The epidemiology of low vision and blindness associated with trichiasis in southern Sudan
Matthews, Fiona E.
Emerson, Paul M.
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Ngondi, J., Reacher, M., Matthews, F. E., Ole-Sempele, F., Onsarigo, A., Matende, I., Baba, S., et al. (2007). The epidemiology of low vision and blindness associated with trichiasis in southern Sudan. https://doi.org/10.1186/1471-2415-7-12
Abstract Background We investigated vision status associated with trachomatous trichiasis (TT) and explored age-sex patterns of low vision and blindness associated with trichiasis in Mankien district of southern Sudan where trachoma prevention and trichiasis surgery were absent. Methods A population based survey was undertaken and eligible persons underwent eye examination. Visual acuity (VA) was tested using Snellen E chart and persons with TT identified. Vision status was defined using the WHO categories of visual impairment based on presenting VA: normal vision (VA ≥ 6/18 in better eye); low vision (VA < 6/18 but ≥ 3/60 in better eye); and blindness (VA < 3/60 in better eye). An ordinal logistic regression model was fitted and age/sex specific distribution of vision status predicted. Results Overall 341/3,567 persons examined had any TT. Analysis was based on 319 persons, 22 persons were excluded: 20 had both TT and cataract; and 2 had missing VA data. Of the 319 persons: 158(49.5%) had trichiasis-related corneal opacity (CO); bilateral TT and bilateral CO were found in 251(78.7%) and 110 (34.5%), respectively; 146 (45.8%) had low vision or blindness; the ratio of low vision to blindness was 3.2:1; and no sex differences were observed. In our model the predicted distribution of vision status was: normal vision, 53.9% (95% CI 50.9–56.9); low vision, 35.3% (95% CI 33.3–37.2); and blindness, 10.9% (95% CI 9.7–12.0). Conclusion We have reported severe trichiasis and high prevalence of vision loss among persons with trichiasis. Our survey showed that almost 1 in 20 of the entire population suffered low vision or blindness associated with trachoma. The need for trichiasis surgery, trachoma prevention services, and rehabilitation of the blind is acute.
External DOI: https://doi.org/10.1186/1471-2415-7-12
This record's URL: http://www.dspace.cam.ac.uk/handle/1810/238017
Rights Holder: Ngondi et al.; licensee BioMed Central Ltd.