Changing trends in causes of visual impairment and blindness among Bhutanese blind school students

Childhood blindness is a major global public health issue, with an estimated 1.4 million children affected worldwide. Bhutan has an estimated childhood blindness prevalence of 0.38%. This study assesses the causes and trends of blindness and visual impairment (VI) among students enrolled...

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Main Authors: Dechen Wangmo, Tshering Jamtsho, Tshering Choeda, Deki Deki
Format: Article
Language:English
Published: Academia.edu Journals 2025-06-01
Series:Academia Medicine
Online Access:https://www.academia.edu/130023050/Changing_trends_in_causes_of_visual_impairment_and_blindness_among_Bhutanese_blind_school_students
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author Dechen Wangmo
Tshering Jamtsho
Tshering Choeda
Deki Deki
author_facet Dechen Wangmo
Tshering Jamtsho
Tshering Choeda
Deki Deki
author_sort Dechen Wangmo
collection DOAJ
description Childhood blindness is a major global public health issue, with an estimated 1.4 million children affected worldwide. Bhutan has an estimated childhood blindness prevalence of 0.38%. This study assesses the causes and trends of blindness and visual impairment (VI) among students enrolled in the Muenselling Institute for the Vision Impaired (MIK) in Bhutan. Using a cross-sectional descriptive approach, secondary hospital data were analyzed from pediatric ophthalmology and low-vision clinic records. A total of 51 students (mean age: 14.9 years, Standard deviation (SD): 4.4) were included. Of these, 17 (33.3%) had moderate VI, 8 (15.7%) had severe VI, and 25 (49%) were blind. Retinal diseases (43.1%) were the leading cause of VI and blindness, marking a shift from previous studies where lens pathologies were predominant. Hereditary factors accounted for 62.8% of cases, while 49% of conditions were avoidable. The emergence of Retinopathy of Prematurity (ROP) highlights the need for improved neonatal screening programs. Comparative analysis with past Bhutanese and regional studies indicates shifting etiologies. Strengthening early intervention, genetic counseling, and ROP screening programs is crucial for addressing childhood blindness in Bhutan.
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spelling doaj-art-e019c4ccb2f84e93b36a5ea258f1ffa52025-07-15T15:39:16ZengAcademia.edu JournalsAcademia Medicine2994-435X2025-06-012210.20935/AcadMed7667Changing trends in causes of visual impairment and blindness among Bhutanese blind school studentsDechen Wangmo0Tshering Jamtsho1Tshering Choeda2Deki Deki3Department of Ophthalmology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu 11001, Bhutan.Medical Education Center for Research, Innovation and Training, Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu 11001, Bhutan.Faculty of Post Graduate Medicine, Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu 11001, Bhutan.Department of Ophthalmology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu 11001, Bhutan. Childhood blindness is a major global public health issue, with an estimated 1.4 million children affected worldwide. Bhutan has an estimated childhood blindness prevalence of 0.38%. This study assesses the causes and trends of blindness and visual impairment (VI) among students enrolled in the Muenselling Institute for the Vision Impaired (MIK) in Bhutan. Using a cross-sectional descriptive approach, secondary hospital data were analyzed from pediatric ophthalmology and low-vision clinic records. A total of 51 students (mean age: 14.9 years, Standard deviation (SD): 4.4) were included. Of these, 17 (33.3%) had moderate VI, 8 (15.7%) had severe VI, and 25 (49%) were blind. Retinal diseases (43.1%) were the leading cause of VI and blindness, marking a shift from previous studies where lens pathologies were predominant. Hereditary factors accounted for 62.8% of cases, while 49% of conditions were avoidable. The emergence of Retinopathy of Prematurity (ROP) highlights the need for improved neonatal screening programs. Comparative analysis with past Bhutanese and regional studies indicates shifting etiologies. Strengthening early intervention, genetic counseling, and ROP screening programs is crucial for addressing childhood blindness in Bhutan.https://www.academia.edu/130023050/Changing_trends_in_causes_of_visual_impairment_and_blindness_among_Bhutanese_blind_school_students
spellingShingle Dechen Wangmo
Tshering Jamtsho
Tshering Choeda
Deki Deki
Changing trends in causes of visual impairment and blindness among Bhutanese blind school students
Academia Medicine
title Changing trends in causes of visual impairment and blindness among Bhutanese blind school students
title_full Changing trends in causes of visual impairment and blindness among Bhutanese blind school students
title_fullStr Changing trends in causes of visual impairment and blindness among Bhutanese blind school students
title_full_unstemmed Changing trends in causes of visual impairment and blindness among Bhutanese blind school students
title_short Changing trends in causes of visual impairment and blindness among Bhutanese blind school students
title_sort changing trends in causes of visual impairment and blindness among bhutanese blind school students
url https://www.academia.edu/130023050/Changing_trends_in_causes_of_visual_impairment_and_blindness_among_Bhutanese_blind_school_students
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