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Sheng XL, Li HP, Liu QX, et al. Prevalence and associated factors of corneal blindness in Ningxia in northwest China. Int J Ophthalmol. 2014;7(3):557-62doi: 10.3980/j.issn.2222-3959.2014.03.30.
Sheng, X. L., Li, H. P., Liu, Q. X., Rong, W. N., Du, W. Z., Ma, L., Yan, G. H., Ma, R. Q., Zhang, J. L., Xu, H. F., Zou, W. Q., & Bi, X. J. (2014). Prevalence and associated factors of corneal blindness in Ningxia in northwest China. International journal of ophthalmology, 7(3), 557-62. https://doi.org/10.3980/j.issn.2222-3959.2014.03.30
Sheng, Xun-Lun, et al. "Prevalence and associated factors of corneal blindness in Ningxia in northwest China." International journal of ophthalmology vol. 7,3 (2014): 557-62. doi: https://doi.org/10.3980/j.issn.2222-3959.2014.03.30
Sheng XL, Li HP, Liu QX, Rong WN, Du WZ, Ma L, Yan GH, Ma RQ, Zhang JL, Xu HF, Zou WQ, Bi XJ. Prevalence and associated factors of corneal blindness in Ningxia in northwest China. Int J Ophthalmol. 2014 Jun 18;7(3):557-62. doi: 10.3980/j.issn.2222-3959.2014.03.30. eCollection 2014. PMID: 24967208; PMCID: PMC4067676.
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Int J Ophthalmol. 2014 Jun 18;7(3):557-62. doi: 10.3980/j.issn.2222-3959.2014.03.30. eCollection 2014.

Prevalence and associated factors of corneal blindness in Ningxia in northwest China.

International journal of ophthalmology

Xun-Lun Sheng, Hui-Ping Li, Qing-Xia Liu, Wei-Ning Rong, Wen-Zhang Du, Li Ma, Guang-Hui Yan, Run-Qing Ma, Jian-Ling Zhang, Hui-Fang Xu, Wen-Qing Zou, Xiao-Jun Bi

Affiliations

  1. Ningxia Eye Hospital, Ningxia People's Hospital, Yinchuan 750011, Ningxia Hui Autonomous Region, China.
  2. Department of Ophthalmology, Tongxin Hospital, Tongxin 751300, Ningxia Hui Autonomous Region, China.
  3. Department of Ophthalmology, Ningxia Medical University, Yinchuan 750001, Ningxia Hui Autonomous Region, China.

PMID: 24967208 PMCID: PMC4067676 DOI: 10.3980/j.issn.2222-3959.2014.03.30

Abstract

AIM: To describe the prevalence and demographic characteristics of corneal blindness in an urban and rural region of Ningxia, located in the northwest part of China.

METHODS: A stratified, randomized sampling procedure was employed in the study, including urban and rural area of all age group. Visual acuity, anterior segment and ocular fundus were checked. Related factor of corneal disease, including age, gender, education status, ethnic group, location and occupation, were identified according to uniform customized protocol. An eye was defined to be corneal blindness if the visual acuity was <20/400 due to a corneal disease.

RESULTS: Three thousand individuals (1290 from urban area and 1710 from rural area) participated in the investigation, with a response rate of 80.380%. The prevalence of corneal blindness was 0.023% in both eyes and 0.733% in at least one eye. The blindness in at least one eye with varied causes was present in 106 participants (3.533%) and in bilateral eyes in 34 participants (1.133%). The corneal diseases accounted for 20.754% of blindness in at least one eye and 20.588% of bilateral blindness. The prevalence of corneal disease was higher in older and Han ethnic group, especially those who occupied in agriculture and outdoor work. People with corneal blindness were more likely to be older and lower education. Rural population were more likely to suffer from bilateral corneal blindness than the urban population in ≥59-year group (χ (2)=6.716, P=0.019). Infectious, trauma and immune corneal disease were the three leading causes of corneal disease. Trauma corneal disease was more likely leading to blindness in one eye. However, infectious and immune corneal diseases make more contribution to the bilateral corneal blindness.

CONCLUSION: Corneal blindness is a significant burden of in Ningxia population, encompassing a variety of corneal infections and trauma; the majority of those were avoidable. Health promotion strategies and good hygienic conditions have to be developed.

Keywords: blindness; corneal disease; epidemiology; infectious keratitis; trauma

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