这项研究的目的是描述人口统计学特征,临床特征,视觉结果,以及奥里萨邦部落儿童白内障手术成功后的随访模式,印度。
我们回顾了4个月至16岁的部落儿童的记录,从2015年1月1日至2019年12月31日在我们研究所接受了公共卫生资助的白内障手术。收集的数据包括人口统计概况,临床特征,结果,和后续行动。单变量和多变量线性回归确定了6周随访时影响视觉结果的因素。
在此期间,共有352名儿童[536眼;平均年龄:9.11±4.4岁,219名男生(62%)]行白内障手术。最常见的病因和主诉是特发性先天性白内障和视力下降,分别。304名儿童(86%)最佳矫正视力(BCVA)<20/200(1.0LogMAR),113(32%)有相关斜视,和57(16%)有相关的眼球震颤。公共卫生机构没有赞助术后随访,只有195名(56%)和61名(17.3%)儿童完成了为期6周和3个月的随访,分别。在6周和3个月的审查中值BCVA为20/125(0.8,四分位距[IQR],0.2-2LogMAR)和20/60(0.5,IQR,0.25-1.35LogMAR),分别。
这项研究表明,来自部落社区的儿童表现出较晚的VA表现不佳,并且视力不佳,随访不一致。加大宣传力度,在更靠近居住地的地方提供护理,对后续护理的财政支持可以改善早期发现,定期评估,和结果。
The purpose of this study is to describe the demographic profile, clinical features, visual outcomes, and follow-up patterns after successful cataract surgery in children from the tribal community in Odisha, India.
We retrospectively reviewed records of tribal children aged 4 months-16 years, who underwent public health financed cataract surgery at our institute from January 1, 2015, to December 31, 2019. Collected data included demographic profile, clinical features, outcomes, and follow-up. Univariate and multivariate linear regression identified factors affecting the visual outcome at a 6-week follow-up.
During this period, a total of 352 children [536 eyes; mean age: 9.11 ± 4.4 years, 219 boys (62%)] underwent cataract surgery. The most common etiology and presenting complaints were idiopathic congenital cataract and decreased vision, respectively. In 304 children (86%), presenting best-corrected visual acuity (BCVA) was <20/200 (1.0 LogMAR), 113 (32%) had associated strabismus, and 57 (16%) had associated nystagmus. The public health agency did not sponsor postoperative follow-up, and only 195 (56%) and 61 (17.3%) children completed a 6-week and a 3-month follow-up, respectively. Median BCVA at 6-week and 3-month review was 20/125 (0.8, interquartile range [IQR], 0.2-2 LogMAR) and 20/60 (0.5, IQR, 0.25-1.35 LogMAR), respectively.
This study showed that children from the tribal community presented late with poor presenting VA and had suboptimal visual outcomes with inconsistent follow-ups. Greater advocacy, delivery of care closer to the place of residence, and financial support for follow-up care could improve early detection, regular evaluation, and outcomes.