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Ophthalmology 2016

November 21-23, 2016

November 21-23, 2016 Dubai, UAE

International Conference on

Clinical & Experimental Ophthalmology

Volume 7 Issue 9 (Suppl)

J Clin Exp Ophthalmol

ISSN: 2155-9570 JCEO, an open access journal

J Clin Exp Ophthalmol 2016, 7:9(Suppl)

Pattern of refractive error and visual impairment due to uncorrected refractive error among the

pediatric populations attending Ophthalmology Department of Dhulikhel Hospital

Raju Kaiti

and

Junu Shrestha

Kathmandu University Hospital, Nepal

ReyukaiMasunaga Eye Hospital, Nepal

Background:

Uncorrected refractive errors are common cause of visual impairment and blindness worldwide. According to mid-term

review of Nepal Blindness Survey 2010, estimated 1,013,141 children under 16 years of age have refractive error and the prevalence of

refractive error among the children of this age group is assumed to be 10% based on different studies ranging from 3 to 20%. Pediatric

populations are not quick in sharing their visual problems and also parents are unaware of the problems. So, most of children are

presented lately and hence are forced to live visually impaired life prior to the interventions.

Design:

A hospital based prospective study.

Methods: Data were collected fromDecember 1

2015 to May 30

2016. Presenting visual acuity, age of presentation, refractive status,

best corrected visual acuity and status of visual impairment were assessed in children ages ranging from 3-15 years presenting to the

Ophthalmology Department of Dhulikhel Hospital.

Result:

Out of a total of 1,498 children examined during the study period, 116 (7.74%) had refractive error. Among these 60 (51.70%)

were females and 56 (48.30%) were males. The mean age at presentation was 11.45±3.62 years. Astigmatism was the most common

subtype seen in 45.26% (N=105 eyes), followed by Myopia (42.67%, N=99 eyes) and hypermetropia (11.21%, N=26 eyes). Only

36.20% (N=42) pediatric population were using spectacle and rest 63.8% (N=74) didn’t use spectacle prior to the examination.

62.90% (N= 73 children) had some of visual impairment during their presentation. There was statistically significant improvement in

visual acuity after appropriate refractive correction.

Conclusion:

Lack of awareness, infrequent ocular examination and lack of community or preschool vision screening were the main

causes for the late presentation and significant visual impairment associated with the condition. Uncorrected or lately corrected

refractive error may cause amblyopia and other complications.