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Burden of ocular and visual disorders among pupils in special schools in Nepal

Version 2 2024-06-05, 03:35
Version 1 2021-03-04, 12:49
journal contribution
posted on 2024-06-05, 03:35 authored by S Puri, Dipesh BhattaraiDipesh Bhattarai, P Adhikari, JB Shrestha, N Paudel
ObjectivesTo determine detailed oculo-visual characteristics of children with intellectual disability studying in special schools and explore the burden of visual impairment.Design of the studyDetailed ophthalmic examination was carried out in all pupils studying at the seven special needs schools of Kathmandu valley, Nepal. Ophthalmic examination included case history, presenting distance visual acuity, cycloplegic refraction, binocular vision examination, contrast sensitivity and anterior and posterior segment evaluation.Main outcome measuresOcular and visual status of children.ResultsRefractive errors (40%) and strabismus (17%) were the commonest visual disorders in our study children. Ninety-five per cent of the children who had clinically significant refractive errors presented without any correction. Visual impairment was present in 25% of the children. Severe visual impairment or worse was present in 3% of the children. Other common ocular findings were conjunctivitis, blepharitis, chalazion and ectropion.ConclusionsHigh prevalence of preventable visual impairment in this population requires immediate attention. It is hoped that the formulation of proper vision care guidelines at a national level may help in early detection and management of visual disorders in this special population and enhance their quality of life.

History

Journal

Archives of Disease in Childhood

Volume

100

Pagination

834-837

Location

England

ISSN

0003-9888

eISSN

1468-2044

Language

English

Publication classification

C1 Refereed article in a scholarly journal

Issue

9

Publisher

BMJ PUBLISHING GROUP