Srimati Kanuri Santhamma Center for Vitreo Retinal Diseases, L V Prasad Eye Institute, Hyderabad, Telangana, 500034, India.
Department of eyeSmart EMR & AEye, L V Prasad Eye Institute, Hyderabad, Telangana, India.
Int Ophthalmol. 2023 Aug;43(8):2833-2839. doi: 10.1007/s10792-023-02682-6. Epub 2023 Mar 9.
To describe the spectrum and demographic distribution of non-oncological retinal diseases in children and adolescents presenting to a multi-tier ophthalmic hospital network in India.
This is a cross-sectional hospital-based retrospective study over nine years (March 2011-March 2020) from a pyramidal eye care network in India. The analysis included 477,954 new patients (0-21 years), collected from an International Classification of Diseases (ICD) coded electronic medical record (EMR) system. Patients with a clinical diagnosis of retinal disease (non-oncological) in at least one eye were included. Age-wise distribution of these diseases in children and adolescents was analysed.
In the study, 8.44% (n = 40,341) of new patients were diagnosed with non-oncological retinal pathology in at least one eye. The age group-specific distribution of retinal diseases was 47.4%, 11. 8%, 5.9%, 5.9%, 6.4%, 7.6% in infants (< 1 year), toddlers (1-2 years), early childhood (3-5 years), middle childhood (6-11 years), early adolescents (12-18 years) and late adolescents (18-21 years), respectively. 60% were male, and 70% had bilateral disease. The mean age was 9.46 ± 7.52 years. The common retinal disorders were retinopathy of prematurity (ROP, 30.5%), retinal dystrophy (19.5%; most commonly, retinitis pigmentosa), and retinal detachment (16.4%). Four-fifth of the eyes had moderate to severe visual impairment. Nearly one-sixth of patients needed low vision and rehabilitative services, and about 1 in 10 patients required surgical intervention (n = 5960, 8.6%).
About 1 in 10 children and adolescents seeking eye care in our cohort had non-oncological retinal diseases; the common ones were ROP (in infants) and retinitis pigmentosa (in adolescents). This information would help future strategic planning of eye health care in the institution in pediatric and adolescent age groups.
描述在印度一家多层眼科医院网络就诊的儿童和青少年中非肿瘤性视网膜疾病的谱和人口分布。
这是一项在印度的金字塔式眼科保健网络中进行的为期九年（2011 年 3 月至 2020 年 3 月）的基于医院的回顾性横断面研究。该分析纳入了 477954 名新患者（0-21 岁），这些患者的信息来源于国际疾病分类（ICD）编码电子病历（EMR）系统。将至少一只眼有视网膜疾病（非肿瘤性）临床诊断的患者纳入研究。分析这些疾病在儿童和青少年中的年龄分布。
在研究中，8.44%（n=40341）的新患者至少一只眼被诊断为非肿瘤性视网膜病变。特定年龄组的视网膜疾病分布为：婴儿（<1 岁）47.4%、幼儿（1-2 岁）11.8%、儿童早期（3-5 岁）5.9%、儿童中期（6-11 岁）5.9%、青少年早期（12-18 岁）6.4%、青少年晚期（18-21 岁）7.6%。60%为男性，70%为双眼疾病。平均年龄为 9.46±7.52 岁。常见的视网膜疾病有早产儿视网膜病变（ROP，30.5%）、视网膜营养不良（19.5%，最常见的是色素性视网膜炎）和视网膜脱离（16.4%）。五分之四的眼睛有中重度视力损害。近六分之一的患者需要低视力和康复服务，约十分之一的患者需要手术干预（n=5960，8.6%）。
在我们的研究队列中，约十分之一寻求眼科保健的儿童和青少年患有非肿瘤性视网膜疾病；常见的是 ROP（婴儿）和色素性视网膜炎（青少年）。这些信息将有助于该机构在儿童和青少年年龄段规划未来的眼保健战略。
