Introduction:

1. Visual Acuity in Sudanese Refugee Children and Egyptian Orphans in Cairo, Egypt: A Comparison Study Hajirah Saeed1, B.S.; Joseph McBride1, B.S.; Eileen Gable1, O.D. 1Loyola University Medical Center,, Maywood, IL Results: 11 out of the 140 (7.86%) refugee children tested had VA ≤ 20/40, while 22 of the 70 (31.43%) orphans tested had VA ≤ 20/40 (p<0.0001). Of the 22 orphans with VA ≤ 20/40, 8 (36.36%) were affected in only one eye as compared to 0 (0%) of the 11 refugee children with VA ≤ 20/40 (p=0.0216). In the orphan population, there was a difference in VA between both eyes in 9 children vs. 1 child in the refugee population (p=0.0003). Out of the 11 refugee children with VA ≤ 20/40, 7 were corrected to 20/20, 1 to 20/25, and 2 to 20/30. Of the 22 orphans with VA ≤ 20/40, 9 were corrected to 20/20, 2 to 20/25, and 2 to 20/30. In comparison to the general Cairo school-child population, the SRSC had a lower incidence of RE (p<0.0001) while the orphans had a higher incidence of RE (p<0.0001). Introduction: The Sudanese refugee and orphan children populations in Cairo, Egypt are marginalized populations and, despite UN mandates, often do not receive basic preventative healthcare, including ophthalmologic care. In order to assess the basic visual health of these two marginalized populations against the general Cairo schoolchild population, vision screening was conducted at various sites in Cairo, Egypt. • Conclusions: • There is a significant difference in VA and prevalence of RE among the Cairo orphan population, Sudanese refugee children situated in Cairo, and the general Cairo schoolchild population. • Distribution of donated eyeglasses is a cost-effective and resourceful approach to address RE. • The refugee population demonstrated a significantly lower incidence of RE as compared to the general population, whereas the orphan population demonstrated a significantly higher incidence of RE. • Further studies need to be done to determine the cause of this difference between two marginalized communities in the same region. Methods: As part of a basic health screening, 140 Sudanese refugee school-children and 70 Egyptian orphans in Cairo, Egypt underwent a preliminary survey to detect the prevalence of refractive error (RE (≤20/40). Acknowledgements Research supported by the Richard A. Perritt Charitable Foundation and Loyola Global Health Fund. Hajirah Saeed: hsaeed@lumc.edu

2. Percentage of children with VA < 20/40 • Population group