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Aremu OO, Ugalahi MO, Olusanya BA, Oluleye TS. Functional Vision of Pseudophakic Children Attending a Pediatric Ophthalmology Clinic in Southwest Nigeria. J Pediatr Ophthalmol Strabismus 2024; 61:138-146. [PMID: 37882184 DOI: 10.3928/01913913-20231005-03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Abstract
PURPOSE To determine the functional vision of pseudophakic children attending a child eye health tertiary facility in southwest Nigeria. METHODS A hospital-based descriptive study of pseudophakic children attending the Pediatric Ophthalmology outpatient clinic of a tertiary facility in southwest Nigeria was conducted between June and November 2021. Details of demography and clinical examination findings were obtained using a semi-structured questionnaire. Information about functional vision was obtained using the Pediatric Eye Questionnaire (PedEyeQ). Data obtained from the PedEyeQ were entered into a Rasch-calibrated PedEyeQ Excel response data sheet. Data analysis was done using Statistical Package for Social Sciences (SPSS) software version 22 (SPSS, Inc). RESULTS A total of 196 pseudophakic children were recruited. Their ages ranged from 2 to 16 years with a mean of 9.8 ± 3.4 years and there was a male-to-female ratio of 2.2:1. The median functional vision score of pseudophakic children across all age groups was 90.0. The functional vision scores were associated with the laterality of cataract, type of cataract, presence of comorbidities, visual acuity (distance and near) in the better eye, and number of surgeries. CONCLUSIONS The functional vision scores of pseudophakic children were low. Significant predictors of low functional vision scores include surgery for congenital cataract, low average family income, longer duration of time between surgery and recruitment into the study, and poorer best corrected visual acuity in the better eye. The routine assessment of functional vision should be considered an important aspect of pseudophakic children's eye care with a view toward optimizing psychological and social well-being. [J Pediatr Ophthalmol Strabismus. 2024;61(2):138-146.].
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Social, Educational and Medical Aspects after Cataract Surgery of Bilaterally Blind Children in Kinshasa—Perception of Parents and Children. CHILDREN 2022; 9:children9111683. [DOI: 10.3390/children9111683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 10/27/2022] [Accepted: 10/31/2022] [Indexed: 11/06/2022]
Abstract
The study investigated the influence of bilateral cataract surgery on the social and educational development of previously bilaterally blind children in Sub-Saharan Africa (SSA), where the prevalence of blindness due to cataract is higher than in high-income countries. The views of both, parents and children, were evaluated with structured interviews based on a newly developed questionnaire related to surgery, follow-up, and family life after surgery. The mean age of the children at interview was 14.4 ± 8.1 years, with 27 females and 26 males. Satisfaction with the outcome of the surgery was reported by 91% of parents. Parents would recommend surgery, because of the children being happy and able to act more independently, with personal, educational and familial factors essentially contributing to the reported satisfaction. The results also showed that 85.0% of children did not wear eyeglasses. Reasons given were mainly cost-related, but also included limited communication between families and health institutions. Providing and maintaining a high-quality and accessible pediatric cataract surgery and healthcare service for follow-up is a major requisite to reduce childhood blindness in SSA. Our study proved the necessity and effectiveness of a community-based rehabilitation program that cares about each individual child, whatever his or her social background.
