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Myopia prevalence in school-aged children in Garki District of Abuja, Nigeria 尼日利亚阿布贾Garki区的学龄儿童近视患病率
Pub Date : 2022-05-30 DOI: 10.4102/aveh.v81i1.657
T. Akinbinu, K. Naidoo, S. O. Wajuihian
Background: Prevalence of myopia is increasing globally, hence it poses a significant public health risk due to the association of high myopia with debilitating eye disorders.Aim: The aim of this study was to determine the prevalence of myopia in school children.Setting: The study was conducted in primary and secondary schools in Garki district, Abuja, Nigeria.Methods: A cross-sectional, multistage, random sampling involving 1028 school children (aged 5–14 years), comprising 484 boys (47.1%) and 544 girls (52.9%), was conducted. Examination performed included visual acuities, pen torch and ophthalmoscopy examination of the anterior and posterior segments, retinoscopy under cycloplegia and subjective refraction.Results: The prevalence of myopia (−0.50 dioptre [D] or more) in this study was 3.5%. Approximately 3.4% of the children had mild myopia (−0.50 to −3.00 D), 0.1% had moderate myopia (−3.25 D to −6.00 D) and none had high myopia. Myopia ranged from −0.50 D to −4.25 D. The mean spherical equivalent for myopia (right eye) was −1.11 D. The prevalence of hyperopia, astigmatism and amblyopia was 5.8%, 1.9% and 0.7%, respectively. Overall, the prevalence of refractive error was 11.2%.Conclusion: The prevalence of myopia is relatively low in a sample of school children in Garki district of Abuja, Nigeria. However, the majority of myopic children in this study without spectacles (88.9%) are a cause for concern, which could reflect the low usage of refractive error services among school children in the district.
背景:近视在全球范围内的患病率正在上升,因此由于高度近视与衰弱性眼疾的关联,它构成了重大的公共卫生风险。目的:本研究的目的是确定在校儿童近视的患病率。环境:研究在尼日利亚阿布贾Garki区的中小学进行。方法:采用横断面、多阶段随机抽样方法,对1028名5 ~ 14岁学龄儿童进行调查,其中男生484人(47.1%),女生544人(52.9%)。检查包括视力、笔炬及前、后段镜检查、睫状体麻痹下视网膜检查及主观屈光检查。结果:本研究中近视(−0.50屈光度[D]及以上)的发生率为3.5%。大约3.4%的儿童患有轻度近视(- 0.50至- 3.00 D), 0.1%患有中度近视(- 3.25 D至- 6.00 D),没有儿童患有高度近视。近视范围为- 0.50 ~ - 4.25 D,右眼平均球当量为- 1.11 D,远视、散光和弱视的患病率分别为5.8%、1.9%和0.7%。总的来说,屈光不正的发生率为11.2%。结论:尼日利亚阿布贾Garki区小学生近视患病率相对较低。然而,本研究中大多数没有戴眼镜的近视儿童(88.9%)令人担忧,这可能反映了该地区学龄儿童屈光不正服务的使用率较低。
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引用次数: 1
Latest developments on meibomian gland dysfunction: Diagnosis, treatment and management 睑板腺功能障碍的最新进展:诊断、治疗和管理
Pub Date : 2022-05-30 DOI: 10.4102/aveh.v81i1.713
S. D. Mathebula
Background: Meibomian gland dysfunction (MGD) is one of the leading causes of evaporative dry eye disease and one of the most common ophthalmic conditions found in clinical practice. Meibomian gland dysfunction tends to be overlooked because its signs and symptoms do not cause blindness. Meibomian gland dysfunction is characterised by the obstruction of the meibomian gland terminal ducts resulting in tear film instability.Aim: The purpose of this article was to provide an update on MGD’s diagnosis and treatment.Method: A literature review was conducted using search engines such as Google Scholar, Medline and ScienceDirect databases. Keywords such as MGD diagnosis and management and treatment of MGD were used to search the databases.Results: A total of 44 relevant papers were reviewed. These papers were then curated to include only those concerning diagnosis of meibomian gland dysfunction, treatment of meibomian gland dysfunction and management options of meibomian gland dysfunction. The references of individual papers from the curated results were checked to yield a further 13 papers.Conclusion: Meibomian gland dysfunction is not a single entity but is multifactorial in origin; however, our understanding of the condition is evolving rapidly because of newer imaging technology. There is no gold standard treatment option for MGD, but many options are available that include medications and other procedures. 
