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©
2005
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Updated
20 Nov 2005
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BLINDNESS
Khandekar R, Mohammed AJ, Negrel AD, Riyami AA. The prevalence and causes of
blindness in the Sultanate of Oman: the Oman Eye Study (OES). Br J Ophthalmol
86(9), 957-62, 2002.
AIMS: To estimate the magnitude and the causes of
blindness through a community based nationwide survey in Oman. This was
conducted in 1996-7. METHODS: A stratified cluster random sampling procedure was
used to select 12 400 people. The WHO/PBD standardised survey methodology was
used, with suitable adaptation. The major causes of blindness were identified
among those found blind. RESULTS: A total of 11 417 people were examined
(response rate 91.8%) The prevalence of blindness in the Omani population was
estimated to be 1.1% (95% CI 0.9 to 1.3), blindness being defined according to
the WHO Tenth Revision of the International Classification of Diseases.
Prevalence of blindness was clearly related to increasing age, with estimates of
0.08% for the 0-14 age group, 0.1% for the 15-39 age group, 2.3% for the 40-59
age group, and 16.8% for the group aged 60 +. There was a statistically
significant difference between the prevalence in females (1.4%) and males
(0.8%). The northern and central regions had a higher prevalence of blindness
(1.3% to 3%). The major causes of blindness were unoperated cataract (30.5%),
trachomatous corneal opacities (23.7%), and glaucoma (11.5%) CONCLUSIONS:
Despite an active eye healthcare programme, blindness due to cataract and
trachoma remains a public health problem of great concern in several regions of
the sultanate. These results highlight the need, when planning effective
intervention strategies, to target the eye healthcare programme to the ageing
population, with special emphasis on women.
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