Abstract
Background Within a surveillance of the prevalence and causes of vision impairment in high-income regions and Central/Eastern Europe, we update figures through 2015 and forecast expected values in 2020. Methods Based on a systematic review of medical literature, prevalence of blindness, moderate and severe vision impairment (MSVI), mild vision impairment and presbyopia was estimated for 1990, 2010, 2015, and 2020. Results Age-standardised prevalence of blindness and MSVI for all ages decreased from 1990 to 2015 from 0.26% (0.10-0.46) to 0.15% (0.06-0.26) and from 1.74% (0.76-2.94) to 1.27% (0.55-2.17), respectively. In 2015, the number of individuals affected by blindness, MSVI and mild vision impairment ranged from 70 000, 630 000 and 610 000, respectively, in Australasia to 980 000, 7.46 million and 7.25 million, respectively, in North America and 1.16 million, 9.61 million and 9.47 million, respectively, in Western Europe. In 2015, cataract was the most common cause for blindness, followed by age-related macular degeneration (AMD), glaucoma, uncorrected refractive error, diabetic retinopathy and cornea-related disorders, with declining burden from cataract and AMD over time. Uncorrected refractive error was the leading cause of MSVI. Conclusions While continuing to advance control of cataract and AMD as the leading causes of blindness remains a high priority, overcoming barriers to uptake of refractive error services would address approximately half of the MSVI burden. New data on burden of presbyopia identify this entity as an important public health problem in this population. Additional research on better treatments, better implementation with existing tools and ongoing surveillance of the problem is needed.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 575-585 |
| Number of pages | 11 |
| Journal | British Journal of Ophthalmology |
| Volume | 102 |
| Issue number | 5 |
| DOIs | |
| State | Published - May 1 2018 |
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Keywords
- epidemiology
- glaucoma
- public health
ASJC Scopus subject areas
- Ophthalmology
- Sensory Systems
- Cellular and Molecular Neuroscience
Cite this
Prevalence and causes of vision loss in high-income countries and in Eastern and Central Europe in 2015 : Magnitude, temporal trends and projections. / Bourne, Rupert R.A.; Jonas, Jost B.; Bron, Alain M.; Cicinelli, Maria Vittoria; Das, Aditi; Flaxman, Seth R.; Friedman, David S; Keeffe, Jill E.; Kempen, John H.; Leasher, Janet; Limburg, Hans; Naidoo, Kovin; Pesudovs, Konrad; Peto, Tunde; Saadine, Jinan; Silvester, Alexander J.; Tahhan, Nina; Taylor, Hugh R.; Varma, Rohit; Wong, Tien Y.; Resnikoff, Serge.
In: British Journal of Ophthalmology, Vol. 102, No. 5, 01.05.2018, p. 575-585.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Prevalence and causes of vision loss in high-income countries and in Eastern and Central Europe in 2015
T2 - Magnitude, temporal trends and projections
AU - Bourne, Rupert R.A.
AU - Jonas, Jost B.
AU - Bron, Alain M.
AU - Cicinelli, Maria Vittoria
AU - Das, Aditi
AU - Flaxman, Seth R.
AU - Friedman, David S
AU - Keeffe, Jill E.
AU - Kempen, John H.
AU - Leasher, Janet
AU - Limburg, Hans
AU - Naidoo, Kovin
AU - Pesudovs, Konrad
AU - Peto, Tunde
AU - Saadine, Jinan
AU - Silvester, Alexander J.
AU - Tahhan, Nina
AU - Taylor, Hugh R.
AU - Varma, Rohit
AU - Wong, Tien Y.
AU - Resnikoff, Serge
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Background Within a surveillance of the prevalence and causes of vision impairment in high-income regions and Central/Eastern Europe, we update figures through 2015 and forecast expected values in 2020. Methods Based on a systematic review of medical literature, prevalence of blindness, moderate and severe vision impairment (MSVI), mild vision impairment and presbyopia was estimated for 1990, 2010, 2015, and 2020. Results Age-standardised prevalence of blindness and MSVI for all ages decreased from 1990 to 2015 from 0.26% (0.10-0.46) to 0.15% (0.06-0.26) and from 1.74% (0.76-2.94) to 1.27% (0.55-2.17), respectively. In 2015, the number of individuals affected by blindness, MSVI and mild vision impairment ranged from 70 000, 630 000 and 610 000, respectively, in Australasia to 980 000, 7.46 million and 7.25 million, respectively, in North America and 1.16 million, 9.61 million and 9.47 million, respectively, in Western Europe. In 2015, cataract was the most common cause for blindness, followed by age-related macular degeneration (AMD), glaucoma, uncorrected refractive error, diabetic retinopathy and cornea-related disorders, with declining burden from cataract and AMD over time. Uncorrected refractive error was the leading cause of MSVI. Conclusions While continuing to advance control of cataract and AMD as the leading causes of blindness remains a high priority, overcoming barriers to uptake of refractive error services would address approximately half of the MSVI burden. New data on burden of presbyopia identify this entity as an important public health problem in this population. Additional research on better treatments, better implementation with existing tools and ongoing surveillance of the problem is needed.
AB - Background Within a surveillance of the prevalence and causes of vision impairment in high-income regions and Central/Eastern Europe, we update figures through 2015 and forecast expected values in 2020. Methods Based on a systematic review of medical literature, prevalence of blindness, moderate and severe vision impairment (MSVI), mild vision impairment and presbyopia was estimated for 1990, 2010, 2015, and 2020. Results Age-standardised prevalence of blindness and MSVI for all ages decreased from 1990 to 2015 from 0.26% (0.10-0.46) to 0.15% (0.06-0.26) and from 1.74% (0.76-2.94) to 1.27% (0.55-2.17), respectively. In 2015, the number of individuals affected by blindness, MSVI and mild vision impairment ranged from 70 000, 630 000 and 610 000, respectively, in Australasia to 980 000, 7.46 million and 7.25 million, respectively, in North America and 1.16 million, 9.61 million and 9.47 million, respectively, in Western Europe. In 2015, cataract was the most common cause for blindness, followed by age-related macular degeneration (AMD), glaucoma, uncorrected refractive error, diabetic retinopathy and cornea-related disorders, with declining burden from cataract and AMD over time. Uncorrected refractive error was the leading cause of MSVI. Conclusions While continuing to advance control of cataract and AMD as the leading causes of blindness remains a high priority, overcoming barriers to uptake of refractive error services would address approximately half of the MSVI burden. New data on burden of presbyopia identify this entity as an important public health problem in this population. Additional research on better treatments, better implementation with existing tools and ongoing surveillance of the problem is needed.
KW - epidemiology
KW - glaucoma
KW - public health
UR - http://www.scopus.com/inward/record.url?scp=85046352593&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85046352593&partnerID=8YFLogxK
U2 - 10.1136/bjophthalmol-2017-311258
DO - 10.1136/bjophthalmol-2017-311258
M3 - Article
VL - 102
SP - 575
EP - 585
JO - British Journal of Ophthalmology
JF - British Journal of Ophthalmology
SN - 0007-1161
IS - 5
ER -