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Electronic medical records driven big data analytics in retinal diseases, report number 1: non-oncological retinal diseases in children and adolescents in India

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Abstract

Purpose

To describe the spectrum and demographic distribution of non-oncological retinal diseases in children and adolescents presenting to a multi-tier ophthalmic hospital network in India.

Methods

This is a cross-sectional hospital-based retrospective study over nine years (March 2011–March 2020) from a pyramidal eye care network in India. The analysis included 477,954 new patients (0–21 years), collected from an International Classification of Diseases (ICD) coded electronic medical record (EMR) system. Patients with a clinical diagnosis of retinal disease (non-oncological) in at least one eye were included. Age-wise distribution of these diseases in children and adolescents was analysed.

Results

In the study, 8.44% (n = 40,341) of new patients were diagnosed with non-oncological retinal pathology in at least one eye. The age group-specific distribution of retinal diseases was 47.4%, 11. 8%, 5.9%, 5.9%, 6.4%, 7.6% in infants (< 1 year), toddlers (1–2 years), early childhood (3–5 years), middle childhood (6–11 years), early adolescents (12–18 years) and late adolescents (18–21 years), respectively. 60% were male, and 70% had bilateral disease. The mean age was 9.46 ± 7.52 years. The common retinal disorders were retinopathy of prematurity (ROP, 30.5%), retinal dystrophy (19.5%; most commonly, retinitis pigmentosa), and retinal detachment (16.4%). Four-fifth of the eyes had moderate to severe visual impairment. Nearly one-sixth of patients needed low vision and rehabilitative services, and about 1 in 10 patients required surgical intervention (n = 5960, 8.6%).

Conclusion and relevance

About 1 in 10 children and adolescents seeking eye care in our cohort had non-oncological retinal diseases; the common ones were ROP (in infants) and retinitis pigmentosa (in adolescents). This information would help future strategic planning of eye health care in the institution in pediatric and adolescent age groups.

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References

  1. Wadhwani M, Vashist P, Singh SS, Gupta V, Gupta N, Saxena R (2020) Prevalence and causes of childhood blindness in India: a systematic review. Indian J Ophthalmol 68(2):311–315

    Article  PubMed  PubMed Central  Google Scholar 

  2. Gilbert C, Foster A (2001) Childhood blindness in the context of VISION 2020–the right to sight. Bull World Health Organ 79(3):227–323

    CAS  PubMed  PubMed Central  Google Scholar 

  3. Titiyal JS, Pal N, Murthy GV et al (2003) Causes and temporal trends of blindness and severe visual impairment in children in schools for the blind in North India. Br J Ophthalmol 87(8):941–945

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. https://www.censusindia.gov.in (last accessed 28th January, 2020)

  5. Rao GN, Khanna RC, Athota SM, Rajshekar V, Rani PK (2012) Integrated model of primary and secondary eye care for underserved rural areas: the L V Prasad Eye Institute experience. Indian J Ophthalmol 60(5):396–400

    Article  PubMed  PubMed Central  Google Scholar 

  6. Das AV, Kammari P, Vadapalli R, Basu S (2020) Big data and the eyeSmart electronic medical record system - An 8-year experience from a three-tier eye care network in India. Indian J Ophthalmol 68(3):427–432

    Article  PubMed  PubMed Central  Google Scholar 

  7. Kaliki S, Das AV (2020) Ocular and periocular tumors in asian indian children and adolescents. Indian Pediatr 57(6):512–514

    Article  PubMed  Google Scholar 

  8. http://mospi.nic.in/sites/default/files/Statistical_year_book_india_chapters/local_bodies.pdf?download=1 (last accessed May 4, 2019, 6pm)

  9. https://mhrd.gov.in/sites/upload_files/mhrd/files/upload_document/74amend.pdf (last accessed May 4, 2019, 6pm)

  10. Saleem SM (2018) Modified Kuppuswamy scale updated for year 2018. Indian J Res 7:435–436

    Google Scholar 

  11. World Health Organization. (2008). Change the Definition of Blindness [PDF file]. Retrieved from https://www.who.int/blindness/Change%20the%20Definition%20of%20Blindness.pdf

  12. Williams K, Thomson D, Seto I et al (2012) Standard 6: age groups for pediatric trials. Pediatrics 129(Suppl 3):S153–S160

    Article  PubMed  Google Scholar 

  13. Agarwal K, Balakrishnan D, Rani PK, Jalali S (2019) Changing patterns of early childhood blinding conditions presenting to a tertiary eye center: The epidemic of retinopathy of prematurity in India. Indian J Ophthalmol 67(6):816–818

