Paediatric low vision: magnitude, interventions, determinants and compliance
Journal Title: National Journal of Medical Research - Year 2017, Vol 7, Issue 2
Abstract
Aim: To assess the low vision problem and its management along with impact assessment in paediatric population (children aged 0-16 years from blind schools and paediatric patients visiting the low vision department of a tertiary eye care centre). Materials and Methods: In this cross-sectional study in which out of the total 3463 children from both the groups, 314 from blind schools and the 3149 from tertiary eye care centre in Pune a total of 113 children with low vision were assessed between October 1st 2007 and October 1st 2008. A complete low vision examination was done and appropriate aids were provided. Two follow up examinations were done at 3 and 9 months. Demographic information and entire assessment was done as per the modified WHO/PBL form for blind with low vision assessment and a questionnaire to assess the compliance. Results: Out of 314 children from the schools for blind, 19.10%(60 number) were found to have low vision, majority having globe anomaly as the determinant and out of 3149 in the tertiary eye care centre 1.68% (53) were found to have low vision, majority with retinal lesions. All the children with vision <6/60 showed significant improvement in vision. In schools for blind, out of 52 who had vision <6/24, 35 (58.33%) improved to >6/24 range. In tertiary eye care centre, out of 49 who had vision <6/24, 24 (45.28%) improved to >6/24 range. After correction 61.7% in blind schools and 67.9% in the tertiary eye care centre had their near vision improved to the range of 1.5M – 1M. Conclusions: Good screening, assessment and early management of low vision in children is important so as to help them become independent citizens and reduce the load of visual impairment.
Authors and Affiliations
Rahul Deshpande, Anita Bhargava, Khurshed Bharucha, Kuldeep Dole, Col Madan Deshpande, Rajiv Khandekar
Keywords
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