Rate of Parental Consanguineous Marriage among Patients with Visual Impairments in Turkey
Medical hypothesis discovery and innovation in ophthalmology,
Vol. 5 No. 4 (2016),
1 December 2016
,
Page 115-120
Abstract
We aimed to describe the causes, characteristics, and rate of parental consanguineous marriage associated with patients with visual impairments in Turkey. This study involved 236 patients with visual impairments. The 10th revision of the International Classification of Diseases was used to categorize the causes of visual impairments (based on the main cause in both eyes). The mean age of the patients was 38.5 ± 24.2 years (range, 6–95 years), and most were in the 15–30-year age group (35.6%). There were more male patients (65%) than female patients. Blindness, severe visual impairment, and mild to moderate visual impairment were observed in 30 (12.7%), 84 (35.6%), and 122 (51.6%) patients, respectively. Choroidal and retinal diseases were identified as the main underlying cause of visual impairment (62.7%), followed by nystagmus (23.7%), optic tract and nerve diseases (11.0%), congenital cataracts (0.8%), and glaucoma (1.7%). Parental consanguinity was present for 26.3% of the patients, and it was significantly more common in the 15–30-year age group (50%) compared to the other age groups. In Turkey, the main cause of visual impairment was choroid and retinal diseases in all the age groups above 14 years, while nystagmus was the most common cause in the age group below 15 years. Parental consanguinity was significantly higher among the patients with macular dystrophy and those with retinitis pigmentosa than with retinopathy of prematurity, optic nerve diseases, age-related macular degeneration, and diabetic retinopathy. Genetic factors are known to be involved in the development of these diseases, indicating that the issue of consanguineous marriage remains a problem in Turkey.ÂReferences
Organization WH. The Management of Low Vision in Children. Report of a WHO Consultation. Bangkok and Geneva: World Health Organization, 1992 Contract No.: WHO / PBL / 93. 27.
Organization WH. Global Initiative for the Elimination of Avoidable Blindness. Geneva: World Health Organization, 1997 Contract No.: WHO / PBL / 97. 61.
Resnikoff S, Pascolini D, Etya'ale D, Kocur I, Pararajasegaram R, Pokharel GP, et al. Global data on visual impairment in the year 2002. Bull World Health Organ. 2004;82(11):844-51. PMID: 15640920
Organization WH. International Statistical Classification of Diseases and Related Health Problems. 10th ed. Geneva: World Health Organization; 1992. 429 -58 p.
Organization WH. Consultation on development of standards for characterization of vision loss and visual functioning. Geneva: Geneva; 2003.
Wittenborn JS, Zhang X, Feagan CW, Crouse WL, Shrestha S, Kemper AR, et al. The economic burden of vision loss and eye disorders among the United States population younger than 40 years. Ophthalmology. 2013;120(9):1728-35. PMID: 23631946
Ryan B, Khadka J, Bunce C, Court H. Effectiveness of the community-based Low Vision Service Wales: a long-term outcome study. Br J Ophthalmol. 2013;97(4):487-91. PMID: 23410732
de Carvalho KM, Minguini N, Moreira Filho DC, Kara-Jose N. Characteristics of a pediatric low-vision population. J Pediatr Ophthalmol Strabismus. 1998;35(3):162-5. PMID: 9627878
Stelmack JA, Tang XC, Wei Y, Massof RW, Low-Vision Intervention Trial Study G. The effectiveness of low-vision rehabilitation in 2 cohorts derived from the veterans affairs Low-Vision Intervention Trial. Arch Ophthalmol. 2012;130(9):1162-8. PMID: 22965592
