.4102/aveh.v81i1.752
N. Challa
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引用次数: 1
Retinopathy of prematurity screening in Johannesburg, South Africa: A comparative study 南非约翰内斯堡早产儿视网膜病变筛查:一项比较研究
Pub Date : 2022-09-23 DOI: 10.4102/aveh.v81i1.771
Teboho Seobi, I. Maposa, Mokokomadi A. Makgotloe
estimated to account for 6 % – 18 % of childhood blindness. 5 In South Africa, ROP accounted for 10.6 % of cases of blindness in schools of the blind in 1995. 6 An estimated 16 000 infants are at risk of ROP in South Africa. 1 Background: Timeous screening of retinopathy of prematurity (ROP) is an important predictor of ROP screening outcomes, and hospitals at different levels of care might have different access to ROP screening by ophthalmologists, resulting in different ROP screening outcomes. Objective: To compare ROP screening outcomes between premature babies from a neonatal facility at a central hospital to those from regional hospitals in Johannesburg. Setting: Retinopathy of prematurity screening in babies born at central and non-central hospitals in Johannesburg, South Africa, between 01 January 2015 and 31 June 2020. Methods: A cross-sectional study describing clinical findings in babies referred for ROP screening at a central Johannesburg hospital. Results: A total of 2035 ROP screening records were included in the study. The babies screened from the central hospital and regional hospitals were 1081 (53.1 % ) and 954 (46.9 % ), respectively. The proportion of babies with ROP were 125 (11.6 % ) and 121 (12.7 % ) in the central hospital and regional hospitals, respectively, and this difference was not statistically significant, p = 0.435. There was a significant association between gestational age (GA) categories and birth weight (BW) with the hospital of birth, with proportionately more babies with GA < 28 weeks, 212 (19.6 % ) versus 158 (16.6 % ) p < 0.001, and BW < 1500 g, 894 (82.7 % ) versus 737 (77.3 % ) p = 0.001, being referred by the central hospital compared to regional hospitals. Conclusion: The prevalence of ROP in regional hospitals does not seem to differ from that found in central hospitals.
估计占儿童失明的6% - 18%。5.在南非,1995年,ROP占盲人学校失明病例的10.6%。背景:早产儿视网膜病变(ROP)的及时筛查是ROP筛查结果的重要预测因素,不同护理水平的医院可能有不同的眼科医生进行ROP筛查,从而导致不同的ROP筛查结果。目的:比较约翰内斯堡中心医院新生儿设施早产儿与区域医院早产儿的ROP筛查结果。背景:2015年1月1日至2020年6月31日期间在南非约翰内斯堡中心和非中心医院出生的婴儿的早产儿视网膜病变筛查。方法:一项横断面研究,描述在约翰内斯堡中心医院转介进行ROP筛查的婴儿的临床表现。结果:共纳入2035例ROP筛查记录。在中心医院和地区医院接受筛查的婴儿分别为1081名(53.1%)和954名(46.9%)。中心医院和地区医院发生ROP的患儿分别为125例(11.6%)和121例(12.7%),差异无统计学意义,p = 0.435。胎龄(GA)类别和出生体重(BW)与出生医院之间存在显著关联,胎龄< 28周的婴儿比例为212(19.6%)比158 (16.6%)p < 0.001, BW < 1500 g的婴儿比例为894(82.7%)比737 (77.3%)p = 0.001,由中心医院转诊。结论:区域医院与中心医院ROP患病率无明显差异。
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引用次数: 0
Comparative analysis of Modified Thorington to the prism cover, von Graefe and Maddox rod tests 改进Thorington与棱镜盖、von Graefe和Maddox棒试验的对比分析
Pub Date : 2022-09-22 DOI: 10.4102/aveh.v81i1.754
Thokozile I. Metsing, S. D. Mathebula
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引用次数: 0
Experiences and perceptions of undergraduate optometry students towards public eye care services in South Africa 南非验光专业大学生对公共眼保健服务的经验和看法
Pub Date : 2022-09-21 DOI: 10.4102/aveh.v81i1.726
Noxolo L. Zulu, D. V. van Staden
