Etiological profile of visual impairment in children
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2018, Vol 4, Issue 3
Abstract
Introduction Vision 2020the right to sight programme is a global initiative to eliminate avoidable blindness worldwide by the year 2020 The control of blindness in children is one of the priority areas of the World Health Organizations Vision 2020The aim of this study was to identify the major causes of visual impairment in children and to identify the avoidable ie readily preventable or treatable causes of severe visual impairment blindnessMaterials and Methods It was an observational cross sectional study conducted in the Out Patient Department OPD of an ophthalmology unit of a tertiary hospital in northern India between June 2012 to May 2017The study population was all new patients aged 16 years and younger 1543 children 16A detailed history was elicited Refraction was performed as and when required Anterior segment examination was done with torch and slit lamp Posterior segment examination was performed using direct and indirect ophthalmoscopyResults Among the study population 542 were females with a Female Male ratio of 1181 Maximum numbers of children were of the age group of 1215yrsAnatomical sites affected in these patients were whole globe microphthalmos anophthalmos phthisis in 35 cornea staphyloma scar 11 retina dystrophy post inflammatory retinal scarring and retinopathy of prematurity 65 lens 37Maximum number of cases having visual impairment due to lenticular causes cataract aphakia pseudophakia and others Refractive errors including High Pathological Myopia Strabismus Ptosiswere seen in the age group 1215yrs pRefractive errors included cases of myopia hypermetropia and astigmatismConclusion Although most ocular lesions are preventable but due to ignorance and carelessness of being not attended to they cause impairment of vision or even blindnessOur findings can be of great assistance to existing school eye health programmes that are focusing mainly on the problems of refractive errors in childrenKeywords Blindness Children Etiology
Authors and Affiliations
Pragati Garg, Ritika Mullick
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