Evaluación oftalmológica en niños derivados a un proyecto de rehabilitación en baja visión de un organismo de apoyo social
| Autor: | Loreto Triviño F., Marta Marín D., Rodrigo Parada H., Patricia Ramos G., Fernando Barría Von-B. |
|---|---|
| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2019 |
| Předmět: |
Refractive error
Visual acuity Rehabilitation genetic structures Referral business.industry Cross-sectional study medicine.medical_treatment education medicine.disease eye diseases Low vision aids Visual field Pediatrics Perinatology and Child Health Medicine Optometry baja visión medicine.symptom business Niños baja visión/ rehabilitación Central scotoma ayudas baja visión |
| Zdroj: | Revista chilena de pediatría v.90 n.3 2019 SciELO Chile CONICYT Chile instacron:CONICYT |
| Popis: | Introduction: A low-vision (LV) rehabilitated child can receive comprehensive education. Objective: To study the profile of school children referred for evaluation to a rehabilitation project in a social assistance agency. Patients and Method: Descriptive cross-sectional study of beneficiaries evaluated between September 2015 and September 2016 in the National Board of School Assistance and Scholarships (JUNAEB). The referral diagnosis, monocular visual acuity (VA) with optical correction at far (Feinbloom chart) and close (Zeiss chart) distances were considered. They were classified according to VA and perimetry. Treatment success was considered if VA reaches ≥ 0.4 at far and/or close distances with optical devices. Results: 278 students were assessed. 153 (55%) were men, 121 (43.5%) between the ages of 10 to 14. Bilateral congenital cataract, retinal dystrophies, high myopia, optic atrophy, and congenital nystagmus were the most frequent pathologies. 224 students (80.6%) received optical devices. 85 (37.9%) presented moderate LV and 63 (28.6%) severe LV; 122 (54.5%) presented normal perimetry, 68 (30.4%) tubular Visual Field (VF), 19 (8.5%) sectoral VF defects, and 15 (6.7%) central scotoma. 198 (88.4%) students achieved visual success at a far distance and all achieved visual success at a near distance. 48 (17.2%) students could not be rehabilitated due to a neuro-ophthalmological condition (41.7%), high refractive error (16.6%) or congenital glaucoma (10.4%).Six (2.2%) cases improved VA with a new optical correction. Conclusion: This success demonstrates the need to provide low vision aids to schoolchildren with LV. Our challenge is to maintain this program and to educate ophthalmologist for timely referral. |
| Databáze: | OpenAIRE |
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