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The Ayounkon project: visual impairment, eye diseases and unmet eye care needs in the Syrian refugee population and the hosting community in Lebanon

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Abstract

Aim

To report on the distribution of eye diseases, aetiologies of severe visual impairment/blindness (SVI/BL) and unmet eye care needs of the Syrian refugee population and the Lebanese host community.

Methods

This retrospective study analysed the data of patients that were examined during the Ayounkon project –an eye health care project offering medical and surgical treatment for Syrian refugees and Lebanese host community in the Bekaa Valley in Lebanon. The project took place in three different primary health care centres and involved cooperation between several NGOs and ophthalmologists working on a voluntary basis. Data was analysed for distribution of eye diseases and aetiologies responsible for monocular and binocular SVI/BL.

Results

A total of 2067 patients were included, 677 were children < 18 years. The most frequent pathologies were ocular allergy (10%), and cataract (7.4%). 158 patients (7.6%) were referred for surgery. Glasses were prescribed for 1103 patients (53.4%), of whom 242 (21.9%) were children of school age.

SVI/BL was found in 276 patients (13%). The condition was bilateral in 116 patients (42%). SVI/BL was significantly more frequent in the Syrian population than in the Lebanese (186 patients, 14.8% versus 86 patients, 11.3%; p = 0.04). The main causes for SVI/BL were cataract, keratoconus/corneal decompensation and amblyopia.

Conclusion

The Syrian refugee population and the Lebanese host community have a high prevalence of ophthalmic pathologies and SVI/BL. Visual impairment is more prevalent in the refugee population. Our findings underscore the importance of targeted interventions and access to eye care services for these populations.

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Funding

The Ayounkon projet was funded the United Nations Office for the Coordination of Humanitarian Affairs (UN-OCHA) as an initiative to support eye health.

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Contributions

YA, MM and SE wrote the manuscript, MI and GS collected the data, MC prepared the table, YA reviewed the data and did the statistics. All authors reviewed the manuscript.

Corresponding author

Correspondence to Youssef Abdelmassih.

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No conflict of interest for any of the authors.

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Abdelmassih, Y., Makhoul, M., Issa, M. et al. The Ayounkon project: visual impairment, eye diseases and unmet eye care needs in the Syrian refugee population and the hosting community in Lebanon. Int Ophthalmol 44, 42 (2024). https://doi.org/10.1007/s10792-024-02930-3

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