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Published on: March 24, 2020
Childhood blindness
M O'Keefe1, J P Burke, R Bowell
1Department of Paediatric Ophthalmology, Children's Hospital, Dublin.
Insights
This study assessed 85 children with visual impairment, identifying causes like prenatal issues and birth complications. Recommendations include genetic counseling and improved preterm infant care to reduce childhood blindness.
Area of Science:
- Ophthalmology
- Pediatrics
- Public Health
Background:
- Childhood blindness poses a significant challenge, necessitating understanding of its causes.
- Visual impairment in children requires comprehensive assessment and management strategies.
Purpose of the Study:
- To evaluate the etiological factors contributing to severe visual handicap in children.
- To identify key areas for intervention to reduce the incidence of childhood blindness.
Main Methods:
- Assessment of 85 visually handicapped children attending an eye department.
- Categorization of etiological factors into prenatal, perinatal, and childhood-onset categories.
Main Results:
- Identified various causes of severe visual handicap (visual acuity < 3/60) in children.
- Mean age of assessed children was 3.6 years, with a range from 0.3 to 14.7 years.
Conclusions:
- Genetic counseling and improved management of preterm infants are crucial for preventing childhood blindness.
- Establishment of a national computerized childhood blind register is recommended for better data management and intervention planning.
Abstract:
Eighty five visually handicapped children who attended the eye department were assessed. The children had a mean age of 3.6 years--range 0.3-14.7 years. The aetiological factors for severe visual handicap (visual acuity less than 3/60) were evaluated into prenatal factors; factors operating at birth and the immediate perinatal period; or factors operating in childhood. Genetic counselling and improvements in the management of pre-term infants is recommended in the reduction of childhood blindness. A national computerised childhood blind register should be established.
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