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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Br+J+Ophthalmol
2018 ; 102
(5
): 575-585
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Prevalence and causes of vision loss in high-income countries and in Eastern and
Central Europe in 2015: magnitude, temporal trends and projections
#MMPMID29545417
Bourne RRA
; Jonas JB
; Bron AM
; Cicinelli MV
; Das A
; Flaxman SR
; Friedman DS
; Keeffe JE
; Kempen JH
; Leasher J
; Limburg H
; Naidoo K
; Pesudovs K
; Peto T
; Saadine J
; Silvester AJ
; Tahhan N
; Taylor HR
; Varma R
; Wong TY
; Resnikoff S
Br J Ophthalmol
2018[May]; 102
(5
): 575-585
PMID29545417
show ga
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.