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Epidemiology

Ophthalmology exams often test your epidemiological knowledge of visual impairment and blindness. This page will summarise the important facts and discuss the registration of visual impairment in the UK.


Visual Impairment

The department of health in the UK classifies patients with visual impairments as severe (blind) or partial. The criteria for this classification is summarised below and revolves around visual acuity (VA) and visual field defects (VFD).


Severe Sight Impairment (blind)

One of:

  • VA < 3/60
  • VA 3/60-6/60 AND a severe VFD such as tunnel vision
  • VA ≥ 6/60 with significant VFD, particularly affecting the lower fields

Sight Impaired (partial impairment)

One of:

  • VA 3/60-6/60 with full VF
  • VA 6/18-6/24 with moderate VFD or loss of central vision
  • VA ≥ 6/18 with a significant VFD such as hemianopia

Global Vision

Category

Condition

Most common cause of blindness in the world

Cataract

Most common cause infective blindness in the world

Trachoma (1st) Onchocerciasis (2nd)

Most common cause of visual impairment in the world

Refractive error

Most common type of colour blindness

Red-green

Most common cause of nutritional blindness

Vitamin A deficiency → nyctalopia

Most common cause of irreversible blindness in the world

Glaucoma


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