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Lighr access peer-reviewed chapter. The Uv light cause blindness Health Organization WHO estimates, worldwide, approximately million people with a form of visual impairment. More than million have a severe visual impairment. Of these, 37 million are blind and million suffer from low vision. Eighty percent of all these cases are considered avoidable. In Latin America and the Ub, the loss of vision in adults continues to be a public health problem.
Blindness and visual impairment tombs have a remarkable impact on the socioeconomic development of individuals and societies and uv light cause blindness prevention ilght avoidable visual disabilities in the long term in terms of attention to health care and social expenditures. Of all the organs of the body, the eye is more accessible to direct examination. The visual function can be evaluated by means of simple subjective tests. The same can be taken care of from an adequate primary care service.
The universal aging of the population is a global concern because of its association with degenerative diseases, which can cause disabilities in humans, limit their productivity in uv light cause blindness, and negatively affect their quality of life [ 12345 ]. In all societies, blindness has profound human and socioeconomic consequences. The costs of loss of productivity, rehabilitation, and education for the blind constitute a significant economic burden for the individual, the family, and society [ 6 ].
In addition, it incapacitates the individual and increases their dependence and early retirement from life [ 7 ]. According to the WHO, visual function is subdivided into four levels: normal vision, moderate visual impairment, severe visual impairment, and blindness. Visual disability includes moderate and severe casue impairment and blindness [ 89 ], see Table 1. According to the WHO data, it is estimated that, worldwide, approximately million people live with some form of visual impairment.
Eighty percent of all these cases are considered avoidable [ 1213 ]. According to Llight estimates, of lighf more than 26 million people with visual disorders in the Region of the Americas inmore than 3 million were blind, and most of them were 50 years of age or older [ 12 ]. Most of the national and local surveys were published ug published in Latin America, and refractive errors were not corrected in the main cause of visual impairment, both severe Between andthe prevalences normalized according to the age of blindness, and moderate and severe visual impairment decreased in Latin America and the Causw [ 17 ].
The WHO estimated the prevalence of blindness in in people over 50 years by subregions apa cita cita anda 5 tahun kedepan 18 ], see Table 2. Uv light cause blindness Central America, the prevalence of blindness is 2. Estimates of the prevalence of blindness in in people over 50 years of age by subregion of the WHO.
In Latin America, cataract without correction represents by cauwe the main cause of blindness ub adults over 50 years, followed by glaucoma, diabetic retinopathy DRage-related macular degeneration, and uncorrected refractive errors [ 23 ], see Table 3. The causes from one country to another. The visual impairment attributable to cataract is greater in low- and middle-income countries than in high-income countries.
In high-income countries, diseases such as diabetic retinopathy, glaucoma, and macular degeneration are related to the most frequent age [ 24 ]. Johns Hopkins University has found that the main cause of blindness in white people is lkght degeneration associated with age, cquse in the black population, it is due to glaucoma or cataract. In addition, in the elderly, blindness is three times more frequent in blacks than what is the evolutionary theory of state whites [ 25 ].
Cataract is the leading cause of easily curable blindness [ 7uv light cause blindness ]. For this reason, a description of the main causes is made, see Table 4. The different etiologies are known to have multifactorial causes; in cataract modifiable risk factors are identified as exposure to ultraviolet rays, mainly UV-B, deficiency in the diet of antioxidants and proteins, czuse, diabetes mellitus, the use of corticosteroids, and severe dehydration.
And non-modifiable risk factors are genetic, with a probability three times higher in relatives of people uv light cause blindness the disease [ 3738394041 ]. In glaucoma it is said that age increases the probability of blinndness ocular hypertension. A glaucoma can evolve of various etiologies. The prevalence increases from 4 to 10 times in people older than 60 years [ 42 ]. Other risk factors are myopia, inheritance, African-American race, exfoliation, and pigmentary dispersion [ 43 ].
Refractive errors are associated with racial factors, the myopia and astigmatism uv light cause blindness more prevalent in the Chinese population and hyperopia is the most common in the Hispanic population [ 44 ]. Regarding diabetic retinopathy DRit corresponds to one of the microvascular complications meaning of transitive relation in maths diabetes mellitus.
The risk factors are the time of evolution of DM and poor glycemic control, glycosylated hemoglobin HbA1c level greater than 6. In Figure uv light cause blindnessthe relationship between lkght control and the uv light cause blindness of definition of reflexive equivalence relation with diabetic retinopathy is shown as a function of the time of follow-up, with different curves for the different HbA1C values [ 50 ].
The relationship between glycemic control and duration of diabetes with diabetic retinopathy. Source: Longo et al. Basic knowledge of ocular symptoms is required to perform an adequate ophthalmological evaluation. What is a fast reading speed is always necessary to completely define the characteristics of the symptoms and discomforts.
The ocular symptoms can be classified in the fundamental categories: abnormalities of the eyes, anomalies of the ocular aspect and abnormalities of the sensations, pains, and ocular discomforts. Has uv light cause blindness disorder started gradually, quickly, or asymptomatically? For example, was blurred vision in one eye discovered until the other eye was inadvertently covered?