背景:睑板腺功能障碍(MGD)是蒸发性干眼病的主要病因之一,也是临床上最常见的眼病之一。睑板腺功能障碍往往被忽视,因为它的体征和症状不会导致失明。睑板腺功能障碍的特征是睑板腺末端导管阻塞导致泪膜不稳定。目的:本文的目的是提供最新的MGD的诊断和治疗。方法:利用Google Scholar、Medline、ScienceDirect数据库等检索引擎进行文献综述。以MGD的诊断、管理和治疗等关键词检索数据库。结果:共审阅相关论文44篇。然后整理这些论文,只包括那些关于睑板腺功能障碍的诊断,睑板腺功能障碍的治疗和睑板腺功能障碍的管理选择。从整理结果中对个别论文的参考文献进行了检查,以产生另外13篇论文。结论:睑板腺功能障碍不是单一的,而是多因素的;然而,由于新的成像技术,我们对这种疾病的理解正在迅速发展。MGD没有黄金标准治疗方案,但有许多选择,包括药物和其他程序。
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引用次数: 0
Erratum: Diabetic retinopathy and retinal screening awareness amongst female diabetic patients at a day hospital diabetic clinic in Cape Town, South Africa 更正:糖尿病视网膜病变和视网膜筛查意识在女性糖尿病患者日间医院糖尿病诊所在开普敦,南非
Pub Date : 2022-05-20 DOI: 10.4102/aveh.v81i1.706
Nomfundo F. Mkhombe, Peter C. Clarke-Farr
No abstract available.
没有摘要。
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引用次数: 0
Evaluation of Wang-Koch optimisation of axial length for intraocular lens power calculation in myopic eyes Wang-Koch优化眼轴长度对近视眼人工晶状体度数计算的评价
Pub Date : 2022-05-19 DOI: 10.4102/aveh.v81i1.702
Abdel-Rahman Atalla, M. El‐Agha, A. Osman, Mahmoud O. Khaled
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引用次数: 0
A comparison of pre-coated stock antireflection coating lenses in terms of transmission, durability and quality 预涂原片增透镀膜透镜透光性、耐用性和质量的比较
Pub Date : 2022-05-06 DOI: 10.4102/aveh.v81i1.688
Thokozile I. Metsing, Anthony S. Carlson
Background: Antireflection coatings (ARCs) applied to ophthalmic plastic lenses must have a good quality base hard coat for the ARC to adhere to. The hard coating must be durable so as not to crack, craze or peel under different atmospheric conditions. The purpose of ARC is also to increase the transmission of light through the lenses and eliminate reflections.Aim: The aim of this research was to compare the quality of eight different pre-coated ARC stock lenses in terms of light transmission and durability.Setting: The measurements were taken in the physics laboratory at the University of Johannesburg.Methods: Eight different stock ARC lenses were obtained from different lens suppliers. The performances were assessed by measuring the light transmission through each lens, exposure to chemicals such as salt–water solution and adhesion and abrasion tests to assess the quality of the coatings.Results: The performance and quality of the different lenses differed slightly in terms of hardness, durability and quality. The lenses also differed slightly in average transmission percentage. The difference between the control lens and the highest average percentage transmission was 4.8%, and the lowest average transmission was 2.2%. The lens that performed the best overall was Crizal Forte and the worst was Precision.Conclusion: Not all lenses have the same quality of ARC applied and durable qualities. Quality control should be carried out regularly in batches so as to maintain high standards set out by the different suppliers.
