A STUDY OF DISTRIBUTION OF VARIOUS CAUSES OF BLINDNESS AMONGST PATIENTS ATTENDING AT TERTIARY EYE CARE HOSPITAL FOR VISUAL HANDICAP CERTIFICATE PURPOSE
DOI:
https://doi.org/10.22159/ajpcr.2023.v16i7.47449Keywords:
Visual handicap certificate, Preventable causes, Non preventable causesAbstract
Objectives: To study the various causes of blindness among patients attending the DR.R.S.P.R. Government Regional Eye Hospital, Visakhapatnam, for visual handicap certificates. To understand the relationship between age and sex with various etiologies.
Methods: Retrospective analysis of records of 272 patients (360 eyes) who had applied for the visual handicap certificate in the period of 1 year, i.e., from August 2021 to July 2022, at DR. R. S. P. R. Government regional eye hospital, Visakhapatnam. Certificates were issued after all the necessary examinations and investigations were done by qualified ophthalmologists, as per the guidelines.
Results: The majority are in the 31–50 age group (41.8%). Males (69.85%) are more than females (30.14%). Preventable causes (52.7%) are more common than non-preventable causes (47.2%). Phthisis (17.2%) was the most common preventable cause, followed by corneal opacity (13.3%). Retinitis pigmentosa (20.5%) was the most common non-preventable cause.
Conclusion: Most common causes of blindness are preventable, so early diagnosis, prompt treatment, and regular follow-up reduce the incidence of blindness. Awareness programs for preventable blindness, health education, and genetic counseling for congenital and hereditary causes will definitely decrease the incidence of blindness.
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References
Kumar R. Disability Assessment and Certification Guidelines and Explanations, Based on Gazette Notification (Committee Under Chairmanship of DGHS, GOI) Issued by Ministry of Social Justice and Empowerment, GOI, Regd No. DL33004/99 (Extraordinary) Part II: 2001, Sec 1.
Ministry of Social Justice and Empowerment. Guidelines for Evaluation of Various Disabilities and Procedure for Certification. Notification Dated The Gazette of India Extraordinary, No 154. 2001.
Ghosh S, Mukhopadhyay S, Sarkar K, Bandyopadhyay M, Maji D, Bhaduri G. Evaluation of registered visually disabled individuals in a district of West Bengal, India. Indian J Community Med 2008;33:168- 71. doi: 10.4103/0970-0218.42057, PMID 19876478
Bhalerao SA, Tandon M, Singh S, Dwivedi S, Kumar S, Rana J. Visual impairment and blindness among the students of blind schools in Allahabad and its vicinity: A causal assessment. Indian J Ophthalmol 2015;63:254-8. doi: 10.4103/0301-4738.156930, PMID 25971172
Baxter SL, Wormald RP, Musa JM, Patel D. Blindness registers as epidemiological tools for public health planning: A case study in Belize. Epidemiol Res Int 2014;2014:659717. doi: 10.1155/2014/659717
Malhotra S, Vashist P, Gupta N, Kalaivani M, Rath R, Gupta SK. Prevalence and causes of visual impairment among adults aged 15-49 years in a rural area of north India-a population-based study. Indian J Ophthalmol 2018;66:951-6. doi: 10.4103/ijo.IJO_1333_17, PMID 29941738
Ambastha A, Kusumesh R, Sinha S, Sinha BP, Bhasker G. Causes of visual impairment in applications for blindness certificates in a tertiary center of Bihar and its role in health planning. Indian J Ophthalmol 2019;67:204-8. doi: 10.4103/ijo.IJO_837_18, PMID 30672470
Nowak MS, Smigielski J. The prevalence and causes of visual impairment and blindness among older adults in the city of Lodz, Poland. Medicine (Baltimore) 2015;94:e505. doi: 10.1097/ MD.0000000000000505, PMID 25654398
Maake MM, Oduntan OA. Prevalence and causes of visual impairment in patients seen at Nkhensani Hospital Eye Clinic, South Africa. Afr J Prim Health Care Fam Med 2015;7:728. doi: 10.4102/phcfm.v7i1.728, PMID 26842521
Ambastha A, Kusumesh R, Sinha S, Sinha BP, Bhasker G. Causes of visual impairment in applications for blindness certificates in a tertiary center of Bihar and its role in health planning. Indian J Ophthalmol 2019;67:204-8. doi: 10.4103/ijo.IJO_837_18, PMID 30672470
Khan MG, Gawai DS, Choudhary KG, Khannar AS. Visual handicap certificates: A tool to evaluate the causes for permanent visual impairment in Northern Maharashtra. Indian J Clin Exp Ophthalmol 2020;6:222-6. doi: 10.18231/j.ijceo.2020.048
World Health Organization. Global Initiative for the Elimination of Avoidable Blindness WHO/PBL/97.61. Geneva: World Health Organization; 1997.
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