PREVALENCE OF VARIOUS OCULAR DISEASES IN THE FIELD PRACTICE AREA OF A TERTIARY HEALTH CENTRE OF CENTRAL INDIA: A CROSS-SECTIONAL STUDY

Main Article Content

Dr Amreen Khan
Dr Shoaib Arshad

Keywords

.

Abstract

Background: Ocular morbidity continues to be a serious public health problem in India. The rural and semi-urban population of central India are particularly affected, as they do not have access to good eye care services. The objective of the study was to assess the frequency and type of ocular disorders in the field practice area of a tertiary health centre in central India.


Methods: A community-based cross-sectional study was done among 400 subjects staying in the field practice area. Socio-demographic Information Was Collected Using A Structured Questionnaire All participants underwent an evaluation of their visual acuity and slit lamp biomicroscopy fundoscopy and tonometry.


Results: Out of 400 participants, a total of 168 (42%) subjects had ocular morbidities. The most common condition found was refractive error (15.5%), followed by cataract (12.5%), conjunctivitis (8.75%), presbyopia (6.5%). Less common were glaucoma (2.75%), pterygium (2.25%), vitamin A deficiency disorders (1.75%), diabetic retinopathy (1.25%) and corneal opacity (0.75%). Ocular morbidity was found to be significantly greater in females, illiterates and those above 50 years of age (p<0.05).


Conclusion: ocular morbidity was found to have a high prevalence in our study. The top two causes were refractive errors and cataract. There is an urgent need to strengthen primary eye care, community screening programs, and health education.

Abstract 0 | Pdf Downloads 0

References

1. Bourne RRA, Flaxman SR, Braithwaite T, et al. Magnitude, temporal trends, and projections of the global prevalence of blindness and distance and near vision impairment: a systematic review and meta-analysis. Lancet Glob Health. 2017;5(9):e888-e897. doi: 10.1016/S2214-109X(17)30293-0. PMID: 28779882.
2. Murthy GV, Gupta SK, Bachani D, et al. Current estimates of blindness in India. Br J Ophthalmol. 2005;89(3):257-260. doi: 10.1136/bjo.2004.056937. PMID: 15722298.
3. Vashist P, Talwar B, Gogoi M, et al. Prevalence of cataract in an older population in India: the India study of age-related eye disease. Ophthalmology. 2011;118(2):272-278.e2. doi: 10.1016/j.ophtha.2010.05.020. PMID: 20801514.
4. Jonas JB, Nangia V, Matin A, et al. Prevalence and associated factors of glaucoma in rural central India: the Central India Eye and Medical Study. PLoS One. 2013;8(9):e76434.
5. Ademe S, Edmealem A. Pattern of ocular diseases among patients attending ophthalmic outpatient department: A cross-sectional study. Int J Clin Exp Ophthalmol. 2020;4:49-53. doi: 10.29328/journal.ijceo.1001033.
6. Dandona R, Dandona L. Childhood blindness in India: a population based perspective. Br J Ophthalmol. 2003;87(3):263-265. doi: 10.1136/bjo.87.3.263. PMID: 12598433.
7. Nirmalan PK, Tielsch JM, Katz J, et al. Relationship between vision impairment and eye disease to vision-specific quality of life and function in rural India: the Aravind Comprehensive Eye Survey. Invest Ophthalmol Vis Sci. 2005;46(7):2308-2312. doi: 10.1167/iovs.04-0830. PMID: 15980215.
8. Singh MM, Murthy GV, Venkatraman R, et al. A study of ocular morbidity among elderly population in a rural area of central India. Indian J Ophthalmol. 1997;45(1):61-65. PMID: 9475015.
9. Venkataramana V, Amarnath RLC. Prevalence and pattern of ocular morbidity and factors influencing ocular morbidity in a rural population in south India: a community based cross sectional study. Int J Community Med Public Health. 2017;4(8):2939-2945.
10. Khadse A, Narlawar U, Humne A, et al. Prevalence of ocular morbidities and its correlates in an urban slum of central India. Sch J App Med Sci. 2014;2(2B):636-641. doi: 10.36347/sjams.2014.v02i02.034.
11. Marmamula S, Khanna RC, Narsaiah S, et al. Spectacles use and coverage. Clin Experiment Ophthalmol. 2014;42:227-234. doi: 10.1111/ceo.12160.
12. Gupta S, Gupta A, Nehal M, et al. Cataract and its risk factor among adults residing in South Bihar, India. Int J Res Med Sci. 2020;8(7):2618-2621. doi: 10.18203/2320-6012.ijrms20202905.
13. Murthy GV, Vashist P, John N, et al. Prevelence and causes of visual impairment and blindness in older adults in an area of India with a high cataract surgical rate. Ophthalmic Epidemiol. 2010;17(4):185-195. doi: 10.3109/09286586.2010.483751. PMID: 20642340.
14. Paul C, Sengupta S, Banerjee S, Choudhury S. Open-angle glaucoma in a rural and urban population in Eastern India-the Hooghly river glaucoma study. Indian J Ophthalmol. 2020;68(2):371-374. doi: 10.4103/ijo.IJO_836_19. PMID: 31957731.
15. Arvind H, George R, Raju P, et al. Glaucoma in aphakia and pseudophakia in the Chennai Glaucoma Study. Br J Ophthalmol. 2005;89(6):699-703. doi: 10.1136/bjo.2004.056234. PMID: 15923505.
16. Rahi JS, Sripathi S, Gilbert CE, Foster A. Childhood blindness due to vitamin A deficiency in India: regional variations. Arch Dis Child. 1995;72(4):330-333. doi: 10.1136/adc.72.4.330. PMID: 7763066.
17. Kapil U, Sachdev HP. Prevalence of vitamin A deficiency in isolated geographical pockets of India. Indian Pediatr. 2012;49(5):419. PMID: 22700673.