Prevalence of ocular morbidity in school going children in West Uttar Pradesh

• Published in: Indian journal of ophthalmology Vol. 65; no. 6; pp. 500 - 508
• Main Authors: Singh, Veer, Malik, K P S, Malik, V K, Jain, Kirti
• Format: Journal Article
• Language: English
• Published: India Medknow Publications and Media Pvt. Ltd 01-06-2017; Medknow Publications & Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: Adolescent; Age groups; Analysis; Blepharitis; Blindness; Child; Child, Preschool; Children; Children & youth; Community Eye Care; Conjunctivitis; Convergence; Cross-Sectional Studies; Data processing; Eye diseases; Eye Diseases - epidemiology; Eye Diseases - physiopathology; Female; Hay fever; Health aspects; Humans; India - epidemiology; Male; Medical screening; Morbidity; Ocular morbidity; Ophthalmology; pediatric; Prevalence; Prevalence studies (Epidemiology); Private schools; Retrospective Studies; Rural areas; Rural Population; Rural schools; school going children; Schools; Students; Studies; Visual Acuity - physiology; Visual impairment; Visual perception; Vitamin A; Vitamin deficiency; West Uttar Pradesh; India
• ISSN: 0301-4738; 1998-3689
• DOI: 10.4103/ijo.IJO_676_15

This study aims to evaluate the prevalence and to make a comparison between the ocular morbidity pattern in school going children of urban and rural areas of West Uttar Pradesh.
A school-based cross-sectional study design was adopted to examine children aged 5-15 years in randomly selected urban and rural schools of West Uttar Pradesh from June 2012 to August 2014. An optometrist did the vision and refraction, and a detailed ophthalmic examination was done by an ophthalmologist. Children needing further assessment were referred to a higher center. Interpretation and analysis of the data were done using Epi Info Software and t-test.
A total of 4838 students (2271 males and 2567 females) were screened. The prevalence of ocular morbidity was 29.35% (28.65% urban, 30.05% rural). Refractive error (17.36%) was the major cause of ocular morbidity followed by convergence insufficiency (2.79%), blepharitis (2.11%), Vitamin A deficiency (2.09%), allergic conjunctivitis (1.92%), bacterial conjunctivitis (0.95%), amblyopia (0.41%), stye (0.31%) and squint (0.27%). There was an increase in ocular morbidity with age, especially in refractive error and convergence insufficiency. On comparing urban and rural schools, Vitamin A deficiency showed a significantly higher prevalence (P < 0.05%) in the rural (3.03%) as compared to the urban sector (1.15%). The prevalence of visual impairment was 4.9/1000 children, and prevalence of blindness was 0.62/1000 children.
This study was the first of its kind in West Uttar Pradesh, reporting a considerable high prevalence (29.35%) of pediatric ocular morbidity, which was more in rural as compared to the urban sector. Since most of this morbidity is either preventable or treatable, school screening forms an effective method to reduce this load.