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Results of Screening in Schools for Visually Impaired Children

OBJECTIVES: The aim of this study was to identify the causes of visual impairment in children attending schools for students with visual impairment and to identify children suitable for treatment and rehabilitation. MATERIALS AND METHODS: All students were examined in our department by a pediatric o...

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Autores principales: Bingöl Kızıltunç, Pınar, İdil, Aysun, Atilla, Hüban, Topalkara, Ayşen, Alay, Cem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5563550/
https://www.ncbi.nlm.nih.gov/pubmed/28845326
http://dx.doi.org/10.4274/tjo.82246
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author Bingöl Kızıltunç, Pınar
İdil, Aysun
Atilla, Hüban
Topalkara, Ayşen
Alay, Cem
author_facet Bingöl Kızıltunç, Pınar
İdil, Aysun
Atilla, Hüban
Topalkara, Ayşen
Alay, Cem
author_sort Bingöl Kızıltunç, Pınar
collection PubMed
description OBJECTIVES: The aim of this study was to identify the causes of visual impairment in children attending schools for students with visual impairment and to identify children suitable for treatment and rehabilitation. MATERIALS AND METHODS: All students were examined in our department by a pediatric ophthalmologist and an ophthalmologist experienced in low vision and visual rehabilitation. The children’s medical histories were recorded. All children underwent ophthalmological examination including visual acuity measurement, anterior segment and dilated fundus evaluation, retinoscopy with cycloplegia, and intraocular pressure measurement. The causes of visual impairment were grouped as avoidable and unavoidable. Children with residual visual acuity better than 20/1250 were included in the low vision rehabilitation programme. RESULTS: A total of 120 patients were evaluated and 79.2% were legally blind (visual acuity less than 0.05), 18.4% had low vision (visual acuity between 0.05 and 0.3), and 0.8% had normal vision (>0.3). The main causes of visual impairment were retinal dystrophies (24.2%) and retinopathy of prematurity (17.5%). Of all diseases related to visual impairment, 27.6% were avoidable. Improvement in visual acuity was achieved with low vision aids in 57.5% of all patients. CONCLUSION: The incidence of visual impairment due to avoidable causes can be decreased by ophthalmic screening. Treatment of these children in the early stages of visual development can improve visual acuity. Even in cases with delayed diagnosis, low vision aids are important for visual and neurobehavioral development, and these programmes may improve quality of life and education in these children.
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spelling pubmed-55635502017-08-25 Results of Screening in Schools for Visually Impaired Children Bingöl Kızıltunç, Pınar İdil, Aysun Atilla, Hüban Topalkara, Ayşen Alay, Cem Turk J Ophthalmol Original Article OBJECTIVES: The aim of this study was to identify the causes of visual impairment in children attending schools for students with visual impairment and to identify children suitable for treatment and rehabilitation. MATERIALS AND METHODS: All students were examined in our department by a pediatric ophthalmologist and an ophthalmologist experienced in low vision and visual rehabilitation. The children’s medical histories were recorded. All children underwent ophthalmological examination including visual acuity measurement, anterior segment and dilated fundus evaluation, retinoscopy with cycloplegia, and intraocular pressure measurement. The causes of visual impairment were grouped as avoidable and unavoidable. Children with residual visual acuity better than 20/1250 were included in the low vision rehabilitation programme. RESULTS: A total of 120 patients were evaluated and 79.2% were legally blind (visual acuity less than 0.05), 18.4% had low vision (visual acuity between 0.05 and 0.3), and 0.8% had normal vision (>0.3). The main causes of visual impairment were retinal dystrophies (24.2%) and retinopathy of prematurity (17.5%). Of all diseases related to visual impairment, 27.6% were avoidable. Improvement in visual acuity was achieved with low vision aids in 57.5% of all patients. CONCLUSION: The incidence of visual impairment due to avoidable causes can be decreased by ophthalmic screening. Treatment of these children in the early stages of visual development can improve visual acuity. Even in cases with delayed diagnosis, low vision aids are important for visual and neurobehavioral development, and these programmes may improve quality of life and education in these children. Galenos Publishing 2017-08 2017-08-15 /pmc/articles/PMC5563550/ /pubmed/28845326 http://dx.doi.org/10.4274/tjo.82246 Text en ©Copyright 2017 by Turkish Ophthalmological Association Turkish Journal of Ophthalmology, published by Galenos Publishing House. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Bingöl Kızıltunç, Pınar
İdil, Aysun
Atilla, Hüban
Topalkara, Ayşen
Alay, Cem
Results of Screening in Schools for Visually Impaired Children
title Results of Screening in Schools for Visually Impaired Children
title_full Results of Screening in Schools for Visually Impaired Children
title_fullStr Results of Screening in Schools for Visually Impaired Children
title_full_unstemmed Results of Screening in Schools for Visually Impaired Children
title_short Results of Screening in Schools for Visually Impaired Children
title_sort results of screening in schools for visually impaired children
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5563550/
https://www.ncbi.nlm.nih.gov/pubmed/28845326
http://dx.doi.org/10.4274/tjo.82246
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