Ocular Manifestations in Children with Academic Difficulties
Nayana Potdar, Mihir Trivedi
INTRODUCTION: To study and treat ocular disorders in children with academic difficulties referred from the learning disability clinic. MATERIALS AND METHODS: Children with academic difficulties were referred to the Learning disability clinic and ophthalmology department in a period of 18 months. The medical histories, distant vision using Lea symbols or Snellenâ€™s chart and examination including ocular motility, accommodative capacity, convergence, near vision, anterior and posterior segment examination were performed. Orthoptic exercises for convergence insufficiency, glasses for refractive errors, amblyopia treatment and surgical treatment for squint were instituted. RESULTS: In a total of 176 students(6-16years) examined; 118(67%) were male, 58 were females (33%), 64 children had refractive error (36.3%). Out of 64, 16 children (25%) had an uncorrected refractive error, 48 (75%) were previously diagnosed refractive error, wearing spectacles. Strabismus in 16 children (9 %), nystagmus in 4 (2.3%), amblyopia in 18 (10.20%), convergence insufficiency in 14 (7.9%), optic atrophy in 1(0.5%), retinal dystrophy and congenital anomaly in 3 (1.7%). CONCLUSION: Nearly half the children with academic difficulties in this study had ocular disorders and one-third were offered treatment for their vision improvement. A complete ophthalmic examination is mandatory in all children of school age group for early detection of ocular disorders.
Academic difficulties, Learning disability clinic, Ocular manifestaions.