■观察2015-19年儿童眼病的模式,以改善发展中国家眼科儿科单位的管理。
■这是一个观察,在三级眼科护理医院进行的横断面研究,卡拉奇.检索了2015年至2019年16岁以下儿童的记录。纳入标准包括年龄的完整记录,孩子的性别,症状,考试,必要时进行调查,和诊断。排除所有不完整的记录。
■共分析了35348条记录,其中55.17%的男孩和44.82%的女孩。类似的性别差异反映在疾病频率上。百分之七的儿童没有可检测到的眼部病理。结膜炎,屈光不正和斜视是三种最常见的眼病,以频率递减的顺序为32.67%,分别为20.08%和14.7%。白内障占4.51%,角膜疾病占4.11%,视网膜病理占1.04%,青光眼占0.49%;视网膜母细胞瘤55例,仅ROP4例。几乎60%的孩子有简单的眼部问题,比如结膜炎,屈光不正和没有任何病理。
■大多数参加儿科眼科的儿童有简单的问题,在初级医疗机构层面是可以管理的。加强初级保健设施将减轻三级儿科单位的相当大的负担。验光师和骨科医师是屈光和斜视管理团队的重要成员。
UNASSIGNED: To observe patterns of Pediatric eye diseases over five years 2015-19, to improve management of ophthalmic pediatric units in the developing countries.
UNASSIGNED: It was an observational, cross-sectional study carried out in a tertiary eye care Hospital, Karachi. Records of the children under 16 years of age from 2015 to 2019 were retrieved. Inclusion criteria included complete records with age, gender of the children, symptoms, examination, investigation if necessary, and diagnosis. All incomplete records were excluded.
UNASSIGNED: A total of 35348 records with 55.17% boys and 44.82% girls were analyzed. Similar gender difference was reflected in disease frequency. Seven percent of the children did not have detectable ocular pathology. Conjunctivitis, refractive errors and squint were the three most common ocular morbidities observed in decreasing order of frequency as 32.67%, 20.08% and 14.7% respectively. Cataract was present in 4.51%, Corneal disease in 4.11%, Retinal pathology in 1.04%, Glaucoma in 0.49% cases; but Retinoblastoma was present in 55 cases and ROP in 4 cases only. Almost 60% of the children had simple ocular problems like conjunctivitis, refractive error and absence of any pathology.
UNASSIGNED: Majority of the children attending pediatric ophthalmology had simple problems manageable at primary health facility level. Strengthening of the primary health care facility will reduce considerable burden of pediatric unit at the tertiary level. Optometrists and orthoptists are important members of the team for refraction and squint management.