XXXX : Prevalence in different rural population of Bangladesh.

@entity1 @entity2194 @entity227 @entity267 @entity4858 @entity1939 @entity130
This population based cross-sectional study was conducted on 8283 @entity1 of all ages in five districts, selected conveniently, to assess the magnitude of @entity4858 , their causes and consequences in rural Bangladesh. Six Upazilas from five districts and from each Upazila one Union was selected randomly. One village, the ultimate cluster, was then selected conveniently from each Union. All @entity1 (n = 8283) in the 8 villages were then surveyed. Out of 8283 population (ranging from 1-120 years) surveyed, 167(2%) had history and/or evidence of past @entity2194 with a yearly incidence of 6.2 per 1000 per year. Study demonstrated a female predominance with male to female ratio being roughly 4:5. Majority (82%) had at least one episode of @entity130 in their life-time with mean age at 1st @entity130 being 20 years. Nearly 40% of the @entity130 were caused by blunt objects followed by penetrating object (22.3%) and sharp instrument (18.1%) with home being the primary place of occurrence (55.1%). Evidence of @entity2194 was found on eye-lid (15%), conjunctiva (11.4%) and @entity267 (10.2%) as scars. The older @entity1 (>=  30 years), females, illiterates, agriculture labors, housewives and household workers were more likely to receive @entity130 . Majority (86.8%) of the subjects received treatment following injury. The median time lapsed between injuries and receiving first treatment was 5 days and that between injury and visiting an eye-specialist was 18 days. Self-treatment and treatment from over-the-counter comprised 45% and 42.1% respectively followed by eye-specialists (25.5%), village quack (22.8%), graduate doctors (19.3%) and traditional healers (6.9%). About 87% received conservative management, with 12.4% needing hospitalization. Most of the injured (92.8%) and non-injured (95.2%) eyes had normal vision before @entity130 as informed by the respondents. Following @entity130 , 18% had impaired, 10.7% severely @entity227 and about 6% were blind. Job abstinence due to @entity130 was 53% with median wage loss being 10 days. The study concludes that point-prevalence of @entity2194 in rural area is around 2% with blunt objects commonly causing the @entity130 and one in every 16 @entity130 -hit case undergo blind. @entity1939 from @entity2194 , should, therefore, be a priority for eye care programs in rural Bangladesh.
