Analysis of the Eye Clinic Visits of Syrian Immigrants at a State Tertiary Hospital

The aim of this study was to investigate the demographic and clinical characteristics of Syrian immigrants visiting an ophthalmology clinic, and to evaluate the causes of severe vision loss and blindness in this population. The data of 1,498 Syrian patients who presented to our clinic with eye complaints between January 2013 and January 2019 were analyzed retrospectively. The cases were divided into three groups based on age: under 18, 18–65, and over 65 years old. Their diagnoses, severe vision loss incidences, and causes of blindness were investigated. The mean age was 36.15 ± 23 (0–91) years old, with 385 (25.7%) of the patients under the age of 18, 780 (52.1%) between the ages of 18 and 65, and 333 (22.2%) over 65 years old. In all three groups, the most common reasons for admission were treatable conditions, such as conjunctivitis, blepharitis, and dry eye. The most important cause of severe vision loss under the age of 18 was a refractive error, while the most important cause of blindness was a congenital cataract. Cataracts were the most important causes of severe vision loss in the 18–65 and over 65 years old age groups, while the most important causes of blindness were traumas and cataracts. By providing immigrants with fast, easy, and free access to health care services, the severe vision loss and blindness rates can be minimized.

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1. UNHCR. Update on the key developments in January 2019. (https://www.unhcr.org/tr/wpcontent/uploads/sites/14/2019/05/UNHCRTurkey-Operational-Update-January-2019.)

2. Weichel ED, Colyer MH. Combat ocular trauma and systemic injury. Curr Opin Ophthalmol 2008; 19: 519-525.

3. World Health Organization. Blindness and vision impairment; 2018 ( https://www.who.int/newsroom/fact-sheets/detail/blindness-and-visualimpairment)

4. United Nations. The Universal Declaration of Human Rights;1948 (https://www.un.org/en/universal-declarationhuman-rights/)

5. Doner P, Ozkara A, Kahveci R. Syrian refugees in Turkey: numbers and emotions. Lancet 2013; 382(9894): 764.

6. Assi R, Özger-İlhan S, İlhan MN. Health needs and access to health care: the case of Syrian refugees in Turkey. Public Health 2019; 172: 146- 152.

7. Gursu M, Arici M, Ates K, Kazancioglu R, Yavas PG, Ozturk M, et al. Hemodialysis experience of a large group of Syrian refugees in Turkey: all patients deserve effective treatment. Kidney Blood Press Res 2019; 44: 43-51.

8. Yücel A, Alataş N, Yücel H, Güllüev M, Özsöz E, Uğur C. Newborn hearing screening results of refugees living in our city and the factors affecting the results. Int J Pediatr Otorhinolaryngol 2019; 123: 187-190.

9. Erenel H, Aydogan Mathyk B, Sal V, Ayhan I, Karatas S, Koc Bebek A. Clinical characteristics and pregnancy outcomes of Syrian refugees: a case-control study in a tertiary care hospital in Istanbul, Turkey. Arch Gynecol Obstet 2017; 295: 45-50.

10. Demirci H, Yildirim Topak N, Ocakoglu G, Karakulak Gomleksiz M, Ustunyurt E, Ulku Turker A. Birth characteristics of Syrian refugees and Turkish citizens in Turkey in 2015. Int J Gynaecol Obstet 2017; 137: 63-66.

11. Bucak IH, Almis H, Benli S, Turgut M. An overview of the health status of Syrian refugee children in a tertiary hospital in Turkey. Avicenna J Med 2017; 7: 110-114.

12. Arlı C, Özkan M, Karakuş A. Incidence, etiology, and patterns of maxillofacial traumas in Syrian patients in Hatay, Turkey: a 3 years retrospective study. Ulus Travma Acil Cerrahi Derg 2019; 25: 29-33.

13. Eryurt MA, Menet MG. Noncommunicable diseases among Syrian refugees in Turkey: an emerging problem for a vulnerable group. J Immigr Minor Health 2020; 22: 44-49.

14. Gurler B, Coskun E, Oner V, Comez A, Erbagci I. Syrian civil-war-related intraocular foreign body injuries: a four-year retrospective analysis. Semin Ophthalmol 2017; 32: 625-630.

15. Kilic E, Ortatatli M, Sezigen S, Eyison RK, Kenar L. Acute intensive care unit management of mustard gas victims: the Turkish experience. Cutan Ocul Toxicol 2018; 37: 332-337.

