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   Table of Contents      
LETTER TO THE EDITOR
Year : 2021  |  Volume : 69  |  Issue : 1  |  Page : 174

Response to comments on: Causes of delayed presentation of pediatric cataract: A questionnaire-based prospective study at a tertiary eye care center in central rural India


1 Consultant and Head of Department, Pediatric Ophthalmology and Strabismus, Sadguru Netra Chikitsalaya and Post Graduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh, India
2 Resident, Sadguru Netra Chikitsalaya and Post Graduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh, India
3 Consultant, Vitreoretina and Uvea, Sadguru Netra Chikitsalaya and Post Graduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh, India

Date of Web Publication15-Dec-2020

Correspondence Address:
Dr. Pradhnya Sen
Consultant and Head of Department, Pediatric Ophthalmology and Strabismus, Sadguru netra Chikitsalaya and Post Graduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1859_20

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How to cite this article:
Sen P, Gupta N, Mohan A, Shah C, Sen A, Jain E. Response to comments on: 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 2021;69:174

How to cite this URL:
Sen P, Gupta N, Mohan A, Shah C, Sen A, Jain E. Response to comments on: 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] 2021 [cited 2021 Jan 21];69:174. Available from: https://www.ijo.in/text.asp?2021/69/1/174/303282



Dear Editor,

We thank Dr Gogate for his interest in our paper and appreciate him for raising some very pertinent questions[1] related to our study.

In our study, we noted that of 156 patients, 127 (81%) caregivers went to the primary health care providers for the initial diagnosis, and only 18.5% underwent surgery in <2 months of diagnosis. We found that the major cause of delay was cost.[2] However, we do acknowledge that the advice given by the primary health care providers was not recorded in our study.

We also agree that there is a need for supporting pediatric eye surgeries; in our study, out of 156 patients, approximately 42 (27%) patients (21 bilateral cataract and 21 unilateral cataract) were operated free of cost, and in another 68 (43%, 49 bilateral cataract and 19 unilateral cataract), the surgery was done at a highly subsidized rate. This we could achieve by cross subsidy and support from international NGOs.

Only 65% of our patients had completed 6 months follow-up, and hence, we reported outcome analysis at 1 month. In these eyes, we noted a trend towards increasing visual acuity with longer duration of follow-up.

We thank Dr Parikshit once again for their comments and for providing more insight on this subject.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Gogate PM, Sil AK. Comments on: Causes of delayed presentation of pediatric cataract: A questionnaire-based prospective study at a tertiary eye care centre in central rural India. Indian J Ophthalmol 2021;69:173-4.  Back to cited text no. 1
  [Full text]  
2.
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. 2
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