Prevalence of eye diseases and visual impairment among the rural population – a case study of Temerloh hospital

  • Thevi T
  • M Basri
  • SC Reddy
Keywords: Visual impairment, cataract, diabetic retinopathy, glaucoma, refractive errors, ocular trauma, conjunctivitis


Objective: To determine the prevalence of eye diseases and visual impairment among new patients at the eye clinic of Hospital Sultan Haji Ahmad Shah, Temerloh, Pahang. Method: In this cross-sectional prospective study, 1081 new patients were examined over a period of six months. Age, gender, ethnicity, visual acuity and diagnosis were noted from the medical records. Results: Out of 1081 examined, 607 (56.1%) were males, 783 (72.4%) were Malays. The mean age of patients was 45.2 years (ranging from one month to 91 years). Cataract (248, 22.9%) was the most common eye disease, followed by retinal diseases (124, 11.5%) and ocular trauma (106, 9.8%). Majority of the patients (48) suffering from ocular trauma had foreign body cornea. In 85 premature infants screened for retinopathy, 19 showed different stages of retinopathy of prematurity. Visual impairment was noted in 89 (8.2%) patients, severe visual impairment in 12 (1.1%) and blindness in 35 (3.2%); vision could not be determined in 85 premature infants (7.9%). Cataract was singled out as the cause of severe visual impairment in 11 out of 12 patients. Conclusion: Health education at primary health centres and availability of eye specialists in all the district hospitals will facilitate the rehabilitation of visually impaired and blind persons by providing early treatment for eye problems (specifically prescription for spectacles, medical treatment and cataract surgery with intraocular lens implantation).

Author Biographies

Thevi T
M Basri
SC Reddy


World Health Organization. International statistical classification of diseases and health related problems. Vol 1, 10th revision. Geneva; 1992. p. 429-59, 898-99, 956, 963.

National Eye Survey (1996). Visual impairment in Malaysia. Malaysia’s health report -technical report of the Director General of Health Malaysia, Ministry of Health Malaysia. 1999:243-9.

Reddy SC, Tajunisah I, Low KP, et al. Prevalence of eye diseases and visual impairment in urban population - a study from University of Malaya Medical Centre. Malaysian Family Physician. 2008;3(1):25-8.

Zainal M, Masran L, Ropilah AR. Blindness and visual impairment amongst rural Malays in Kuala Selangor, Selangor. Med J Malaysia. 1998;53(1):46-50.

Reddy SC, Rampal L, Nurulaini O. Prevalence and causes of visual impairment and blindness in a rural population in Sepang district, Selangor. Med J Malaysia. 2004;59(2):212-7.

Hospital Sultan Haji Ahmad Shah, Temerloh.

World Health Organization. Visual impairment and blindness.

Whitfield R, Schwab L, Ross-Dengnan D, et al. Blindness and eye disease in Kenya: ocular status survey results from the Kenya Rural Blindness Prevention Project. Br J Ophthalmol. 1990;74(6):333-40.

al Faran MF, Ibechukwu BI. Causes of low vision and blindness in south western Saudi Arabia. A hospital-based study. Int Ophthalmol. 1993;17(5):243-7.

Baasanhu J, Johnson GJ, Burendei G, et al. Prevalence and causes of blindness and visual impairment in Mongolia: a survey of population aged 40 years and older. Bull World Health Organ. 1994;72(5):771-6.

Singh MC, Murthy GV, Venkatraman R, et al. Epidemiological aspects of visual impairment above 50 years in a rural area. J Indian Med Assoc. 1994;92(11):361-3,365.

Hirvela H, Laatikainen L. Visual acuity in a population aged 70 years or older; prevalence and causes of visual impairment. Acta Ophthalmol Scand. 1995;73(2);99-104.

Negrel AD, Minassian DC, Sayek F. Blindness and low vision in southeast Turkey. Ophthalmic Epidemiol. 1996;3(3):127-34.

Vassileva P, Gieser SC, Vitale S, et al. Blindness and visual impairment in western Bulgaria. Ophthalmic Epidemiol. 1996;3(3):143-9. [

Zerihun N, Mabey D. Blindness and low vision in Jimma Zone, Ethiopia: results of a population-based survey. Ophthalmic Epidemiol. 1997;4(1):19-26.

Nwosu SN. Ocular problems of young adults in rural Nigeria. Int Ophthalmol. 1998;22(5):259-63.

Ho T, Law NM, Goh LG, et al. Eye diseases in the elderly in Singapore. Singapore Med J. 1997;38(4):149-55.

How to Cite
TT., BasriM., & ReddyS. (2012). Prevalence of eye diseases and visual impairment among the rural population – a case study of Temerloh hospital. Malaysian Family Physician, 7(1), 5. Retrieved from
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