Ophthalmology · Community Ophthalmology and Blindness Control (NPCB, Screening Programmes)

According to WHO criteria for blindness (used in NPCB), a person is classified as blind if their presenting visual acuity in the better eye is:

  • A Less than 6/60 (20/200) or visual field less than 20 degrees
  • B Less than 6/18 in both eyes
  • C Less than 6/6 corrected with spectacles
  • D Less than 3/60 (20/400) or visual field less than 10 degrees in the better eye with best correction
Correct answer: D. Less than 3/60 (20/400) or visual field less than 10 degrees in the better eye with best correction

Explanation

The WHO 2003 classification (ICD-10 update) defines blindness as presenting visual acuity worse than 3/60 (20/400, or 1/20) or visual field less than 10 degrees in the better eye. This replaced the older threshold of <3/60. For programmatic purposes in India, the NPCB uses <6/60 visual acuity in the better eye after best correction as the functional definition of blindness for programme enumeration, while economic blindness is defined as <3/60. Candidates should know both definitions.

Reference: Khurana Comprehensive Ophthalmology, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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