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对印度北部一个城市中盲校就读儿童的视力损害情况及康复服务需求的评估。

Assessment of visual impairment and need of rehabilitation services for children attending schools for blind in an urban city of North India.

作者信息

Phulke Sonia, Duggal Mona, Sandhu Rasikpriya, Kumar Suresh

机构信息

Department of Ophthalmology, Dr B. R. Ambedkar State Institute of Medical Sciences, Mohali, Punjab, India.

Department of Community Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

J Family Med Prim Care. 2024 Oct;13(10):4642-4647. doi: 10.4103/jfmpc.jfmpc_482_24. Epub 2024 Oct 18.

Abstract

BACKGROUND/AIMS: By understanding the prevalence and causes of childhood blindness, stakeholders can work toward comprehensive strategies that encompass prevention, treatment, rehabilitation, and support, ultimately improving the quality of life for affected children. The information about the pattern and causes of childhood blindness in Northern Indian states is limited, it highlights the need for further research and data collection to better understand and address the specific challenges in this region. Therefore, the present cross-sectional study was planned to ascertain the different causes and patterns of childhood blindness and to understand the barriers to the use of LVAs and its compliance among the students attending schools for the blind in a North Indian State.

STUDY DESIGN AND SETTING

Students from two schools for blind were examined in Chandigarh and its vicinity in North India. The different causes of severe visual impairment/blindness were classified as per the World Health Organization/Prevention of Blindness standard recording form.

RESULTS

A total of 89 students attending schools for the blind were examined. The mean age was 13.10 years (range = 4-16 years). Male, female ratio was 3.3:1. The major causes of blindness were congenital anomalies (whole globe anomalies 37.08%), followed by retinal conditions (16.7 = 8%), undetermined/other (12.3), and lenticular conditions (112%). More than one-third of children (34.8%) were blind due to avoidable causes of blindness.

CONCLUSION

The current study data append on the existing national available data about childhood blindness in India. Though the sample size of the current is comparatively low, observed different results as compared to previously published reports from other regions, emphasize the strengthening of pediatric ophthalmology services as well as of low vision services in this particular region of North India.

摘要

背景/目的:通过了解儿童失明的患病率及病因,利益相关者可致力于制定涵盖预防、治疗、康复和支持的综合策略,最终改善受影响儿童的生活质量。关于印度北部各邦儿童失明模式和病因的信息有限,这凸显了进一步开展研究和收集数据以更好地理解和应对该地区特定挑战的必要性。因此,本横断面研究旨在确定儿童失明的不同病因和模式,并了解在印度北部一个邦的盲人学校就读的学生中使用低视力辅助器具的障碍及其依从情况。

研究设计与地点

在印度北部昌迪加尔及其周边地区对两所盲人学校的学生进行了检查。根据世界卫生组织/防盲标准记录表格对严重视力损害/失明的不同病因进行分类。

结果

共检查了89名在盲人学校就读的学生。平均年龄为13.10岁(范围=4 - 16岁)。男女比例为3.3:1。失明的主要原因是先天性异常(全眼球异常占37.08%),其次是视网膜疾病(16.7 = 8%)、未确定/其他(12.3%)和晶状体疾病(112%)。超过三分之一的儿童(34.8%)因可避免的失明原因而失明。

结论

本研究数据补充了印度现有的关于儿童失明的全国可用数据。尽管本研究的样本量相对较小,但与其他地区先前发表的报告相比观察到了不同的结果,这强调了在印度北部这个特定地区加强小儿眼科服务以及低视力服务的必要性。

相似文献

2
The importance of prenatal factors in childhood blindness in India.产前因素在印度儿童失明中的重要性。
Dev Med Child Neurol. 1997 Jul;39(7):449-55. doi: 10.1111/j.1469-8749.1997.tb07464.x.

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