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Abstract
Purpose To present the results of a community-based screening programme for diabetes, diabetic retinopathy (DR) and childhood blindness (CB) in District Hyderabad, Pakistan
Methods Prospective cross-sectional data collection from January 2014 to December 2015 of screening for diabetes, DR and CB in Hyderabad District. Female health workers were trained to identify high-risk (potential) patients for diabetes and childhood eye disorders to undertake preliminary screening and refer patients to basic health units. The patients were further assessed by medical officers with the support of qualified optometrist, after which they were referred to Sindh Institute of Ophthalmology and Visual Sciences, Hyderabad, Pakistan for management.
Results A total of 995 244 population was covered in this screening programme during which 2622 children (0–≤15 years) were screened for CB while 16 760 adult patients (>15 years) were screened for diabetes. Random blood glucose level of 3075 patients was >140 mg/dL. Out of these patients, 17% were diagnosed with DR. Refractive error (42%) was the most common cause of childhood visual impairment.
Conclusion The diabetic screening programme detected a high prevalence (17%) of retinopathy in patients with diabetes living in Hyderabad District. The most common cause of childhood visual impairment was refractive error (42%), which was successfully managed due to timely diagnosis. A large number of patients benefited from this community-based screening programme.
- child health (paediatrics)
- epidemiology
- public health
- retina
- vision
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Footnotes
Contributors NBN, Drafted the manuscript, statistically analysed data and reviewed literature. KIT, designed the study, statistically analysed and critically reviewed the manuscript. FA, conceptualised the study and approved the final version. MAK and MNM, diagnosed the cases, collected data and did critical appraisal of findings.
Funding The Fred Hollows Foundation through its DFAT funded Pakistan Australia Prevention of Avoidable Blindness (PAPAB) Project.
Competing interests None declared.
Patient consent Detail has been removed from this case description/these case descriptions to ensure anonymity. The editors and reviewers have seen the detailed information available and are satisfied that the information backs up the case the authors are making.
Ethics approval Ethical Review Committee Sindh Institute of Ophthalmology and Visual Sciences, Pakistan.
Provenance and peer review Not commissioned; externally peer reviewed.