Journal Article
Comprehensive Vision Care in Urban Community: the Pediatric Outreach Program by SSTP in City Areas of Bangladesh

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Abstract
Purpose: Undetected and uncorrected refractive error in children leads to visual impairment and creating a significant public health issue day by day in school going pediatric group in many developing countries. With these rationales this study has been undertaken by using SSTP in schools of some city areas of Bangladesh to assess the magnitude of refractive status of school going children and treat them. Method: It was a prospective study conducted in the selected schools by the authority of Ispahani Islamia Eye Institute & Hospital since in March 2019 to July 2019. Total study population was 32,748. Students from class three to class ten in the selected school by the hospital authority were included in the study. The students having other eye pathology like squint, cataract, leucoma, ptosis, chalazion were excluded from study. All the students underwent history taking like family history of refractive error, spectacle use, visual acuity measurement and dry refraction, anterior segment evaluation by portable slit lamp and fundus evaluation. The students who showed accommodative spasm referred for cycloplegic refraction and those had non refractive eye condition like ptosis, chalazion, blepharitis were referred in base eye hospital for consultation. Results: Total 32,748 students (6401 students from Dhaka, 8462 from Barisal, 8074 from Jamalpur and 9811 from Naogaon) were screened out nationally by Students sight testing program (SSTP).Among the entire student's 2733 (8.3%) children were referred to base eye hospital in Dhaka, Barisal, Jamalpur and Naogaon. In Dhaka 1739 out of 6401 children ,Barisal 759 out of 8462 children, Jamalpur 123 out of 8074 and Naogaon 112 out of 9811 children were underwent cycloplegic refraction. Prevalence of overall refractive error was 62.05%. Among them myopia was 54.01%, astigmatism 32.42% followed by hypermetropia 13.56%.Majority of myopic child complaint of dculty in reading blackboard from back benches (46.35%) followed by headache (39.36%) and eye strain (11.70%) LogMAR Acuity (0.20-0.50)were in 888 children, logMAR Acuity (0.50-1) were 298 children, less than logMAR Acuity 1 were 73 children was discovered in capital city of Dhaka. Total old cases of refractive error were 37% where's newly detected case was 63%. Conclusion: In order to fulfill the target of comprehensive vision care in school going urban child, SSTP is a useful, easy and simple way for screening out of the children and can play an important role in reducing the visual morbidity by provision of spectacle.
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Ophthalmology Journal

(Volume: 50, Issue : 1)

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Journal of ophthalmological Society of Bangladesh

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