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Tribal Odisha Eye Disease Study (TOES). Report # 8. Childhood cataract surgery and determinants of visual outcome in tribal districts

PURPOSE: 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. METHODS: We retrospectively reviewed records of tribal children aged 4 month...

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Autores principales: Majhi, Debasmita, Sachdeva, Virender, Warkad, Vivekanand Uttamrao, Kekunnaya, Ramesh, Natarajan, Divya, Karan, Sanjib, Garg, Bhawna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8482927/
https://www.ncbi.nlm.nih.gov/pubmed/34304181
http://dx.doi.org/10.4103/ijo.IJO_3332_20
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author Majhi, Debasmita
Sachdeva, Virender
Warkad, Vivekanand Uttamrao
Kekunnaya, Ramesh
Natarajan, Divya
Karan, Sanjib
Garg, Bhawna
author_facet Majhi, Debasmita
Sachdeva, Virender
Warkad, Vivekanand Uttamrao
Kekunnaya, Ramesh
Natarajan, Divya
Karan, Sanjib
Garg, Bhawna
author_sort Majhi, Debasmita
collection PubMed
description PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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.
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spelling pubmed-84829272021-10-14 Tribal Odisha Eye Disease Study (TOES). Report # 8. Childhood cataract surgery and determinants of visual outcome in tribal districts Majhi, Debasmita Sachdeva, Virender Warkad, Vivekanand Uttamrao Kekunnaya, Ramesh Natarajan, Divya Karan, Sanjib Garg, Bhawna Indian J Ophthalmol Original Article PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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. Wolters Kluwer - Medknow 2021-08 2021-07-26 /pmc/articles/PMC8482927/ /pubmed/34304181 http://dx.doi.org/10.4103/ijo.IJO_3332_20 Text en Copyright: © 2021 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Majhi, Debasmita
Sachdeva, Virender
Warkad, Vivekanand Uttamrao
Kekunnaya, Ramesh
Natarajan, Divya
Karan, Sanjib
Garg, Bhawna
Tribal Odisha Eye Disease Study (TOES). Report # 8. Childhood cataract surgery and determinants of visual outcome in tribal districts
title Tribal Odisha Eye Disease Study (TOES). Report # 8. Childhood cataract surgery and determinants of visual outcome in tribal districts
title_full Tribal Odisha Eye Disease Study (TOES). Report # 8. Childhood cataract surgery and determinants of visual outcome in tribal districts
title_fullStr Tribal Odisha Eye Disease Study (TOES). Report # 8. Childhood cataract surgery and determinants of visual outcome in tribal districts
title_full_unstemmed Tribal Odisha Eye Disease Study (TOES). Report # 8. Childhood cataract surgery and determinants of visual outcome in tribal districts
title_short Tribal Odisha Eye Disease Study (TOES). Report # 8. Childhood cataract surgery and determinants of visual outcome in tribal districts
title_sort tribal odisha eye disease study (toes). report # 8. childhood cataract surgery and determinants of visual outcome in tribal districts
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8482927/
https://www.ncbi.nlm.nih.gov/pubmed/34304181
http://dx.doi.org/10.4103/ijo.IJO_3332_20
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