CAUSES OF VISUAL DISABILITY IN PATIENTS WITH VISUAL DISABILITY CERTIFICATES OBTAINED IN A TERTIARY CARE HOSPITAL IN MUMBAI

Abstract

Vikas Vijaykumar Kamat1, Chhaya Ashok Shinde2

BACKGROUND
Visual disability is a major public health problem in developing countries. Ocular diseases cause partial or total blindness. Causes can be treatable or non-treatable. Non-treatable causes lead to permanent visual disability. Persons with disabilities are given certificates mentioning percentage of disability after they demand certificates for various benefits.
MATERIALS AND METHODS
Records of the individuals who had been issued visual disability certificates during the period of 1st March 2011 to 30th June 2013 were obtained from Medical Records Office of the hospital and the information was analysed.
RESULTS
Out of 132 individuals with visual disability certificates, 97 were males and 35 were females. Avoidable causes of visual impairment were found in 43.18% individuals who were with corneal opacity, diabetic retinopathy, glaucoma, traumatic retinal detachment and postoperative retinal detachment. Unavoidable causes were found in 56.82% individuals who were with congenital diseases, optic nerve atrophy, hereditary causes, retinitis pigmentosa and age-related macular degeneration. Maximum numbers of individuals were issued certificates of 40% visual disability and least being 20% visual disability. Maximum number of individuals (48.49%) demanded disability certificates for benefit in jobs.
CONCLUSION
High number of congenital diseases of eye explains the need of genetic counselling. Gender-based inequality for getting visual disability certificates should be minimised through awareness and education of people. Avoiding trauma to eyes can reduce the visual disability due to corneal scarring and infections in large extent. Early diagnosis and treatment is necessary to prevent blindness from avoidable causes like diabetic retinopathy, glaucoma and retinopathy of prematurity.

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