Frequency of ocular diseases among recipients of disability benefits in the metropolitan region of Recife, Brazil

• Published in: Arquivos brasileiros de oftalmologia 2018-07, Vol.81 (4), p.286-292
• Main Authors: Veloso, João Carlos Bezerra, Câmara Filho, José Waldo Saraiva, Gaete, Maria Isabel Lynch, Lira, Rodrigo Pessoa Cavalcanti
• Format: Article
• Language: English
• Subjects: Adult; Brazil - epidemiology; Cross-Sectional Studies; Eye Diseases - classification; Eye Diseases - economics; Eye Diseases - epidemiology; Female; Humans; Male; Middle Aged; OPHTHALMOLOGY; Retrospective Studies; Sick Leave - economics; Sick Leave - statistics & numerical data; Social Security - economics; Social Security - statistics & numerical data; Urban Population; Young Adult
• ISSN: 0004-2749; 1678-2925; 1678-2925
• DOI: 10.5935/0004-2749.20180058

To identify the frequency of ocular diseases among recipients of disability benefits in the metropolitan region of Recife, Brazil. A review was performed of 217,221 cases of disability benefits granted between 2010 and 2015 by the executive managerial department of the Brazilian National Institute of Social Security (Instituto Nacional do Seguro Social [INSS]) in Recife, which encompasses 14 municipalities of the metropolitan region, including the capital. The frequencies of the identified cases of ocular morbidity were then determined according to their group in the International Classification of Diseases, 10th Revision (ICD-10), their cause, the age, sex, and income of the recipient, and the type and duration of the benefit. Of all disability benefits granted, 5,324 (2.5%) were due to ocular disease, the majority (91.1%) consisting of sick pay. Most of the beneficiaries (64.6%) were males, were 20 to 59 years of age, and 61.2% earned the minimum wage or less. The principal ocular diseases for which sick pay benefits were granted were cataract (24.5%), conjunctivitis (21.1%), and pterygium (8.8%). Blindness and low vision were the principal ocular diseases in cases of accident indemnity and disability retirement. The results highlight the magnitude of the problem of ocular diseases to the social security system, with serious economic and social losses, and emphasize the need for measures aimed at their prevention. Moreover, integration between the national departments of health and social security needs to be improved.