The burden of ocular diseases in an underdeveloped village in Southwest Sumba, Eastern Indonesia, 2016
Background: Prevalence estimates of ocular diseases in a given district are important to plan the programs of eye care services. This study aimed to describe the burden of ocular diseases as an initial step in improving eye care services in underdeveloped areas in Indonesia.
Methods: A cross-sectional study was performed among residents of Perobatang Village in Southwest Sumba district in July 2016. Eye examinations were conducted by ophthalmologists, and visual acuity was measured by optometrists. Participants were provided with appropriate treatment according to diagnosis. Surgical services were offered two months after the examination.
Results: After eximining a total of 667 of 1,459 (46%) residents, the result showed that the most frequent ocular problems were presbyopia (30.8%), cataract (12.8%), refractive error (11.3%), and pterygium (10.7%). The proportion of myopia was 5.9%, hyperopia was 5.0%, and astigmatism was 2.2%. Moreover, the proportion of blindness was 10%. Cataract caused blindness in 44 participants. Other causes of blindness included age-related macular degeneration, retinopathy, optic atrophy, glaucoma, retinal detachment and trauma.
Conclusion: The burden of ocular problems in Perobatang Village, Southwest Sumba, Eastern Indonesia was high. These findings showed the importance of public health action from local government and non-governmental organizations to improve eye care services in Southwest Sumba district.
Resnikoff S, Pascolini D, Etya'ale D, Kocur I, Pararajasegaram R, Pokharel GP, et al. Global data on visual impairment in the year 2002. Bull World Health Organ. 2004;82(11):844–51.
Jaggernath J, Overland L, Ramson P, Kovai V, Chan VF, Naidoo KS. Poverty and eye health. Health. 2014;6:1849–69. https://doi.org/10.4236/health.2014.614217
WHO. Universal eye health: a global action plan 2014–2019. Spain: WHO; 2013.
Indonesian Ministry of Health. Indonesian health profile 2013. Jakarta: Kementerian Kesehatan Republik Indonesia; 2013. Indonesian.
Sitompul S. Retrospective hospital-based analysis of disease of the eye at a rural and impoverished district in Eastern Indonesia in 2015. Forthcoming.
Taufik MIS. Evaluation of Soil Transmitted Helminths Eradication Using Triple Dose Albendazole in Perobatang Village, Southwest Sumba, Indonesia [thesis]. Jakarta: Universitas Indonesia; 2017. Indonesian.
Kidd Man RE, Fenwick EK, Sabanayagam C, Li LJ, Gupta P, Tham YC, et al. Prevalence, correlated, and impacts of uncorrected presbyopia in a multiethnic asian population. Am J Ophthalmol. 2016;168:191–200. https://doi.org/10.1016/j.ajo.2016.05.019
Patel I, Munoz B, Burke AG, Kayongoya A, McHiwa W, Schwarzwalder AW, West SK. Impact of presbyopia on quality of life in a rural African setting. Ophthalmology. 2006;113:728–34. https://doi.org/10.1016/j.ophtha.2006.01.028
Laviers HR, Omar F, Jecha H, Kassim G, Gilbert C. Presbyopic spectacle coverage, willingness to pay for near correction and the impact of correcting uncorrected presbyopia in adults in Zanzibar, East Africa. Invest Ophthalmol Vis Asci. 2010;51:1234–41. https://doi.org/10.1167/iovs.08-3154
Marmamula S, Keefe JE, Rao GN. Population-based cross-sectional study of barriers to utilization of refraction services in South India. BMJ Open. 2011;1(1):e000172. https://doi.org/10.1136/bmjopen-2011-000172
Nirmalan PK, Krishnaiah S, Shamanna BR, Rao GN, Thomas R. A population based assessment of presbyopia in the state of Andhra Pradesh, South India: the Andhra Pradesh Eye Disease Study. Invest Ophthalmol Vis Sci. 2006;47:2324–8. https://doi.org/10.1167/iovs.05-1192
Williams KM, Verhoeven VJM, Cumberland P, Bertelsen G, Wolfram C, Buitendijk GH, et al. Prevalence of refractive error in Europe: the Euro Epidemiology Consortium. Eur J Epidemiol. 2015;30:305–15. https://doi.org/10.1007/s10654-015-0010-0
Wong TY, Zheng Y, Jonas JB, Flaxman SR, Keeffe, Leasher J, et al. Prevalence and causes of vision loss in East Asia: 1990–2010. Br J Ophtalmol. 2014;98:599–604. https://doi.org/10.1136/bjophthalmol-2013-304047
Pan SW, Zheng YF, Anuar AR, Chew M, Gazzard G, Aung T, et al. Prevalence of refractive errors in a multiethnic asian population: the Singaporean epidemiology of eye disease study. Invest Opthalmol Vis Sci. 2013;54:2590–8. https://doi.org/10.1167/iovs.13-11725
Pan CW, Ramamurthy D, Saw SM. Worldwide prevalence and risk factors for myopia. Opthalmic Physiol Opt. 2012;32:3–16. https://doi.org/10.1111/j.1475-1313.2011.00884.x
Liu YC, Wilkins M, Kim T, Malyugin B, Mehta JS. Cataract. Lancet. 2017;390:600–12. https://doi.org/10.1016/S0140-6736(17)30544-5
World Health Organization. Global data on visual impairments 2010. Sweden:WHO;2012.
Liu L, Wu J, Geng J, Yan Z, Huang D. Geograhical prevalence and risk factor for pterygium: a systematic review and meta-analysis. BMJ Open. 2013;3:e003787. https://doi.org/10.1136/bmjopen-2013-003787
Zoroquiain P, Jabbour S, Aldrees S, Villa N, Bravo-Filho V, Dietrich H, et al. High frequency of squamous intraepithelial neoplasia in pterygium related to low ultraviolet light exposure. Saudi Journal of Ophthalmology. 2016;30:113–6. https://doi.org/10.1016/j.sjopt.2016.02.007
Cao XG, Li XX, Bao YZ. Relationship between pterygium and age-related cataract among rural populations living in two different latitude areas in China. Int J Clin Exp Med. 2017;10(2):3494–501.
Strausser R. Rural health around the world: challenges and soutions. Family Practice. 2003;20:457–63. https://doi.org/10.1093/fampra/cmg422
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