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OCULAR HEALTH STATUS OF PRIMARY SCHOOL CHILDREN IN ABAGANA-NJIKOKA LOCAL GOVERNMENT AREA OF ANAMBRA STATE, NIGERIA

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Supervisor: Professor R. E. Umeh, Professor U. F. Ezepue
Faculty: OPHTHALMOLOGY
Month: 11
Year: 2007

Abstract

A cross sectional survey of the ocular status of primary school children in Abagana - a rural community in Njikoka Local Government Area of Anambra state of Nigeria, was undertaken. The available children in all the 8 primary schools aged 6 to less than 16 years were interviewed and examined with snellens chart, pen torch, head loupe and direct ophthalmoscope. Findings were recorded using the modified World Health Organization/Programme for Prevention of Blindness (WHO/PBL) eye examination form. More males 1081 (57.7%) than females 1011 (48.3%) constituted the sample population giving a male/female ratio of 1.07 to 1, (p= 0.0013). There were 20 different types of ocular disorders found in 127 out of 2092 children examined giving a prevalence of 6.1%. The most common ocular disorder was vernal conjunctivitis (48.1%) followed by refractive error (11.0%). The highest number of ocular disorder 61(48.0%) occurred in the age group 10 to 13 years. The number of school children with a visual acuity <6/18 in the better eye was 6 (0.3%). Of these, 4 (0.2%) were due to preventable ocular disorders while 2 (0.1%) were neither preventable nor curable. Of the 4 (0.2%) cases of monocular blindness, 3 (0.14%) were preventable. The findings in this study indicate that most of the causes of visual impairment in the school children surveyed were avoidable and appropriate application of preventive and promotive primary eye care would go a long way in improving the ocular health status of primary school children in this locality.

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