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©
2005
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Updated
20 Nov 2005
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BLINDNESS
Zainal M, Ismail SM, Ropilah AR, Elias H, Arumugam G, Alias D, Fathilah J, Lim
TO, Ding LM, Goh PP. Prevalence of blindness and low vision in Malaysian
population: results from the National Eye Survey 1996. Br J Ophthalmol
86(9):951-6, 2002.
Abstract:
BACKGROUND: A national eye survey was conducted in 1996 to determine the
prevalence of blindness and low vision and their major causes among the
Malaysian population of all ages. METHODS: A stratified two stage cluster
sampling design was used to randomly select primary and secondary sampling
units. Interviews, visual acuity tests, and eye examinations on all individuals
in the sampled households were performed. Estimates were weighted by factors
adjusting for selection probability, non-response, and sampling coverage.
RESULTS: The overall response rate was 69% (that is, living quarters response
rate was 72.8% and household response rate was 95.1%). The age adjusted
prevalence of bilateral blindness and low vision was 0.29% (95% CI 0.19 to
0.39%), and 2.44% (95% CI 2.18 to 2.69%) respectively. Females had a higher age
adjusted prevalence of low vision compared to males. There was no significant
difference in the prevalence of bilateral low vision and blindness among the
four ethnic groups, and urban and rural residents. Cataract was the leading
cause of blindness (39%) followed by retinal diseases (24%). Uncorrected
refractive errors (48%) and cataract (36%) were the major causes of low vision.
CONCLUSION: Malaysia has blindness and visual impairment rates that are
comparable with other countries in the South East Asia region. However, cataract
and uncorrected refractive errors, though readily treatable, are still the
leading causes of blindness, suggesting the need for an evaluation on
accessibility and availability of eye care services and barriers to eye care
utilisation in the country.
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