EVALUATION OF THE CAUSES OF BLINDNESS AND IMPROVING THE FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR...
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EVALUATION OF THE CAUSES OF BLINDNESS AND IMPROVING THE FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE . ALBERT TOUSIF ISRAFIL (M.Optom) PARIKSHEET GOGATE (MS, FRCS) VARSHA KULKARNI (M.S). AIM AND OBJECTIVE. Aim:

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EVALUATION OF THE CAUSES OF BLINDNESS AND IMPROVING THE FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE

ALBERT TOUSIF ISRAFIL (M.Optom)

PARIKSHEET GOGATE (MS, FRCS)

VARSHA KULKARNI (M.S)


Aim and objective
AIM AND OBJECTIVE FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE

Aim:

To evaluate the causes of blindness in children attending Schools for Blind in Pune and to record their improvement in functional vision with optical LVAs.

Objectives:

1. Causes of blindness among children in schools for blind in Pune.

2. Children in school for blind, who have Low Vision.

3. Improvement in visual acuity with optical LVAs.


Prospective study FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE

1. Poona School & Home For Blind Boys, Koregaon Park.

2. Poona School & Home For Blind Girls, Kothrud.

3. Patashibai Lunkar Blind School, Panjarpur, Bhosari.

4. NFBM Jagriti School For Blind Girls, Alandi Devachi, Khed.


Inclusion Criteria: FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE

All the candidates attending Schools for Blind between the age of 5-20 years of both the genders.

Exclusion Criteria:

1. Candidates absent from school.

2. Patients not willing to participate in study.


Materials and procedure
Materials and Procedure: FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE

Materials:1.APPASWAMI AIA11 SLIT LAMP2. HEINE BETA 200 Ophthalmoscope (US Pat 4.963.014)3. HEINE BETA 200 Retinoscope (US Pat.5.859.687).4.UNIQUE Distance Visual Acuity Test Chart (logMAR chart) calibrated for 4 meters & reduced snellen chart for near. 5.Telescopes of 2.25x,3.5x from Unique Educational Equipments 6.Magnifiers of (i) 5x illuminated stand magnifier (ii) 7.5x illuminated stand magnifier (iii) 2.5x stand magnifier (iv) 7.5x stand magnifier (v) 1.75x bar magnifier (vi) 1.75x fresnel magnifier (vii) 10D, 15D hand held magnifiers (viii) spot magnifiers of 24D, 32D, and 40x from Unique Educational Equipments were used.


Procedure: FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE

‘WHO/PBL Eye Examination Record For Children With Blindness And Low Vision’

Step 1: History taking of patient

Step 2: Visual Acuity Assessment

Step 3: Functional Vision Assessment:

Step 4: General Assessment

Step 5: Previous Eye Surgery

Step 6: Torch light, Slit lamp Examination and Ophthalmoscopy

Step 7: Refraction

Step 8: Low Vision Aid Assessment

Step 9: Action Needed

Step10: Full Diagnosis

Statistical Analysis: Microsoft Excel and SPSS software.


Results
RESULTS FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE

I. Gender Distribution and onset of visual loss:


II. Family History and Consanguinity: FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE


III. Visual Assessment: FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE


VI. Functional Vision FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE :


V. General Assessment: FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE


VI. Site of Abnormality: FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE


Whole globe: FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE

Cornea:


Retina
Retina: FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE

Lens:Number of patient with cataract and PCO were 78 students


VII. LVA Assessment: FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE

LVA for distance:


LVA for near: FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE


VII. Improvement with LVA: FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE

  • Visual acuity for distance which was below 1in logMAR (unaided) in RE and LE has improved to 1.0(RE) and 0.9(LE) in logMAR with LVA for distance.


Total LVA Prescribed: FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE


Areas of improvement
Areas Of Improvement FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE :

1.Data collected were from starting 5 years of age.

2.Children only of 4 schools were obtained.

3. Unavailability of telescopes from the manufacturers, made the examiner bound to use only two options (2.25x and 3.5x) for the distance LVA assessment.

4. Retinoscopy and ophthalmoscopy were done in undilated pupil.

5. Only optical LVA were used.


Conclusions
CONCLUSIONS FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE

  • The major causes of blindness in children microphthalmos and anophthalmos.

  • Avoidable blindness like cataract accounted in 78 students. Lack of follow up and ampblyopia treatment.

  • Corneal blindness also accounted for 29% students.


  • Out of the 460 students, 16.74% improved with LVA. FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE

  • Students with Low vision were not given a chance prior to this study to improve their functional vision.

  • Regular print rather than Braille.

  • Visual Acuity achieved upto logMAR 1.0 and Near acuity upto N6.


THANK YOU FUNCTIONAL VISION IN CHILDREN IN SCHOOLS FOR BLIND IN PUNE


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