Abstract
AIMS/BACKGROUND--As part of a 4 year Spanish development aid programme, an ophthalmic hospital was set up in Luanda in 1991 for the in situ training of local ophthalmologists. Presented here are the data obtained from 4201 patients treated during the first 2 years of the project. METHODS--Patients were referred to the institute from the emergency ward at the Luanda General Hospital, selected mainly according to the severity of their disease. The following data were collected from the clinical reports: age, sex, diagnosis (single or multiple), type of treatment (medical or surgical), acuity of the best eye at the time of diagnosis, and main disease group. RESULTS--The main causes of blindness treated were: cataracts; glaucoma; optic nerve diseases (neuritis and atrophy); trauma; xerophthalmia; uveitis; hereditary retinal diseases (degenerative myopia, retinitis pigmentosa, albinism, and Stargardt's disease); retinal detachment; and diabetic retinopathy. CONCLUSIONS--Sanitary resources in Angola are generally inadequate, and ophthalmic care is no exception to this. Owing to the high percentage of preventable or treatable blinding diseases in this environment, a campaign of social education should always be held along with any medical programme, in order to optimise the available resources.
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Selected References
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- Faal H., Minassian D., Sowa S., Foster A. National survey of blindness and low vision in The Gambia: results. Br J Ophthalmol. 1989 Feb;73(2):82–87. doi: 10.1136/bjo.73.2.82. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Foster A. Cataract blindness in Africa. Ophthalmic Surg. 1987 May;18(5):384–388. [PubMed] [Google Scholar]
- Foster A., Johnson G. J. Magnitude and causes of blindness in the developing world. Int Ophthalmol. 1990 May;14(3):135–140. doi: 10.1007/BF00158310. [DOI] [PubMed] [Google Scholar]
- Kagame K., Schwab L. Childhood blindness: dateline Africa. Ophthalmic Surg. 1989 Feb;20(2):128–131. [PubMed] [Google Scholar]
- Schwab L. Ophthalmology in Zimbabwe. Arch Ophthalmol. 1989 Feb;107(2):284–287. doi: 10.1001/archopht.1989.01070010290041. [DOI] [PubMed] [Google Scholar]
- Searle A. E., Fielder A. R. Screening for ocular disease and visual impairment. Curr Opin Ophthalmol. 1990 Dec;1(6):654–659. [PubMed] [Google Scholar]
- Sommer A. Nutritional factors in corneal xerophthalmia and keratomalacia. Arch Ophthalmol. 1982 Mar;100(3):399–403. doi: 10.1001/archopht.1982.01030030401002. [DOI] [PubMed] [Google Scholar]
- Sommer A., Tielsch J. M., Katz J., Quigley H. A., Gottsch J. D., Javitt J. C., Martone J. F., Royall R. M., Witt K. A., Ezrine S. Racial differences in the cause-specific prevalence of blindness in east Baltimore. N Engl J Med. 1991 Nov 14;325(20):1412–1417. doi: 10.1056/NEJM199111143252004. [DOI] [PubMed] [Google Scholar]
- Taylor H. R., Katala S., Muñoz B., Turner V. Increase in mortality associated with blindness in rural Africa. Bull World Health Organ. 1991;69(3):335–338. [PMC free article] [PubMed] [Google Scholar]
- Thylefors B., Négrel A. D., Pararajasegaram R. Epidemiologic aspects of global blindness prevention. Curr Opin Ophthalmol. 1992 Dec;3(6):824–834. doi: 10.1097/00055735-199212000-00016. [DOI] [PubMed] [Google Scholar]
- Whitfield R., Schwab L., Ross-Degnan D., Steinkuller P., Swartwood J. Blindness and eye disease in Kenya: ocular status survey results from the Kenya Rural Blindness Prevention Project. Br J Ophthalmol. 1990 Jun;74(6):333–340. doi: 10.1136/bjo.74.6.333. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wormald R., Foster A. Clinical and pathological features of chronic glaucoma in north-east Ghana. Eye (Lond) 1990;4(Pt 1):107–114. doi: 10.1038/eye.1990.13. [DOI] [PubMed] [Google Scholar]