Childhood amblyopia in a tertiary eye care center in western India

Jai A Kelkar1, Harsh H Jain2, Aditya S Kelkar2

  • 1Department of Paediatric Ophthalmology, National Institute of Ophthalmology, Pune 411005, India.

Insights

This study found refractive errors are the most common cause of childhood amblyopia in India. Early detection and treatment significantly improve best-corrected visual acuity (BCVA) in children.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Public Health

Background:

  • Childhood amblyopia is a leading cause of preventable visual impairment in children.
  • Understanding the demographics and treatment outcomes in diverse populations is crucial for effective public health strategies.

Purpose of the Study:

  • To characterize the demographic profile, clinical features, and treatment results of childhood amblyopia.
  • To identify the primary causes and evaluate the effectiveness of various therapeutic interventions.

Main Methods:

  • A retrospective longitudinal study of 1382 children (≤12 years) was conducted.
  • Data collected included patient demographics, amblyopia etiology, treatment modalities, and best-corrected visual acuity (BCVA) changes.
  • The National Institute of OphthalMology AmBlyopia StUdy in Indian Paediatric EyeS (NIMBUS) Study data was analyzed.

Main Results:

  • Refractive errors (73.2%) were the most frequent cause of amblyopia, followed by strabismus (7.3%) and anisometropia (6.8%).
  • Glasses (74.4%) were the primary treatment, with significant BCVA improvement observed from 0.85 to 0.55 logMAR after treatment (P<0.001).
  • All etiologies showed BCVA gain, with refractive errors demonstrating better outcomes compared to strabismus, cataracts, and ptosis.

Conclusions:

  • Refractive errors are the predominant cause of amblyopia in this Indian cohort.
  • Timely diagnosis, appropriate treatment, and consistent follow-up are essential for improving visual outcomes in pediatric amblyopia.
  • The findings highlight the importance of early screening and intervention programs.
Abstract

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