Definition of Blindness as defined by National Program for Control of
Blindness (NPCB):
Inability of a person to count fingers from a distance of 3 meters
(technical definition). Vision 3/60 (20/400) in the better eye with the best possible spectacle correction. The definition was changed from earlier definition of blindness (visual acuity of greater than 6/60) used by NPCB so as to bring in accordance with definition of blindness used by WHO for global comparison and achieve the WHO goal of reducing the blindness prevalence of India to 0.3 per cent of the total population by 2020.
Some Facts about Blindness:
Approximately 253 million people are partially sighted worldwide. About
90% of the world's visually impaired live in developing countries. Over 36 million people are blind. Unfortunately, around 15 million are from India and India is home to the world's largest number of blind. Around 55% of the visually impaired people are women. 80% of blindness is avoidable (preventable and/or treatable) with proper medical care and regular eye examinations. A major proportion of population in India have poor access to eye care facilities . For example, uncorrected refractive error can be corrected with glasses while cataract surgery can restore vision. Vision rehabilitation programs are also effective in improving functioning for people with an irreversible vision impairment. Good quality rehabilitation allows people with different degrees of visual impairment to fully profit from life, achieve their goals and be active and productive in today’s society. In India cataract has been reported to be responsible for 50-80% cases of blind in the country which are treatable with surgery. Refractive errors and Glaucoma are other major causes of blindness. Organizations like the World Health Organization along with the government of India are working to eliminate causes of avoidable blindness in developing countries. Surveys over the years have shown considerable reduction in the rate of preventable blindness, yet there is a lot that needs to be done. The backlog for cataract surgeries continues to remain a big challenge and is primarily because of the non-availability of human resources. Our country has an acute shortage of doctors for correcting eye disabilities. There are approximately 12,000 ophthalmologists in India for its 1.3 billion population, resulting in a ratio of one ophthalmologist for every one lakh people largely because of regulation issues and a lack of training programs. Vision 2020 “Right to Sight” was launched as a collaborative movement by World Health Organisation (WHO) and International Agency for Prevention of Blindness (IAPB) [representing governments and non- governmental organisations] in Geneva on February 18, 1999 with the goal of eliminating avoidable blindness by 2020.Some bold strides towards the achievement of the VISION 2020 have been made but technology and infrastructure, still continue to hinder the full realisation of the programme.