Background: Public eye care services in South Africa are relatively underdeveloped. This is, in part, due to optometry services historically being private sector-focussed, as well as a lack of ophthalmologists in the country. Optometry students who engage in service learning at public health facilities are well placed to share their perceptions of this service.Aim: To investigate the perceptions and experiences of optometry students regarding public eye care services in South Africa.Setting: Data were collected on the Phelophepa Health Care Train while it was stationed at Musina and Polokwane in 2019.Methods: A qualitative study was conducted using focus group interviews to collect data from South African optometry students. Two focus group sessions were held, with a total sample of 18 representing two different higher education institutions. Interview recordings were transcribed, and data were thematically analysed using interpretive content analysis.Results: Three main themes emerged, namely ‘inability to deliver quality services’, ‘negative perceptions about public eye care services’ and ‘potential to improve public eye care services’. Strengthening infrastructure and human resource capacity were seen as fundamental steps to improving public eye care services in South Africa.Conclusion: Strengthening public eye care services in South Africa is necessary in order to improve the experience-based perceptions of optometry students towards this sector. Addressing eye health system weaknesses through appropriate resourcing will likely contribute to attracting this potential future human resource to the sector, and assist in alleviating the shortage of human resources for eye health within South Africa’s public health service.Contribution: Optometry education and professional practice in South Africa is increasingly adopting a more public health approach. This shift towards strengthening public eye care services and improving human resources capacity for the same is both important and necessary to address unmet eye health needs in the country. However, current gaps and challenges within the public health system may deter new graduates in South Africa from choosing this practice path if the overall challenges of resourcing and capacity to deliver quality services are not addressed.  
背景:南非的公共眼科保健服务相对不发达。这在一定程度上是由于验光服务历来以私营部门为重点,以及该国缺乏眼科医生。在公共卫生机构从事服务学习的视光专业学生可以很好地分享他们对这项服务的看法。目的:了解南非验光专业学生对公共眼保健服务的看法和体验。环境:数据是在2019年驻扎在Musina和Polokwane的Phelophepa卫生保健列车上收集的。方法:采用焦点小组访谈法对南非验光专业学生进行定性研究。举办了两次焦点小组会议,共有18人代表两所不同的高等教育机构。采访记录被转录,并使用解释性内容分析对数据进行主题分析。结果:出现了三个主要主题,即“无法提供优质服务”、“对公共眼科保健服务的负面看法”和“改善公共眼科保健服务的潜力”。加强基础设施和人力资源能力被视为改善南非公共眼科保健服务的基本步骤。结论:加强南非的公共眼保健服务是必要的,以改善验光学生对该部门的经验为基础的看法。通过适当的资源来解决眼科保健系统的弱点,可能有助于吸引这一潜在的未来人力资源加入该部门,并有助于缓解南非公共卫生服务中眼科保健人力资源的短缺。贡献:南非的验光教育和专业实践越来越多地采用更加公共卫生的方法。这种向加强公共眼科保健服务和提高人力资源能力的转变对于解决该国未得到满足的眼科保健需求既重要又必要。然而,如果提供优质服务的资源和能力的总体挑战得不到解决,公共卫生系统内目前的差距和挑战可能会阻止南非的新毕业生选择这条实践道路。
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引用次数: 0
Experiences of people with curable blindness and their caregivers regarding waiting for cataract surgical intervention in the Eastern Cape, South Africa 南非东开普省可治愈的失明患者及其护理人员等待白内障手术干预的经验
Pub Date : 2022-09-09 DOI: 10.4102/aveh.v81i1.727
Buyiswa M. Sitole, E. Obioha
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引用次数: 0
An update on the management of diabetic tractional retinal detachment 糖尿病牵引性视网膜脱离治疗的最新进展
Pub Date : 2022-08-30 DOI: 10.4102/aveh.v81i1.774
Aamina Hajee, Mokokomadi A. Makgotloe
presents an overview of current management of tractional retinal detachment in patients with advanced proliferative diabetic retinopathy.
