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Prevalence and Management of Eye Diseases Causing Prevenntable Blindness at Bugando Medical Centre Mwanza

By: Contributor(s): Material type: TextTextPublisher number: Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O. Box 1464, Mwanza – Tanzania: Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz : www.bugando.ac.tzLanguage: English Language: Kiswahili Publication details: Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2018Description: x; 30 Pages; Includes ReferencesSubject(s): Summary: Abstract; Background: Preventable is blindness which could be treated or prevented by known and cost effective measures. Between 40 and 45 million people are blind and nine out of ten of them reside in developing countries, in response the WHO launched vision 2020; the right to sight. Whole agenda was to eliminate avoidable blindness by 2020 targeting the world’s leading causes of avoidable blindness. Method: A cross sectional retrospective study involving 358 files of patients who previously attended the ophthalmology clinic at Bugando medical centre from January to December 2017. Random systematic sampling was used to collect data using a checklist to obtain information on type and management of the eye diseases and analysis was done using SPSS version 20. Results: patients, 189 (52.8%) were males and 169 (47.2%) were females with majority the majority between 21-60 years. Eye disease causing preventable blindness accounted for 160 (41.7%) and 224 (58.4%) had other eye diseases. Refractive errors was the highest (55%) then cataract (32.5%) and corned opacities (7.4%) trachoma, onchocerciasis and childhood blindness had low prevalence. For cataract 32 (61.5%) patients had surgery and 20 (38.5%) did not. In management of refractive errors 55 (62.5%) received eye glasses and 33 (37.5%) did not. Discussion: Refractive errors (55%) was the commonest then cataract (32.5%), corneal opacities, trachoma, onchocerciasis and childhood blindness were the least common. Similarly to a study conducted in Nigeria where refractive errors (57.1%) and cataract (43%) were responsible for half the causes of avoidable blindness. Only (32/52) 61.5% underwent cataract surgery and (20/52) 38.5% did not undergo. A possible explanation being the cost of the medical procedure referring to a study done in Ethiopia which 40% of the respondents suggested the reason for failure to use eye care services were costs associated with the services. Conclusion: The higher prevalence of other eye diseases compared to eye diseases causing preventable blindness suggests that the WHO vision 2020 is progressing towards a good direction. Recommendation: Further studies should be done prevalence of other eye diseases that cause blindness and could be prevented by cost effective measures despite that they were not included in the diseases causing preventable blindness by the WHO vision 2020: The right to sight.
Item type: UNDERGRADUATE DISSERTATIONS
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UNDERGRADUATE DISSERTATIONS MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO NFIC 2 UD0045
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Abstract;

Background: Preventable is blindness which could be treated or prevented by known and cost effective measures. Between 40 and 45 million people are blind and nine out of ten of them reside in developing countries, in response the WHO launched vision 2020; the right to sight. Whole agenda was to eliminate avoidable blindness by 2020 targeting the world’s leading causes of avoidable blindness.

Method: A cross sectional retrospective study involving 358 files of patients who previously attended the ophthalmology clinic at Bugando medical centre from January to December 2017. Random systematic sampling was used to collect data using a checklist to obtain information on type and management of the eye diseases and analysis was done using SPSS version 20.

Results: patients, 189 (52.8%) were males and 169 (47.2%) were females with majority the majority between 21-60 years. Eye disease causing preventable blindness accounted for 160 (41.7%) and 224 (58.4%) had other eye diseases. Refractive errors was the highest (55%) then cataract (32.5%) and corned opacities (7.4%) trachoma, onchocerciasis and childhood blindness had low prevalence. For cataract 32 (61.5%) patients had surgery and 20 (38.5%) did not. In management of refractive errors 55 (62.5%) received eye glasses and 33 (37.5%) did not.

Discussion: Refractive errors (55%) was the commonest then cataract (32.5%), corneal opacities, trachoma, onchocerciasis and childhood blindness were the least common. Similarly to a study conducted in Nigeria where refractive errors (57.1%) and cataract (43%) were responsible for half the causes of avoidable blindness. Only (32/52) 61.5% underwent cataract surgery and (20/52) 38.5% did not undergo. A possible explanation being the cost of the medical procedure referring to a study done in Ethiopia which 40% of the respondents suggested the reason for failure to use eye care services were costs associated with the services.

Conclusion: The higher prevalence of other eye diseases compared to eye diseases causing preventable blindness suggests that the WHO vision 2020 is progressing towards a good direction.

Recommendation: Further studies should be done prevalence of other eye diseases that cause blindness and could be prevented by cost effective measures despite that they were not included in the diseases causing preventable blindness by the WHO vision 2020: The right to sight.

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