Vol 6 (2021): Continuous Publishing
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Published online: 2021-11-26

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Prevalence of pediatric eye diseases in Assam, India — a hospital-based retrospective data

Pritam Dutta1, Madhurjya Gogoi1, Narayan Bordoloi1
Ophthalmol J 2021;6:215-222.

Abstract

Background: In a hospital setting, paediatric eye disease manifests itself in a complex network. It is essential to comprehend the scope of many common eye disorders in order to develop new evidence-based strategies for mitigating such disorders. The study aimed to investigate the hospital-based prevalence of pediatric ocular disorders of patients attending a tertiary eye care hospital.

Material and methods: A three-year data from 2017–19 were extracted from the electronic medical records of Chandraprabha Eye Hospital, Assam, India. Refining the data was further carried out using the age criteria up to 18 years. The diagnosis for all the study subjects was taken into consideration and was further analyzed. The inclusion criteria included subjects within the range of 0–18 years reporting to the hospital during the study period. Subjects diagnosed with non-ocular problems, incomplete ophthalmological assessments, and those aged more than 18 years were excluded.

Results: A total of 11807 relevant medical records were reviewed. Among the study subjects, 58.52% (n = 6910) were males. The mean (SD) age was 11.9 (4.8) years. Of the subjects 21.28% (n = 2513) were in age group 0–5 years, 42.39% (n = 5006) — in 6–11 years, and 36.31% (n = 4288) in 12–18 years. A total number of 152 pediatric ocular abnormalities were identified from the reviewed files. Myopia alone accounted for 19% of all, followed by vernal keratoconjunctivitis with 14.7%, followed by asthenopic presentation associated with non-strabismic binocular vision anomalies (7.4%), congenital nasolacrimal duct obstruction (2.9%), amblyopia (2.8%), and ocular injuries (2.7%).

Conclusions: Refractive errors, allergic conjunctivitis, ocular injuries, amblyopia and squint, uveitis, congenital cataract, and non-strabismic binocular vision anomalies were identified as the most common pediatric ocular abnormalities seen in routine clinical practice, laying the groundwork for a standard protocol to evaluate and assess visual function in any case of pediatric anomaly.

 

