A clinic based survey of blindness and eye disease in Cambodia
Christian Service Society Eye
Hospital, 66 Rupsha Strand Road, Khulna, Bangladesh
Correspondence to: I Thomson, 3 Hillgate Street, Terrington St Clement, King's Lynn PE34 4NS.
Accepted for publication 26 March 1997
AIMS
To survey the spectrum of eye disease
presenting to rural eye clinics in Cambodia.
METHODSA total of 1381 patients seen
consecutively at 13 eye clinics were examined and the findings recorded.
RESULTS231 (16.7%) were bilaterally blind
(visual acuity <3/60 in both eyes); 263 (19%) were unilaterally
blind, and 169 (12%) had low vision (visual acuity <6/18 in the
better eye). Cataract was the commonest cause of visual loss in all
three categories and was responsible respectively in 69%, 40%, and
55% of each group. Trachoma was diagnosed in 13% of patients. Thirty
three of them needed lid surgery for trichiasis.
CONCLUSIONWith the difficult practical and
political situation in Cambodia there seems little prospect of making
substantial inroads into the backlog of avoidable blindness in the near future.
© 1997 by British Journal of Ophthalmology
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