A statewide study conducted in schools for visually impaired has
revealed that causes of childhood blindness are changing as society
makes socio-economic progress. The study was conducted by a team from
H V Desai Eye Hospital’s team, said Dr Sucheta Kulkarni, principal
investigator.
https://indianexpress.com/article/cities/pune/maharashtra-causes-of-visual-impairment-in-children-changing-says-study-6271539/
The hospital will hold a meeting on February 18 to discuss the
findings of the research, sources said. The findings are likely to
influence government policies on eyecare funding for children, sources
added.

Col M Deshpande (chief medical director), H V Desai Eye Hospital,
said, “It is an established fact that causes of blindness in children
are proxy indicators of a country’s health system and economic
progress. For example, unavoidable causes (such as blindness due to
brain hypoxia) is common in western countries, while Vitamin A
deficiency-related blindness is common in African countries.”

As many as 2,000 children enrolled in schools for visually impaired
across Maharashtra were examined for the study in 2019. It found that
whole globe anomaly (ill developed eye at birth) is the major cause of
blindness (47 per cent) followed by corneal and retinal causes (15 per
cent each) and cataract (7 per cent).

Visual impairment in every third child (32 per cent of children) was
caused due to something that was preventable or could be treated.

Comparison of these findings with a previous similar study conducted
by H V Desai Hospital 15 years ago showed that blindness due to
Vitamin A deficiency was on the slide. This indicates the success of
the government’s Vitamin A supplementation programme for pregnant
mothers and children, but implies that the government needs to now
tackle blindness due to retinopathy of prematurity (ROP), which is
seen in premature babies, sources said.

There is a need to train more doctors to manage cataract and ROP in
children and also to procure highly specialised equipment to manage
these diseases, experts said.

At least 15 per cent of the children in the schools for visually
impaired in Maharashtra were ‘not blind’ and could be helped with
special devices (low vision devices) that could enhance their vision.

Experts said there is a need to increase awareness among society and
teachers that all visually impaired children are not necessarily
blind. Proper and timely examination by experts can help identify
children who can see better with low vision devices. Unfortunately,
such experts are located in big cities and needy children are often in
remote rural areas, experts said.

-- 
सादर/ Regards

अविनाश शाही/ Avinash Shahi
सहायक/ Assistant
मानव संसाधन प्रबंध विभाग/ Human Resource Management Department
भारतीय रिजर्व बैंक/ Reserve Bank of India
लखनऊ क्षेत्रीय कार्यालय/Lucknow RO
विस्तार/ Extension: 2232




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