Ocular morbidity in children – Does it affect vision?
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 5
Abstract
Purpose: The primary outcome was to find out the most common causes of ocular morbidity in paediatric age group (up to 18 years).The secondary outcome measure was to find out the causes of visual morbidity. Materials and methods: This prospective study included all cases of paediatric age group (from birth up to 18 years) of both sexes who came to the ophthalmology outpatient department of a teaching hospital. The 350 children included in the study were subjected to a comprehensive ophthalmic evaluation including vision and refraction, anterior and posterior segment evaluation, squint evaluation and ocular movements. Results: Of the 350 children visiting the ophthalmology outpatient department with some ocular complaints were examined 230 (65.71%) were boys and 120 (34.29%) were girls. Out of which 130 (37.4%) boys and 70(20%) girls had some form of ocular morbidity. Maximum children were in the age group of 10 –12 (36%) years. The common causes of ocular morbidity were refractive errors in 110 children (31.43%) and conjunctivitis in 28 (8%) children. Aetiologically allergic conjunctivitis was the commonest, seen in 18(5.14%) children followed by bacterial in 6 (1.72%) and viral in 4(1.14%). Lid disorders were found in 17(4.85%) children. Chalazion was seen in 4 (1.14%), stye in 8 (2.29%), blepharitis in 4 (1.14%), while congenital Ptosis was seen in only in 1(0.29%) child. Other causes of ocular morbidity included congenital dacryocystitis-14 (4%), squint -10 (2.85%), vitamin A deficiency -7 (2%), ocular trauma -7(2%) and retinopathy of prematurity 1 (0.29%). Of the above causes of ocular morbidity those affecting vision and hence causing visual morbidity included refractive error - 110 (31.14%), keratitis - 3 (0.85%), corneal opacity - 2 (0.57%), congenital cataract - 1 (0.28%), squint - 10 (2.85%), ocular trauma -7(2%) and retinal diseases - 1 (0.28%). Anisometropic amblyopia was found in 5 (1.42%) children. Conclusion: Undetected refractive errors were the most common cause of ocular morbidity and also of visual morbidity. Timely screening to identify refractive errors and measures to treat them can prevent unnecessary visual impairment due to resultant amblyopia.
Authors and Affiliations
Pritesh Desai, Snehalthakre 2, Pradnya Deshmukh, P Mishrikotkar
Keywords
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