Low vision aid-A ray of hope for irreversible visual loss in the pediatric age group

V Kavitha1, Milind S Manumali1, K Praveen1

  • 1Paediatric Ophthalmology, Sankara Eye Hospital, Thirthahalli Road, Harakere, Shimoga, Karnataka, India.

Insights

Low vision aids (LVAs) significantly improve visual acuity (VA) and quality of life (QOL) in children with low vision (LV). These aids are essential for enhancing daily functioning and overall well-being in pediatric low vision cases.

Area of Science:

  • Ophthalmology
  • Pediatric Vision Care
  • Rehabilitation Science

Background:

  • Low vision (LV) in children presents significant challenges to their development and quality of life (QOL).
  • Effective interventions are crucial for improving visual acuity (VA) and functional outcomes in pediatric populations.
  • Low vision aids (LVAs) offer potential solutions for visual enhancement in children.

Purpose of the Study:

  • To evaluate the effectiveness of low vision aids (LVAs) in improving visual acuity (VA).
  • To identify the primary causes of low vision (LV) in a pediatric cohort.
  • To assess the impact of LVAs on the quality of life (QOL) of children with low vision.

Main Methods:

  • Prospective analysis of 74 children (4-18 years) with LV from urban and rural schools.
  • LVAs (telescopes for distance, magnifiers for near) were utilized to assess VA improvement.
  • Follow-up included monthly VA assessments for 3 months and QOL questionnaires post-LVA use.

Main Results:

  • Significant VA improvement for distance (68.24% of eyes) and near (54.72% of eyes) was observed with LVAs.
  • LV causes including retinal problems, optic atrophy, congenital anomalies, and amblyopia showed marked reduction.
  • A statistically significant improvement in QOL was reported, with more children experiencing "excellent" or "good" outcomes (p < 0.0001).

Conclusions:

  • Low vision aids (LVAs) are crucial for improving visual acuity (VA) in children with low vision (LV).
  • LVAs effectively enhance the quality of life (QOL) for pediatric patients with visual impairments.
  • The study underscores the importance of LVAs in the comprehensive management of childhood low vision.
Abstract

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