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Eye disorders spectrum: a tertiary hospital pediatric ophthalmology clinic based in Ethiopia
Yohannes Tewolde Kidane1, Addisu Worku Teshome2
1Addis Ababa University, College of Health Science, School of Medicine, Department of Ophthalmology, 31531, Addis Ababa, Ethiopia.
Insights
Pediatric eye exams reveal ocular motility imbalance, childhood cataracts, and infections are common. Males and younger children (0-6 years) were most affected by these vision disorders.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Epidemiology
Background:
- Epidemiological studies are crucial for planning and managing pediatric eye care.
- Understanding the pattern of eye disorders in children informs healthcare strategies.
- This study focuses on the spectrum and frequency of pediatric eye diseases in Ethiopia.
Purpose of the Study:
- To document the spectrum and frequency of eye diseases in children.
- To analyze the prevalence of specific ocular disorders in a pediatric population.
- To identify common eye conditions in children attending a tertiary hospital clinic.
Main Methods:
- A cross-sectional study included 1237 children (16 years and below) with ocular disorders.
- Data collected included age, sex, and diagnosis for new and follow-up patients.
- Statistical analyses involved ratios, percentages, and chi-square tests (p < 0.05).
Main Results:
- Ocular motility imbalances were the most frequent disorder (32.8%), particularly in children aged 1-6 years (p < 0.001).
- Childhood cataracts (18.4%), especially congenital types (7.1%), and eye infections/inflammation (8.3%), particularly corneal/scleral infections (3.7%), were also common.
- Males constituted 60% of the study population, and the largest age group was 0-<6 years (70.5%).
Conclusions:
- Ocular motility imbalance, childhood cataracts, and eye infections are the most prevalent pediatric eye disorders.
- Early presentation of eye conditions is noted, with males being more frequently affected.
- Findings highlight the need for targeted interventions for common pediatric eye diseases.
Background:
Epidemiological studies to determine the pattern of eye disorders among children are important for proper health care planning and management. This study aimed to document the spectrum and frequency of eye diseases in children who attended the pediatric ophthalmology clinic of a tertiary teaching hospital in Addis Ababa, Ethiopia.
Methods:
A cross-sectional and convenient sample of 1237 male and female children (16 years and below) with ocular disorders presenting for the first time and those children with a settled diagnosis coming for a follow-up visit between June 1, 2018, and May 31, 2019, were included in the study. Data on presentation age, sex, and diagnosis were collected and analyzed. Eye disorders were classified into various categories. Children were grouped into four age groups. Ratios, percentages, and chi-square associations were calculated. P < 0.05 was considered statistically significant.
Results:
Of the children, 60% were male. The mean age (standard deviation) of the children was 4.26 (± 4.1) years. Patients aged 0- < 6 years old were the largest group, constituting 70.5%. Ocular motility imbalances were the most common ocular disorders seen (32.8%), followed by childhood cataract (18.4%) and infection and inflammation of the eye and adnexa (8.3%). Ocular motility imbalances were observed more frequently and statistically significantly (p < 0.001) in children aged 1- < 6 years. Within the childhood cataract category, congenital cataracts were more prominent (7.1%). Within the infection and inflammation category, corneal/scleral infections were more common (3.7%).
Conclusions:
The study highlights common eye disorders seen in children in a specialized hospital ophthalmic clinic. Ocular motility imbalance, childhood cataracts, infection and inflammation of the eye and adnexa were the most commonly occurring disorders. Early presentation was common, and males were more affected than females.
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