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COMMENTARY
Year : 2020  |  Volume : 68  |  Issue : 4  |  Page : 607-610

Commentary: Causes of delayed presentation of pediatric cataract: A questionnaire.based prospective study at a tertiary eye care center in central rural India


B B Eye Foundation, Kolkata, West Bengal, India

Date of Web Publication16-Mar-2020

Correspondence Address:
Dr. Lav Kochgaway
B B Eye Foundation VIP, Shree Tower 2, RAA 36, Raghunathpur, VIP Road, Kolkata - 700 156, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2156_19

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How to cite this article:
Kochgaway L, Jain S, Mandal M, Roy R, Bhargava S, Singh M. Commentary: Causes of delayed presentation of pediatric cataract: A questionnaire.based prospective study at a tertiary eye care center in central rural India. Indian J Ophthalmol 2020;68:607-10

How to cite this URL:
Kochgaway L, Jain S, Mandal M, Roy R, Bhargava S, Singh M. Commentary: Causes of delayed presentation of pediatric cataract: A questionnaire.based prospective study at a tertiary eye care center in central rural India. Indian J Ophthalmol [serial online] 2020 [cited 2020 Apr 2];68:607-10. Available from: http://www.ijo.in/text.asp?2020/68/4/607/280747



Pediatric cataract is a treatable leading cause of childhood blindness. Pediatric cataract managed earlier can have a tremendous impact on the lives of individuals, their families, communities, and the socioeconomic status of the country.[1],[2],[3] Children who are visually impaired have social, emotional, and economic difficulties. They have to overcome this poor vision lifelong. The incidence ranges from 1.8 to 3.6 per 10,000 per year.[4] The prevalence of childhood cataract is higher in low-income economies (0.63–13.6/10,000) compared to that of high-income economies (0.42–2.05/10,000).[5] Rubella or Cytomegalovirus infections are mostly responsible for higher incidence in lower socioeconomic group. Another important cause is ocular trauma in rural and semi-urban setting. If not detected or treated on time, it can lead to poor vision and, hence, amblyopia.

The factors responsible for the delayed presentation of pediatric cataract include lack of education and awareness among lower socioeconomic strata, financial problems, inability to travel to higher centers, lack of health care facilities, and screening in the periphery.

Since the magnitude of problem is huge, it needs to be addressed timely. The problem must be taken care of by creating awareness among general population especially where there is lack of education. Professional societies in partnership with government agencies should take initiative and conduct programmes for awareness and screening of children periodically so that there can be early diagnosis, treatment, and visual rehabilitation. Lack of support from industry is one of the causes for this not taking off. But we should realize that we owe it to our children for them to lead a happy and useful life. There should be a routine protocol to examine eyes of all neonates along with physical examination after birth.



 
  References Top

1.
Sen P, Gupta N, Mohan A, Shah C, Sen A, Jain E. Causes of delayed presentation of pediatric cataract: A questionnaire-based prospective study at a tertiary eye care center in central rural India. Indian J Ophthalmol 2020;68:603-7.  Back to cited text no. 1
  [Full text]  
2.
Gilbert C, Foster A. Childhood blindness in the context of VISION 2020-The right to sight. Bull World Health Organ 2001;79:227-32.  Back to cited text no. 2
    
3.
Rahi JS, Sripathi S, Gilbert CE, Foster A. Childhood blindness in India: Causes in 1318 blind school students in nine states. Eye (Lond) 1995;9:545-50.  Back to cited text no. 3
    
4.
Khokhar SK, Pillay G, Dhull C, Agarwal E, Mahabir M, Aggarwal P. Paediatric cataract. Indian J Ophthalmol 2017;65:1340-9.  Back to cited text no. 4
[PUBMED]  [Full text]  
5.
Shamanna BR, Dandona L, Rao GN. Economic burden of blindness in India. Indian J Ophthalmol 1998;46:169-72. Appendix-1: Study questionnaire  Back to cited text no. 5
[PUBMED]  [Full text]  




 

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