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Type: Artigo de periódico
Title: Cataract Remains an Important Cause of Blindness in Campinas, Brazil
Author: ARIETA, Carlos Eduardo Leite
OLIVEIRA, Denise Fornazari de
LUPINACCI, Alvaro Pedroso de Carvalho
NOVAES, Priscila
PACCOLA, Marcelo
JOSE, Newton Kara
Abstract: Objective: To estimate the prevalence of blindness in the elderly population of Campinas, Brazil, and to describe the coverage and quality of cataract surgery services in the area. Methods: A brief assessment of cataract surgery services (using the RACSS (Rapid Assessment of Cataract Surgical Services Method) was conducted using random cluster sampling, with a sample composed of 60 clusters of 40 people aged 50 years or older. Visual acuity (VA) was measured and the lens status observed by direct visual ophthalmoscopy. From the selected sample of 2,400 subjects, 92.67% were examined. Results: Blindness (VA 3/60 with available correction) was found in 1.98 % (2.03 % among male subjects, and 1.94 % among female subjects). The prevalence of blindness varied with age, from 0.2%, in the group from 50 to 54 years, to 7.2% in those above 80. Cataract was the main cause of blindness (40.2%) followed by suspected posterior segment disorders (18.2%), diabetic retinopathy (15.9%), and glaucoma (11.4%). The cataract surgical coverage was of 93% (VA 3/60) and 82.18% when the criterion was VA 6/60 in the best eye. The main reasons the subjects did not receive surgical treatment were: fear of undergoing surgery, 11.1%; lack of awareness about the condition, 16.7%; waiting for maturity, 16.7%; and contraindication to surgery, 44.4%. Conclusion: Cataract is the major cause of blindness in Campinas. Education on eye diseases, their prevention and treatment must become part of the city`s public healthcare policies.
Subject: Blindness
cataract prevalence
Country: Estados Unidos
Citation: OPHTHALMIC EPIDEMIOLOGY, v.16, n.1, p.58-63, 2009
Rights: fechado
Identifier DOI: 10.1080/09286580802575032
Date Issue: 2009
Appears in Collections:FCM - Artigos e Outros Documentos

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