Epidemiology of Disability due to Blindness in Prakasham District of Andhra Pradesh, India
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 1
Abstract
Introduction: Blindness is one of the important causes of disability and it is a public health problem worldwide. It is a great concern of the day. Government of India (GOI) is taking several measures to protect the disabled people through various schemes. Rehabilitation Council of India provided legal framework to protect the disabled (RCI). SADAREM (Software to assess disability for Access, Rehabilitation and Empowerment) is a programme to assist the disabled. Empowering the disabled, rights were given to local bodies. The cases of ophthalmic disability were mobilized and referred to tertiary center of the district. The cases were examined by the body constituted for the same. The objective of the present study is to know the grading of disability and reasons for disability Materials and Methods: The total number of subjects studied during 2012-13 was 1009 cases. The study was conducted at Rajiv Gandhi Institute of Medical Sciences, Prakasham District. The cases referred from all over the district were clinically examined with various parameters. The data collected through SADAREM was analyzed for knowing the causes of blindness and disability. The patients attended tertiary care hospital in the district during 2012 to 2013 under SADAREM Programme was compiled in excel and data taken for the study. Results: 23 subjects (2.28%) among 1009 only free from visual disability and rest of them with disability of various grades. 280 (27.75%) of the referred patients were completely blind. Corneal pathology in the present study emerged as major cause of disability (15%) and next commonest cause is lens pathology (10%). 4% of cases were with aphakia. Eviceration was done in 13 eyes. Conclusion: 90% of the referred subjects of district were suffering from ophthalmic disability. 20% of pathology is due to hereditary and congenital. Corneal pathology is the major cause of disability and followed by phythysisbulbi and refractive errors. One out of every 10 is with pathology in retina due to various causes. Among the referred subjects more 1% with enucleated eyes. Regional studies on causes of disability due to eye conditions will be helpful to strengthen eye care services to reduce burden of disability.
Authors and Affiliations
D. Babu Rao, C. Bala Krishna Chadaram
Keywords
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