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Over 700 000 new cases of leprosy were registered in the year 2000. Leprosy is still considered a public health problem in 15 countries. Mpyet and Solomon report a study from eastern Nigeria of the causes of blindness and low vision in patients with leprosy. Only a third of the burden of ocular pathology in these patients was related directly to the effects of leprosy. Other major causes of visual disability included cataract and refractive error.
See p 417
Several studies in the United Kingdom and in Canada have suggested that there is a dramatic decrease in surgical correction of strabismus in children, ranging from 42% to 59%. Arora and co-workers performed a retrospective analysis of strabismus surgery performed in England and Wales, and in Ontario, Canada. In this study there was a 41% decrease in strabismus procedures in England and Wales from 1989–99 and a 26% decrease in Ontario,
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