Eye diseases and control of blindness in Zambia

This paper discusses the present state of health services in Zambia both in terms of training of personnel and health care delivery. The training in ophthalmology of medical students is poor and of medical auxiliaries almost non-existent. Based on a few limited studies and hospitals returns, the prevalence of eye diseases and blindness data are presented. These may have a wide margin of error; cataract, trachoma, corneal involvement and glaucoma are the leading causes. Degenerative lesions, trauma, squint, tumors, uveitis and refractive errors are additional causes. A programme to prevent blindness and control eye diseases has been developed and is being adopted in Zambia. This programme highlights eight shortcomings of the present system and suggests corrective measures.