Sadia Sethi, Muhammad Daud Khan.
Pediatric ophthalmic disorders.
J Postgrad Med Inst Jan ;15(2):144-50.

All pediatric patients with ophthalmic disorders admitted in the department of Ophthalmology, Post Graduate Medical Institute Hayatabad Medical Complex Peshawar from 1st April 1999 to 31st March 2000 are included in the study. The objectives of the study were: (a) To find out the prevalence and types of Pediatric Ophthalmic disorders in North West Frontier Province. (b) To identify possible etiological factors. (c) To analyze the anatomical site of abnormality. A standard WHO/PBL examination card was used for data collection. Out of the 464 patients studied with Pediatric Ophthalmic disorders, 307 (66.2%) were male and 157 (33.8%) were female. Whole globe was involved in 43 (9.3%), and Cornea and Sclera in 97 (20.9%) patients. Lens was affected in 139 (30%), Uvea in 3(0.64%), Vitreous and Retina in 9 (1.9%), Optic Nerve in 3 (0.64%), Ocular Muscles in 63 (13.5%) and Central nervous system was affected in 3(0.64%) patients. Hereditary factors accounted for 97 (21 %) of Pediatric Ophthalmic disorders. Intra Uterine factors accounted for 10 (3%) and prenatal /neonatal factors for 9 (2.1 %), postnatal for 323 (50%) and in 116 (25%) aetiology was unknown. Medication was given to 49 (10.5%) cases, surgery alone was performed in 33 (71.76%), both medication and surgery was given to 78 (16.8%) and 4 (0.86%) patients needed observation only. Vision was likely to improve in 322 (69.3%), was likely to remain stable in 56 (12.06%) and was likely to deteriorate in 86 (18.5%) patients.

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