背景:抗反射涂层(ARC)应用于眼科塑料镜片必须有一个高质量的基础硬涂层,以使ARC粘附。硬涂层必须耐用,以免在不同的大气条件下开裂、开裂或剥离。ARC的目的也是为了增加光通过透镜的透射,消除反射。目的:本研究的目的是比较八种不同的预涂覆ARC镜片在透光性和耐久性方面的质量。环境:测量是在约翰内斯堡大学的物理实验室进行的。方法:从不同的透镜供应商处获得8种不同的库存ARC透镜。通过测量每个透镜的透光率、暴露于化学物质(如盐水溶液)和粘附性和磨损测试来评估涂层的质量,从而评估其性能。结果:不同晶状体在硬度、耐久性和质量上略有差异。透镜的平均透射率也略有不同。对照透镜与最高平均透射率的差值为4.8%,与最低平均透射率的差值为2.2%。整体表现最好的镜头是Crizal Forte,最差的是Precision。结论:并非所有的镜片都具有相同的ARC应用质量和耐用性。质量控制应定期分批进行,以保持不同供应商设定的高标准。
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引用次数: 0
Towards the development of a uniform screening guideline: Current status of paediatric vision screening in Abia State, Nigeria 制定统一的筛查指南:尼日利亚阿比亚州儿童视力筛查的现状
Pub Date : 2022-04-29 DOI: 10.4102/aveh.v81i1.661
Uchenna C. Atowa, S. O. Wajuihian, R. Hansraj
Background: Vision screening is an important component of any child eye health system. Availability of standardised and broad screening guidelines is important to its success because it will allow for uniform and full utilisation of services through the system.Aim: This study aimed to evaluate the coverage, components, and referral criteria of the paediatric vision screening services in Abia State, Nigeria, towards the development of a uniform vision screening guideline.Methods: Eighty-three registered optometrists practising in Abia State for at least one year prior to the commencement of the study were invited to participate. Self-administered questionnaires were distributed directly or via email to the optometrists. The questionnaire covered areas such as the participation of optometrists in paediatric vision screening, coverage of the screening programmes, screening tools and referral criteria.Results: A response rate of 77.1% (64 participants) was recorded for the survey. Twenty-eight (43.8%) respondents offered more than one paediatric vision screening outside their practice in the last year before the survey. Among those respondents, 20 were from the private sector and 20 were based in urban cities. Only 10 respondents undertook more than four paediatric screening services within this period. Visual acuity measurement and ocular health assessment were the main components of the screening batteries of optometrists. While a child with any disease abnormality was referred for evaluation, the referral criteria for a full examination were inconsistent.Conclusion: The existing paediatric screening programmes in Abia State are inadequate. Of the few conditions that are screened for, varied referral criteria for further examination are applied. It therefore appears that the current screening programmes are not meeting the visual needs of the paediatric population and suggests the need for a new strategy to improve vision screening provisions to children in Abia State.
背景:视力筛查是任何儿童眼健康系统的重要组成部分。提供标准化和广泛的筛查准则对其成功至关重要,因为它将使通过该系统统一和充分利用服务成为可能。目的:本研究旨在评估尼日利亚阿比亚州儿童视力筛查服务的覆盖范围、组成部分和转诊标准,以制定统一的视力筛查指南。方法:邀请83名在阿比亚州执业至少一年的注册验光师参加研究。自行填写的问卷直接或通过电子邮件发给验光师。调查问卷的内容包括验光师参与儿童视力筛查、筛查计划的覆盖率、筛查工具和转诊标准等。结果:调查回复率77.1%(64人)。28名(43.8%)受访者在调查前的最后一年,曾在诊所以外提供多于一次的儿科视力检查。在这些答复者中,20人来自私营部门,20人在城市工作。在此期间,只有10个答复者接受了4次以上的儿科筛查服务。视敏度测量和眼健康评估是验光师筛选电池的主要组成部分。当有任何疾病异常的儿童被转诊进行评估时,转诊的全面检查标准是不一致的。结论:阿比亚州现有的儿科筛查方案是不够的。在筛选的少数几种情况中,采用了不同的转诊标准进行进一步检查。因此,目前的筛查方案似乎不能满足儿科人口的视力需求,这表明需要制定一项新的战略,以改善对阿比亚州儿童的视力筛查。
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引用次数: 1
Barriers for the uptake of cataract surgery: A rural community-based study 接受白内障手术的障碍:一项农村社区研究
Pub Date : 2022-03-31 DOI: 10.4102/aveh.v81i1.703
Samyakta Shetti, Thanuja G. Pradeep, N. Devappa
