Blindness and visual impairment

Context

Worldwide, about 217 million people have low vision, and about 36 million are blind:
  • About 90% of the world's visually impaired live in low-income settings.
  • 81% of people who are blind or have moderate or severe vision impairment are aged 50 years and above.
  • 80% of visual impairment can be prevented or cured.
  • China, India, and Africa account for approximately 8M, 8M, and 6M cases of blindness, respectively.
(WHO, Fact Sheet #282, 2017)

Causes

Age-Related Macular Degeneration (ARMD)

Unoperated cataract remains the leading cause of blindness in low- and middle-income countries. (WHO, 2017)

Cataract

Unoperated cataract remains the leading cause of blindness in low- and middle-income countries. (WHO, 2017)
Risk factors include:
  • Age: More than one-third of those over 65 have cataract.
  • Female: Females are 1.35 times more likely to have cataract.
  • Sunlight exposure: Those exposed to more than 11 hours of daily sunlight are nearly three times as likely to develop cataract as those exposed to less than 8 hours of sunlight.

Corneal blindness

Includes Xerophthalmia (nutritional blindness), Trachoma, corneal ulcer, and injuries (accidental, iatrogenic). (Dahal, 2018)

Diabetic Retinopathy

"Chronically high blood sugar from diabetes is associated with damage to the tiny blood vessels in the retina, leading to diabetic retinopathy. The retina detects light and converts it to signals sent through the optic nerve to the brain. Diabetic retinopathy can cause blood vessels in the retina to leak fluid or hemorrhage (bleed), distorting vision." (National Eye Institute, NIH)

Glaucoma

A group of eye conditions that damage the optic nerve; often caused by abnormally high pressure in the eye. Glaucoma can occur at any age but is more common in older adults; it is one of the leading causes of blindness for people over the age of 60. (Mayo Clinic)

Onchocerciasis (River blindness)

Caused by a roundworm infection spread by black flies.
The Farmer and Fisherman Who Lost His Sight to River Blindness

Retinitis Pigmentosa (RP)


Retinopathy Of Prematurity (ROP)

Occurs in premature infants (<1250 gms, < 31 weeks) when abnormal blood vessels spread throughout the retina. "These abnormal blood vessels are fragile and can leak, scarring the retina and pulling it out of position. This causes a retinal detachment. Retinal detachment is the main cause of visual impairment and blindness in ROP." (National Eye Institute, NIH)

Stargardt Disease

"An inherited disorder of the retina the tissue at the back of the eye that senses light. The disease typically causes vision loss during childhood or adolescence, although in some forms, vision loss may not be noticed until later in adulthood. It is rare for people with the disease to become completely blind. For most people, vision loss progresses slowly over time to 20/200 or worse." (National Eye Institute, NIH)

Trachoma

A chronic, contagious infection that eventually causes blindness; manifests gradually. Tends to occur in clusters, infecting families or communities. WHO uses a SAFE (Surgery, Antibiotics, Face-washing, Environmental improvement) strategy against Trachoma. (Dahal, 2018)

Xerophthalmia/Vitamin A deficiency/Night Blindness

Caused by severe vitamin A deficiency, and described by pathologic dryness of the conjunctiva and cornea.

Multiple impairment

Deaf-Blind

"Deaf-blindness refers to the combination of hearing and visual loss that severely impedes communication, education, employment, and independent living. While some deaf-blind individuals are totally deaf and blind, most deaf-blind people have different levels of vision and hearing loss." (NLS)
Play-by-play soccer for a deaf-blind person
Striped canes signify deaf-blindness
Library of Congress resources



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