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Published on: February 11, 2014
Epidemiology, aetiology and management of visual impairment in children
Ameenat Lola Solebo1, Jugnoo Rahi
1MRC Centre of Epidemiology for Child Health, UCL Institute of Child Health, , London, UK.
Insights
Globally, 19 million children have visual impairment, with 1.4 million blind. Early detection and multidisciplinary care by pediatricians are crucial for managing childhood visual impairment (VI).
Area of Science:
- Ophthalmology
- Pediatrics
- Public Health
Background:
- An estimated 19 million children worldwide experience visual impairment, and 1.4 million are blind.
- Significant disparities in the visually impaired child population exist across different income countries.
- Children with severe visual impairment/blindness often have co-occurring systemic disorders, complicating their care needs.
Purpose of the Study:
- To estimate the incidence of severe visual impairment/blindness (SVL/BL) in children in a high-income country context.
- To highlight the heterogeneity of childhood visual impairment and associated conditions.
- To emphasize the role of pediatric professionals in managing pediatric visual impairment.
Main Methods:
- Population-based incidence study in the UK.
- Analysis of data to determine cumulative incidence rates by age 15.
- Review of the characteristics of the visually impaired pediatric population.
Main Results:
- The annual cumulative incidence of severe visual impairment/blindness (SVL/BL) is estimated at 6/10,000 by age 15 in the UK.
- Incidence is highest during the first year of life.
- A substantial proportion of children with SVL/BL have additional systemic disorders.
Conclusions:
- Pediatricians and other pediatric professionals are vital for the early detection of visual impairment in children.
- Multidisciplinary management is essential to mitigate the impact of childhood visual impairment.
- Understanding the diverse needs of visually impaired children, including those with co-occurring conditions, is critical for effective care.
Abstract:
An estimated 19 million of the world's children are visually impaired, while 1.4 million are blind. Using the UK as a model for high income countries, from a population-based incidence study, the annual cumulative incidence of severe visual impairment/blindness (SVL/BL) is estimated to be 6/10 000 by age 15 years, with the incidence being highest in the first year of life. The population of visually impaired children within high, middle and lower income countries differ considerably between and within countries. The numerous and mainly uncommon disorders which can cause impaired vision result in heterogeneous population which includes a substantial proportion (for SVI/BL, the majority) of children with additional systemic disorders or impairments whose needs differ substantially from those with isolated vision impairment. Paediatricians and other paediatric professionals have a key role in early detection and multidisciplinary management to minimise the impact of visual impairment (VI) in childhood.
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