Background: Cataract is the leading cause of blindness. Various national programmes have been undertaken to reduce its prevalence. Several barriers in the rural community and individuals exist which decreases the uptake of cataract surgery. Knowledge of factors would help in improving surgical uptake in rural patients and a decrease in blindness rate.Aim: This study aimed to evaluate the factors preventing cataract surgery acceptance in rural patients.Setting: An observational cross-sectional study was conducted between June 2019 to December 2019 in eye screening camps in rural areas of south Karnataka, India.Methods: An observational cross-sectional study was conducted between June 2019 and December 2019. A total of 4114 patients were screened at camps, out of which 500 patients above the age of 50 years, diagnosed with cataracts but had refused cataract surgery earlier, were included. Data were collected on demography, visual acuity, cataract or lens status, source of information on cataract surgery in camps, reasons for refusal of cataract surgery previously. Barriers to cataract surgery uptake (CSU) were classified as attitudinal, social, economical and psychological factors and reasons for uptake of cataract surgery in the current visit were recorded in the form of a questionnaire and analysed.Results: The mean age of the participants was 65.8 years. The male to female ratio was 1.1:1. The prevalence of cataract blindness in our study population was 11.5%, which was significant (p = 0.000). Announcements and pamphlets were the most common source of information on cataract surgery in camps. Significant barriers to CSU were attitudinal factors, mainly the ability to manage daily work (66.4%) with cataract; one eye had an adequate vision (57.4%). The next common barrier was an economic factor as they waited for a camp to avail themselves of free service (61.5%). The least common barriers were female gender (13.2%), fear related to surgery (11.8%), old age (9.6%), God’s will/fate (6.2%), lack of transport (5.4%). The critical factors in CSU in the camps were a provision of free surgery, accessible transport, the camp being conducted closer to their home and motivation by the health workers.Conclusion: Although economic barriers were efficiently taken care of by the government through national programmes, attitudinal barriers seem to be the most important barriers to achieve the goal of reducing blindness because of cataract in rural population.
背景:白内障是致盲的主要原因。已经实施了各种国家方案以减少其流行。农村社区和个人存在的一些障碍降低了白内障手术的接受度。了解这些因素有助于提高农村患者的手术接受率,降低盲率。目的:探讨影响农村白内障患者接受手术的因素。背景:2019年6月至2019年12月,在印度卡纳塔克邦南部农村地区的眼科筛查营地进行了一项观察性横断面研究。方法:于2019年6月至2019年12月进行观察性横断面研究。共有4114名患者在营地接受了检查,其中包括500名50岁以上的患者,他们被诊断患有白内障,但此前拒绝接受白内障手术。收集了人口统计、视力、白内障或晶状体状况、营地白内障手术信息来源、既往拒绝白内障手术的原因等数据。将患者接受白内障手术的障碍分为态度因素、社会因素、经济因素和心理因素,并以问卷的形式记录患者接受白内障手术的原因并进行分析。结果:参与者平均年龄为65.8岁。男女比例为1.1:1。在我们的研究人群中,白内障失明的患病率为11.5%,这是显著性的(p = 0.000)。公告和小册子是营地中最常见的白内障手术信息来源。态度因素是影响CSU的主要因素,主要是处理日常工作的能力(66.4%);1眼视力正常(57.4%)。下一个常见的障碍是经济因素,因为他们等待营地利用免费服务(61.5%)。最不常见的障碍是女性(13.2%)、与手术有关的恐惧(11.8%)、老年(9.6%)、上帝的意志/命运(6.2%)、缺乏交通工具(5.4%)。难民营中基社科的关键因素是提供免费手术、便利的交通、营地离他们的家更近以及保健工作人员的积极性。结论:虽然政府通过国家方案有效地解决了经济障碍,但态度障碍似乎是实现减少农村人口白内障致盲目标的最重要障碍。
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引用次数: 1
Keratoconus management at public sector facilities in KwaZulu-Natal, South Africa: Practitioner perspectives 南非夸祖鲁-纳塔尔省公共部门设施的圆锥角膜管理:从业者的观点
Pub Date : 2022-03-30 DOI: 10.4102/aveh.v81i1.698
