title: [Ophthalmology and urban underprivileged. Experience of 150 patients].
abstract: BACKGROUND
  An ophthalmology consultation was carried out at the Hôtel-Dieu to facilitate eye care in underprivileged patients referred by the general medicine PASS (socialized health care) of the same hospital.
  
  
  METHODS
  The files of 150 consecutive patients examined by a single ophthalmologist between January 2012 and June 2013 were reviewed. A standard examination was performed in these patients, sent with a consult sheet, to which a response was sent to PASS. As necessary, prescriptions were also written for the patients.
  
  
  RESULTS
  Most patients (89/150) were immigrants from sub-Saharan Africa. Additionally, there were 25 Europeans with only 5 French, and 17 Asians. The mean age was 41 years with 90 men (mean age 43) and 60 women (mean age 36). The most common systemic diseases observed were hypertension, (13), diabetes (6), and hepatitis (6). The mean best-corrected visual acuity (129 patients) was a slightly more than 8/10 (16/20) (measurable in 143 patients). Refractive state (measured in 129 patients) was myopia (46), hyperopia (41), presbyopia (isolated in 12 cases), astigmatism (26), and emmetropia (28). Optical correction was prescribed in 87 patients. The main pathological conditions included pingueculae (19), cataracts (19), trauma (13) of which 4 patients were monocular, and pterygia (9).
  
  
  CONCLUSIONS
  Refractive errors were the main abnormality observed in these underprivileged patients. Apart from cataract as a pathologic condition observed in the general population, more characteristic of this sub-Saharan population were pinguecula, pterygium and trauma. This study highlights the more general question of access to eye care for all underprivileged patients.
authors.affiliation: Service d'ophtalmologie, Hôtel-Dieu, 1, place du parvis Notre-Dame, 75181 Paris cedex 04, France. Electronic address: f.dhermies@htd.aphp.fr.
authors.forename: F
authors.initials: F
authors.lastname: D'Hermies
authors.affiliation: Centre de diagnostic et de thérapeutique, Hôtel-Dieu, Walk-In Clinic PASS, AP-HP, 1, place du parvis Notre-Dame, 75181 Paris cedex 04, France.
authors.forename: H
authors.initials: H
authors.lastname: de Champs-Léger
mesh_terms: D000293:Adolescent; D000328:Adult; D017954:Africa South of the Sahara / Q000208:ethnology; D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000453:epidemiology; D002391:Catchment Area, Health / Q000191:economics / Q000706:statistics & numerical data; D002908:Chronic Disease / Q000453:epidemiology; D003141:Communicable Diseases / Q000453:epidemiology; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000453:epidemiology; D003953:Diagnosis-Related Groups; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data; D005060:Europe / Q000208:ethnology; D005128:Eye Diseases / Q000191:economics / Q000453:epidemiology*; D005260:Female; D058006:General Practice / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D009422:Nervous System Diseases / Q000453:epidemiology; D010297:Paris / Q000453:epidemiology; D011203:Poverty / Q000208:ethnology / Q000706:statistics & numerical data; D012189:Retrospective Studies; D014505:Urban Population / Q000706:statistics & numerical data; D014786:Vision Disorders / Q000191:economics / Q000453:epidemiology*; D035862:Vulnerable Populations / Q000208:ethnology / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Consultation d’ophtalmologie; Immigrant patients; Migrants; Ophthalmology visits; PASS et parcours de soin; Précarité; Socialized health care; Underprivileged