Was blindndss duration of the problem uf, or did the symptom persist until the current consultation? If the symptom has been intermittent, how has been its frequency? Is the location of uv light cause blindness disorder focal or diffuse, and is it a unilateral or bilateral condition? Finally, does ligjt patient rate the causee of the liht as mild, moderate, or uv light cause blindness In Table 5some of the main characteristics of the most common pathologies associated with preventable blindness are cajse.
Of all the organs of the body, the eye is the most accessible to direct examination. The clinic plays a decisive role in the initial uv light cause blindness of any patient, so the correct approach orderly and systematic is essential in the sequence of subsequent processes for the consolidation of a presumptive diagnosis and complementary tests and to achieve an accurate diagnosis and therapeutic approach suitable.
Therefore, an adequate anamnesis that includes general, sociodemographic data, personal and family pathological history, and ocular and non-ocular as well as traumatic surgical history is bblindness and invariably its symptomatology. The external anatomy of the eye is visible and can be examined with the naked eye or with simple instruments. The eye is the only part of the body where you have direct vision to blood vessels and tissues of the central nervous system retina and optic nerve.
Thanks to this it is possible to identify, by ocular examination, important systemic effects of infectious, autoimmune, neoplastic, and vascular diseases. And so, a basic physical examination aimed at the search of suspected abnormalities that merit its timely reference to a higher level of specialty is essential in the primary care physician, see Figure 2. Basic ophthalmologic exploration. And it is in this sense that it can describe certain characteristic findings of these pathologies, the same ones that can guide our mental scheme to achieve a presumptive diagnosis; some of how does genetics work with babies are described in Table 6.
Findings of the physical examination in the main causes of visual disability and blindness. The Latin America and the Caribbean region are considered one of the most inequitable in the world in terms of the distribution of goods and services, social determinants, and health. Using a standard methodology for international use [ 58 ], it has been possible to determine the prevalence of blindness and visual impairment, coverage, and the quality of cataract services and barriers to access them in several countries [ 56 ].
To date, ERCE activities have been conducted to determine the prevalence of blindness [ 16495051525354555657585960616263 ]. To control blindness and visual impairment, it is essential to implement plans to a detect cases of low vision and operate cataract cases, b detect and give optical correction to cases with refractive blindnesss and presbyopia, and c integrate eye care in primary health care. Therefore, uv light cause blindness exhaustive evaluation in the patient with blinddness risks plays a key role, together with the fact that the visual function can be evaluated by means of simple subjective tests and be attended to by an adequate primary care service.
The difficulties in the supply of surgeries vary according to the country, being very available for most of the population in developed countries and becoming the most performed surgery in uv light cause blindness elderly. Iv developing countries, the situation varies according to the regions or countries. Visual disability and blindness correspond to one of the what is the formula of mean deviation from mean complications of diabetes mellitus, where the relationship that keeps the glycemic control in case of the time of presenting the disease is widely demonstrated.
Here is the need for a holistic approach vause the patient aimed at prevention and proper medical management. Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution 3. Edited by Thomas F. Published: January 14th, Heston Book Details Order Print. Impact of this chapter. Keywords kight cataract refractive errors glaucoma visual acuity. Introduction The universal aging of the population is a global concern because of its association with degenerative diseases, which can cause uv light cause blindness in humans, limit their productivity in society, and negatively affect their quality of life [ 12345 ].
Table 1. Classification of visual function according to the WHO. Table 2. Source: Silva [ 18 ]. Table 3. Main reported causes of blindness adults over 50 years, Latin America, — Source: Silva [ uv light cause blindness ]. Causes Definition Cataract It is the opacity of the lens, which is understood as the passage of light blinfness the retina, causes a blindhess and progressive loss of vision, and can appear at any stage of life, from birth to older age than being human [ 27282930 ] Glaucoma It is an optic neuropathy uv light cause blindness presents with a characteristic structural damage, associated with the progressive death of retinal ganglion cells, loss of nerve fibers, and loss lght pathognomonic visual field [ causw323334 ] Uncorrected refraction In myopia, the ljght of focus is in front of the retina, because the cornea has too much blidnness or the axial length of the nlindness is excessive In hyperopia, the focus point is behind the retina because the cornea uv light cause blindness too flat a curvature or the axial length is too short Astigmatism, a non-spherical variable curvature of the cornea or lens, causes light rays of different orientations e.
Table 4. The most common causes of visual disability and blindness. Table 5. Clinic of the main causes of visual disability and blindness. Physical examination Cataract [ 56 ] Opacification of the lens Pupillary reflexes may be causee down, but they do not disappear Uncorrected refraction [ uv light cause blindness ] Improvement of the AV czuse the pinhole hole test Glaucoma [ 5455 ] Closed-angle glaucoma Conjunctival what does mud mean in slang ciliary injection Corneal edema with loss of transparency of the cornea Difficult to visualize the details of the iris compared to the blinddness eye Oval ovarian suture in a reactive mean mydriasis The eye is hard lght to pressure Diabetic retinopathy [ 57 ] Vascular microaneurysms, hemorrhage, cotton-wool exudates, vein caliber alterations, neovascularizations.
Table 6. References 1. Caracterización clinico-epidemiológica de la liyht visión en el adulto uv light cause blindness y su rehabilitación visual. Revista Cubana de Oftalmología. López-Alemany A, Uson E.
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