Mehboob Mohammad Asim, Nisar Haider, Khan Memoona
Dr. Mohammad Asim Mehboob, FCPS(Ophth), FICO, FRCS, MRCSEd, Combined Military Hospital, Gujranwala, Pakistan.
Dr. Haider Nisar, FCPS(Paeds), Combined Military Hospital, Khuzdar, Pakistan.
Pak J Med Sci. 2019;35(3):701-704. doi: 10.12669/pjms.35.3.268.
To measure the frequency of uncorrected ametropia in children with 2 to 8 weeks of persistent headache referred to ophthalmic outpatient department for evaluation.
This cross sectional study was conducted at CMH Gujranwala from March 2018 to November 2018.A total of 262 children, aged from 5 to 16 years, with 2 to 8 weeks history of persistent headache underwent detailed ophthalmic assessment for refractive errors, and other ophthalmic evaluation. Children with ametropia, confirmed with cycloplegic refraction and post-mydriatic testing were prescribed with glasses. Patients without any ophthalmic findings were referred back to pediatrics department for further evaluation.
Mean age of study population was 8.97 ± 3.16 years. Mean duration of headache was 5.03 ± 1.81 weeks. Ametropia was found in 56 (21.4%) children, while 206 (78.6%) had no refractive error. Out of children with ametropia, 20 (35.7%) had myopia, 24 (42.8%) had astigmatism and 12 (21.5%) had hypermetropia. There was no difference in ametropic children and children without ametropia with respect to gender (p=0.73), age (p=0.54) and duration of headache (p=0.71).
A significant proportion of children with ametropia have initial symptoms of headache. Any child with un-explained headache must undergo ophthalmic evaluation to diagnose refractive error, if any.
测量因持续性头痛2至8周而转诊至眼科门诊进行评估的儿童中未矫正屈光不正的发生率。
本横断面研究于2018年3月至2018年11月在古杰兰瓦拉综合军事医院开展。共有262名年龄在5至16岁、有2至8周持续性头痛病史的儿童接受了详细的眼科屈光不正评估及其他眼科检查。经睫状肌麻痹验光和散瞳后检查确诊为屈光不正的儿童被开具眼镜处方。无任何眼科检查异常的患者被转回儿科作进一步评估。
研究人群的平均年龄为8.97±3.16岁。头痛的平均持续时间为5.03±1.81周。56名（21.4%）儿童存在屈光不正，206名（78.6%）儿童无屈光不正。在存在屈光不正的儿童中，20名（35.7%）患有近视，24名（42.8%）患有散光，12名（21.5%）患有远视。屈光不正儿童与无屈光不正儿童在性别（p=0.73）、年龄（p=0.54）和头痛持续时间（p=0.71）方面无差异。
相当一部分屈光不正儿童最初的症状是头痛。任何原因不明的头痛儿童都必须接受眼科评估以诊断是否存在屈光不正。
