A clinical study of patients attending disability clinic in a tertiary care hospital of Assam, India
DOI:
https://doi.org/10.18203/2320-6012.ijrms20191638Keywords:
Acquired, Certification, Congenital, Disability clinic, OcularAbstract
Background: The aim of the study was to determine the various types of congenital or acquired disorders causing permanent disability and their association with age, sex and visual acuity in patients attending disability clinic of department of ophthalmology, Jorhat medical college and hospital, Assam, from January 2018 to December 2018.
Methods: A hospital-based cross-sectional study. 200 patients were enrolled in the duration of January 2018 to December 2018 and were analyzed for anomalies, etiology, sex and age at presentation.
Results: Out of 200 cases analysed, 116 males and 84 females (Male: Female = 1.38:1) observed. The most common age group at presentation was 11-20 years (28.5%). 23% of cases were congenital. The most frequent ocular anomaly noted was microphthalmos (19%) followed by uveal coloboma (15%) and phthisis bulbi (14%).
Conclusions: In a developing country like India, a large proportion of the childhood and adult blindness is avoidable. Action is needed to prevent blindness from vitamin A deficiency, measles, external ocular infections and chemical injuries. Specialist paediatric and optical services are required to manage cataract and glaucoma. Further work is indicated to elucidate the causes of anophthalmos, microphthalmos and coloboma. It would be useful to document the changing patterns in the causes of ocular disability to allow early action against emerging avoidable causes.
References
Disabled Persons in India. A statistical profile 2016.Accessed at: http://mospi.nic.in/sites/default/files/publication_reports/Disabled_persons_in_India_2016.pdf.Accessed on : 21 February 2019.
World Health Organization. International statistical classification of diseases and related health problems. Instruction manual.2010;2.Accessed at: https://www.who.int/classifications/icd/ICD10Volume2_en_2010.pdf. Accessed on 21 February 2019.
Visual Disability. Accessed at: http://disabilityindia.co.in/usefulinformation/visualdisability.php. Accessed on 21 February 2019.
Patil B, Pujar C, Manasa CN, Mallikarjun CS. Study of causes of visual handicap amongst patients attending outpatient department for visual handicap certification in a medical college of Bagalkot district of Karnataka, India. Medica Innovatica. 2015;4(2):13-6.
Ghosh S, Mukhopadhyay S, Sarkar K, Bandyopadhyay M, Maji D, Bhaduri G. Evaluation of registered visually disabled individuals in a district of West Bengal, India. Indian J Comm Med: official publication of Indian Assoc Preven Social Med. 2008;33(3):168.
Bandyopadhyay S, Bandyopadhyay SK, Biswas J, Saha M, Dey AK, Chakrabarti A. Visual impairment registry of patients from North Kolkata, Eastern India: A hospital-based study. J Ophthal Vision Res. 2018;13(1):50.
Siddegowda S, Venkataramana PA, Ramamurthy MT, Shiveshi P. A study to evaluate the cause of blindness/low vision among certified visually disabled individuals in Mandya district of Karnataka. Indian J Clinic Experiment Ophthalmol. 2016;2(3):238-41.
Hegde SS. Study of pattern of visual impairment in patients seeking visual disability certificate. J Evolution Med Dental Sci. 2016;5(36):2111-3.
Joshi RS. Causes of visual handicap amongst patients attending outpatient department of a medical college for visual handicap certification in central India. J Clinic Ophthalmol Res. 2013;1(1):17.
