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Corneal blindness on the rise among youth in India: ophthalmologists

Alok Uniyal by Alok Uniyal
August 5, 2025
in Health, National
0
Corneal blindness on the rise among youth in India: ophthalmologists

New Delhi : Corneal blindness, once considered a condition largely confined to the elderly, is now emerging as a major threat to India’s youth.

As India records between 20,000 to 25,000 new cases of corneal blindness every year, and the number is growing, ophthalmologists warned this serious, yet largely preventable cause of blindness is showing a sharp uptick among teenagers and young adults across the country.

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At the recently concluded Indian Society of Cornea and Kerato-Refractive Surgeons (ISCKRS) Meet 2025 here, Prof. Rajesh Sinha, General Secretary of ISCKRS and Professor of Ophthalmology at AIIMS, Delhi said, “ a large number of fresh corneal blindness cases in India are now being seen in individuals under the age of 30 years.

“We are witnessing a dangerous shift. Young people are losing their vision due to conditions that are entirely avoidable. Simple infections, untreated injuries and lack of awareness are turning into permanent visual disabilities,”

Corneal blindness occurs when the transparent front part of the eye, the cornea, becomes cloudy or scarred due to infections, trauma, or nutritional deficiencies. Corneal opacities are now the second leading cause of blindness in India, affecting tens of thousands annually.

The ISCKRS panel highlighted multiple contributing factors behind this disturbing rise. Among the most pressing are trauma-related injuries, particularly among youth engaged in agriculture, manual labor, or industrial work. These injuries often go untreated or are addressed with home remedies, leading to serious infections and scarring. Simultaneously, Vitamin A deficiency, still prevalent in many parts of the country, continues to cause severe corneal damage in children and adolescents.

These issues are compounded by low awareness, lack of early diagnosis, and inadequate access to specialized eye care in rural and underserved regions, said Dr. Ikeda Lal, Senior Consultant, Cornea, Cataract and Refractory Surgery at Sir Ganga Ram Hospital and Delhi Eye Centre.

 “It is unacceptable that in 2025, we are still losing thousands of young eyes to entirely preventable causes. India must treat corneal blindness among youth as a public health emergency. A national strategy with strong community engagement is the need of the hour,”

Despite the magnitude of the problem, India’s capacity to treat corneal blindness remains severely limited. The country requires more than 100,000 corneal transplants annually, but is currently able to perform only about 40,000, covering about one-third of the need. The shortfall is largely due to a shortage of donor corneas, a limited number of trained corneal surgeons, and under-equipped eye banks. The ISCKRS forum stressed the need to build infrastructure, train manpower, and promote voluntary eye donation through public awareness.

Dr. Ikeda Lal further emphasized the importance of early detection and preventive care, particularly in rural and school-based health programs. “Even minor symptoms like redness, irritation, or blurred vision should never be ignored. By the time many patients arrive at tertiary centers, the damage is already irreversible,” she explained. She also advocated for tele-ophthalmology and mobile eye-care clinics to bridge the urban-rural divide in access to care.

The experts at the conference recommended launching nationwide awareness campaigns on eye hygiene and injury prevention; and building 50–100 new eye banks across India. In addition, they also proposed the training of 1,000 new corneal specialists over the next five years, supported by both government and private sector funding.

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