International Journal of Community Medicine and Public Health | October 2018 | Vol 5 | Issue 10 Page 4608
International Journal of Community Medicine and Public Health
Sachan N et al. Int J Community Med Public Health. 2018 Oct;5(10):4608-4612
http://www.ijcmph.com
pISSN 2394-6032 | eISSN 2394-6040
Original Research Article
Prevalence of undetected refractive errors among school children:
a cross sectional study in urban Etawah, India
Neha Sachan
1
, Dhiraj Srivastava
1
, P. K. Jain
1
, Prashant Kumar Bajpai
1
,
Santosh Kumar Singh
2
*, Jyoti Mehra
1
INTRODUCTION
The refractive error is an optical defect, intrinsic to the
eye which prevents light from being brought to a single
point focus on the retina, due to which normal vision is
reduced. The diagnosis and treatment of refractive error is
quite easy to reduce impaired vision. Still in India,
refractive error is the second most common cause of
patients to consult an ophthalmologist. At present, it is
estimated that 153 million people globally over 5 years of
age who have uncorrected refractive error, become
visually impaired and out of them 8 million are blind.
Although refractive errors cannot be prevented but can be
treated. Under the National Society of Prevention of
Blindness, a survey was conducted in India in 1974
among children to assess the ocular conditions. It was
found that 67.37% of the children had some form of eye
disease and out of which refractive error was 18%.
1
Globally it is estimated that 2.3 billion people have
refractive errors; out of which 1.8 billion have access to
adequate eye examination and affordable corrections and
500 million people with uncorrected error causing either
blindness or impaired vision (they are mostly belonging
to developing countries).
2
The uncorrected refractive
errors are responsible for about 19.7% of the blindness in
India.
3
The World Health Organization has launched a
Global Initiative Vision 2020 in 1999 with the slogan
“The Right to sight’’. The priority has been chosen on the
ABSTRACT
Background: Refractive error is the most common cause of blindness which can be corrected easily. Uncorrected
refractive errors are responsible for about 19.7% of blindness in India. The aim and objectives of the study were to
find out the prevalence of undetected refractive errors in school children and to find out associated factors related to
it.
Methods: This was a cross sectional study in which school children studying in class 5th to 11th were included.
Vision of all the children was checked by using Snellen’s chart. The responses were recorded on a pre-designed and
pre-tested questionnaire. Data entry was done in MS-EXCEL sheet and analysis was done by using SPSS-23.
Results: There are total 350 students out of which 200 (57%) are males and 150 (43%) are females. The undetected
refractive error is present in 12% males and 15.3% females. Thus, 47 out of 350 (13.4%) of the children had
prevalence of undetected refractive errors.
Conclusions: It is recommended that adequate preschool examination of the children be made mandatory as a part of
the admission policy of all the schools. In addition, there should be periodic examination of the school children at
least on annual basis.
Keywords: Undetected refractive error, Blindness, Snellen’s chart
1
Department of Community Medicine,
2
Department of Surgery, Uttar Pradesh University of Medical Sciences, Saifai,
Etawah, Uttar Pradesh, India
Received: 16 August 2018
Accepted: 14 September 2018
*Correspondence:
Dr. Santosh Kumar Singh,
E-mail: drsantosh19851@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20184018