“AETIOLOGY OF LEUKOCORIA IN YOUNG PATIENTS ATTENDING TERTIARY CARE CENTRE - A CROSS-SECTIONAL STUDY”

Abstract

Context: Leukocoria is defined as an abnormal pupillary light reflection that usually results from an intraocular abnormality and is seen most often in children. The purpose of this study is to identify the common causes leading to white pupillary reflex in the tertiary care centre, and once found, that will help in timely intervention to minimize morbidity and mortality. To study the aetiology of leukocoria in young patients attending tertiary c Aim: are centres. Settings and Design: It was a Cross-sectional observational study conducted in the Department of Ophthalmology, Pt. J.N.M. Medical College, Raipur from October 2021 to December 2022 : 60 Patients up to 30 years, Methods and Material with the complaint of white pupillary reflex coming to the Department of Ophthalmology, Dr. BRAMH Raipur, during the study duration and willing to participate in the study were included in the study. Interviews and examinations of all patients were done which included BCVA, Slit Lamp Examination, Fundus Examination, Ancillary tests, and imaging. Patient with any corneal pathology and Previous history of ocular surgery. The convenience Statistical Analysis Used: sampling method was used. In our study, 90 % of the patients presenting with leukocoria had cataract Results: s. 5 % of patients had PHPV with RD, 1.6% with Absolute glaucoma with RD, 1.6% with Retinoblastoma, and 1.6% with total RD. Among Cataract, the most common cause was congenital/developmental cataract comprising 79.6% of total patients presenting with cataract with most of the population present in the 0-5 years of age group.15% had Traumatic cataract,1.8% with metabolic cataract and 1.8% with complicated cataract. In patients diagnosed with traumatic cataract, there was a significant male predominance presenting 90% of the traumatic cataract population. Conclusions: Leukocoria is a crucial finding that requires early attention and prompt diagnosis of the underlying disease. A thorough examination is required as a delay in diagnosing the etiology can result in eyesight loss, death, or both.