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Vision Loss

Vision loss in children can mean less central or peripheral vision, short- or long-term blindness, or other eye problems. It can be due to glaucoma, macular degeneration, diabetic retinopathy, retinitis pigmentosa, optic neuritis, and retinal detachment, among other conditions. Vision loss can happen at any age, but it’s more common in kids with health problems like cerebral palsy, Down syndrome, and autism spectrum disorders. Finding and treating children’s vision problems immediately is essential to avoid issues and enhance their overall vision.

Recent studies show that about 3.3% of South African children have vision difficulties, a significant health problem.

Symptoms

The symptoms and signs of vision loss in children may vary significantly according to the condition’s root cause and how it affects their eyesight. The prevalent symptoms of vision loss include:

  • Making facial expressions like squinting, tilting the head, or turning it to the side
  • Having difficulty seeing objects regardless of the amount of light that is there, whether it be dim or bright
  • Engaging in activities that involve physical contact with other people or objects
  • Storing things in a manner that places them closer or further away from one another
  • Excessive and frequent rubbing of the eyes in a repetitive manner
  • Blinks frequently and struggles doing close-up work or activities
  • Inflamed or red eyes
  • Closing or covering one eye
  • Eye movements that aren’t typical

Prompt medical treatment must be sought if a kid exhibits these symptoms.

Causes

Several disorders may lead to vision loss in children, including glaucoma, macular degeneration, diabetic retinopathy, retinitis pigmentosa, optic neuritis, and retinal detachment. Each of these disorders is traceable back to one of the following:

  • Glaucoma causes damage to the optic nerve and progressively gets worse over time, it may lead to permanent vision loss if untreated. In addition, glaucoma in children is usually linked to other eye problems or diseases present at birth, like Sturge-Weber syndrome or neurofibromatosis.
  • Macular degeneration is a problem with the macula, the retina component that controls central vision. It is caused by genes, aging and spending time in the sun.
  • Diabetes can cause diabetic retinopathy, which damages the retina’s blood vessels and can cause vision loss. It happens more often in kids with type 1 diabetes, but kids with type 2 diabetes can also get it.
  • Retinitis pigmentosa causes the retina’s photoreceptor cells to break down over time. This genetic condition causes vision loss over time. Most of the time, it prevails in children, and it can cause severe vision loss.
  • Optic neuritis causes inflammation in the optic nerve, causing vision loss, blurred vision, or pain in the eye. A viral or bacterial infection, autoimmune disease, or other health problems can cause it.
  • Retinal detachment happens only when the retina pulls away from the tissues that hold it in place. It can be caused by a blow to the eye, aging, or other health problems like myopia or diabetic retinopathy.

Risk Factors

Genetic and environmental factors play a role in development of vision disorders in children. A child’s chance of having vision loss increases due to:

  • Eye disease in the family
  • A history of low birth weight or being born early
  • Prolonged supplemental oxygen at birth
  • Infection of the child’s mother during pregnancy
  • Exposure to diseases that spread

Diagnosis & Complications

A thorough eye exam is necessary to diagnose vision loss in children.  Tests of visual acuity, eye movement, and a dilated eye exam might be a part of the exam. Electroretinography (ERG) and visual evoked potential (VEP) are two additional tests the doctor may suggest evaluating how well the retina and optic nerve function.

Vision impairment in children may lead to several complications, including a delay in cognitive and motor development, difficulty learning new things, and social isolation. For this reason, detecting and treating vision loss as soon as it occurs is of the utmost importance.

Treatment & Prevention

Child vision loss therapy depends on the cause and severity. Corrective glasses or surgeries may be a treatment option depending on the reason of the vision loss. Retinopathy of prematurity requires early treatment to avoid irreparable vision loss.

Preventing vision loss in children requires proper eye care and screenings. If a child has vision loss or a family background of vision disorders, they need frequent eye exams. Parents can also urge their children to eat healthily, wear sports eyewear, and take breaks from electronics.

Many rural and underprivileged children in South Africa struggle to get proper eye care. Screening programmes and community engagement may assist children with visual impairments in getting eye treatment early.

 
 
 

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