Rapid assessment of avoidable blindness in Kurdistan, Iran

Purpose: To determine the magnitude and causes of blindness and visual impairment (VI) in Kurdistan, using the Rapid Assessment of Avoidable Blindness methodology. Methods: In this population-based cross sectional study, 99 clusters were selected through probability proportional to size sampling. Vi...

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Main Authors: Elham Ashrafi, Seyed-Farzad Mohammadi, Marzieh Katibeh, Ebrahim Ghaderi, Cyrus Alinia, Naser Nourmohammadi, Alireza Lashay, Ramin Beiranvand, Mahsa Yousefpour Marzbali, Ali Sadeghi Tari
Format: Article
Language:English
Published: Knowledge E 2019-01-01
Series:Journal of Ophthalmic & Vision Research
Subjects:
Online Access:http://www.jovr.org/article.asp?issn=2008-322X;year=2019;volume=14;issue=2;spage=179;epage=184;aulast=Ashrafi
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author Elham Ashrafi
Seyed-Farzad Mohammadi
Marzieh Katibeh
Ebrahim Ghaderi
Cyrus Alinia
Naser Nourmohammadi
Alireza Lashay
Ramin Beiranvand
Mahsa Yousefpour Marzbali
Ali Sadeghi Tari
author_facet Elham Ashrafi
Seyed-Farzad Mohammadi
Marzieh Katibeh
Ebrahim Ghaderi
Cyrus Alinia
Naser Nourmohammadi
Alireza Lashay
Ramin Beiranvand
Mahsa Yousefpour Marzbali
Ali Sadeghi Tari
author_sort Elham Ashrafi
collection DOAJ
description Purpose: To determine the magnitude and causes of blindness and visual impairment (VI) in Kurdistan, using the Rapid Assessment of Avoidable Blindness methodology. Methods: In this population-based cross sectional study, 99 clusters were selected through probability proportional to size sampling. Visual acuity (VA) was measured using a standard tumbling “E” chart. Ophthalmologists examined participants with VA < 6/18 in both eyes. The cause of VI in the better eye or the most treatable cause was considered as the primary cause of VI. Results: A total of 3203 (response rate: 92.4%) individuals aged 50 years and older participated, of whom 1657 (51.7%) were female. The standardized prevalence of blindness, severe visual impairment (SVI), and moderate visual impairment (MVI) based on available correction (presenting VA) were 2.1% (1.5-2.6), 1.7% (1.2-2.2), and 9.6%(8.4-10.8), respectively. The proportion of avoidable causes of blindness, SVI, and MVI were 58.1%, 78.4%, and 83.4%, respectively. The most common cause of blindness and SVI was cataract (27.4% and 60.8% respectively), followed by age-related macular degeneration (25.8% and 13.7%, respectively). The leading causes of MVI were uncorrected refractive errors (RE) (37.2%) and cataract (33.6%). Conclusion: The prevalence of blindness in the study population seems comparable to the region. According to our results, blindness, SVI, and MVI were mostly due to avoidable causes. Cataract and refractive errors are the principal causes of blindness and VI in Kurdistan.
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spelling doaj.art-9cc4e3ae90244ea0928928091e7131542022-12-22T04:33:35ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2019-01-0114217918410.4103/jovr.jovr_220_17Rapid assessment of avoidable blindness in Kurdistan, IranElham AshrafiSeyed-Farzad MohammadiMarzieh KatibehEbrahim GhaderiCyrus AliniaNaser NourmohammadiAlireza LashayRamin BeiranvandMahsa Yousefpour MarzbaliAli Sadeghi TariPurpose: To determine the magnitude and causes of blindness and visual impairment (VI) in Kurdistan, using the Rapid Assessment of Avoidable Blindness methodology. Methods: In this population-based cross sectional study, 99 clusters were selected through probability proportional to size sampling. Visual acuity (VA) was measured using a standard tumbling “E” chart. Ophthalmologists examined participants with VA < 6/18 in both eyes. The cause of VI in the better eye or the most treatable cause was considered as the primary cause of VI. Results: A total of 3203 (response rate: 92.4%) individuals aged 50 years and older participated, of whom 1657 (51.7%) were female. The standardized prevalence of blindness, severe visual impairment (SVI), and moderate visual impairment (MVI) based on available correction (presenting VA) were 2.1% (1.5-2.6), 1.7% (1.2-2.2), and 9.6%(8.4-10.8), respectively. The proportion of avoidable causes of blindness, SVI, and MVI were 58.1%, 78.4%, and 83.4%, respectively. The most common cause of blindness and SVI was cataract (27.4% and 60.8% respectively), followed by age-related macular degeneration (25.8% and 13.7%, respectively). The leading causes of MVI were uncorrected refractive errors (RE) (37.2%) and cataract (33.6%). Conclusion: The prevalence of blindness in the study population seems comparable to the region. According to our results, blindness, SVI, and MVI were mostly due to avoidable causes. Cataract and refractive errors are the principal causes of blindness and VI in Kurdistan.http://www.jovr.org/article.asp?issn=2008-322X;year=2019;volume=14;issue=2;spage=179;epage=184;aulast=AshrafiPrevalence; Blindness; Visual Impairment; Iran; Kurdistan
spellingShingle Elham Ashrafi
Seyed-Farzad Mohammadi
Marzieh Katibeh
Ebrahim Ghaderi
Cyrus Alinia
Naser Nourmohammadi
Alireza Lashay
Ramin Beiranvand
Mahsa Yousefpour Marzbali
Ali Sadeghi Tari
Rapid assessment of avoidable blindness in Kurdistan, Iran
Journal of Ophthalmic & Vision Research
Prevalence; Blindness; Visual Impairment; Iran; Kurdistan
title Rapid assessment of avoidable blindness in Kurdistan, Iran
title_full Rapid assessment of avoidable blindness in Kurdistan, Iran
title_fullStr Rapid assessment of avoidable blindness in Kurdistan, Iran
title_full_unstemmed Rapid assessment of avoidable blindness in Kurdistan, Iran
title_short Rapid assessment of avoidable blindness in Kurdistan, Iran
title_sort rapid assessment of avoidable blindness in kurdistan iran
topic Prevalence; Blindness; Visual Impairment; Iran; Kurdistan
url http://www.jovr.org/article.asp?issn=2008-322X;year=2019;volume=14;issue=2;spage=179;epage=184;aulast=Ashrafi
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