Vision centre helps reduce blindness and vision impairment. Proof of concept in a four-year longitudinal study in an urban area in India

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dc.contributor.authorGogate, Parikshit Men_US
dc.contributor.authorPhadke, Supriya Pen_US
dc.contributor.authorDas, Taraprasaden_US
dc.contributor.authorSane, Shrivallabhen_US
dc.contributor.authorMoosa, Soumyaen_US
dc.contributor.authorDhangar, Ashoken_US
dc.contributor.authorInamdar, Minhajen_US
dc.contributor.authorKhandekar, Rajiven_US
dc.contributor.authorMagdum, Renuen_US
dc.contributor.authorBhawalkar, Jitendra Sen_US
dc.contributor.authorBhoosnurmath, Kashinathen_US
dc.date.accessioned2023-08-25T06:32:59Z
dc.date.available2023-08-25T06:32:59Z
dc.date.issued2022-05
dc.description.abstractPurpose: To estimate the prevalence of blindness and severe visual impairment (SVI) by using a door?to?door screening and vision center (VC) examination strategy in an urban area in western Maharashtra (Pune), India and repeat the exercise after 4 years to study its impact. Methods: Four trained community health workers measured the visual acuity and performed an external ocular examination in patients’ homes. People with vision <6/18 were requested to visit the VC for a comprehensive eye examination by an optometrist. An ophthalmologist examined people whose vision did not improve to 6/12. A home examination was done for people who did not visit the VC despite two requests. The same population was examined twice in an interval of 4 years. Results: In the study, 44,535 people in 2015–16 and 98.14% (n = 43,708) of them in 2018–19 were examined. Blindness (vision < 3/60 in better eye), and moderate?to?severe visual impairment (MSVI, vision 6/18–6/60 in better eye) were 0.26% and 1.3%, respectively, in the first cohort, and 0.16% and 1.1%, respectively, in the second cohort (P < 0.001). When the worse eye was considered, the prevalence of blindness reduced from 0.72% to 0.44%, SVI reduced from 0.1% to 0.07%, and MVI decreased from 1.7% to 1.49% between 2015 and 2019 (P < 0.001). Females (P < 0.001) and older individuals (P < 0.001) were more likely to have blindness or SVI. In the VC, 8211 people were examined in 4 years.Conclusion: The reduction of blindness and MSVI in the urban area of Pune can be partly ascribed to the presence of a VC and attendant screening in this locality.en_US
dc.identifier.affiliationsCommunity Eye Care Foundation, Dr. Gogate’s Eye Clinic, Pune, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Ophthalmology, D. Y. Patil Medical College, Pune, Maharashtra, Indiaen_US
dc.identifier.affiliationsSchool of Health Sciences, Queen’s University, Belfast, UKen_US
dc.identifier.affiliationsSrimati Kanuri Santhamma Cetre for Vitreoretinal Disease, L. V. Prasad Eye Institute, Hyderabad, Telangana, Indiaen_US
dc.identifier.affiliationsMaharashtra Institute of Mental Health, B. J. Medical College and Sassoon General Hospitals, Pune, Maharashtra, Indiaen_US
dc.identifier.affiliationsOperation Eyesight Universal, PGR ICARE Campus, Kismatpur, Hyderabad, Telangana, Indiaen_US
dc.identifier.affiliationsResearch department, King Khalid Eye Hospital, Riyadh, Saudi Arabiaen_US
dc.identifier.affiliationsDean, D. Y. Patil Medical College, Pune, Maharashtra, Indiaen_US
dc.identifier.citationGogate Parikshit M, Phadke Supriya P, Das Taraprasad, Sane Shrivallabh, Moosa Soumya, Dhangar Ashok, Inamdar Minhaj, Khandekar Rajiv, Magdum Renu, Bhawalkar Jitendra S, Bhoosnurmath Kashinath. Vision centre helps reduce blindness and vision impairment. Proof of concept in a four-year longitudinal study in an urban area in India. Indian Journal of Ophthalmology. 2022 May; 70(5): 1742-1748en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224314
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber5en_US
dc.relation.volume70en_US
dc.source.urihttps://doi.org/10.4103/ijo.IJO_2314_21en_US
dc.subjectCataracten_US
dc.subjectblindnessen_US
dc.subjectvisual impairmenten_US
dc.subjectvision centreen_US
dc.subjectIndiaen_US
dc.titleVision centre helps reduce blindness and vision impairment. Proof of concept in a four-year longitudinal study in an urban area in Indiaen_US
dc.typeJournal Articleen_US
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