Evidence map›Paper›PMID 39946351›Full record

ArticlePloS one2025

Prevalence and causes of blindness and vision impairment among people 50 years and older in Nepal: A national Rapid Assessment of Avoidable Blindness survey.

Sailesh Kumar Mishra, Ranjan Shah, Parikshit Gogate, Yuddha Dhoj Sapkota, Reeta Gurung, Mohan Krishna Shrestha, Islay Mactaggart, Ian McCormick, Brish Bahadur Shahi, Rajiv Khandekar and 1 more

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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Sailesh Kumar MishraNepal Netra Jyoti Sangh, Kathmandu, Nepal.
Ranjan ShahNepal Netra Jyoti Sangh, Kathmandu, Nepal.ORCID 0000-0003-4855-8751
Parikshit GogateCommunity Eye Care Foundation, Dr. Gogate's Eye Clinic, Pune, India.ORCID 0000-0002-7008-5463
Yuddha Dhoj SapkotaInternational Agency for Prevention of Blindness, South East Asia Office, Kathmandu, Nepal.
Reeta GurungTilganga Eye Institute, Kathmandu, Nepal.
Mohan Krishna ShresthaTilganga Eye Institute, Kathmandu, Nepal.ORCID 0000-0003-4592-6715
Islay MactaggartInternational Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Ian McCormickInternational Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.ORCID 0000-0002-6050-787X
Brish Bahadur ShahiMinistry of Social Development, Birendranagar, Karnali Province, Nepal.
Rajiv KhandekarDepartment of Ophthalmology & Visual Sciences, Faculty of Medicine, The University of British Columbia, Vancouver, Canada.
Matthew BurtonInternational Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the prevalence and causes of blindness and vision impairment among people 50 years and older in Nepal.

methodsWe conducted seven provincial-level Rapid Assessment of Avoidable Blindness (RAAB) cross-sectional, population-based surveys between 2018-2021. Provincial prevalence estimates were weighted to give nationally representative estimates. Sampling, enumeration, and examination of the population 50 years and older were done at the province level following standard RAAB protocol.

resultsAcross seven surveys, we enrolled 33,228 individuals, of whom 32,565 were examined (response rate 98%). Females (n = 17,935) made up 55% of the sample. The age-sex-province weighted national prevalence of blindness (better eye presenting visual acuity <3/60) was 1.1% (95% confidence interval [CI] 1.0-1.2%), and any vision impairment <6/12 was 20.7% (95% CI 19.9-21.5%). The prevalence of blindness was higher in women than men (1.3% [95% CI 1.1-1.5%] vs 0.9% [95% CI 0.7-1.0%]). Age-sex weighted blindness prevalence was highest in Lumbini Province (1.8% [95% CI 1.3-2.2%]) and lowest in Bagmati Province (0.7% [95% CI 0.4-0.9%]) and Sudurpaschim Province (0.7% [95% CI 0.4-0.9%]). Cataract (65.2%) was the leading cause of blindness in our sample, followed by corneal opacity (6.4%), glaucoma (5.8%) and age-related macular degeneration (5.3%). Other posterior segment diseases accounted for 8.4% of cases. Cataract was also the leading cause of severe vision impairment (83.9%) and moderate vision impairment (66.8%), while refractive error was the leading cause of mild vision impairment (66.5%).

conclusionThe prevalence of blindness was higher among women than men and varied by province. The Lumbini and Madesh Provinces in the Terai (plains) region had higher prevalence of blindness than elsewhere. Cataract was the leading cause of blindness, severe vision impairment and moderate vision impairment while refractive error was the leading cause of mild vision impairment.

Indexed as

BlindnessVision DisordersVision, LowAgedAged, 80 and overCataractCross-Sectional StudiesFemaleHumansMaleMiddle AgedNepalPrevalenceVisual Acuity

Identifiers

PMID39946351
PMCPMC11824995

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.