Causes of vision loss worldwide, 1990-2010: a systematic analysis

被引:1205
作者
Bourne, Rupert R. A. [1 ]
Stevens, Gretchen A. [2 ]
White, Richard A. [3 ]
Smith, Jennifer L. [4 ]
Flaxman, Seth R. [5 ,6 ]
Price, Holly [1 ]
Jonas, Jost B. [7 ]
Keeffe, Jill [8 ]
Leasher, Janet [9 ]
Naidoo, Kovin [10 ]
Pesudovs, Konrad [11 ]
Resnikoff, Serge [12 ]
Taylor, Hugh R. [13 ]
机构
[1] Anglia Ruskin Univ, Vis & Eye Res Unit, Postgrad Med Inst, Cambridge CB1 1PT, England
[2] WHO, Dept Hlth Stat & Informat Syst, CH-1211 Geneva, Switzerland
[3] Norwegian Inst Publ Hlth, Dept Genes & Environm, Div Epidemiol, Oslo, Norway
[4] London Sch Hyg & Trop Med, Fac Infect & Trop Dis, London WC1, England
[5] Carnegie Mellon Univ, Sch Comp Sci, Pittsburgh, PA 15213 USA
[6] Carnegie Mellon Univ, Heinz Coll, Pittsburgh, PA 15213 USA
[7] Heidelberg Univ, Dept Ophthalmol, Univ Med, Med Fac Mannheim, Mannheim, Germany
[8] LV Prasad Eye Inst, Hyderabad, Andhra Pradesh, India
[9] Nova SE Univ, Coll Optometry, Ft Lauderdale, FL 33314 USA
[10] Univ Kwazulu Natal, African Vis Res Inst, South Africa & Brien Holden Vis Inst, Sydney, NSW, Australia
[11] Flinders Univ S Australia, NHMRC Ctr Clin Eye Res, Adelaide, SA 5001, Australia
[12] Int Hlth & Dev, Geneva, Switzerland
[13] Univ Melbourne, Melbourne Sch Publ Hlth, Melbourne, Vic, Australia
来源
LANCET GLOBAL HEALTH | 2013年 / 1卷 / 06期
关键词
VISUAL IMPAIRMENT; GLOBAL BURDEN; PREVALENCE; BLINDNESS; POPULATION; GLAUCOMA;
D O I
10.1016/S2214-109X(13)70113-X
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
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 Methods We did a systematic analysis of published and unpublished data on the causes of blindness (visual acuity in the better eye less than 3/60) and moderate and severe vision impairment ([MSVI] visual acuity in the better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.
引用
收藏
页码:E339 / E349
页数:11
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