Paediatric Ocular Disoders in a Tertiary Care Rural Hospital of Central India (Birth to 15 Years)

Abstract

Introduction: This study was done to know the pattern of paediatric ocular disorders presenting in outpatient department (OPD) of rural tertiary care hospital of central India. Methods: A cross sectional study of Paediatric ocular disorder done at UPRIMS and R (Uttar Pradesh Rural Institute of Medical Sciences and Research, Saifai, Etawah) pediatric patients attending the OPD from January 2015 to June 2015. The patients of birth to 15 years of age were included in the study. The patient particular were noted. The patient name, age, sex ,residence, visual acuity, type of refractive errors , mode and type of injury and diagnosis (Allergic Conjunctivitis, Refractive Error, Infective Conjunctivitis, Ocular Trauma, congenital NLD obstruction, Squint, Amblyopia, JOAG, Congenital Glaucoma, Corneal Ulcer, Conjunctival xerosis, Periorbital swelling) was made. Result: The total number of 848 paediatric ocular disorder patients enrolled in the present study from eye OPD of UPRIMS &R, Saifai, UP from January 2015 to June 2015. The age of pediatric ocular disorder patients ranges from birth to 15 years of age. Out of these 542 patients (63.92%) were male and 306(36.08%) patients were female. The majority of Pediatric patients (406 childrens, 47.88%) seen in OPD were of 9-15 years. The most common ocular complain was allergic conjunctivitis in 277 cases (32.66%, 173 male,104 female), refractive error is seen in 260 cases (31.37%, 168 male, 92 female), infective conjunctivitis in 73 cases (8.60%, 40 male,33 female), ocular trauma in 71 cases (8.37%, 50 male, 21 female), congenital nasolacrimal duct obstruction(NLDO) in 53 cases (6.25%,35 males,18 female, bilateral in 32 cases and unilateral in 21 cases), squint in 31 cases (3.66%, 23 male, 8 female), amblyopia in 30 cases (3.53%,15 male, 15 female), Juvenile open angle glaucoma in 10 cases (1.17%, 5 male, 5 female), corneal ulcer in 10 cases (1.17%, 10 male), ocular swelling (with or without tumour) in 25 cases (2.95%, 20male, 5 female) , and conjuctival xerosis (Vit A deficiency) in 3 cases (0.35%,3 female), and congenital glaucoma in 5 cases (0.59%, 3 male,2 female).