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. Author manuscript; available in PMC: 2014 Aug 11.
Published in final edited form as: Br J Ophthalmol. 2011 Jan 17;95(10):1365–1370. doi: 10.1136/bjo.2010.189068

Table 3.

Causes of bilateral blindness and visual impairment

<6/18–6/60 (VI) <6/60–3/60 (SVI) <3/60 (Blind) All subjects
Avoidable 43 68.3% 19 61.3% 40 58.8% 102 63.0%
  Preventable 0 0.0% 3 9.7% 5 7.4% 8 4.9%
    Optic nerve injury (brain abscess, surgery) 0 0.0% 1 3.2% 2 2.9% 3 1.9%
    Congenital rubella 0 0.0% 1 3.2% 1 1.5% 2 1.2%
    Corneal scar 0 0.0% 1 3.2% 1 1.5% 2 1.2%
    Vitamin A deficiency 0 0.0% 0 0.0% 1 1.5% 1 0.6%
  Treatable 43 68.3% 16 51.6% 35 51.5% 94 58.0%
    Refractive error 26 41.3% 2 6.5% 3 4.4% 31 19.1%
    Cataract 7 11.1% 8 25.8% 14 20.6% 29 17.9%
    Glaucoma 0 0.0% 0 0.0% 12 17.6% 12 7.4%
    Amblyopia–refractive 4 6.3% 3 9.7% 3 4.4% 10 6.2%
    Vernal keratoconjunctivitis 3 4.8% 2 6.5% 2 2.9% 7 4.3%
    Subluxed lens from Marfan syndrome 3 4.8% 1 3.2% 0 0.0% 4 2.5%
    Unknown (bilateral enucleation) 0 0.0% 0 0.0% 1 1.5% 1 0.6%
Unavoidable 20 31.7% 12 38.7% 28 41.2% 60 37.0%
  Optic nerve atrophy 2 3.2% 2 6.5% 8 11.8% 12 7.4%
  Albinism 6 9.5% 3 9.7% 1 1.5% 10 6.2%
  Retinal dystrophy 4 6.3% 1 3.2% 2 2.9% 7 4.3%
  Disorganised 1 1.6% 2 6.5% 4 5.9% 7 4.3%
  Unknown—normal examination 5 7.9% 1 3.2% 1 1.5% 7 4.3%
  Microphthalmia 0 0.0% 0 0.0% 5 7.4% 5 3.1%
  Aniridia 1 1.6% 1 3.2% 2 2.9% 4 2.5%
  Cerebral hypoxia/injury 0 0.0% 1 3.2% 2 2.9% 3 1.9%
  Optic nerve hypoplasia 0 0.0% 1 3.2% 1 1.5% 2 1.2%
  Anophthalmos 0 0.0% 0 0.0% 1 1.5% 1 0.6%
  Cornea plana/sclerocornea 1 1.6% 0 0.0% 0 0.0% 1 0.6%
  Goldenhar syndrome 0 0.0% 0 0.0% 1 1.5% 1 0.6%
Total 63 100.0% 31 100.0% 68 100.0% 162 100.0%

VI, visual impairment; SVI, severe visual impairment.