Blurred Vision, Blurred Awareness: Assessing Public Knowledge of Refractive Errors
Background: Visual health significantly affects educational attainment, workplace productivity, and overall quality of life, yet refractive errors, despite being easily correctable, remain prevalent globally. Limited awareness and misconceptions, especially in rural and mountainous regions like Himachal Pradesh, India, exacerbate this issue, leading to preventable visual impairments. This study assessed public knowledge, misconceptions, and healthcare-seeking behaviors related to refractive errors to inform targeted health interventions. Materials and Methods: A descriptive, cross-sectional study was conducted from October to December 2024 among 400 adults across Himachal Pradesh using convenience and purposive sampling techniques. Data were collected through a structured questionnaire distributed electronically via social media platforms. The questionnaire included socio-demographic details, 20 multiple-choice questions assessing knowledge and awareness of refractive errors, and healthcare-seeking behavior. Knowledge scores were categorized as Very Good (≥80%), Good (60–79%), Fair (41–59%), and Poor (<40%). Data analysis employed descriptive statistics and Chi-square tests using SPSS v26.0. Results: The study included 400 valid respondents, predominantly from rural areas (56.5%) and within the economically active age groups of 26–35 (35.3%) and 36–45 years (28.5%). Knowledge assessment revealed strong foundational awareness: 85.3% understood glasses could correct refractive errors, and 84.3% identified ophthalmologists as relevant specialists. However, significant knowledge gaps persisted concerning specific causes (irregular cornea/lens shape, 70.8%) and nutritional risk factors (vitamin A deficiency, 64.3%). Overall knowledge scores indicated 36.8% had Very Good knowledge, 40.8% Good, 17.8% Fair, and 4.8% Poor knowledge. Conclusion: Despite generally good awareness, considerable gaps persist in detailed understanding of refractive errors in Himachal Pradesh. To effectively bridge these gaps, targeted community-based educational interventions, strengthening healthcare infrastructure, and integrating eye health education into routine care are urgently needed, particularly in underserved rural communities. Enhanced visual health literacy can significantly reduce preventable visual impairments and improve overall quality of life.