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The Nigerian national blindness and visual impairment survey: Rationale, objectives and detailed methodology

Dineen, B; Gilbert, CE; Rabiu, M; Kyari, F; Mahdi, AM; Abubakar, T; Ezelum, CC; ... Gudlavalleti, MVS; + view all (2008) The Nigerian national blindness and visual impairment survey: Rationale, objectives and detailed methodology. BMC Ophthalmology , 8 , Article 17. 10.1186/1471-2415-8-17. Green open access

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Abstract

Background: Despite having the largest population in Africa, Nigeria has no accurate population based data to plan and evaluate eye care services. A national survey was undertaken to estimate the prevalence and determine the major causes of blindness and low vision. This paper presents the detailed methodology used during the survey.Methods: A nationally representative sample of persons aged 40 years and above was selected. Children aged 10-15 years and individuals aged < 10 or 16-39 years with visual impairment were also included if they lived in households with an eligible adult. All participants had their height, weight, and blood pressure measured followed by assessment of presenting visual acuity, refractokeratomery, A-scan ultrasonography, visual fields and best corrected visual acuity. Anterior and posterior segments of each eye were examined with a torch and direct ophthalmoscope. Participants with visual acuity of < = 6/12 in one or both eyes underwent detailed examination including applanation tonometry, dilated slit lamp biomicroscopy, lens grading and fundus photography. All those who had undergone cataract surgery were refracted and best corrected vision recorded. Causes of visual impairment by eye and for the individual were determined using a clinical algorithm recommended by the World Health Organization. In addition, 1 in 7 adults also underwent a complete work up as described for those with vision < = 6/12 for constructing a normative data base for Nigerians. Discussion: The field work for the study was completed in 30 months over the period 2005-2007 and covered 305 clusters across the entire country. Concurrently persons 40+ years were examined to form a normative data base. Analysis of the data is currently underway. Conclusion: The methodology used was robust and adequate to provide estimates on the prevalence and causes of blindness in Nigeria. The survey would also provide information on barriers to accessing services, quality of life of visually impaired individuals and also provide normative data for Nigerian eyes.

Type: Article
Title: The Nigerian national blindness and visual impairment survey: Rationale, objectives and detailed methodology
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/1471-2415-8-17
Publisher version: http://dx.doi.org/10.1186/1471-2415-8-17
Language: English
Additional information: © 2008 Dineen et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/62011
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