Causes of vision loss worldwide, 1990-2010: a systematic analysis
- PMID: 25104599
- DOI: 10.1016/S2214-109X(13)70113-X
Causes of vision loss worldwide, 1990-2010: a systematic analysis
Abstract
Background: Data on causes of vision impairment and blindness are important for development of public health policies, but comprehensive analysis of change in prevalence over time is lacking.
Methods: We did a systematic analysis of published and unpublished data on the causes of blindness (visual acuity in the better eye less than 3/60) and moderate and severe vision impairment ([MSVI] visual acuity in the better eye less than 6/18 but at least 3/60) from 1980 to 2012. We estimated the proportions of overall vision impairment attributable to cataract, glaucoma, macular degeneration, diabetic retinopathy, trachoma, and uncorrected refractive error in 1990-2010 by age, geographical region, and year.
Findings: In 2010, 65% (95% uncertainty interval [UI] 61-68) of 32·4 million blind people and 76% (73-79) of 191 million people with MSVI worldwide had a preventable or treatable cause, compared with 68% (95% UI 65-70) of 31·8 million and 80% (78-83) of 172 million in 1990. Leading causes worldwide in 1990 and 2010 for blindness were cataract (39% and 33%, respectively), uncorrected refractive error (20% and 21%), and macular degeneration (5% and 7%), and for MSVI were uncorrected refractive error (51% and 53%), cataract (26% and 18%), and macular degeneration (2% and 3%). Causes of blindness varied substantially by region. Worldwide and in all regions more women than men were blind or had MSVI due to cataract and macular degeneration.
Interpretation: The differences and temporal changes we found in causes of blindness and MSVI have implications for planning and resource allocation in eye care.
Funding: Bill & Melinda Gates Foundation, Fight for Sight, Fred Hollows Foundation, and Brien Holden Vision Institute.
Copyright © 2013 Bourne et al. Open Access article distributed under the terms of CC BY. Published by .. All rights reserved.
Comment in
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Worldwide reduction in blindness: making progress?Lancet Glob Health. 2013 Dec;1(6):e311-2. doi: 10.1016/S2214-109X(13)70140-2. Epub 2013 Nov 11. Lancet Glob Health. 2013. PMID: 25104584 No abstract available.
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We urge WHO to act on cytomegalovirus retinitis.Lancet Glob Health. 2014 Feb;2(2):e76-7. doi: 10.1016/S2214-109X(13)70174-8. Epub 2014 Jan 23. Lancet Glob Health. 2014. PMID: 25104662 No abstract available.
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