Changing trends in the prevalence of blindness and visual impairment in a rural district of India: Systematic observations over a decade

Changing trends in the prevalence of blindness and visual impairment in a rural district of India: Systematic observations over a decade

Context : Globally, limited data are available on changing trends of blindness from a single region. Aims : To report the changing trends in the prevalence of blindness, visual impairment (VI), and visual outcomes of cataract surgery in a rural district of Andhra Pradesh, India, over period of one d...

Full description

Bibliographic Details
Main Authors: Rohit C Khanna, Srinivas Marmamula, Sannapaneni Krishnaiah, Pyda Giridhar, Subhabrata Chakrabarti, Gullapalli N Rao
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Diabetes-related blindness
diabetic retinopathy
key informant
rapid assessment of avoidable blindness
retinopathy of prematurity
tele-ophthalmology
Blindness
disability
equity
health economics
health policy
health and development
social exclusion
Community eye health
prevention of blindness
ophthalmogical residency
VISION 2020
Visual impairment
blindness
inequality
social class
income
educational status
gender and ethnic groups
Advocacy
effective service delivery
enabling environment
stakeholders
resources
Avoidable blindness and visual impairment
impact
scaling up
Global blindness
prevalence
visual impairment
visual acuity
Comprehensive eye care
eye care model
pyramidal model
optometrist
optometry regulation
eye health
India
Economics
market
government
cost
Millennium development goals
Vision 2020 the Right to Sight
eye care services
planning rapid assessment methods
Avoidable blindness
cataract surgical rate
corneal blindness
Compliance
services
Human resource development
service delivery
social entrepreneurship
uncorrected refractive error
cataract extraction
cataract
coverage
data aggregation
population
Case detection
comprehensive eye examination
developing countries
glaucoma
integrated approach
training requirements
Child health policy
childhood blindness
social determinants of eye health
Access
Asia-pacific
funding
low vision
policy
Funding
vision research priorities
peer review
research
Cataract surgery
clinical outcome
patient-reported outcome
quality improvement
quality
Global eye health
health interventions
health systems
systems thinking
global cost
health investment
primary and secondary health
Trauma
pediatric cataract
visual outcome
Determinants
patient satisfaction
primary eye care
vision centers
outcomes
rapid
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2012;volume=60;issue=5;spage=492;epage=497;aulast=Khanna
Description
Summary:Context : Globally, limited data are available on changing trends of blindness from a single region. Aims : To report the changing trends in the prevalence of blindness, visual impairment (VI), and visual outcomes of cataract surgery in a rural district of Andhra Pradesh, India, over period of one decade. Settings and Design : Rural setting; cross-sectional study. Materials and Methods : Using a validated Rapid Assessment of Cataract Surgical Services (RACSS) method, population-based, cross-sectional survey was done in a rural district in the state of Andhra Pradesh, India. Two-stage sampling procedure was used to select participants ≥50 years of age. Further, a comparative analysis was done with participants ≥50 years from the previously concluded Andhra Pradesh Eye Disease Study (APEDS) study, who belonged to the same district. Statistical Analysis : Done using 11 th version of Stata. Results : Using RACSS, 2160/2300 (93.9%) participants were examined as compared with the APEDS dataset (n=521). Age and sex adjusted prevalence of blindness in RACSS and APEDS was 8% (95% CI, 6.9-9.1%) and 11% (95% CI, 8.3-13.7%), while that of VI was 13.6% (95% CI, 12.2-15.1%) and 40.3% (95% CI, 36.1-44.5%), respectively. Cataract was the major cause of blindness in both the studies. There was a significant reduction in blindness following cataract surgery as observed through RACSS (17.3%; 95% CI, 13.5-21.8%) compared with APEDS (34%; 95% CI, 20.9-49.3%). Conclusion : There was a significant reduction in prevalence of blindness and VI in this rural district of India over a decade.
ISSN:0301-4738
1998-3689

Similar Items