Frequency of Amblyopia in Anisometropic Children 6-13 years age

Authors

  • Rubia Iqbal Dow Institute of Medical Technology, Dow University of Health Sciences, Karachi Pakistan.
  • Sahar Saqi Dow Institute of Medical Technology, Dow University of Health Sciences, Karachi Pakistan.
  • Muhammad Yasir Malik Dow Institute of Medical Technology, Dow University of Health Sciences, Karachi Pakistan.
  • Muhammad Umair Rana Eye OPD, Dow University Hospital, Karachi, Pakistan.

Keywords:

Anisometropia,, amblyopia, children

Abstract

Objective: To determine the frequency of amblyopia in anisometropic children 6-13 years age.

Methods: This descriptive cross-sectional study was conducted in the Outpatient clinic of department of Ophthalmology, Dow University Hospital and LRBT Hospital Karachi, Pakistan from January 2017 to April 2017. All children aged 6 to 13 years were enrolled. An assessment of visual acuity with Snellen's visual acuity table was conducted. Those who had visual acuity less than or equal to 6/9 or had a difference of two lines on Snellen's Chart between the two eyes were examined further with cycloplegic refraction with 1% cyclopentolate. Presence of amblyopia in these patients was noted.

Results: Out of 65 children, majority were males (n=36, 55.4%) while 29 (44.6%) were females. All (100%) children were resident of Karachi city. In majority of the children, outdoor activities were found lower (n=9, 13.8%). Amblyopia was found in 39 (60%) of the children with anisometropia. Out of these 39 amblyopic children, right side was affected in 19 (48.7%), left eye in 15 (38.5%) while both eyes were affected in 5 (12.9%) children. A significant association of amblyopia was found with change in prescribe power (p-value <0.001) and family history of eye related disorders (p-value 0.046).

Conclusion: Children with anisometropia have higher chance of amblyopia. Furthermore, change in prescribe power and family history of eye related disorders are significant factors causing amblyopia in children with anisometropia.

Downloads

Download data is not yet available.

References

Shaikh AG, Otero-Millan J, Kumar P, Ghasia FF. Abnormal Fixational Eye Movements in Amblyopia. PLoS One 2016; 11:e0149953.

Elflein HM. Amblyopia. Epidemiology, causes and risk factors. Ophthalmologe 2016; 113:283-8.

Barrett BT, Bradley A, Candy TR. The relationship between anisometropia and amblyopia. Prog RetinEye Res 2013; 36:120-58

Aldebasi YH. Prevalence of amblyopia in primary school children in Qassim province, Kingdom of Saudi Arabia. Middle East Afr J Opthalmol 2015; 22:86.

Donahue SP.The relationship between anisometro pia, patient age, and the development of amblyopia Tr

ans Am Opthalmol Soc, 2005; 103:313-36.

Multi-Ethnic Pediatric Eye Disease Study Group. Prevalence of amblyopia and strabismus in African American and Hispanic children ages 6 to 72 months the multi-ethnic pediatric eye disease study. Ophthalmology 2008; 115:1229–36.

Chia A, Dirani M, Chan Y, Gazzard G, Eong KA, Selvaraj P, et al. Prevalence of amblyopia and strabismus in young Singaporean Chinese children. Invest Ophthalmol Vis Sci 2010; 51:3411–7.

Yekta A, Fotouhi A, Hashemi H, Dehghani C, Ostadimoghaddam H, Heravian J, et al. The prevalence of anisometropia, amblyopia and strabismus in school children of Shiraz, Iran. Strabismus 2010; 18:104–10.

Wang Y, Liang YB, Sun LP, Duan XR, Yuan RZ, Wong TY, et al. Prevalence and causes of amblyopia in a rural adult population of Chinese the Handan Eye Study. Ophthalmology 2011; 118:279–83.

Sapkota K, Pirouzian A, Matta NS. Prevalence of amblyopia and patterns of refractive error in the amblyopic children of a tertiary eye care center of Nepal. Nepal J Ophthalmol 2013; 5:38–44.

Shaw DE, Fielder AR, Minshull C, Rosenthal AR. Amblyopia--factors influencing age of presentation. Lancet 1988; 2:207–9.

Chua BE, Johnson K, Martin F. A retrospective rev iew of the associations between amblyopia type, patient age, treatment compliance and referral patterns. Clin Experiment Ophthalmol 2004; 32:175–9.

Hertle RW, Scheiman MM, Beck RW, Chandler DL, Bacal DA, Birch E, et al. Pediatric Eye Disease Investigator Group. Stability of visual acuity improvement following discontinuation of amblyopia treatment in children aged 7 to 12 years. Arch Ophthalmol 2007; 125:655–9.

Pediatric Eye Disease Investigator Group. Patching vs atropine to treat amblyopia in children aged 7 to 12 years: A randomized trial. Arch Ophthalmol 2008; 126:1634–42.

Mohan K, Saroha V, Sharma A. The Pediatric Eye Disease Investigator Group. A randomized clinical trial of the treatment of amblyopia in children aged 7 to 17 years. Arch Ophthalmol 2005; 123:437–47.

Li RW, Ngo C, Nguyen J, Levi DM. Video-game play induces plasticity in the visual system of adults with amblyopia. PLoS Biol 2011; 9:e1001135.

Sapkota K. A retrospective analysis of children with anisometropic amblyopia in Nepal Strabismus. 2014; 22:47-51.

Downloads

Published

2018-08-26

How to Cite

Iqbal, R., Saqi, S. ., Yasir Malik, M. ., & Umair Rana, M. . (2018). Frequency of Amblyopia in Anisometropic Children 6-13 years age. Journal of the Dow University of Health Sciences (JDUHS), 12(2), 74–76. Retrieved from https://jduhs.jduhs.duhs.edu.pk/index.php/jduhs/article/view/1370

Issue

Section

Student Article