    Article  PubMed  PubMed Central  Google Scholar 

  14. Hamblion EL, Moore AT, Rahi JS (2012) British childhood onset hereditary retinal disorders network. Incidence and patterns of detection and management of childhood-onset hereditary retinal disorders in the UK. Br J Ophthalmol 96(3):360–365

    Article  PubMed  Google Scholar 

  15. Pehere NK, Khanna RC, Marlapati R, Sannapaneni K (2019) Prevalence of ophthalmic disorders among hearing-impaired school children in Guntur district of Andhra Pradesh. Indian J Ophthalmol 67(4):530–535

    Article  PubMed  PubMed Central  Google Scholar 

  16. Wang NK, Tsai CH, Chen YP et al (2005) Pediatric rhegmatogenous retinal detachment in East Asians. Ophthalmology 112(11):1890–1895

    Article  PubMed  Google Scholar 

  17. Soheilian M, Ramezani A, Malihi M et al (2009) Clinical features and surgical outcomes of pediatric rhegmatogenous retinal detachment. Retina 29(4):545–551

    Article  PubMed  Google Scholar 

  18. Soliman MM, Macky TA (2011) Pediatric rhegmatogenous retinal detachment. Int Ophthalmol Clin 51(1):147–171

    Article  PubMed  Google Scholar 

  19. Van de Put MAJ, Hooymans JMM, Los LI (2013) Dutch Rhegmatogenous retinal detachment study group. The incidence of rhegmatogenous retinal detachment in The Netherlands [published correction appears in Ophthalmology. 2018 Jul;125(7):1127]. Ophthalmology 120(3):616–622

    PubMed  Google Scholar 

  20. Wenick AS, Barañano DE (2012) Evaluation and management of pediatric rhegmatogenous retinal detachment. Saudi J Ophthalmol 26(3):255–263

    Article  PubMed  PubMed Central  Google Scholar 

  21. Gonzales CR, Singh S, Yu F, Kreiger AE, Gupta A, Schwartz SD (2008) Pediatric rhegmatogenous retinal detachment: clinical features and surgical outcomes. Retina 28(6):847–852

    Article  PubMed  Google Scholar 

  22. Jalali S, Yorston D, Shah NJ et al (2005) Retinal detachment in south India-presentation and treatment outcomes. Graefes Arch Clin Exp Ophthalmol 243(8):748–753

    Article  PubMed  Google Scholar 

  23. Read SP, Aziz HA, Kuriyan A et al (2018) Retinal detachment surgery in a pediatric population: visual and anatomic outcomes. Retina 38(7):1393–1402

    Article  PubMed  PubMed Central  Google Scholar 

  24. Zakir SM, Alam MS, Askari SN, Imran M (2020) Pattern of ocular morbidity among students in a school for visually impaired children in North India. Oman J Ophthalmol 13(1):24–28

    Article  PubMed  PubMed Central  Google Scholar 

  25. Prakash MV, Sivakumar S, Dayal A, Chitra A, Subramaniam S (2017) Ocular morbidity patterns among children in schools for the blind in Chennai. Indian J Ophthalmol 65(8):733–737

    Article  PubMed  PubMed Central  Google Scholar 

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Funding

Hyderabad Eye Research Foundation, Hyderabad, India.

Author information

Author notes

  1. Komal Agarwal and Anthony Vipin Das have contributed equal to this work.

Authors and Affiliations

  1. Srimati Kanuri Santhamma Center for Vitreo Retinal Diseases, L V Prasad Eye Institute, Hyderabad, Telangana, 500034, India

    Komal Agarwal, Sushma Jayanna, Taraprasad Das & Subhadra Jalali

  2. Department of eyeSmart EMR & AEye, L V Prasad Eye Institute, Hyderabad, Telangana, India

    Anthony Vipin Das

  3. Vitreoretinal and Uveitis Services, L V Prasad Eye Institute, Mithu Tulsi Chanrai Campus, Bhubaneswar, India

    Tapas Ranjan Padhi

  4. Vitreoretinal and Uveitis Services, L V Prasad Eye Institute, Granthi Mallikarjun Rao Varalakshmi Campus, Visakhapatnam, Andhra Pradesh, India

    Bhavik Panchal

  5. Vitreoretinal and Uveitis Services, L V Prasad Eye Institute, Kode Venkatadri Chowdhary Campus, Vijayawada, India

    Sameera Nayak

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  1. Komal Agarwal
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Correspondence to Komal Agarwal.

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Agarwal, K., Das, A.V., Padhi, T.R. et al. Electronic medical records driven big data analytics in retinal diseases, report number 1: non-oncological retinal diseases in children and adolescents in India. Int Ophthalmol 43, 2833–2839 (2023). https://doi.org/10.1007/s10792-023-02682-6

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