16. Erdem S. Causes of blindness among Syrian refugees living in southeastern Turkey. Ophthalmic Epidemiol 2019; 26: 416-419.

17. Weichel ED, Colyer MH. Combat ocular trauma and systemic injury. Curr Opin Ophthalmol 2008; 19: 519-525.

18. Zhou J, Wang FH, Lu H, Liang YB, Wang NL; Handan Eye Study Group. Ocular trauma in a rural population of North China: the Handan Eye Study. Biomed Environ Sci 2015; 28: 495-501.

19. Bajaire B, Oudovitchenko E, Morales E. Vitreoretinal surgery of the posterior segment for explosive trauma in terrorist warfare. Graefes Arch Clin Exp Ophthalmol 2006; 244: 991-995.

20. Seet B, Wong TY. Military laser weapons: current controversies. Ophthalmic Epidemiol 2001; 8: 215-226.

21. Gümbel H. Curse and blessing of combat ophthalmology in the 20th and 21st centuries. Klin Monbl Augenheilkd 2009; 226: 624-628.

22. Riyadh S, Abdulrazaq SS, Zirjawi AMS. Surgical management of the recent orbital war injury. J Craniofac Surg 2018; 29: 1123-1126.

23. Vlasov A, Ryan DS, Ludlow S, Coggin A, Weichel ED, Stutzman RD, et al. Corneal and corneoscleral injury in combat ocular trauma from operations Iraqi Freedom and Enduring Freedom. Mil Med 2017; 182: 114-119.

24. Hassan Naqvi SA, Malik S, Syed ZUD, Anwar SB, Nayyar S. Visual outcome and its prognostic factors in patients presenting with ocular war injuries at an army hospital in Pakistan. J Pak Med Assoc 2017; 67: 1853-1856.

25. Ayyildiz O, Hakan Durukan A. Comparison of endoscopic-assisted and temporary keratoprosthesis-assisted vitrectomy in combat ocular trauma: experience at a tertiary eye center in Turkey. J Int Med Res 2018; 46: 2708- 2716.

26. Paz DA, Thomas KE, Primakov DG. Ocular injuries and cultural influences in Afghanistan during 5 months of operation Enduring Freedom. J Spec Oper Med. Spring 2018; 18: 77-80.

27. Hassan Naqvi SA, Malik S, Zulfiqaruddin S, Anwar SB, Nayyar S. Etiology and severity of various forms of ocular war injuries in patients presenting at an army hospital in Pakistan. Pak J Med Sci 2016; 32: 1543-1546.

28. Boiko EV, Churashov SV, Haritonova NN, Budko AA. Vitreoretinal surgery in the

29. Kuhn F. Ocular trauma: from epidemiology to war-related injuries. Graefes Arch Clin Exp Ophthalmol 2011; 249: 1753-1754.

30. Thach AB, Ward TP, Dick JS II, Bauman WC, Madigan WP Jr, Goff MJ, et al. Intraocular foreign body injuries during operation Iraqi Freedom. Ophthalmology 2005; 112: 1829-1833.

31. Colyer MH, Chun DW, Bower KS, Dick JS, Weichel ED. Perforating globe injuries during operation Iraqi Freedom. Ophthalmology 2008; 115: 2087-2093.

32. Barak A, Elhalel A, Pikkel J, Krauss E, Miller B. Incidence and severity of ocular and adnexal injuries during the Second Lebanon War among Israeli soldiers and civilians. Graefes Arch Clin Exp Ophthalmol 2011; 249: 1771-1774.

33. World Health Organization. Attacks on health care on the rise throughout Syria in first half of 2018, says WHO; 2018 ( http://www.emro.who.int/syr/syrianews/attacks-on-health-care-on-therisethroughout-syria-in-first-half-of-2018-sayswho.html [cited October 15, 2018].)

34. Republic of Turkey Ministry of Interior Directorate General of Migration Management. (https://www.goc.gov.tr/icerik/migrationstatistics_915_1024)

35. Bal S, Duckles A, Buttenheim A. Visual health and visual healthcare access in refugees and displaced persons: a systematic review. J Immigr Minor Health 2019; 21: 161-174.
Eastern Journal of Medicine-Cover
  • ISSN: 1301-0883
  • Başlangıç: 1996
  • Yayıncı: ERBİL KARAMAN
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