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Causes of visual impairment and blindness among the middle-aged and elderly in northern Jordan.

Causes of bilateral low vision (BLLV) and bilateral blindness (BLB) were investigated among 720 outpatients aged > 45 years in Irbid, Jordan, between July 1999 and October 2000. All received full ophthalmic examinations. BLLV was defined as visual acuity < 6/18 but > 3/60 in the better eye; BLB as acuity < 3/60 in the better eye. The leading cause of BLB and BLLV was cataract. Refractive error was the second major cause of BLLV. Other common causes were diabetic retinopathy and glaucoma. Age-related macular degeneration was the single cause of BLB and BLLV for only 1.6% and 2.8% respectively. A population-based survey of BLB and BLLV in the elderly, yearly vision examinations and an ophthalmic education programme are recommended.

Age Distribution↗

Vision examination of children in Riyadh's handicapped children house.

Fifty-eight children with neuromuscular handicap participating in a habilitation program at Riyadh, Saudi Arabia underwent an abbreviated vision examination evaluating their visual status. Manpower, time, language and equipment constraints prevented the performance of routine, complete eye examinations for each child. This initial effort was designed to assess the subjects' vision as well as examination time, space, manpower, and any other unforeseen problems in treating this population. This vision evaluation showed that 63.7 percent had ocular findings, and only 17.2 percent had a history of previous eye examination. Currently, a program of evaluation, training and education is underway to treat these children with motor and social handicaps at the Handicapped Children House. Routine vision examination, more complete than undertaken with this study, should be instituted, incorporating ocular history, external examination, refraction, dilated ophthalmoscopy, slit lamp with further evaluation and treatment of those children with findings.

Child↗

Irlen lenses.

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Humans↗

[Prevention of myopia in children].

Eye diseases rank third in the structure of morbidity among children aged 0 to 17 years. Acquired myopathy is the leading abnormality in the structure of morbidity, with diminished vision being in 28% of preschool children and in every two school graduates. Myopia is attended by the signs of systemic connective tissue dysplasia and impaired circulation due to autonomic dysfunction. Early diagnosis and correction of autonomic dysfunction is the basic line of the prevention and treatment of school myopia. Treatment of children can be organized in the medical room of a school. Along with general health-improving measures, physiotherapetic procedures, such as lens exercises, curative gymnastics, massage, and gentle manual therapy procedures should be used in the multimodality treatment of children with myopia. Autonomic tone can be regulated through the visual analyzer by pulse photostimulation on a spectral ophthalmologic apparatus (an up-to-date ACO-05 software model ("DEST", Cheboksary). Moreover, circulation improves, eye muscles become stronger, visual reflexes restore, and vision improves. A school oculist's room may be used as a new health-improving form in children with myopia. It should be set up in every school since the high efficiency of treatment for accommodation spasm is an important argument of the prevention of myopia, promotes a greater coverage of children with early myopia by means of therapeutic measures, as well as timely and contemporary prevention of progressive myopathy.

Child↗

Visual outcome in children with juvenile idiopathic arthritis related uveitis.

PURPOSE: To determine the incidence and characteristics of uveitis in a cohort of patients with juvenile idiopathic arthritis (JIA) as well as the nature of treatment and the risk factors for visual loss. PATIENTS AND METHODS: Retrospective review of 52 patients with JIA, screened for uveitis between 1995 and 2005. The first group, presenting with symptoms of arthritis and uveitis, was diagnosed at screening. The second group presented with symptoms of uveitis, without any rheumatological complaints at the time of diagnosis. During follow-up, reactivation of uveitis and complications were registered and treated when indicated. RESULTS: Seventeen patients had symptoms of uveitis at time of presentation or developed uveitis at follow-up. Ten of this patient group had oligo-arthritis, 16 were antinuclear antibody (ANA) positive, 16 were girls. Three patients presented with ophthalmological symptoms without rheumatological complaints. In this group, complications were more pronounced. Treatment in all patients consisted of topical corticosteroids and dilating drops at different intervals. Visual acuity was good in most patients. CONCLUSION: In this retrospective study, the risk of uveitis was higher in ANA- positive girls with oligoarthritis. To reduce severe disease at presentation, earlier diagnosis of JIA, earlier referral for slit lamp examination and universal screening of vision in childhood are necessary.

Arthritis, Juvenile↗

National Register for the Blind: a tool for health programme management.

We carried out a retrospective analytical study of 3525 bilaterally blind people registered in Oman to the end of 2000. We described the examination method, maintenance of the register and analysis of data. Lists of different categories of blind people were distributed to various organizations for management and rehabilitation purposes. The role of the national register in addressing blinding cataract, corneal blindness, eradication of congenital rubella syndrome and care of blind people in Oman was also examined. The register was useful in identifying candidates for rehabilitation and also for monitoring regional efforts to manage curable blindness. This multiple use of the register could make it an important tool for health programme management in Oman.

Adolescent↗

The lazy eye.

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Adolescent↗