Combatting Health Inequalities
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Authors
Sejourne A.
Naeem Z.
Reddy, A.
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Issue Date
2025
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Article
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Abstract
Children with disabilities are 28 times more likely to experience eye health issues compared to the general population. In Tower Hamlets, the Royal London Hospital offers a vision screening service to additional needs schools, where participation was previously hindered by a 27% non-return rate of had a postoperative evaluation with a repeat orthoptic evaluation as above. The patients included had a mean spherical equivalent of - 4.30 DS in the right eye (SD 2.7) and -4.30 DS in the left eye (SD 2.5). The average pre operative deviation for near was 21.75 prism dioptres (SD 14.3) and 24 prism dioptres (SD 12.49) for distance, the base out fusion range was characteristically high in the majority of the patients with average of 17.4 prism dioptres (SD 16.7) as opposed to a low base in fusion range with average of 2.27 prism dioptres (SD 3.29). We used an enhanced surgical dosage for these patients of double the usual surgical numbers. All patients demonstrated improvement in diplopia postoperatively, their average postop deviation for near being 0.61 prism dioptres (SD 7.03) and 1.77 prism dioptres (SD 5.7) for distance. The average amount of surgical correction for our patients was 2.1 prism dioptre/mm of surgery for near (SD 1.03) and 2.4 prism dioptre/mm of surgery for distance (SD 0.75). We recommend a higher amount of surgical correction per prism dioptre of deviation in patients with myopic esotropia to achieve a better outcome.
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BMJ Open Ophthalmology
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10