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To measure the prevalence of lazy eyes in Baghdad's rural primary school students. The sample consists of 311 students from 18 government-run primary schools; each student had their eyes examined in first- through sixth-grade primary classes, and children between the ages of 6 and 14 were included in the study to determine the presence of the lazy eye. Visual acuity (VA) was assessed using Snellen's chart, and a sample of students underwent the test. Lazy eye was then identified using the following criteria: 1) Either the two eyes' Snellen charts show a two-line difference or more, or the visual acuity is 6/12 or worse. 2) The continued presence of a visual acuity issue following refractive error correction. The results indicate that 311 students in total have lazy eyes, with a prevalence of 3.5% among students in this age group (9 to 12 years), which includes 40% males and 60% females. The refractive error in the lazy eye causes hyperopia in more than half of students (65%). Most students (95%) aren't aware that they have lazy eyes. On the count finger test for visual acuity, the results were (39%) for the left eye and (38%) for the right eye. A significant number of students (88%) did not wear glasses, and (93%) reported having blurry vision. Poor academic performance was ranked at 75%, and anisometropia was at 36%. More than half of the students (57%) who were not seen by the medical staff arrived at school from the neighborhood primary care center. As a conclusion, in the rural Alker Kh district of Baghdad, 3.5% of students in government primary schools had lazy eyes.
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