Dr. Kali Shankar Das, Dr. Nabanita Barua, Dr. Vaibhav Gupta, Dr. Alok Kumar Kundu


Aim: To analyze various diseases causing visual handicap in a district in eastern India based on certificates issued by ophthalmic surgeons.

Materials and Methods: Patients were included in the study after detailed history and examination, both from outpatients and handicap board from January to November 2018. Information was analyzed using MS excel.

Result: Two hundred people were visually handicap during this period. Majority of patients presented with unavoidable causes (congenital abnormalities 36.25%, optic atrophy 13%, age related  macular degeneration 4%, retinitis pigmentosa in 3.5%). Cases of preventable causes were  diabetic retinopathy (6%), glaucoma (4.5%), corneal scar (11%).

Conclusion: High prevalence of congenital cases was found this study. Early diagnosis and management is required to prevent blindness arising out of diabetic retinopathy and glaucoma.  Measure needs to be taken to prevent bilateral cases of corneal scarring. Such steps are proper health education, treatment of malnutrition, vaccination and inadvertent use of systemic medications.


Visual handicap, certification

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World Health Organization. Vision impairment and blindness. Factsheet. 2017 (accessed 18 Oct 2017)

Bourne RRA, Flaxman SR , Braithwaite T , et al . Magnitude, temporal trends, and projections of the global prevalence of blindness and distance and near vision impairment: a systematic review and meta-analysis. Lancet Glob Health 2017;5:e888–97.doi:10.1016/S2214-109X(17)30293-0

Sumit Malhotra, Praveen Vashist, Mani Kalaivani, Noopur Gupta, Suraj Singh Senjam, Ramashankar Rath, Sanjeev Kumar Gupta. Prevalence and causes of visual impairment amongst older adults in a rural area of North India: a cross-sectional study. BMJ Open 2018;8:e018894. doi: 10.1136/bmjopen-2017-018894

Ministry of Social Justice and Empowerment. Guidelines for evaluation of various disabilities and procedure for certifi cation. Notification dated 5th January, 2018. The Gazette of India extraordinary. PART II—Section 3—Sub-section (ii).

Brijesh Patil, Chaitra Pujar, Manasa CN, Mallikarjun C. Salagar. Study of causes of visual handicap amongst patients attending outpatient department for visual handicap certification in a medical college of Bagalkot district of Karnataka, India. Medica Innovatica. 2015;4(2):13-16.

Joshi RS. Causes of visual handicap amongst patients attending outpatient department of a medical college for visual handicap certification in central India. Journal of Clinical Ophthalmology and Research- Jan-Apr 2013;1(1):17-9.

Bunce C, Wormald R. Causes of blind certifi cations in England and Wales: April 1999-March 2000. Eye (Lond) 2008;22:905-11.

West SK. Blindness and visual impairment in the Americas and the Caribbean. Br J Ophthalmol 2002;86:498-504.

Dandona R, Dandona L, Srinivas M, Giridhar P, Prasad MN, Vilas K, et al. Moderate visual impairment in India: The Andhra Pradesh Eye Disease Study. Br J Ophthalmol 2002;86:373-7.

Dandona L, Dandona R, Srinivas M, Giridhar P, Vilas K, Prasad MN, et al. Blindness in the Indian State of Andhra Pradesh. Invest Ophthalmol Vis Sci 2001;42:908-16.

Murthy GV, Gupta SK, Bachani D, Jose R, John N. Current estimates of blindness in India. Br J Ophthalmol 2005;89:257-60.

Bunce C, Evans J, Fraser S, Wormald R. The BD8 certification of visually impaired people. Br J Ophthalmol 1998;82(1): 72-6.

Sambuddha Ghosh, Subhalakshmi Mukhopadhyay, Krishnendu Sarkar, Manas Bandyopadhyay et al, Evaluation of Registered Visually Disabled Individuals in a District of West Bengal, India. Indian Journal of Community Medicine 2008.33:3.

Hornby SJ, Adolph S, Gothwal VK, Gilbert CE, Dandona L, Foster A. Evaluation of children in six blind schools of Andhra Pradesh. Indian J Ophthalmol 2000;48:195-200


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