Journal of Clinical Ophthalmology and Research

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 8  |  Issue : 1  |  Page : 18--23

Ophthalmic manifestations in children with delayed milestones


Chandrakishor Hemraj Pardhi1, Sujata Sanjay Chahande2 
1 Department of Ophthalmology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India
2 Department of Ophthalmology, St George Government Hospital and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India

Correspondence Address:
Chandrakishor Hemraj Pardhi
Powar Colony, Khairlanji Road, Tirora, Gondia - 441 911, Maharashtra
India

Aim: The aim of the study is to identify ophthalmic manifestations in children with delayed milestones. Materials and Methods: This was a prospective, observational, and interventional study carried out at tertiary care hospital during July 2016–June 2018 where preschool children with a history of delayed milestones were included. Results: A total of 50 preschool children were included. Male patients (33 [66%]) showed higher incidence than females (17 [34%]). Age group 0–1 year had maximum 17 (34%) cases, followed by 13 (26%) in 1.1–2 years, 6 (12%) in 2.1–3 years, and 7 (14%) each in 3.1–4 years and in 4.1–5 years. Most common ocular manifestations found were congenital cataract 10 (20%), followed by refractive error 8 (16%), 5 (10%) each for optic atrophy and retinal detachment, 4 (8%) strabismus, 3 (6%) nystagmus, 2 (4%) glaucoma, and 1 (2%) each for proptosis, disc hypoplasia, microcornea, Persistent Hyperplastic Primary Vitreous (PHPV), iridocorneal endothelial syndrome, and cone dystrophy. Twenty (40%) patients needed no intervention, while glasses were given to 14 (28%) patients, 10 (20%) underwent cataract surgery and 3 (6%) retinal detachment surgery, 2 (4%) patients started on topical medication, and 1 (2%) underwent trabeculectomy surgery. Refractive error found in 8 (16%) children. Twenty-one (42%) patients were associated with various systemic diseases. Along with their primary ocular diseases, five (10%) patients had association with other ocular findings. Conclusion: Children showed improvement in their behavior posttreatment. Parents noticed attentiveness and environmental awareness of children in the surroundings. Children became more responsive in parent–child playful games using colorful objects.


How to cite this article:
Pardhi CH, Chahande SS. Ophthalmic manifestations in children with delayed milestones.J Clin Ophthalmol Res 2020;8:18-23


How to cite this URL:
Pardhi CH, Chahande SS. Ophthalmic manifestations in children with delayed milestones. J Clin Ophthalmol Res [serial online] 2020 [cited 2020 Jun 5 ];8:18-23
Available from: http://www.jcor.in/article.asp?issn=2320-3897;year=2020;volume=8;issue=1;spage=18;epage=23;aulast=Pardhi;type=0