Profile of astigmatism in school going children at state level hospital in Uttarakhand

Authors

  • Manisha Gupta Department of Ophthalmology, Sri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun
  • Vatsala Vats Department of Ophthalmology, Sri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun
  • Rupali Tyagi Department of Ophthalmology, Sri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun

DOI:

https://doi.org/10.18203/2320-6012.ijrms20160023

Keywords:

Astigmatism, Against the rule, With the rule, Refractive error

Abstract

Background: Astigmatism is a clinically important condition and accounts for about 13% of the refractive errors of the eye. Its prevalence has been reported to vary with ethnicity, age, and sex. The aim of this study was to evaluate the profile of astigmatism in school going children and compared with similar studies in India and Asian countries.

Methods: This was prospective cross – sectional hospital based study. The children aged between 5-13 years of age attending the eye OPD during the period of one year, were screened for visual acuity. Those with visual acuity <20/40 were selected for detailed ocular examination. Statistical analysis was done by (IBM SPSS version 23) percentage and chi square test.

Results: Of the total 409 children, astigmatism was found to be present in 222 (54.27%) cases, of which 109 (49.09%) were males and 113 (50.90%) were females, With the Rule astigmatism was present in 188 (84.69%), Against The Rule astigmatism was present in 34 (15.32%) of cases.

Conclusions: Our present study showed that the single most common refractive error in primary school age children was astigmatism and emphasizes the need for more effective and regular school screening programmes.

References

Prevalence of refractive error in school children of Karachi. J Pak Med Assoc. 2008;58:322-5.

Dandona R, Dandona L. Refractive error blindness. Bull World Health Organ. 2001;79:237-43.

Pizzarello L, Abiose A, Ffytche T. Vision 2020: the right to sight: a global initiative to eliminate avoidable blindness. Arch Ophthalmol. 2004;122:615-20.

Voo DA, Lee FO, Oelrich. Prevalence of ocular conditions among Hispanic, white, Asian, and black immigrant students examined by the UCLA Mobile Eye Clinic. J Am Optom Assoc. 1998;69:255-61.

Grosvenor T. Etiology of astigmatism. Am J Optom Physiol Optom. 1978:55.

Read SA, Collins MJ, Carney LG. A review of astigmatism and its possible genesis Clin Exp Optom. 2007;90:5-19.

Giordano L, Friedman DS, Refka MX, Katz J, Ibironke J, Hawes P. Prevalence of refractive error among preschool children in an urban population. The Baltimore Pediatric Eye Disease Study. Ophthalmology. 2009;116:739-46.

Gwiazda J. Grice K, Held R, McLellan J, Thorn F. Astigmatism and the development of myopia in children. Vis Res. 2000;40:1019-26.

Clementi M, Angi P, Forabosco E, Di Gianantonio R. Tencon Inheritance of astigmatism: evidence for a major autosomal dominant locus. Am J Hum Genet. 1998;63:825-30.

Valluri S, Minkovitz JB, Budak K. Comparative corneal topography and refractive variables in monozygotic and dizygotic twins. Am J Ophthalmol. 1999;127:158-63.

Dobson V, Fulton AB, Sebris SL. Cycloplegic refractions of infants and young children: the axis of astigmatism. Invest Ophthalmol Vis Sci. 1984;25:83-7.

Lyle WM, Grosvenor T, Dean KC. Corneal astigmatism in Amerind children. Am J Optom Arch. 1972;49:517-24.

Porter J, Guirao A, Cox IG, Williams DR. Monochromatic aberrations of the human eye in a large population. J Opt Soc Am A Opt Image Sci Vis. 2001;18:1793-803.

Read SA, Collins MJ, Carney LG, Franklin RJ. The topography of the central and peripheral cornea. Invest Ophthalmol Vis Sci. 2006;47:1404-15.

Read SA, Collins MJ, Carney LG. A review of astigmatism and its possible genesis. Clin Exp Optom. 2007;90:5-19.

Kleinstein RN, Jones LA, Hullett S, Kwon S, Lee RJ, Friedman NE. Collaborative Longitudinal Evaluation of Ethnicity and Refractive Error Study Group. Refractive error and ethnicity in children. Arch Ophthalmol. 2003;121:1141-7.

Saw SM, Goh PP, Cheng A, Shankar A, Tan DTH, Ellwein LB. Ethnicity-specific prevalences of refractive errors vary in Asian children in neighbouring Malaysia and Singapore. Br J Ophthalmol. 2006;90:1230-5.

Shankar S, Bobier WR. Corneal and lenticular components of total astigmatism in a preschool sample. Optom Vis Sci. 2004;81:536-42.

Huynch SC, Kifley A, Rose KA, Morgan IG, Mitchell P. Astigmatism in 12-year-old population. Invest Ophthalmol Vis Sci. 2007;48:73-82.

Huynh SC, Kifley A, Rose KA, Morgan I, Heller GZ, Mitchell P. Astigmatism and its components in 6-year-old children. Invest Ophthalmol Vis Sci. 2006;47:55-64.

Lai JH, Hsu HT, Wang HZ, Chang CH, Chang SJ. Astigmatism in preschool in Taiwan. J AAPOS. 2010;14:150-4.

Fan DS, Rao SK, Cheung EY, Islam M, Chew S, lam DS. Astigmatism in Chinese preschool children: prevalence, change, and effect on refractive development. Br J Ophthalmol. 2004;88:938-41.

Zhao J, Mao J, Luo R, Li F, Munoz SR, Ellwein LB. The progression of refractive errors in school-age children: Shunyi district, China. Am J Ophthalmol. 2002;134:735-43.

Murphy GV, Gupta SK, Ellwein LB, Munoz SR, Pokharel GP, Sanga L. Refractive error in children in an urban population in New Delhi. Invest Ophthalmol Vis Sci. 2002;43:623-31.

St Louis Mandel Y, Stone RA, Zadok D. Parameters associated with the different astigmatism axis orientations. Invest Ophthalmol Vis Sci. 2010;51:723-30.

Dandona R, Dandona L, Srinivas M, Sahare P, Narsaiah S, Munoz SR. Refractive error in children in a rural population in India. Invest Ophthalmol Vis Sci. 2002;43:615-22.

Downloads

Published

2016-12-24

How to Cite

Gupta, M., Vats, V., & Tyagi, R. (2016). Profile of astigmatism in school going children at state level hospital in Uttarakhand. International Journal of Research in Medical Sciences, 4(1), 156–159. https://doi.org/10.18203/2320-6012.ijrms20160023

Issue

Section

Original Research Articles