Acta Scientific Ophthalmology (ISSN: 2582-3191)

Research Article Volume 5 Issue 4

Pattern of Ocular Morbidity and Visual Disability in Children Attending Eye Out Patient Department in Gwalior, Madhya Pradesh

Ankita Aishwarya1*, Devendra Kumar Shakya2 and Prabha Gupta3

1Department of Ophthalmology, Gajra Raja Medical College (G.R.M.C), Gwalior, Madhya Pradesh, India
2Professor, Department of Ophthalmology, Gajra Raja Medical College (G.R.M.C), Gwalior, Madhya Pradesh, India
3Assistant Professor, Department of Ophthalmology, Gajra Raja Medical College (G.R.M.C), Gwalior, Madhya Pradesh, India

*Corresponding Author: Ankita Aishwarya, Department of Ophthalmology, Gajra Raja Medical College (G.R.M.C), Gwalior, Madhya Pradesh, India.

Received: January 05, 2022; Published: March 30, 2022

Abstract

Purpose: This study aims to evaluate the pattern of ocular morbidity in children less than 18 years.

Methods: An out patient (OPD) department based prospective observational and interventional study was done from July 2016 to June 2018.

Results: A total of 5000 children out of which 2960 (59.2%) were males and 2040 (40.8%) were females. These children were divided into groups based on age: 0-3 years, >3-7 years, > 7-11 years, >11-15 years, >15-18 years. Maximum number of children who attended OPD were from age group >7-11years and >11-15 years which was 1100 (22%). The most common cause of ocular morbidity was refractive error (34.4%) followed by ocular injury (12.2%), Vitamin A deficiency and conjunctivitis (6.8%), squint without amblyopia (5.6%), corneal opacity (4.8%), blepharitis (4.4%), squint with amblyopia (4.2%)and cataract (4.2%) and so on. Children under low vision category were 740 (14.8%), with economic blindness were 425 (8.5%), with social blindness were 122 (2.4%), manifest blindness were seen in 64 (1.2%) and absolute blindness were seen in 39 (0.78%).Overall 27.8% (1390) children were in category of blindness. In 190 (3.8%) children vision was indeterminable due to newborns, uncooperativeness, mentally handicapped or semi-conscious state.

Conclusion: This study revealed that the most common cause of ocular morbidity was refractive error. Most of the studies included school screening method but this can miss congenital malformations as most of these children don’t go to school. Most common cause of absolute blindness was developmental followed by ocular trauma which in most cases can be preventable. Small awareness among parents can prevent devastating change in their child life..

Keywords: Ocular Morbidity; Epidemiology; Refractive Error; Strabismus; Visual Impairment in Children

