Characterization of a population with visual disabilities (low vision and blindness) attended in two Health Institutions from Medellín
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Abstract
Objective: to characterize the clinical and socio-demographical characteristics of a population of patients with visual impairment attended at two health institutions in Medellín (Antioquia, Colombia), with an emphasis on the etiology of irreversible vision loss.
Methodology: Observational, descriptive study of unilateral and bilateral visual impairment in 1 742 medical records to identify patients with low vision or blindness. A research form was used to validate patients with visual impairment, and 107 medical records were selected.
Results: 56.6% presented low vision and 43.4% presented blindness. Vision loss was due to ophthalmic causes in 39% of cases, 20% were caused by neuro-ophthalmic alterations and 17% by neurological disorders of the visual cortex. In addition to visual acuity, other visual impairments were found, such as optic atrophy, electrophysiological alteration of the visual pathway, and encephalomalacia in visual cortices. 82% of patients had at least one nonophthalmic comorbidity.
Conclusions: Adequate registration of rehabilitation activity, biological, social, and psychological characteristics of patients with low vision and blindness is essential in order to fully understand both the impairment and its impact.
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References
Stevens GA, White RA, Flaxman SR, Price H, Jonas JB, Keeffe J, et al. Global prevalence of vision impairment and blindness: Magnitude and temporal trends, 1990-2010. Ophthalmology. 2013;120(12): 2377–2384.
Salisbury T, Evaluation E. Causes of blindness and visual impairment in a population of older Americans. Arch Ophthalmol. 2000;118(6): 819-825.
WHO. International Statistical Classification of Diseases and Related Health Problems 10th Revision [Internet]. Geneva: WHO; 2014 [citado 21 dic 2014]. Disponible en: http://apps.who. int/classifications/icd10/browse/2015/en
WHO. Ceguera y discapacidad visual [Internet]. Geneva: WHO; 2014 [citado 21 dic 2014]. Disponible en: http://www.who.int/mediacentre/factsheets/fs282/es/
WHO. Global data on visual impairments 2010 [Internet]. Genova: WHO; 2012 [citado 05 ene 2015]. Disponible en: http://www.who.int/blindness/GLOBALDATAFINALforweb.pdf
McKean-Cowdin R, Varma R, Wu J, Hays RD, Azen SP. Severity of visual field loss and healthrelated quality of life. Am J Ophthalmol. 2007;143(6): 1013–1023.
Vu HT , Keeffe JE, McCarty C, Taylor HR. Impact of unilateral and bilateral vision loss on quality of life. Br J Ophthalmol 2005;89(3): 360–363.
Rein DB, Zhang P, Wirth KE, Lee PP, Hoerger TJ, McCall N, et al. The economic burden of major adult visual disorders in the United States. Arch Ophthalmol. 2006;124(12): 1754-1760.
Leasher JL, Lansingh V, Flaxman SR, Jonas JB, Keeffe J, Naidoo K, et al. Prevalence and causes of vision loss in Latin America and the Caribbean: 1990-2010. Br J Ophthalmol. 2014;98(5): 619–628.
Limburg H, Barria von-Bischhoffshausen F, Gomez P, Silva JC, Foster A. Review of recent surveys on blindness and visual impairment in Latin America. Br J Ophthalmol. 2008;92(3): 315–319.
DANE. Información estadística de la discapacidad. Bogotá: Departamento Administrativo Nacional de Estadística, Dirección de Censos y Demografía; 2006.
Instituto Nacional para Ciegos. Informes estadísticos [Internet]. Bogotá: INCI; 2015 [citado 25 feb 2014]. Disponible en: http://www.inci.gov.co/observatorio-social/informes-estadisticos
Secretaría de Salud de Medellín. Indicadores básicos: situación de salud en Medellín. Medellín: Alcaldía de Medellín; 2012.
Pascolini D, Mariotti SP. Global estimates of visual impairment: 2010. Br J Ophthalmol. 2012;96(5):614–618.
WHO. 10 datos sobre la ceguera y la discapacidad visual [Internet]. Géneva: WHO; 2014 [citado 26 de febrero de 2014]. Disponible en: http://www.who.int/features/factfiles/blindness/es/
WHO. Centro de Prensa. discapacidad y salud nota descriptiva N°352 [Internet]. Géneva: WHO; 2014 [citado 27 feb 2015]. Disponible en: http://www.who.int/mediacentre/factsheets/fs352/es/
Klein R, Klein BE. The prevalence of age-related eye diseases and visual impairment in aging: current estimates. Invest Ophthalmol Vis Sci. 2013;54(14):ORSF5-ORSF13.
Mansouri B, Stacy RC, Kruger J, Cestari DM. Deprivation amblyopia and congenital hereditary cataract. Semin Ophthalmol. 2013;28: 321-326.
Resnikoff S, Pascolini D, Mariotti SP, Pokharel GP. Global magnitude of visual impairment caused by uncorrected refractive errors in 2004. Bull World Health Organ. 2008;86(1): 63-70.
Dworak DP, Nichols J. A review of optic neuropathies. Dis Mon. 2014;60(6): 276-281.
Tham YC, Li X, Wong TY, Quigley HA, Aung T, Cheng CY. Global prevalence of glaucoma and projections of glaucoma burden through 2040: A systematic review and meta-analysis. Ophthalmology. 2014;121(11): 2081-2090.
Wong WL, Su X, Li X, Cheung CM, Klein R, Cheng CY, et al. Global prevalence of age-related macular degeneration and disease burden projection for 2020 and 2040: A systematic review and meta-analysis. Lancet Glob Health. 2014;2(2): e106-116.
Casten RJ, Rovner BW, Tasman W. Age-related macular degeneration and depression: A review of recent research. Curr Opin Ophthalmol. 2004;15(3): 181–183.
Congdon NG, Friedman DS, Lietman T. Important causes of visual impairment in the world today. JAMA. 2003;290(15): 2057-2060.
Krader CG; American Diabetes Association. Diabetes clinical practice recommendations focus attention on individualization of care. Med Econ. 2014;91(16): 22.
Taylor HR, Burton MJ, Haddad D, West S, Wright H. Trachoma. Lancet. 2014;384(9960): 2142- 2152.
García LG, Hernández A. Actitudes hacia la discapacidad de jóvenes y adultos de Chiapas. Univ Psychol. 2011;10(3): 817-827.
Moreno J, Rodríguez I, Saldaña D, Aguilera A. Actitudes ante la discapacidad en el alumnado universitario matriculado en materias afines. Revista Iberoamericana de Educación. 2006;40(5): 1-12.
Morales F, Cerezo M, Fernández F, Infante L, Trianes M. Eficacia de una intervención para incrementar apoyo social en adolescentes discapacitados motores a partir del voluntariado de estudiantes de educación secundaria. Revista Latinoamericana de Psicología. 2009;41(1): 141-150.
Banks ME. Women with disabilities: cultural competence in rehabilitation psychology. Disabil Rehabil. 2008;30(3):184-90.
Polo MT, López J. Autoconcepto de estudiantes universitarios con discapacidad visual, auditiva y motora. Rev Lat Am Psicol. 2009;44(2): 87-98.
