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Br J Ophthalmol 85:1484-1488 doi:10.1136/bjo.85.12.1484
  • Controversies in ophthalmology

Socioeconomic status and blindness

Table 1

Causes of blindness from some recent population based studies of all age groups in developing countries

Country Percentage prevalence of blindness
Cataract Refractive error Trachoma Onchocerciasis
China28 0.18 NA 0.05 nil
Lebanon29 0.25 0.08 nil nil
South Africa30 0.59 NA nil nil
India14 0.61 0.20 nil nil
Mali25 1.17 nil 0.21 nil
Central African Republic26 0.36 nil 0.10 1.61
Other corneal opacity Glaucoma Others Total
China28 0.07 0.04 0.10 0.43
Lebanon29 0.05 0.02 0.20 0.60
South Africa30 0.02 0.23 0.16 1.00
India14 0.12 0.12 0.29 1.34
Mali25 0.12 0.14 0.06 1.70
Central African Republic26 nil 0.05 0.08 2.20
  • Blindness defined as visual acuity <3/60 in the better eye. Best corrected visual acuity used to define blindness in studies from China and South Africa, and presenting visual acuity used in the other studies.

  • Refractive error blindness includes aphakia. The study from India also includes refractive error related amblyopia.

  • Other corneal opacities are mainly vitamin A deficiency, infectious keratitis, and use of harmful traditional eye medicines.

  • NA is not applicable as these two studies used best corrected visual acuity to define blindness.

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