介绍了目前管理牵引性视网膜脱离的患者晚期增殖性糖尿病视网膜病变的概述。
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引用次数: 0
Visual impairments amongst preschool and school attendees: A scoping review of vision school screening in Nigeria and Kenya 学龄前儿童和学校参与者中的视力障碍:尼日利亚和肯尼亚视力学校筛查的范围审查
Pub Date : 2022-08-23 DOI: 10.4102/aveh.v81i1.711
I. Langeggen, K. Ofochebe
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引用次数: 0
Management of paediatric ectopia lentis at an Indonesian referral hospital: A retrospective review 印度尼西亚一家转诊医院的儿童异位晶状体的处理:一项回顾性审查
Pub Date : 2022-07-27 DOI: 10.4102/aveh.v81i1.768
Julie D. Barliana, D. Yulia, Diajeng A. Soeharto
Background: Ectopia lentis in children is rare and often associated with systemic conditions. Left untreated, it can lead to visually debilitating complications. Although there are various techniques available, no current consensus for treatment of paediatric ectopia lentis exists.Aim: To describe the management and visual outcomes of paediatric ectopia lentis in an academic referral hospital.Setting: This study was conducted at Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia.Methods: A retrospective review was conducted on the medical records of all paediatric ectopia lentis patients treated at our hospital, from 2011 to 2020. Primary outcomes include uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), treatment, surgical technique, selection of intraocular lens (IOL), and postoperative complications.Results: This study included 66 eyes of 39 patients. Average age at initial presentation was 7.8 (2–17) years. Aetiology was mostly non-traumatic, whilst four were secondary to trauma. All eyes except one underwent surgery, and IOLs were inserted in 57.4% of the non-traumatic cohort, with iris-claw IOL as the most popular choice (85.7%). Uncorrected visual acuity and BCVA significantly improved in pseudophakic and aphakic groups (p  0.05). Nearly 60% achieved a BCVA of 6/12 or greater, and the proportion was higher amongst pseudophakic group. Ten eyes had post-operative complications, with a median onset of 393 (1–1095) days after surgery.Conclusion: With varied techniques used to manage paediatric ectopia lentis, the choice of technique was dependent on individual patient condition and surgeon preference. Whilst the proportion of eyes with BCVA of ≥ 6/12 was higher amongst the pseudophakic eyes than aphakic eyes, IOL implantation entails the risk of complications, whereas no complications occurred in those left aphakic. Therefore, no particular technique can be considered marginally superior to the other, and larger studies are needed.
背景:儿童晶状体异位是罕见的,通常与全身性疾病有关。如果不及时治疗,它会导致视力衰弱的并发症。虽然有各种可用的技术,目前没有共识的治疗儿童异位的晶状体存在。目的:介绍某学术转诊医院对儿童异位晶状体的处理及视力结果。背景:本研究在印度尼西亚雅加达Cipto Mangunkusumo国立中央综合医院进行。方法:回顾性分析我院2011年至2020年收治的所有小儿晶状体异位患者的病历。主要结局包括未矫正视力(UCVA)、最佳矫正视力(BCVA)、治疗方法、手术技术、人工晶状体(IOL)的选择和术后并发症。结果:本研究纳入39例66只眼。初次发病的平均年龄为7.8岁(2-17岁)。病因主要是非创伤性的,而4例继发于创伤。除一只眼睛外,所有的眼睛都接受了手术,非创伤队列中有57.4%的人植入了人工晶状体,虹膜-爪形人工晶状体是最受欢迎的选择(85.7%)。假晶状体组和无晶状体组未矫正视力和BCVA明显改善(p < 0.05)。近60%的患者BCVA达到6/12或更高,其中假性近视组的比例更高。10只眼出现术后并发症,中位发病时间为术后393(1-1095)天。结论:采用多种技术处理小儿晶状体异位,技术的选择取决于个体患者的情况和外科医生的偏好。假性晶状体眼中BCVA≥6/12的比例高于无晶状体眼,但人工晶状体植入术存在并发症风险,而无晶状体眼无并发症发生。因此,没有哪一种技术可以被认为比另一种技术略微优越,需要进行更大规模的研究。
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引用次数: 0
The use of ocular perfusion pressure surrogates in population-based glaucoma studies 在以人群为基础的青光眼研究中使用眼灌注压替代物
Pub Date : 2022-07-27 DOI: 10.4102/aveh.v81i1.751
K. Stuart
No abstract available.
没有摘要。
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引用次数: 0
期刊
African Vision and Eye Health
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