Changing pattern of childhood blindness in Maharashtra, India


Gogate, P; Deshpande, M; Sudrik, S; Taras, S; Kishore, H; Gilbert, C; (2007) Changing pattern of childhood blindness in Maharashtra, India. The British journal of ophthalmology, 91 (1). pp. 8-12. ISSN 0007-1161 DOI: https://doi.org/10.1136/bjo.2006.094433

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Abstract

Aim: To determine the causes of severe visual impairment and blindness in children in schools for the blind in Maharashtra, India. Methods: Children aged,16 years with a visual acuity of < 6/60 in the better eye, attending 35 schools for the blind were examined between 2002 and 2005, and causes were classified using the World Health Organization's system. Results: 1985 students were examined, 1778 of whom fulfilled the eligibility criteria. The major causes of visual loss were congenital anomalies (microphthalmos or anophthalmos; 735, 41.3%), corneal conditions (mainly scarring; 395, 22.2%), cataract or aphakia (n = 107, 6%), and retinal disorders (mainly dystrophies; n = 199, 11.2%). More than one third of children (34.5%) were blind from conditions which could have been prevented or treated, 139 of whom were referred for surgery. Low vision devices improved near-acuity in 79 (4.4%) children, and 72 (4%) benefited from refraction. No variation in causes by sex or region was observed. Conclusions: Congenital anomalies accounted for 41% of blindness, which is higher than in a similar study conducted 10 years ago. Corneal scarring seems to be declining in importance, low vision and optical services need to be improved, and research is needed to determine the aetiology of congenital anomalies.

Item Type: Article
Keywords: OCULAR COLOBOMA, SCHOOL STUDENTS, SOUTHERN INDIA, CHILDREN, POPULATION, MICROPHTHALMIA, ANOPHTHALMIA, SERVICES, BURDEN, ERROR, Adolescent, Aphakia, epidemiology, Blindness, epidemiology, etiology, Cataract, epidemiology, Child, Corneal Diseases, epidemiology, Eye Abnormalities, epidemiology, Eyeglasses, Female, Humans, India, epidemiology, Male, Retinal Diseases, epidemiology, Vision Disorders, epidemiology, etiology, Visual Acuity, physiology
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Research Centre: The International Centre for Evidence in Disability
International Centre for Eye Health
Centre for Maternal, Reproductive and Child Health (MARCH)
Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 16809383
Web of Science ID: 243382500006
URI: http://researchonline.lshtm.ac.uk/id/eprint/9657

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