Renieri G, Pitz S, Pfeiffer N, Beutel ME, Zwerenz R. Changes in quality of life in visually impaired patients after low-vision rehabilitation. Int J Rehabil Res. 2013;36(1):48-55. PMID: 22890293
Cruess AF, Gordon KD, Bellan L, Mitchell S, Pezzullo ML. The cost of vision loss in Canada. 2. Results. Can J Ophthalmol. 2011;46(4):315-8. PMID: 21816249
Pascolini D, Mariotti SP, Pokharel GP, Pararajasegaram R, Etya'ale D, Negrel AD, et al. 2002 global update of available data on visual impairment: a compilation of population-based prevalence studies. Ophthalmic Epidemiol. 2004;11(2):67-115. PMID: 15255026
Resnikoff S, Pascolini D, Mariotti SP, Pokharel GP. Global magnitude of visual impairment caused by uncorrected refractive errors in 2004. Bull World Health Organ. 2008;86(1):63-70. PMID: 18235892
Pascolini D, Mariotti SP. Global estimates of visual impairment: 2010. Br J Ophthalmol. 2012;96(5):614-8. PMID: 22133988
Nguyen NX, Weismann M, Trauzettel-Klosinski S. [Spectrum of ophthalmologic and social rehabilitation at the Tubinger Low-Vision Clinic : a retrospective analysis for 1999-2005]. Ophthalmologe. 2008;105(6):563-9. PMID: 18299841
Mohidin N, Yusoff S. Profile of a low vision clinic population. Clin Exp Optom. 1998;81(5):198-202. PMID: 12482319
Mirdehghan SA, Dehghan MH, Mohammadpour M, Heidari K, Khosravi M. Causes of severe visual impairment and blindness in schools for visually handicapped children in Iran. Br J Ophthalmol. 2005;89(5):612-4. PMID: 15834095
Haddad MA, Sei M, Sampaio MW, Kara-Jose N. Causes of visual impairment in children: a study of 3,210 cases. J Pediatr Ophthalmol Strabismus. 2007;44(4):232-40. PMID: 17694828
Herse P, Gothwal VK. Survey of visual impairment in an Indian tertiary eye hospital. Indian J Ophthalmol. 1997;45(3):189-93. PMID: 9475023
Pathanapitoon K, Ausayakhun S, Kunavisarut P, Wattananikorn S, Ausayakhun S, Leeungurastien T, et al. Blindness and low vision in a tertiary ophthalmologic center in Thailand: the importance of cytomegalovirus retinitis. Retina. 2007;27(5):635-40. PMID: 17558328
van Rens GH, Chmielowski RJ, Lemmens WA. Results obtained with low vision aids. A retrospective study. Doc Ophthalmol. 1991;78(3-4):205-10. PMID: 1790742
Kello AB, Gilbert C. Causes of severe visual impairment and blindness in children in schools for the blind in Ethiopia. Br J Ophthalmol. 2003;87(5):526-30. PMID: 12714383
Waddell KM. Childhood blindness and low vision in Uganda. Eye (Lond). 1998;12 ( Pt 2):184-92. PMID: 9683935
Natarajan S. Low vision aids: a boon. Indian J Ophthalmol. 2013;61(5):191-2. PMID: 23760451
Carvalho KM, Monteiro GB, Isaac CR, Shiroma LO, Amaral MS. Causes of low vision and use of optical aids in the elderly. Rev Hosp Clin Fac Med Sao Paulo. 2004;59(4):157-60. PMID: 15361978
Latham K, Tabrett DR. Guidelines for predicting performance with low vision AIDS. Optom Vis Sci. 2012;89(9):1316-26. PMID: 22926113
Virgili G, Acosta R, Grover LL, Bentley SA, Giacomelli G. Reading aids for adults with low vision. Cochrane Database Syst Rev. 2013(10):CD003303. PMID: 24154864
Boonstra FN, Cox RF, Reimer AM, Verezen CA, Rison P, Huurneman B. Effects of magnifier training: evidence from a camera built in the magnifier. Strabismus. 2012;20(2):44-8. PMID: 22612351
Sato ET, Tamaki-Castro C, Castro DD. [The value of optical aids' training for low vision child education: case report]. Arq Bras Oftalmol. 2010;73(3):282-4. PMID: 20730288
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