Nonkululeko Gcabashe, V. Moodley, R. Hansraj
Background: Keratoconus (KC) is a non-inflammatory, self-limiting corneal ectasia that causes reduced visual acuity and if left undiagnosed and/or untreated may lead to visual impairment. Optometrists remain the first point of contact for affected patients, making appropriate timeous care essential.Aim: To investigate keratoconus management in the public sector in KwaZulu-Natal, South Africa.Setting: Public sector eye care facilities in KwaZulu-Natal, South Africa.Methods: In a quantitative, cross-sectional study, a questionnaire was distributed to optometrists employed by the Department of Health in KwaZulu-Natal (DoH-KZN). Data on practitioner demographic profile and clinical competence, facility attendance statistics, resources available and KC clinical protocols were collected.Results: The response rate was 36 (71%). The optometrists’ mean age was 30.19 ± 4.53 years, and 80% of them had work experience of less than 10 years. The majority of the health facilities (63.9%) reported a monthly attendance of 51–300 patients, and, of these, 72% of the respondents reported seeing only between 1 and 10 keratoconic patients. A lack of equipment and/or fitting of contact lenses being disallowed by the DoH-KZN were cited by the majority (61%) as the reason for routinely referring KC patients to optometrists in private practice.Conclusion: This study highlights a deficiency in the minimum standard of optometric care for KC in the public sector in KZN, primarily because of a lack of equipment and resources. It is recommended that the management of KC at all levels of the public health system be reviewed to improve the quality of service for keratoconic patients.
背景:圆锥角膜(KC)是一种非炎症性、自限性的角膜扩张,可导致视力下降,如果不及时诊断和/或治疗,可能导致视力损害。验光师仍然是受影响患者的第一接触点,因此适当的及时护理至关重要。目的:了解南非夸祖鲁-纳塔尔省公共部门圆锥角膜的管理情况。环境:南非夸祖鲁-纳塔尔省的公共眼科护理机构。方法:在定量的横断面研究中,向夸祖鲁-纳塔尔省(DoH-KZN)卫生部雇用的验光师分发了一份问卷。收集了从业人员人口统计资料和临床能力、设施出诊统计、可用资源和KC临床方案的数据。结果:有效率36例(71%)。验光师平均年龄为30.19±4.53岁,80%的验光师工作经验不足10年。大多数卫生机构(63.9%)报告每月接待51-300名患者,其中72%的答复者报告只接待1至10名角膜移植患者。大多数人(61%)认为,DoH-KZN不允许缺乏设备和/或隐形眼镜安装,这是常规将KC患者转介给私人验光师的原因。结论:本研究突出了KZN公共部门对KC的最低验光护理标准的不足,主要是因为缺乏设备和资源。建议对各级公共卫生系统的KC管理进行审查,以提高对角膜移植术患者的服务质量。
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引用次数: 3
The impact of uncorrected refractive error and visual impairment on the quality of life amongst school-going children in Sekhukhune district (Limpopo), South Africa 未矫正的屈光不正和视力障碍对南非林波波省塞库库恩县学龄儿童生活质量的影响
Pub Date : 2022-03-25 DOI: 10.4102/aveh.v81i1.620
Tshubelela S.S. Magakwe, R. Hansraj, Z. Xulu-Kasaba
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引用次数: 3
Determinants of traditional eye practices amongst rural dwellers in the Asikuma Odoben Brakwa District, Ghana 加纳Asikuma Odoben Brakwa地区农村居民传统眼科实践的决定因素
Pub Date : 2022-03-24 DOI: 10.4102/aveh.v81i1.678
Eugene B. Enimah, Urvashni Nirghin, S. Boadi-Kusi, Michael Ntodie
{"title":"Determinants of traditional eye practices amongst rural dwellers in the Asikuma Odoben Brakwa District, Ghana","authors":"Eugene B. Enimah, Urvashni Nirghin, S. Boadi-Kusi, Michael Ntodie","doi":"10.4102/aveh.v81i1.678","DOIUrl":"https://doi.org/10.4102/aveh.v81i1.678","url":null,"abstract":"","PeriodicalId":7694,"journal":{"name":"African Vision and Eye Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83213566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
期刊
African Vision and Eye Health
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