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Prevalence and causes of low vision and blindness in a rural chinese adult population: the Handan Eye Study.
Ophthalmology 2008; 115(11):1965-72O

Abstract

PURPOSE

To describe the prevalence and causes of low vision and blindness in a rural population in Northern China.

DESIGN

Population-based, cross-sectional study.

PARTICIPANTS

A study of 6830 Han Chinese aged 30 years and older was conducted between October 2006 and October 2007 in rural Yongnian County in Handan, Northern China.

METHODS

Clustered samples of adults aged 30 years or more residing in 13 residential villages were selected randomly and were invited to participate the Handan Eye Study. Participants underwent a comprehensive eye examination, including standardized visual acuity (VA) tests using logarithm of the minimum angle resolution charts. Prevalence was age- and gender-standardized to the 2000 China Census.

MAIN OUTCOME MEASURES

Low vision was defined as VA <20/60 but >/=20/400, and blindness was defined as VA <20/400 following the Modified World Health Organization (WHO) definitions. Primary causes of low vision and blindness were determined by study ophthalmologists according to WHO definitions.

RESULTS

Six thousand eight hundred thirty (90.4%) of 7577 eligible individuals participated in the study, and 6799 (89.7%) had VA data available. Population-weighted prevalence of presenting bilateral blindness was 0.6% and bilateral low vision was 4.7% for persons 30 years of age and older. Based on best-corrected visual acuity (BCVA), the corresponding prevalence of blindness was 0.5% and that of low vision was 1.0%. Blindness and low vision were strongly age related (P<0.05). Cataract was the predominant cause of presenting bilateral blindness (36.6%), whereas undercorrected refractive error was the predominant cause of presenting low vision (78.4%). After refractive correction, cataract became the first leading cause of blindness (41.9%), and low vision (48.2%), myopic retinopathy (16.1%), glaucoma (9.7%), and corneal opacity (9.7%) were other common causes of blindness defined using BCVA.

CONCLUSIONS

A higher prevalence of blindness and low vision was seen in this rural Chinese sample than has been reported from urban Chinese populations. The estimated numbers with BCVA-defined low vision and blindness in 2020, based on best-corrected vision in rural Chinese adults aged 30 years or more, is expected to be 12.4 million and 2.9 million, respectively. Predominant causes of low vision and blindness in China are treatable.

Authors+Show Affiliations

Beijing Tongren Eye Center, Capital University of Medical Sciences, Beijing, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18684506

Citation

Liang, Yuan Bo, et al. "Prevalence and Causes of Low Vision and Blindness in a Rural Chinese Adult Population: the Handan Eye Study." Ophthalmology, vol. 115, no. 11, 2008, pp. 1965-72.
Liang YB, Friedman DS, Wong TY, et al. Prevalence and causes of low vision and blindness in a rural chinese adult population: the Handan Eye Study. Ophthalmology. 2008;115(11):1965-72.
Liang, Y. B., Friedman, D. S., Wong, T. Y., Zhan, S. Y., Sun, L. P., Wang, J. J., ... Wang, N. L. (2008). Prevalence and causes of low vision and blindness in a rural chinese adult population: the Handan Eye Study. Ophthalmology, 115(11), pp. 1965-72. doi:10.1016/j.ophtha.2008.05.030.
Liang YB, et al. Prevalence and Causes of Low Vision and Blindness in a Rural Chinese Adult Population: the Handan Eye Study. Ophthalmology. 2008;115(11):1965-72. PubMed PMID: 18684506.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and causes of low vision and blindness in a rural chinese adult population: the Handan Eye Study. AU - Liang,Yuan Bo, AU - Friedman,David S, AU - Wong,Tien Yin, AU - Zhan,Si Yan, AU - Sun,Lan Ping, AU - Wang,Jie Jin, AU - Duan,Xin Rong, AU - Yang,Xiao Hui, AU - Wang,Feng Hua, AU - Zhou,Qiang, AU - Wang,Ning Li, AU - ,, Y1 - 2008/08/05/ PY - 2008/02/28/received PY - 2008/05/14/revised PY - 2008/05/30/accepted PY - 2008/8/8/pubmed PY - 2008/12/31/medline PY - 2008/8/8/entrez SP - 1965 EP - 72 JF - Ophthalmology JO - Ophthalmology VL - 115 IS - 11 N2 - PURPOSE: To describe the prevalence and causes of low vision and blindness in a rural population in Northern China. DESIGN: Population-based, cross-sectional study. PARTICIPANTS: A study of 6830 Han Chinese aged 30 years and older was conducted between October 2006 and October 2007 in rural Yongnian County in Handan, Northern China. METHODS: Clustered samples of adults aged 30 years or more residing in 13 residential villages were selected randomly and were invited to participate the Handan Eye Study. Participants underwent a comprehensive eye examination, including standardized visual acuity (VA) tests using logarithm of the minimum angle resolution charts. Prevalence was age- and gender-standardized to the 2000 China Census. MAIN OUTCOME MEASURES: Low vision was defined as VA <20/60 but >/=20/400, and blindness was defined as VA <20/400 following the Modified World Health Organization (WHO) definitions. Primary causes of low vision and blindness were determined by study ophthalmologists according to WHO definitions. RESULTS: Six thousand eight hundred thirty (90.4%) of 7577 eligible individuals participated in the study, and 6799 (89.7%) had VA data available. Population-weighted prevalence of presenting bilateral blindness was 0.6% and bilateral low vision was 4.7% for persons 30 years of age and older. Based on best-corrected visual acuity (BCVA), the corresponding prevalence of blindness was 0.5% and that of low vision was 1.0%. Blindness and low vision were strongly age related (P<0.05). Cataract was the predominant cause of presenting bilateral blindness (36.6%), whereas undercorrected refractive error was the predominant cause of presenting low vision (78.4%). After refractive correction, cataract became the first leading cause of blindness (41.9%), and low vision (48.2%), myopic retinopathy (16.1%), glaucoma (9.7%), and corneal opacity (9.7%) were other common causes of blindness defined using BCVA. CONCLUSIONS: A higher prevalence of blindness and low vision was seen in this rural Chinese sample than has been reported from urban Chinese populations. The estimated numbers with BCVA-defined low vision and blindness in 2020, based on best-corrected vision in rural Chinese adults aged 30 years or more, is expected to be 12.4 million and 2.9 million, respectively. Predominant causes of low vision and blindness in China are treatable. SN - 1549-4713 UR - https://www.unboundmedicine.com/medline/citation/18684506/Prevalence_and_causes_of_low_vision_and_blindness_in_a_rural_chinese_adult_population:_the_Handan_Eye_Study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0161-6420(08)00548-4 DB - PRIME DP - Unbound Medicine ER -