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Zambian casebook

In the second report from a recent Vision Aid Overseas visit to Zambia, Graham Coates, Dr David Adams, Asim Hyder, Louise Stanton and Alison Ewbank report on some of the clinical cases seen during their stay

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Lack of access to eye care in rural areas means that, sadly, disease and injury often go untreated and many patients arrive at outreach clinics either with advanced conditions or with permanent damage to the eyes suffered many years ago.

Nearly three in four of the patients seen on our visit to the Zambian province of Luapula presented with some form of pathology (see table), although nearly half of these were classed as general 'irritation'. Excluding these cases the rate of pathology was 39 per cent, closer to VAO figures for other African countries.

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