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Kaur S, Keshari S, Sukhija J. Delay in pediatric cataract surgery. Indian J Ophthalmol 2022; 70:3726-3727. [PMID: 36190085 PMCID: PMC9789809 DOI: 10.4103/ijo.ijo_1592_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Affiliation(s)
- Savleen Kaur
- Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India,Correspondence to: Dr. Savleen Kaur, Advanced Eye Centre (Department of Ophthalmology), Post Graduate Institute of Medical Education and Research, Chandigarh, India. E-mail:
| | - Shreya Keshari
- Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - Jaspreet Sukhija
- Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
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Khokhar S, Gupta Y, Rani D, Rathod A, Moharana S. North India Childhood Cataract Study - The real scenario and causes of surgical delay of pediatric cataract. Indian J Ophthalmol 2022; 70:2421-2425. [PMID: 35791123 PMCID: PMC9426101 DOI: 10.4103/ijo.ijo_293_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Purpose: The study sought to describe the clinical presentation pattern of pediatric cataracts and factors leading to delay in surgery at a tertiary care center in North India. Methods: A cross-sectional, interview-based study was conducted from January 2020 to October 2020, that included pediatric patients <12 years, with unilateral or bilateral congenital or developmental cataract. A pre-validated questionnaire was used to record data. The parameters recorded were age at first symptoms, age at diagnosis of cataract, age at surgery, laterality of cataract, first symptom, first family member noticing the abnormality, the morphology of cataract, association of perinatal complications, family history, systemic diseases, and cause (s) of delay in surgery. Results: A total of 89 patients were included. The mean age of subjects was 4.75(±3.51) years. A white pupil was the most common symptom (64.04%) and appeared in infancy in 30.3% of cases. Parents first detected the problem in 60.67%, and the pediatrician was the first medical contact in 11.23% of cases. The median (IQR) delay period between diagnosis of cataract and cataract surgery was 4 (3–6) months, the major causes were long GA waiting (30.33%), and delay due to systemic ill health (14.61%). Conclusion: Parental education on cataract detection is recommended to help in the timely detection and hence, improved outcomes of pediatric cataract surgery. Pediatricians, consulted for any systemic illness, have the role of the second most important contact in the detection of pediatric cataract.
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Affiliation(s)
- Sudarshan Khokhar
- Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
| | - Yogita Gupta
- Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
| | - Deeksha Rani
- Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
| | - Aishwarya Rathod
- Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
| | - Sikshya Moharana
- Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
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Majhi D, Sachdeva V, Warkad VU, Kekunnaya R, Natarajan D, Karan S, Garg B. Tribal Odisha Eye Disease Study (TOES). Report # 8. Childhood cataract surgery and determinants of visual outcome in tribal districts. Indian J Ophthalmol 2021; 69:2072-2077. [PMID: 34304181 PMCID: PMC8482927 DOI: 10.4103/ijo.ijo_3332_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Purpose The purpose of this study is to describe the demographic profile, clinical features, visual outcomes, and follow-up patterns after successful cataract surgery in children from the tribal community in Odisha, India. Methods We retrospectively reviewed records of tribal children aged 4 months-16 years, who underwent public health financed cataract surgery at our institute from January 1, 2015, to December 31, 2019. Collected data included demographic profile, clinical features, outcomes, and follow-up. Univariate and multivariate linear regression identified factors affecting the visual outcome at a 6-week follow-up. Results During this period, a total of 352 children [536 eyes; mean age: 9.11 ± 4.4 years, 219 boys (62%)] underwent cataract surgery. The most common etiology and presenting complaints were idiopathic congenital cataract and decreased vision, respectively. In 304 children (86%), presenting best-corrected visual acuity (BCVA) was <20/200 (1.0 LogMAR), 113 (32%) had associated strabismus, and 57 (16%) had associated nystagmus. The public health agency did not sponsor postoperative follow-up, and only 195 (56%) and 61 (17.3%) children completed a 6-week and a 3-month follow-up, respectively. Median BCVA at 6-week and 3-month review was 20/125 (0.8, interquartile range [IQR], 0.2-2 LogMAR) and 20/60 (0.5, IQR, 0.25-1.35 LogMAR), respectively. Conclusion This study showed that children from the tribal community presented late with poor presenting VA and had suboptimal visual outcomes with inconsistent follow-ups. Greater advocacy, delivery of care closer to the place of residence, and financial support for follow-up care could improve early detection, regular evaluation, and outcomes.
