Prevalence of Ocular Morbidities among School Children in a Rural Area of South India

Download Article


Authors : Meundi AD, Athavale AV, Suruliraman SM, Anjan S, Gururaj MS, Dhabadi BB, Rekha R

Abstract:

Schools are ideal setting to implement screening services for eye healthcare program. We conducted a study in schools around the Primary Health Centre Sampaje which is under the KVG Medical College, Sullia with objectives of appraising various ocular symptoms in the children and studying the prevalence of refractive errors, squint, vitamin A deficiency, conjunctivitis and color blindness among the children.

This was a cross sectional study conducted between July and October 2009 using a predesigned structured questionnaire and ocular examination on a total number of 1938 students attending 30 schools in the Sampaje Primary Health Centre (PHC) area. Prevalence of total ocular morbidity was 20.12% of which Refractive errors constituted 17.1%. (Myopia 16.9% and Hyperopia 0.20%), Squint 2.1%, Vitamin A deficiency 0.6%, Conjunctivitis and Color blindness 0.5%. An alarming prevalence of ocular morbidity of about 20% was demonstrated in the present study.

Also, since majority of children (76%) with ocular morbidity in the present study were asymptomatic, the need for active screening of all school going children for the various ocular morbidities is imperative. 

References:

[1.] Chaturvedi, S., Aggarwal, O.P.( 1999). Pattern and distribution of ocular morbidity in primary school children of rural Delhi. Asia Pac J Public Health.; 11(1):30-3.

[2.] Dandona, L., Williams, J.D., Williams, B.C, Rao, G.N (1998). Population based assessmentof childhood blindness in southern India. Arch Ophthalmol.; 116: 545-546.

[3.] Datta, A., Choudhury, N., Kundu, K(1983). An epidemiological study of ocular condition among primary school children of Calcutta Corporation. Indian J Ophthalmol; 31:505-10.

[4.] Desai, S., Desai, R., Desai, N.C., Lohiya, S., Bhargava, G., Kumar, K (1989). School eye health appraisal. Indian J Ophthalmol; 37:173-5.

[5.] Gilbert, C. E.(1999). Anderton L, Dandona L, Foster A. Prevalence of visual impairment in children: a review of available data. Ophthalmic epidemiol; 6: 73-82

[6.] Gupta, M., Gupta, B., Chauhan, A., Bharadwaj, A (2009). Ocular morbidity prevalence among school children in Shimla, Himachal, North India. Indian J Ophthalmo:; 57:133-138.

[7.] Kuruvilla, J., Srinivasa, Rao, P.N(1978). Ocular morbidity in school children in rural coastal area of Karnataka. Indian J Ophthalmol [serial online] [cited 2009 Oct 2]; 26: 9-12. Available http://www.ijo.in/text.asp?1978/26/2/9/31464.

[8.] Lions Aravind Institute of Community Ophthalmology, Madurai. Childhood blindness.[cited 2010 Mar 23] Available from URL: http://laico.org/v2020resource/files/Childhood_Blindness_final.pdf

[9.] Rahi, J.S., Sripathi, S., Gilbert, C.E., & Foster, A (1995). Childhood Blindness in India: causes in 1318 blind school studies in nine states. Eye.; 9: 545-550.

[10.]   Registrar General & Census Commissioner, Government of India. Provisional Population Total Paper 1 of 2011 India series 1:98, Census India 2011. [cited 2011 Jun 6]  Available from URL:http://censusindia.gov.in/2011-prov results/data_files/karnataka/7PPT%20Paper%201%202011%20Karnataka-literacy85_98.pdf

[11.]   Registrar General and Census Commissioner. Census of India 2001.

[12.]   Singh S, Singh H, Joshi VS. Eye diseases among primary school children. Indian J Ophthalmol 1974; 22:1-3.

[13.]   Smith JS. Childhood Blindness in India (editorial). Eye. 1995; 9:543-544.

[14.]   Sethi S, Kartha GP. Prevalence of refractive errors in school children (12-17 years) of Ahmedabad city. Indian Journal of Community Medicine. 2000; 25(4):181-3.

[15.]   Vision screening in children. Training module. Danish assistance to the national programme for control of blindness. New Delhi, India: 1.

[16.]   World Health Organization. Global Initiative for the Elimination of Avoidable Blindness. Geneva: WHO; 1997. PBL97.61.