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FIMA Year Book 2010-2011 - Federation of Islamic Medical ...

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<strong>FIMA</strong> GIVES VISION TO POOR<br />

SRI LANKANS<br />

<strong>FIMA</strong> GIVES VISION TO POOR SRI LANKANS<br />

M. L. M. Rayes*<br />

M. L. M. Rayes*<br />

Abstract:<br />

Sri Lanka, a developing nation in South Asia, has significant prevalence <strong>of</strong> visual impairments,<br />

deficiency <strong>of</strong> eye care facilities and qualified eye surgeons, especially outside major cities. The<br />

situation worsened over the past three decades <strong>of</strong> internal conflict between Tamil rebels and the<br />

government. To a large population segment, the governmental eye care services are not available,<br />

and the private sector services are not affordable. Charitable and humanitarian non-governmental<br />

organizations came forward to ease the burdens <strong>of</strong> visual impairments.<br />

This article presents the role <strong>of</strong> the <strong>Federation</strong> <strong>of</strong> <strong>Islamic</strong> <strong>Medical</strong> Associations (<strong>FIMA</strong>), and other<br />

relief NGOs, in alleviating visual impairments, with reference to the central role <strong>of</strong> the Kuwait<br />

Hospital Foundation in Sri Lanka.<br />

Key words: Visual impairment, Cataract, Sri Lanka.<br />

Introduction:<br />

Impaired vision and blindness are one <strong>of</strong> the<br />

major public health problems facing many<br />

developing countries. Although the diseases that<br />

affect the eyes are generally common and<br />

widespread in all nations, it is the developing<br />

countries and poor nations, where, due to poor<br />

resources and inadequate infrastructures in<br />

delivering health care services, the disease<br />

burden remains very heavy.<br />

In <strong>2010</strong>, World Health Organization (WHO)<br />

released new global estimates <strong>of</strong> visual<br />

impairment using the most up-to-date studies.<br />

WHO estimates that the number <strong>of</strong> people with<br />

visual impairment (presenting vision) is 285<br />

million (65% <strong>of</strong> whom are aged over 50 years).<br />

Of these, 246 million have low vision (63% over<br />

50) and 39 million are estimated to be blind<br />

(82% over 50) 1,2 .<br />

These estimates were based on 50 national and<br />

sub-national studies from 38 countries,<br />

published and unpublished, conducted since<br />

2004, and on previous studies that were still<br />

representative. The majority <strong>of</strong> the 50 surveys<br />

were rapid assessments for the population 50<br />

years and older.<br />

Regional estimates were calculated with a model<br />

taking into account, among other factors, the<br />

country's economic development status, after<br />

having verified the fit between data on visual<br />

impairment and development indicators.<br />

The distribution <strong>of</strong> blind and visually impaired<br />

persons <strong>of</strong> all ages in the six WHO Regions is<br />

shown in Table I.<br />

The top three causes <strong>of</strong> visual impairment (VI)<br />

are uncorrected refractive errors, cataract and<br />

glaucoma. The top three causes <strong>of</strong> blindness in<br />

the <strong>2010</strong> estimate are cataract, glaucoma and<br />

age-related macular degeneration 1 .<br />

*Dr. M. L. M Rayes<br />

<strong>Medical</strong> Director – Kuwait Hospital<br />

Consultant Paediatrician<br />

Senior Lecturer and Head<br />

Department <strong>of</strong> Paediatrics<br />

Rajarata University <strong>of</strong> Sri Lanka.<br />

Anuradhapura, Sri Lanka.<br />

E-mail: rayes@doctors.org.uk<br />

<strong>FIMA</strong> <strong>Year</strong><strong>Book</strong> <strong>2010</strong>-<strong>2011</strong><br />

73

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