Blindness- causes and prevention

 

NEET PG High-Yield: Blindness

Blindness is a major public health challenge in India. Prevention of blindness programs prioritize cost-effective interventions for treatable conditions.

Definition (NPCB&VI)

Visual acuity of < 3/60 (or visual field of < 10°) in the better eye with best possible correction.

Leading Causes of Blindness in India

Cause Contribution/Notes
Cataract Leading cause (approx. 60–65%).
Refractive Errors A major cause of avoidable visual impairment.
Glaucoma “Silent thief of sight”; irreversible.
Diabetic Retinopathy Emerging as the leading cause in urban areas.
High-Yield NEET PG Pearls:

  • NPCB&VI: National Programme for Control of Blindness and Visual Impairment.
  • Vitamin A Prophylaxis: Crucial for preventing nutritional blindness (Xerophthalmia) in children.
  • School Health Services: Primary strategy for detecting and correcting refractive errors early.
  • Cataract Surgery: High-volume, cost-effective surgery is the cornerstone of the national strategy.
  • Trachoma: Effectively eliminated as a public health problem in India (via the SAFE strategy: Surgery, Antibiotics, Facial cleanliness, Environmental improvement).