Abstract
IntroductionGlobally, eye diseases are considered as one of the major contributors of nonfatal disabling conditions. In Bangladesh, 1.5% of adults are blind and 21.6% have low vision. Therefore, this paper aimed to identify the community-based prevalence and associated risk factors of eye diseases among slum dwellers of Dhaka city.MethodsThe study was carried out in two phases. In the first phase, a survey was conducted using multistage cluster sampling among 1320 households of three purposively selected slums in Dhaka city. From each household, one family member (≥ 18 years old) was randomly interviewed by trained data collectors using a structured questionnaire. After that, each of the participants was requested to take part in the second phase of the study. Following the request, 432 participants out of 1320 participants came into the tertiary care hospitals where they were clinically assessed by ophthalmologist for presence of eye diseases. A number of descriptive and inferential statistics were performed using Stata 13.ResultThe majority of total 432 study participants were female (68.6%), married (82.6%) and Muslim (98.8%). Among them almost all (92.8%) were clinically diagnosed with eye disease. The most prevalent eye diseases were refractive error (63.2%), conjunctivitis (17.1%), visual impairment (16.4%) and cataract (7.2%). Refractive error was found significantly associated with older age, female gender and income generating work. Cataract was found negatively associated with the level of education, however, opposite relationship was found between cataract and visual impairment.ConclusionOur study provides epidemiologic data on the prevalence of eye diseases among adult population in low-income urban community of Dhaka city. The high prevalence of refractive error, allergic conjunctivitis, visual impairment, and cataract among this group of people suggests the importance of increasing access to eye care services.
Highlights
Eye diseases are considered as one of the major contributors of nonfatal disabling conditions
The high prevalence of refractive error, allergic conjunctivitis, visual impairment, and cataract among this group of people suggests the importance of increasing access to eye care services
According to the National Blindness and Low Vision Survey of Bangladesh, 1.53% of adults, Sutradhar et al BMC Ophthalmology (2019) 19:38 whose age is at least 30 years, are blind and 21.6% have low vision [6]
Summary
Eye diseases are considered as one of the major contributors of nonfatal disabling conditions. In Bangladesh, 1.5% of adults are blind and 21.6% have low vision. Eye diseases are considered as one of the major contributors of nonfatal disabling conditions in both high and low income countries [1]. The global burden of eye diseases was estimated to be 61.4 million DALYs, accounted for 4.0% of total DALYs [2]. Major contributors to the global burden of eye diseases are refractive errors (27.7 million DALYs), cataract Sutradhar et al BMC Ophthalmology (2019) 19:38 whose age is at least 30 years, are blind and 21.6% have low vision (presenting visual acuity of less than 6/12 in either one or both eyes) [6]. It is imperative to ensure comprehensive eye care services at low or no cost for this vulnerable group of people
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