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May 2005, Vol 95, No. 5 | American Journal of Public Health 881-886
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2004.054221

RESEARCH AND PRACTICE

Causes of Visual Impairment and Common Eye Problems in Northwest American Indians and Alaska Natives

Steven L. Mansberger, MD, MPH, Francine C. Romero, PhD, Nicole H. Smith, BS, Chris A. Johnson, PhD, George A. Cioffi, MD, Beth Edmunds, FRCOphth, Dongseok Choi, PhD and Thomas M. Becker, PhD

Steven L. Mansberger, Beth Edmunds, Chris A. Johnson, and George A. Cioffi are with the Devers Eye Institute/Discoveries in Sight at Legacy Health System, Portland, Ore. Francine C. Romero is with the Northern Plains Tribal Epidemiology Center in Aberdeen, SD. Steven L. Mansberger, Nicole H. Smith, Dongseok Choi, and Thomas M. Becker are with the Department of Public Health and Preventive Medicine, Oregon Health and Science University, Portland, Ore.

Correspondence: Correspondence should be sent to Steven L. Mansberger, MD, MPH, Devers Eye Institute/Discoveries in Sight, 1040 NW 22nd Ave, Suite 200, Portland, OR 97210 (e-mail: smansberger{at}discoveriesinsight.org).

Objectives. Little information exists regarding the causes of visual impairment and the most common eye problems in American Indians/Alaska Natives.

Methods. We randomly sampled American Indians/Alaska Natives older than 40 years from 3 tribes within the Northwest region.

Results. We found a higher prevalence of visual impairment and normal-tension glaucoma, as well as a lower prevalence of ocular hypertension, in American Indians/Alaska Natives compared with previous results in other racial/ethnic groups.

Conclusions. American Indians/Alaska Natives have a need for vision correction. Future interventions in American Indians/Alaska Natives should include providing spectacles for refractive error, detecting glaucoma, and preventing visual impairment from age-related maculopathy and cataracts.




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M. Lillie-Blanton and Y. Roubideaux
Understanding and Addressing the Health Care Needs of American Indians and Alaska Natives
Am J Public Health, May 1, 2005; 95(5): 759 - 761.
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