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References

  1. Sushma H, Warad Vijaykumar G. Clinical Profile of Anterior Segment Eye Diseases in Children, Attending a Tertiary Care Hospital. EC Ophthalmology 7. 2017; 4: 90–95.
  2. Sethi S, Sethi M, Saeed N, et al. Pattern Of Common Eye Diseases In Children Attending Outpatient Department Khyber Teaching Hospital. Pak J Ophthalmol. 2007; 24(4): 166–171.
  3. Olusanya BA, Ugalahi MO, Ogunleye OT, et al. Refractive Errors Among Children Attending A Tertiary Eye Facility In Ibadan, Nigeria: Highlighting The Need For School Eye Health Programs. Ann Ib Postgrad Med. 2019; 17(1): 49–59.
  4. Ghosh S, Mukhopadhyay U, Maji D, et al. Visual impairment in urban school children of low-income families in Kolkata, India. Indian J Public Health. 2012; 56(2): 163–167.
  5. World Health Organization (WHO). Fact sheet on visual impairment and blindness. http://www.who.int/mediacentre/factsheets/fs282/en/ (20 February 2021).
  6. Gogate P, Kishore H, Dole K, et al. The Pattern of Childhood Blindness in Karnataka, South India. Ophthalmic Epidemiol. 2009; 16(4): 212–217.
  7. Sarma KD, Krishnatreya M. A study on refractive errors among the school children of Guwahati city. Int J Contemporary Med Res. 2016; 3(8): 2258–2260.
  8. Sarawade SS, Bansode P. A study on the refractive status of school going children between age group of 10 to 15 years. MedPulse — Int J Ophthalmol. 2019; 13(3): 81–86.
  9. Magdalene D, Bhattacharjee H, Choudhury M, et al. Community outreach: An indicator for assessment of prevalence of amblyopia. Indian J Ophthalmol. 2018; 66(7): 940–944.
  10. Singh H, Kumar D, Kalita I, et al. Common Ocular Pathology in Paediatric Age Group (8-15 Years) in Rural and Backward Community of Assam. Int J Contemporary Med Res. 2018; 5(10): J1–J3.
  11. World Health Organization — Brien Holden Vision Institute. The impact of myopia. The Impact of Myopia and High Myopia. Report of the Joint World Health Organization–Brien Holden Vision Institute Global Scientific Meeting on Myopia. https://www.visionuk.org.uk/download/WHO_Report_Myopia_2016.pdf.
  12. Abrams D. (ed). Duke-Elder’s Practice of Refraction. 10th ed . Elsevier Health Sciences, London 1993.
  13. Von Noorden GK, Campos EC. Binocular vision and ocular motility; theory and management of strabismus. Mosby, St. Luis 1996.
  14. Kumar S. Vernal keratoconjunctivitis: a major review. Acta Ophthalmol. 2009; 87(2): 133–147.
  15. Schnall BM. Pediatric nasolacrimal duct obstruction. Curr Opin Ophthalmol. 2013; 24(5): 421–424.
  16. Pieramici DJ, Au Eong KG, Sternberg P, et al. A system for classifying mechanical injuries of the eye (globe). The Ocular Trauma Classification Group. Am J Ophthalmol. 1997; 123(6): 820–831.
  17. Wagoner MD. Chemical injuries of the eye: current concepts in pathophysiology and therapy. Surv Ophthalmol. 1997; 41(4): 275–313.
  18. Singh P, Gupta A, Tripathy K. Keratitis. StatPearls, Treasure Island 2021.
  19. Rabinowitz Y. Keratoconus. Survey of Ophthalmology. 1998; 42(4): 297–319.
  20. Rezende RA, Uchoa UBC, Uchoa R, et al. Congenital corneal opacities in a cornea referral practice. Cornea. 2004; 23(6): 565–570.
  21. External diseases and cornea. In: Sutphin JE. ed. Basic and Clinical Sciences Course 2007–2008. American Academy of Ophthalmology, San Francisco 2007: 305–329.
  22. Khan L, Shaheen N, Hanif Q, et al. Genetics of congenital cataract, its diagnosis and therapeutics. Egyptian J Basic Applied Sci. 2019; 5(4): 252–257.
  23. Taylor RS. Dacryocystitis. StatPearls, Treasure Island 2021.
  24. Duplechain A, Conrady CD, Patel BC. Uveitis. StatPearls, Treasure Island 2021.
  25. Chang L, Blain D, Bertuzzi S, et al. Uveal coloboma: clinical and basic science update. Curr Opin Ophthalmol. 2006; 17(5): 447–470.
  26. Persistent hyperplastic primary vitreous. Clin Eye Vis Care. 2000; 12(3-4): 131–137.
  27. Ziga N, Biscevic A, Pjano MA, et al. Marcus Gunn Jaw-Winking Syndrome: a Case Report. Med Arch. 2019; 73(4): 282–284.
  28. Asim A, Kumar A, Muthuswamy S, et al. "Down syndrome: an insight of the disease". J Biomed Sci. 2015; 22: 41.
  29. Costea CF. Goldenhar Syndrome. J Clin Res Ophthalmol. 2015: 041–044.
  30. Dean JCS. Marfan syndrome: clinical diagnosis and management. Eur J Hum Genet. 2007; 15(7): 724–733.
  31. Dell'Osso L. Hereditary Congenital Nystagmus. Arch Ophthalmol. 1974; 92(5): 366.
  32. Graham HK, Rosenbaum P, Paneth N, et al. Cerebral palsy. Nat Rev Dis Primers. 2016; 2: 15082.
  33. Badawi AH, Al-Muhaylib AA, Al Owaifeer AM, et al. Primary congenital glaucoma: An updated review. Saudi J Ophthalmol. 2019; 33(4): 382–388.
