Eye health in the priests and novices in central Bangkok.

ABSTRACT

BACKGROUND: Early detection and proper management of eye diseases in priests and novices is cost effective, and minimize serious ocular damage and permanent loss of vision. Therefore, the Department of Ophthalmology, Priest Hospital set-up an eye examination project for the priests and novices who came for physical examination. The laboratory test was part of the Sustained and Holistic Healthcare Program for Priests and Novices as Commemoration of His Majesty the King's 60 Years of Accession to the Throne. OBJECTIVE: To evaluate eye health status and screening for refractive error in priests and novices and to provide free spectacles and eye health education to fulfill the criteria of voluntary Buddhist eye health workers. MATERIAL AND METHOD: Between February and June 2006, the Department of Ophthalmology, Priest Hospital conducted eye examination for the priests and novices in 28 temples in central Bangkok. The priest and novices with refractive error and abnormal eye examination received appointment for repeated refraction and complete eye examination in Priest Hospital. RESULTS: Six hundred forty nine priests and novices had complete eye examination. Normal visual acuity (Snellen VA 20/20) was found in 355 (54.69%) cases. The most common eye diseases were refractive error with 294 cases (45.30%), cataract with 41 cases (6.32%), glaucoma with 10 cases (1.54%) and vitreoretinal diseases, which included diabetic retinopathy, age related macular degeneration and branch retinal venous occlusion with eight cases (1.23%). Three novices had amblyopia (0.46%). CONCLUSION: Most of the priests and novices in central Bangkok had good eye health. Half of the eye problems were refractive errors. Since most of other eye diseases reported in priests were associated with aging and systemic diseases as hypertension, diabetes, and ischemic heart disease, regular ophthalmic examination should be provided in this risk group. Eye health education should be provided for sustainable eye health development as voluntary eye health workers in Buddhism.