Published: 2018-06-22

A clinical profile of ocular morbidities at a rural health and training centre in Goa

Jagadish A. Cacodcar, Ugam Usgaonkar, Tanvi Poy Raiturcar


Background: Many studies have been conducted in the past to study the profile of ocular morbidities in rural areas in different States in India; however such a study was lacking in Goa.

Methods: A case series titled, “A clinical profile of ocular morbidities at a Rural Health and Training Centre in Goa”, was conducted between January to March 2018, after Institutional ethical committee approval. The study population included 200 patients residing in households registered under the Rural Health and Training Centre (RHTC) located at Mandur, who attended the Ophthalmology speciality outreach clinic. After informed consent, patients were interviewed based on a pre-tested proforma. Socio-demographic details and history was obtained and a detailed ophthalmic examination was done.

Results: 47.5% were between 41-60 years of age, 49.5% used coal, wood or cow dung as fuel; 26.5% were illiterate or had completed primary schooling. 63% had no visual impairment, visual impairment grade 1 and 2 was present in 10% and 19.5% respectively.7.5% were grouped as blind. 55% had refractive errors, 9.5% had corneal opacities, 33% cataract, 4.5% glaucoma, 7% optic atrophy, 7% retinal and macular involvement.

Conclusions: 55% of the participants had refractive errors, 9.5% had corneal opacities, 33% had cataract; 33% of whom were illiterates and 30% were those using coal, wood or cow dung as fuel, suggesting lower socio economic background. The high percentage of patients with corneal opacities and cataract was probably due to lower socio economic status, illiteracy and lack of awareness about ocular problems.


Ocular morbidities, Rural, Goa

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Pascolini D, Mariotti SP. Global estimates of visual impairment: 2010. Br J Ophthalmol. 2012;96:614-8.

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

Statistics. NPCB.

National survey on blindness and visual outcomes after cataract surgery. (2001-2002) AIIMS: New Delhi; 2002.

Whitcher JP, SrinivasanM, Upadhyay MP. Corneal blindness: a global perspective. Bull World Health Organ. 2001;79:214-21.

Raju P, Ramesh SV, Arvind H, George R, Baskaran M, Paul PG, et al. Prevalence of refractive errors in a rural south Indian population. Invest Ophthalmol Vis Sci. 2004;45(12):4268-72.

Dandona R, Dandona L, Naduvilath TJ, Srinivas M, McCarty Ca, Rao GN. Refractive errors in an Urban population in South India: The Andhra Pradesh eye disease study. Invest Ophthalmol Vis Sci. 1999;40:2810-8.

Haq I, Khan Z, Khalique N, Amir A, Jilani FA, Zaidi M. Prevalence of common ocular morbidities in adult population in Aligarh. Indian J Community Med. 2009;34(3):195-201.

Singh MM, Murthy GV, Venkatraman R, Rao SP, Nayar S. A study of ocular morbidity among elderly population in a rural area of central India. Indian J Ophthalmol. 1997;45:61-5.

Soundarssanane MB, Bansal RD, Narayan KA. An epidemiological study of cataract in a rural area of Pondicherry. Indian J Med Sci. 1986;40:273-7.

Awasthi P, Sarbhai KP, Banerjee SC, Maheshwari BB. Prevalence study of glaucoma in rural areas. Indian J Ophthalmol. 1975;23:1-5.

Jain MR, Modi R. Survey of chronic simple glaucoma in the rural population of India (Udaipur) above the age group of 30 years. Indian J Ophthalmol. 1983;31:656-7.