To study the demographic, sociological and
clinical profile of the children presented for childhood
cataract at a public sector tertiary eye care centre in
India.
Methodology: The design of the study is retrospective
and hospital-based. Data available with the Central
Registration Department of the PGIMER, Chandigarh
was used. The majority of the childhood cataract cases
are being reported in this hospital, yet not each and
every case of childhood cataract approaches PGI,
Chandigarh. Nevertheless, this study is going to be
pioneering research in India covering five-year data of
the childhood cataract patients who visited the Advanced
Eye Centre, PGIMER, Chandigarh from 1.1.2015 to
31.12.2019. The SPSS version 23 was used for all
statistical calculations.
Results: 354 children were presented for childhood
cataract screening and treatment from 1.1.2015 to
31.12.2019. Of 354 children, 248 (70%) were male, and
106 (30%) were female. Further, out of these 354
children registered in the special clinics, 42 were
incorrectly registered for childhood cataract. Therefore,
the final number children registered in 5 yearswas 312.
Despite two flagship programmes by the Govt. of India,
namely the National Programme for Control of
Blindness (NPCB) and Aayushman Bharat (PM-JAY),
for eradicating cataract-related blindness, only nine
children received financial assistance from the Govt of
India and only 1 from Ayushman Bharat (PM-JAY). Out
of 312 patients, 99 children (31.73%) reached late at the
hospital, and 39 children did not continue their
treatment, mainly due to poverty and transport-related
issues. A whopping 99% of these children belong to lowincome families. Out of 39 children who discontinued
their treatment, 24 were male, and 15 were female. In
most of these families, the mothers were housewives and
did not work anywhere. We intend to convey these
results to the Govt. of India to evolve a suitable
mechanism to address pertinent issues hindering the
treatment of children suffering from childhood cataract.
Further, the disproportionate ratio of male and female
children in this study is an area of concern as it is
difficult to assess whether the prevalence of childhood
cataract is lower in female children or they are not being
presented on time in the hospital by the families.
Conclusion: The World Health Organization (WHO) has
categorized Childhood blindness resulting from cataract
as a priority area and urged all member countries to
develop institutionalized mechanisms for its early
detection, diagnosis and management. The childhood
cataract is an emerging and major cause of preventable
and avoidable childhood blindness, especially in low and
middle-income countries. In the formative years, the
children require a sound physical, mental and emotional
state and in the absence of either one of them, it can
severely dent their future growth. The recent estimate
suggests that India could suffer an economic loss of
US$12 billion (Rs. 88,000 Crores) due to blindness and
almost 35% of cases of blindness are preventable and
avoidable if detected at an early age. Besides reporting
these results to the policy makers, synchronized efforts
are also needed for early detection and management of
avoidable causes of childhood blindness such as
childhood cataract.
Keywords :
childhood cataract, WHO, blindness, NPCB, Ayushman Bharat.