  34. Gopal L, Sharma T, Ramachandran S, et al. Retinopathy of prematurity: a study. Indian J Ophthalmol. 1995; 43(2): 59–61.
  35. Semes LP. Lattice degeneration of the retina and retinal detachment. Optom Clin. 1992; 2(3): 71–91.
  36. Jalali S. Retinal detachment. Comm Eye Health. 2003; 16(46): 25–26.
  37. Marçon CR, Maia M. Albinism: epidemiology, genetics, cutaneous characterization, psychosocial factors. An Bras Dermatol. 2019; 94(5): 503–520.
  38. Gilchrist H, Lee G. Management of chalazia in general practice. Aust Fam Physician. 2009; 38(5): 311–314.
  39. Willmann D, Guier CP, Patel BC. Stye. StatPearls, Treasure Island 2021.
  40. Read SA, Collins MJ, Carney LG. A review of astigmatism and its possible genesis. Clin Exp Optom. 2007; 90(1): 5–19.
  41. Holden BA, Fricke TR, Wilson DA, et al. Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 through 2050. Ophthalmology. 2016; 123(5): 1036–1042.
  42. Grzybowski A, Kanclerz P, Tsubota K, et al. A review on the epidemiology of myopia in school children worldwide. BMC Ophthalmol. 2020; 20(1): 27.
  43. Alemayehu AM, Yibekal BT, Fekadu SA. Prevalence of vernal keratoconjunctivitis and its associated factors among children in Gambella town, southwest Ethiopia, June 2018. PLoS One. 2019; 14(4): e0215528.
  44. Thong BYH. Allergic conjunctivitis in Asia. Asia Pac Allergy. 2017; 7(2): 57–64.
  45. Duke R, Odey F, Smedt SDe. Vernal Keratoconjunctivitis in Public Primary School Children in Nigeria: Prevalence and Nomenclature. Epidemiol Res Int. 2016; 2016: 1–6.
  46. Jang JUn, Park IJ. Prevalence of general binocular dysfunctions among rural schoolchildren in South Korea. Taiwan J Ophthalmol. 2015; 5(4): 177–181.
  47. Abdi S, Rydberg A. Asthenopia in schoolchildren, orthoptic and ophthalmological findings and treatment. Doc Ophthalmol. 2005; 111(2): 65–72.
  48. Deshmukh S, Magdalene D, Dutta P, et al. Clinical profile of nonstrabismic binocular vision anomalies in patients with asthenopia in North-East India. TNOA J Ophthal Sci Res. 2017; 55(3): 182–186.
  49. Hussaindeen JR, Rakshit A, Singh NK, et al. Prevalence of non-strabismic anomalies of binocular vision in Tamil Nadu: report 2 of BAND study. Clin Exp Optom. 2017; 100(6): 642–648.
  50. Webber AL, Wood J. Amblyopia: prevalence, natural history, functional effects and treatment. Clin Exp Optom. 2005; 88(6): 365–375.
  51. Faghihi M, Hashemi H, Nabovati P, et al. The Prevalence of Amblyopia and Its Determinants in a Population-based Study. Strabismus. 2017; 25(4): 176–183.
  52. Ganekal S, Jhanji V, Liang Y, et al. Prevalence and etiology of amblyopia in Southern India: results from screening of school children aged 5-15 years. Ophthalmic Epidemiol. 2013; 20(4): 228–231.
  53. Cakmak SS, Unlu MK, Olmez G, et al. Penetrating eye injuries from southeastern Anatolia region of Turkey. Public Health. 2004; 118(8): 570–575.
  54. Rahi JS, Dezateux C. Congenital and infantile cataract in the United Kingdom: underlying or associated factors. British Congenital Cataract Interest Group. Invest Ophthalmol Vis Sci. 2000; 41(48): 2108–2114.
  55. Sheeladevi S, Lawrenson JG, Fielder AR, et al. Global prevalence of childhood cataract: a systematic review. Eye (Lond). 2016; 30(9): 1160–1169.
  56. Foster A, Gilbert C, Rahi J. Epidemiology of cataract in childhood: A global perspective. J Cataract Refract Surg. 1997; 23(Supplement 1): 601–604.
  57. Mohan A, Kaur N. Pattern of presentation of pediatric cataract in tribes of hills of Western India: A hospital-based retrospective study at Global Hospital Institute of Ophthalmology, Mount Abu. J Clin Sci. 2017; 14(4): 178.
  58. Quinn GE. Retinopathy of prematurity blindness worldwide: phenotypes in the third epidemic. Eye Brain. 2016; 8: 31–36.
  59. Le C, Basani L, Zurakowski D, et al. Retinopathy of prematurity: Incidence, prevalence, risk factors, and outcomes at a tertiary care center in Telangana. J Clin Ophthalmol Res. 2016; 4(3): 119–122.
  60. Olurin O, Williams A. Orbito-ocular tumors in Nigeria. Cancer. 1972; 30(2): 580–587, doi: 10.1002/1097-0142(197208)30:2<580::aid-cncr2820300239>3.0.co;2-t.
  61. Modi P, Shah NA, Bhalodia JN. Orbital Tumors in Children: A Descriptive Study at Tertiary Care Centre. Nat J Med Res. 2013; 3(4): 362–366.
  62. Narayana KM, Bora A, Biswas J. Patterns of uveitis in children presenting at a tertiary eye care centre in south India. Ind J Ophthalmol. 2003; 51(2): 129–132.
  63. Gautam N, Singh R, Agarwal A, et al. Pattern of Pediatric Uveitis at a Tertiary Referral Institute in North India. Ocul Immunol Inflamm. 2018; 26(3): 379–385.
  64. Sarosh R, Khan A, Rashi O, et al. Profile of Strabismus at a Tertiary Care Hospital in Kashmir. Int J Contemporary Med Res. 2018; 5(6).