References

  1. Park JE and Park K. “Test Book of Prevention and Social Medicine”. 24th edition. Bhanot Publishers (2016): 514.
  2. Park JE and Park K. “Test Book of Prevention and Social Medicine”. 24th edition. Bhanot Publishers (2016): 516.
  3. World Health Organization. “Preventing Blindness in Children”. Report of a WHO/IAPB Scientific Meeting, Hyderabad, India (1999).
  4. Gilbert CE., et al. “Prevalence of visual impairment in children: A review of available data”. Ophthalmic Epidemiology 6 (1999): 73-82.
  5. Gilbert C., et al. “Visual impairment and blindness in children”. In: Johnson G, Minassian D, Weale W, West S, editors. Epidemiology of Eye Disease. 2nd edition. UK: Arnold Publishers (2003).
  6. Jose R. “Present status of the national programme for control of blindness in India”. The Community Eye Health Journal 21 (2008): 103-104.
  7. Dandona R., et al. “Refractive error in children in a rural population in India”. Investigative Ophthalmology and Visual Science 43 (2002): 615-622.
  8. Murthy GV., et al. “Refractive error in children in an urban population in New Delhi”. Investigative Ophthalmology and Visual Science 43 (2002): 623-631.
  9. Kishore J. “National Health Programmes of India”. 9th edition. New Delhi: Century Publications (2011): 420-421.
  10. Bhalerao SA., et al. “Visual impairment and blindness among the students of blind schools in Allahabad and its vicinity: A causal assessment”. Indian Journal of Ophthalmology 63 (2015): 254-258.
  11. World Health Organization. “Global Initiative for the Elimination of Avoidable Blindness”. WHO/PBL/97.61. Geneva, Switzerland: World Health Organization (1997).
  12. Gilbert C and Foster A. “Childhood blindness in the context of VISION 2020 - The right to sight”. Bulletin of the World Health Organization 79 (2001): 227-232.
  13. Danish Assistance to the National Programme for Control of Blindness. New Delhi. India: Vision screening in school children. Training module 1.
  14. Irfan Ahmed Khan and Mohd Qamruddin. “Assessment of ocular conditions among pediatric patients”. International Journal of Contemporary Medical Research1 (2017): 291-294.
  15. Bodunde OT and Onabolu OO. “Childhood eye diseases in Sagamu”. Nigerian Journal of Ophthalmology 12 (2004): 6-9.
  16. Andrew R Elkington., et al. “Clinical Optics”. 3rd edition. Blackwell Science (1999).
  17. Ministry of Social Justice and Empowerment. “Guidelines for evaluation of various disabilities and procedure for certification Notification dated 1st June, 2001”. The Gazette of India extraordinary. Part 1. Section 1 (2001): 154.
  18. Sahoo J., et al. “Prevalence of ocular morbidities among paediatric patients attending Ophthalmology OPD in MKCG Medical College Hospital, Berhampur, Odisha, India”. International Journal of Advances in Medicine 5 (2018): 409-413.
  19. Tamal Chakraborty., et al. “Prevalence of ocular morbidities among school children’s in the field practice area of a tertiary care hospital in Mangaluru, Karnataka”. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) 17 (2018): 24-26.
  20. Singh V., et al. “Prevalence of ocular morbidity in school going children in West Uttar Pradesh”. Indian Journal of Ophthalmology 65 (2017): 500-508.
  21. Mahjoob M., et al. “Prevalence of refractive errors among primary school children in a tropical area, South eastern Iran”. Asian Pacific Journal of Tropical Biomedicine 6 (2016): 181-184.
  22. Sushil Ojha., et al. “Paediatric Ocular Disoders in a Tertiary Care Rural Hospital of Central India (Birth to 15 Years)”. Ophthalmology Research: An International Journal 5 (2015): 1-6.
  23. R Norouzirad., et al. “The prevalence of refractive errors in 6- to 15-year-old schoolchildren in Dezful, Iran”. Journal of Current Ophthalmology 27 (2015): 51-55.
  24. Meriton Stanly A and Meera Alias Devasena. “Ocular morbidity screening among school children in Chennai”. International Journal of Advances in Medicine 2 (2015): 337-340.
  25. Zelalem Addisu Mehari. “Pattern of childhood ocular morbidity in rural eye hospital, Central Ethiopia”. BMC Ophthalmology 14 (2014): 50.
  26. Sewunet SA., et al. “Uncorrected refractive error and associated factors among primary school children in Debre Markos District, Northwest Ethiopia”. BMC Ophthalmology 14 (2014): 95.
  27. Caca I., et al. “Amblyopia and refractive errors among school-aged children with low socioeconomic status in southeastern Turkey”. Journal of Pediatric Ophthalmology and Strabismus 50 (2013): 37-43.
  28. Parmar A., et al. “A study on the Prevalence of Ocular Morbidities Amongst School Children (10-16 years) of Surendranager District”. International Journal of Research in Medical Sciences3 (2013): 90-94.
  29. Kamath T., et al. “Prevalence of ocular morbidity among school going children (6-15 years) in rural area of Karnataka, South India”. International Journal of Pharmacy and Biomedical Research (2013): 209-212.
  30. Rezvan F., et al. “Prevalence of refractive errors among school children in Northeastern Iran”. Ophthalmic and Physiological Optics 32 (2012): 25-30.
  31. Casson RJ., et al. “Exceptionally low prevalence of refractive error and visual impairment in schoolchildren from Lao People׳s Democratic Republic”. Ophthalmology 119 (2012): 2021-2027.
  32. Gao Z., et al. “Refractive error in school children in an urban and rural setting in Cambodia”. Ophthalmic Epidemiology 19 (2012): 16-22.
  33. Rai S., et al. “The distribution of refractive errors among children attending Lumbini Eye Institute, Nepal”. Nepalese Journal of Ophthalmology 4 (2012): 90-95.
  34. Al Wadaani FA., et al. “Prevalence and pattern of refractive errors among primary school children in Al Hassa, Saudi Arabia”. Global Journal of Health Science 5 (2013): 125-134.
  35. Biswas J., et al. “Ocular morbidity among children at a tertiary eye care hospital in Kolkata, West Bengal”. Indian Journal of Public Health Research 56 (2012): 293-296.
  36. Lian-Hong Pi., et al. “Prevalence of Eye Diseases and Causes of Visual Impairment in School-Aged Children in Western China”. Journal of Epidemiology 22 (2012): 37-44.
  37. McBrien NA., et al. “Myopia: recent advances in molecular studies; prevalence, progression and risk factors; emmetropization; therapies; optical links; peripheral refraction; sclera and ocular growth; signalling cascades; and animal models”. Optometry and Vision Science 86 (2009): 45-46.
  38. Ian Morgan and Kathryn Rose. “How genetic is school myopia?” Progress in Retinal and Eye Research 24 (2005): 1-38.
  39. Read SA., et al. “A review of astigmatism and its possible genesis”. Clinical and Experimental Optometry 90 (2007): 5-19.

Citation

Citation: Ankita Aishwarya., et al. “Pattern of Ocular Morbidity and Visual Disability in Children Attending Eye Out Patient Department in Gwalior, Madhya Pradesh".Acta Scientific Ophthalmology 5.4 (2022): 83-91.

Copyright

Copyright: © 2022 Ankita Aishwarya., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US