Anisometropia and refractive status in children with unilateral congenital nasolacrimal duct obstruction

OBJECTIVE: The objective of the study was to evaluate the refractive status and thereby assess anisometropia in children with unilateral congenital nasolacrimal duct obstruction (CNLDO). STUDY DESIGN: This study design was a descriptive cross-sectional study. PLACE AND DURATION: this study was condu...

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Main Authors: Adnan Aslam Saleem, Sorath Noorani Siddiqui, Umair Wakeel, Muhammad Asif
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Taiwan Journal of Ophthalmology
Subjects:
Online Access:http://www.e-tjo.org/article.asp?issn=2211-5056;year=2018;volume=8;issue=1;spage=31;epage=35;aulast=Saleem
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author Adnan Aslam Saleem
Sorath Noorani Siddiqui
Umair Wakeel
Muhammad Asif
author_facet Adnan Aslam Saleem
Sorath Noorani Siddiqui
Umair Wakeel
Muhammad Asif
author_sort Adnan Aslam Saleem
collection DOAJ
description OBJECTIVE: The objective of the study was to evaluate the refractive status and thereby assess anisometropia in children with unilateral congenital nasolacrimal duct obstruction (CNLDO). STUDY DESIGN: This study design was a descriptive cross-sectional study. PLACE AND DURATION: this study was conducted at the Department of Pediatric Ophthalmology and Strabismology, Al-Shifa Trust Eye Hospital, Rawalpindi; from August 2013 to July 2014. METHODOLOGY: This study assessed consecutive children with unilateral CNLDO. Cycloplegic refraction on all children with CNLDO was performed followed by appropriate intervention. Refractive errors of the affected and normal eyes were compared. RESULTS: One hundred and twenty-four children with a mean age of 29.69 ± 21.12 months (range, 2 months to 8 years) were studied. Based on spherical equivalent (SE), hypermetropia was more common in the affected eyes (P < 0.001). Anisometropia of> 1.5 diopters (D) was present in n = 17 (13.7%). Interocular difference was significant for spherical error and SE (P < 0.001) but not cylindrical errors. CONCLUSION: Unilateral CNLDO is associated with statistically significant anisometropia, especially anisohypermetropia which has amblyogenic potential. It is vital to perform cycloplegic refraction routinely and counsel parents regarding prognosis and regular follow-ups.
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spelling doaj.art-a9901a1c3be046238d9e8556052fa22e2022-12-21T18:50:27ZengWolters Kluwer Medknow PublicationsTaiwan Journal of Ophthalmology2211-50562211-50722018-01-0181313510.4103/tjo.tjo_77_17Anisometropia and refractive status in children with unilateral congenital nasolacrimal duct obstructionAdnan Aslam SaleemSorath Noorani SiddiquiUmair WakeelMuhammad AsifOBJECTIVE: The objective of the study was to evaluate the refractive status and thereby assess anisometropia in children with unilateral congenital nasolacrimal duct obstruction (CNLDO). STUDY DESIGN: This study design was a descriptive cross-sectional study. PLACE AND DURATION: this study was conducted at the Department of Pediatric Ophthalmology and Strabismology, Al-Shifa Trust Eye Hospital, Rawalpindi; from August 2013 to July 2014. METHODOLOGY: This study assessed consecutive children with unilateral CNLDO. Cycloplegic refraction on all children with CNLDO was performed followed by appropriate intervention. Refractive errors of the affected and normal eyes were compared. RESULTS: One hundred and twenty-four children with a mean age of 29.69 ± 21.12 months (range, 2 months to 8 years) were studied. Based on spherical equivalent (SE), hypermetropia was more common in the affected eyes (P < 0.001). Anisometropia of> 1.5 diopters (D) was present in n = 17 (13.7%). Interocular difference was significant for spherical error and SE (P < 0.001) but not cylindrical errors. CONCLUSION: Unilateral CNLDO is associated with statistically significant anisometropia, especially anisohypermetropia which has amblyogenic potential. It is vital to perform cycloplegic refraction routinely and counsel parents regarding prognosis and regular follow-ups.http://www.e-tjo.org/article.asp?issn=2211-5056;year=2018;volume=8;issue=1;spage=31;epage=35;aulast=SaleemAnisometropiacongenital nasolacrimal duct obstructionrefractivestatus
spellingShingle Adnan Aslam Saleem
Sorath Noorani Siddiqui
Umair Wakeel
Muhammad Asif
Anisometropia and refractive status in children with unilateral congenital nasolacrimal duct obstruction
Taiwan Journal of Ophthalmology
Anisometropia
congenital nasolacrimal duct obstruction
refractive
status
title Anisometropia and refractive status in children with unilateral congenital nasolacrimal duct obstruction
title_full Anisometropia and refractive status in children with unilateral congenital nasolacrimal duct obstruction
title_fullStr Anisometropia and refractive status in children with unilateral congenital nasolacrimal duct obstruction
title_full_unstemmed Anisometropia and refractive status in children with unilateral congenital nasolacrimal duct obstruction
title_short Anisometropia and refractive status in children with unilateral congenital nasolacrimal duct obstruction
title_sort anisometropia and refractive status in children with unilateral congenital nasolacrimal duct obstruction
topic Anisometropia
congenital nasolacrimal duct obstruction
refractive
status
url http://www.e-tjo.org/article.asp?issn=2211-5056;year=2018;volume=8;issue=1;spage=31;epage=35;aulast=Saleem
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AT umairwakeel anisometropiaandrefractivestatusinchildrenwithunilateralcongenitalnasolacrimalductobstruction
AT muhammadasif anisometropiaandrefractivestatusinchildrenwithunilateralcongenitalnasolacrimalductobstruction