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Affiliation(s)
- Debasmita Majhi
- Department of Pediatric Ophthalmology, Strabismus and Neuro-Ophthalmology, Child Sight Institute, Miriam Hyman Children's Eye Care Centre Mithu Tulsi Chanrai Campus, L. V. Prasad Eye Institute, Bhubaneswar, Odisha, India
| | - Virender Sachdeva
- Department of Pediatric Ophthalmology, Strabismus, and Neuro-ophthalmology Child Sight Institute, Nimmagada Prasad Children's Eye Care Centre, L V Prasad Eye Institute, GMRV Campus, Visakhapatnam, Andhra Pradesh, India
| | - Vivekanand Uttamrao Warkad
- Department of Pediatric Ophthalmology, Strabismus and Neuro-Ophthalmology, Child Sight Institute, Miriam Hyman Children's Eye Care Centre Mithu Tulsi Chanrai Campus, L. V. Prasad Eye Institute, Bhubaneswar, Odisha, India
| | - Ramesh Kekunnaya
- Department of Pediatric Ophthalmology, Child Sight Institute and Jasti V Ramanamama Children's Eye Care Centre, L. V. Prasad Eye Institute, KAR Campus, Hyderabad, Telangana, India
| | - Divya Natarajan
- Department of Pediatric Ophthalmology, Strabismus and Neuro-Ophthalmology, Child Sight Institute, Miriam Hyman Children's Eye Care Centre Mithu Tulsi Chanrai Campus, L. V. Prasad Eye Institute, Bhubaneswar, Odisha, India
| | - Sanjib Karan
- Department of Pediatric Ophthalmology, Strabismus and Neuro-Ophthalmology, Child Sight Institute, Miriam Hyman Children's Eye Care Centre Mithu Tulsi Chanrai Campus, L. V. Prasad Eye Institute, Bhubaneswar, Odisha, India
| | - Bhawna Garg
- Department of Statistic and Ethical Committee Member of Holy Family Hospital, New Delhi, India
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Sen P, Gupta N, Mohan A, Shah C, Sen A, Jain E. Response to comments on: Causes of delayed presentation of pediatric cataract: A questionnaire-based prospective study at a tertiary eye care center in central rural India. Indian J Ophthalmol 2021; 69:174. [PMID: 33323620 PMCID: PMC7926118 DOI: 10.4103/ijo.ijo_1859_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Pradhnya Sen
- Consultant and Head of Department, Pediatric Ophthalmology and Strabismus, Sadguru Netra Chikitsalaya and Post Graduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh, India
| | - Namrata Gupta
- Resident, Sadguru Netra Chikitsalaya and Post Graduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh, India
| | - Amit Mohan
- Consultant and Head of Department, Pediatric Ophthalmology and Strabismus, Sadguru Netra Chikitsalaya and Post Graduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh, India
| | - Chintan Shah
- Consultant and Head of Department, Pediatric Ophthalmology and Strabismus, Sadguru Netra Chikitsalaya and Post Graduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh, India
| | - Alok Sen
- Consultant, Vitreoretina and Uvea, Sadguru Netra Chikitsalaya and Post Graduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh, India
| | - Elesh Jain
- Consultant and Head of Department, Pediatric Ophthalmology and Strabismus, Sadguru Netra Chikitsalaya and Post Graduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh, India
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Gogate PM, Sil AK. Comments on: Causes of delayed presentation of pediatric cataract: A questionnaire-based prospective study at a tertiary eye care centre in central rural India. Indian J Ophthalmol 2021; 69:173-174. [PMID: 33323619 PMCID: PMC7926169 DOI: 10.4103/ijo.ijo_845_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Affiliation(s)
- Parikshit M Gogate
- Community Eye Care Foundation, Dr. Gogate's Eye Clinic, Pimpri, Pune, Maharashtra, India
- Department of Ophthalmology, D.Y. Patil Medical College, Pimpri, Pune, Maharashtra, India
| | - Asim K Sil
- Vivekananda Mission Ashram Netra Niramay Niketan, West Bengal, India
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Kochgaway L, Jain S, Mandal M, Roy R, Bhargava S, Singh M. Commentary: Causes of delayed presentation of pediatric cataract: A questionnaire.based prospective study at a tertiary eye care center in central rural India. Indian J Ophthalmol 2020; 68:607-610. [PMID: 32174579 PMCID: PMC7210859 DOI: 10.4103/ijo.ijo_2156_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Affiliation(s)
| | - Sneha Jain
- B B Eye Foundation, Kolkata, West Bengal, India
| | | | - Rupak Roy
- B B Eye Foundation, Kolkata, West Bengal, India
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