Low vision in school-age children in Menoufia Governorate

Abstract

Purpose To assess the causes and management of low vision in school-age children in Menoufia Governorate. Patients and methods This prospective study was made among 140 children with vision impairment aged from 6 to 18 years who came to the low-vision clinic of the Department of Ophthalmology of Menoufia University Hospitals with visual acuity less than 6/18 in the better eye best correction. A complete history was obtained. Complete examination of the anterior and posterior segments was done. Strabismus existence was determined. Refractive errors were measured. Before and after using low-vision aids, near and far visual acuity was measured. Results The mean age of patients was 11.94±3.61 years; 76 (54.29%) of the children were males and 64 (45.71%) of the children were females. According to the distribution of the diagnoses, hereditary fundus dystrophies were the most prevalent diagnosis among the children, accounting for 28.57% of diagnoses, followed by albinism (20%). The rehabilitation techniques that were mostly used were telescopic glasses (54.29%) for distant vision, electronic magnifiers (31.43%), and optical magnifiers (20.0%) for near vision. Low-vision devices were shown to significantly improve both near and distant visual acuity. Conclusions Visual rehabilitation for school-age children with visual impairment can result in a considerable improvement in both distant and near vision. As a result, pediatricians and ophthalmologists must recommend vision rehabilitation for children with vision impairment.