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Ocular manifestations of child abuse.

An old lady takes a grandchild, out of concern and compassion, to a traditional healer for advice and prevention of cataract, a condition the child is likely to develop sixty years later. A ‘concoction’ of various herbs is prepared and prescribed which subsequently leads to bilateral total damage of the corneae, a disruptive ‘keratomalacia-like’ reaction. A helpless child, victim of traditional and social practices, enters into a life of almost 50 blind and hopeless years. 
 
It is partly the increased, multifactorial, infant and young child morbidity and mortality that led to the United Nations Convention on the Rights of the Child. This calls for special care and protection of children because of their vulnerability. It states that all countries shall ensure good health for children and protect them from neglect and all forms of exploitation. 
 
In developing countries, children may account for 40–50% of the total population. Yet, they are conspiculously neglected when national eye health and rehabilitation programmes are planned. Most strategies are aimed at the adult group.