Pattern and Distribution of Refractive Error Types in North Indian Children: A Clinical Cross-Sectional Study.
Keywords:
Refractive errors, Myopia, Astigmatism, Children, Hypermetropia, North IndiaAbstract
eye care center.
Methods: A clinical cross-sectional investigation, 183 children, ranging in age from 6 to 15, who had thorough eye exams were included. Using streak retinoscopy and an autorefractometer, we measured visual acuity and performed objective refraction. Refractive errors were categorized by severity: myopia, hypermetropia, hyperopic astigmatism, and mixed astigmatism. Using descriptive statistics, we looked at how refractive errors were distributed by gender and age.
Results: Myopia was the predominant refractive error, impacting 87 children (47.54%), followed by myopic astigmatism in 70 children (38.25%). Hypermetropia and hyperopic astigmatism were few, representing 7.10% and 6.01% of instances, respectively, but mixed astigmatism occurred in 1.09% of children. The majority of participants were aged 11 to 14 years, with the highest prevalence observed in the 13 to 14-year age group. The gender distribution was almost balanced, with 90 boys (49.18%) and 93 girls (50.82%).
Conclusion: The research reveals a prevalence of myopia and myopic astigmatism in North Indian children, signifying an increasing tendency of myopia in this demographic. Prompt refractive assessment and quick optical intervention are crucial to mitigate the incidence of preventable visual impairment in children...
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References
Resnikoff S, Pascolini D, Mariotti SP, Pokharel GP. Global magnitude of visual impairment caused by uncorrCorrected refractive errors in 2004. Bull World Health Organ. 2008;86(1):63–70.
2. Dandona R, Dandona L. Refractive error blindness. Bull World Health Organ. 2001;79(3):237–243.
3. World Health Organization. Elimination of Avoidable Visual Disability Due to Refractive Errors. WHO, 2000.
4. Morgan IG, Ohno-Matsui K, Saw SM. Myopia. Lancet. 2012;379(9827):1739–1748.
5. Holden BA, Fricke TR, Wilson DA, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology. 2016;123(5):1036–1042.
6. Saw SM, Gazzard G, Shih-Yen EC, Chua WH. Myopia and associated pathological complications. Ophthalmic Physiol Opt. 2005;25(5):381–391.
7. Dandona R, Dandona L, Srinivas M, et al. Refractive error in children in a rural population in India. Invest Ophthalmol Vis Sci. 2002;43(3):615–622.
8. Murthy GV, Gupta SK, Ellwein LB, et al. Refractive error in children in an urban population in New Delhi. Invest Ophthalmol Vis Sci. 2002;43(3):623–631.
9. Sheeladevi S, Seelam B, Nukella PB, Modi A, Ali R, Keay L. Prevalence of refractive errors in children in India: a systematic review. Clin Exp Optom. 2018;101(4):495–503.
10. Pan CW, Dirani M, Cheng CY, Wong TY, Saw SM. The age-specific prevalence of myopia in Asia: a meta-analysis. Optom Vis Sci. 2015;92(3):258–266.
11. Flitcroft DI. The complex interactions of retinal, optical, and environmental factors in myopia aetiology. Prog Retin Eye Res. 2012;31(6):622–660.
12. WHO–UNICEF Joint Statement. Vision Screening in School Children. World Health Organization; 2018.
13. Mutti DO, Mitchell GL, Jones LA, et al. Axial growth and changes in lenticular and corneal power during emmetropization in infants. Invest Ophthalmol Vis Sci. 2005;46(9):3074–3080.
14. Hashemi H, Khabazkhoob M, Asharlous A, et al. Overestimation of hyperopia with autorefraction compared with retinoscopy under cycloplegia in school-age children. Br J Ophthalmol. 2018;102(12):1717–1722.
15. Katz J, Tielsch JM, Sommer A. Prevalence and risk factors for refractive errors in an adult inner city population. Invest Ophthalmol Vis Sci. 1997;38(2):334–340.
16. Zadnik K, Jones LA, Irvin BC, et al. Myopia progression as a function of sex, age, and ethnicity. Invest Ophthalmol Vis Sci. 2003;44(4):1557–1563.
17. Czepita D, Mojsa A, Zejmo M. Prevalence of myopia and hyperopia among urban and rural schoolchildren in Poland. Ann Acad Med Stetin. 2008;54(1):17–21.
18. Wedner SH, Ross DA, Todd J, Anemona A, Balira R. Myopia in secondary school students in Mwanza City, Tanzania: the need for a national screening programme. Br J Ophthalmol. 2002;86(11):1200–1206..
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