How should blindness in children be managed?

Bowman, Richard

doi:10.1038/sj.eye.6701988

Cited by 14 publications

(14 citation statements)

References 22 publications

(26 reference statements)

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“…In contrast, in some countries of SSA (Uganda, Tanzania and Nigeria), cataract is said to be overtaking corneal scarring as the major cause of childhood blindness, presumably due to the efforts of vitamin A supplementation [18,[20][21][22]. One study [23] in Mali examined the effect of starting vitamin A supplementation during National Immunization Days.…”

Section: Vitamin a Deficiencymentioning

confidence: 88%

“…It is estimated that 200 000 children are blind from cataract, and each year an additional 20 000-40 000 children are born with congenital cataract [29]. Recent studies [6,20,22,30] show that cataract may be overtaking corneal disease as the leading cause of avoidable BL/SVI in some countries of Africa. Even if surgery is available, the subsequent amblyopia resulting from poor follow-up remains a significant problem.…”

Section: Cataractmentioning

confidence: 97%

“…Studies suggest that delay in presentation is the most important factor limiting visual outcome from cataract [20]. To address these problems, centers for highquality pediatric cataract surgery have been developed in a number of SSA countries and India, yet the need is still great [21].…”

Section: Access To Pediatric Ophthalmologistsmentioning

confidence: 99%

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Pediatric ophthalmology in the developing world

Maida

Mathers

Alley

2008

Current Opinion in Ophthalmology

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Section: Vitamin a Deficiencymentioning

confidence: 88%

Section: Cataractmentioning

confidence: 97%

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Pediatric ophthalmology in the developing world

Maida

Mathers

Alley

2008

Current Opinion in Ophthalmology

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“…8 the current study has revealed a high prevalence of 4%. This seems to be even higher than the prevalances reported by other studies done in other developing countries like China.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 The prevalence of childhood blindness worldwide is estimated to be around 0.07% and it is estimated to be about one-tenth that of adults. 3 However, a blind child suffers from more blind years than adults.…”

Section: Introduction Literature Review Prevalencementioning

confidence: 99%

Magnitude and Causes of Visual Impairment and Blindness Among Children Attending Paediatric Eye Clinic at Santhiram Medical College

P¹,

M²,

P³

et al. 2016

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BACKGROUNDThe number of blind years resulting from blindness in children is alarmingly high. Blindness in children can have a significa nt impact on their performance at school as well as their social interaction and future employment as visually impaired children have a long lifetime of blindness ahead of them. The consequences of visual impairment and blindness in children are an important public health issues with greater impact in developing countries, where 80% of the blindness in children occurs. The control of blindness in children is considered a high priority area within the World Health Organization's VISION 2020 initiative. However many developing countries do not have the accurate information about the magnitude and causes of visual impairment and blindness in children, from which the scope and priorities for prevention and treatment can be identified. To date the established Pediatric Eye Clinic, which works as a Tertiary Eye Centre does not have baseline data on the magnitude and causes of visual impairment and blindness in children.

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Spectrum of congenital defects of the eye and its adnexia in the pediatric age group; experience at a tertiary facility in Nigeria

Adekoya

Balogun

et al. 2014

Int Ophthalmol

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The aim of this study was to investigate the types and presentation pattern of congenital defects of the eye and adnexia in our center. This is a retrospective review of congenital defects of the eye and adnexia over a 20-month period at a tertiary referral center in Lagos, Nigeria. Records were analyzed for age at presentation, laterality, gender, vision assessment, and type(s) of abnormality. Out of 412 pediatric patients, 40 (9.7 %) were seen to have congenital abnormality of the eye and/or its adnexia during the study period. There were 17 (42.5 %) males. Twelve patients (30.0 %) presented with involvement of the right eyes, nine (22.5 %) with left eyes, while 19 (47.5 %) had bilateral involvement. Twenty-eight patients (70.0 %) were aged 1 year or less at the time of presentation. A total of 69 entities were recognized as some children had two or more malformations. The common congenital defects identified were cataract (39.1 %), ptosis (17.4 %), glaucoma (8.7 %), and cornea opacity (7.2 %). Other less common congenital defects include: microphthalmos, anophthalmos, coloboma (lid and iris), dermoid cyst, and aniridia. All of the patients with available visual acuity documentation had visual impairment. A high proportion of the patients were lost to follow-up. Cataract, ptosis, and glaucoma were the commonest congenital defects of the eye and adnexia in our center and were associated with visual impairments. The significant loss of the patients during follow-up needs urgent investigation and attention to forestall this trend.

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How should blindness in children be managed?

Cited by 14 publications

References 22 publications

Pediatric ophthalmology in the developing world

Pediatric ophthalmology in the developing world

Magnitude and Causes of Visual Impairment and Blindness Among Children Attending Paediatric Eye Clinic at Santhiram Medical College

Spectrum of congenital defects of the eye and its adnexia in the pediatric age group; experience at a tertiary facility in Nigeria

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