Prevalence and causes of vision loss in East Asia in 2015: magnitude, temporal trends and projections

被引:65
作者
Cheng, Ching-Yu [1 ,2 ]
Wang, Ningli [3 ,4 ]
Wong, Tien Y. [1 ,2 ]
Congdon, Nathan [5 ,6 ]
He, Mingguang [7 ]
Wang, Ya Xing [8 ]
Braithwaite, Tasanee [9 ,10 ]
Casson, Robert J. [11 ]
Cicinelli, Maria Vittoria [12 ]
Das, Aditi [13 ]
Flaxman, Seth R. [14 ,15 ]
Jonas, Jost B. [16 ]
Keeffe, Jill Elizabeth [17 ]
Kempen, John H. [18 ]
Leasher, Janet [19 ]
Limburg, Hans [20 ]
Naidoo, Kovin [21 ]
Pesudovs, Konrad [22 ]
Resnikoff, Serge [23 ]
Silvester, Alexander J. [24 ]
Tahhan, Nina [23 ]
Taylor, Hugh R. [25 ]
Bourne, Rupert R. A. [9 ]
机构
[1] Singapore Natl Eye Ctr, Singapore Eye Res Inst, Singapore, Singapore
[2] Duke NUS Med Sch, Ophthalmol & Visual Sci Acad Clin Program Eye ACP, Singapore, Singapore
[3] Capital Med Univ, Beijing Tongren Hosp, Beijing Tongren Eye Ctr, Beijing Ophthalmol & Visual Sci Key Lab, Beijing, Peoples R China
[4] Capital Med Univ, Beijing Inst Ophthalmol, Beijing, Peoples R China
[5] Zhongshan Ophthalm Ctr, Prevent Ophthalmol, Zhongshan, Guangdong, Peoples R China
[6] Queens Univ Belfast, Sch Med Dent & Biomed Sci, Ctr Publ Hlth, Belfast, Antrim, North Ireland
[7] Univ Melbourne, Ophthalmol Eye & Ear Hosp, Melbourne, Vic, Australia
[8] Capital Univ Med Sci, Beijing Tongren Hosp, Beijing Inst Ophthalmol, Beijing, Peoples R China
[9] Anglia Ruskin Univ, Sch Med, Vis & Eye Res Unit, Chelmsford, Essex, England
[10] Moorfields Eye Hosp NHS Fdn Trust, London, England
[11] Royal Adelaide Hosp, Ophthalmol, Adelaide, SA, Australia
[12] Univ Vita Salute, San Raffaele Hosp, Dept Ophthalmol, Milan, Italy
[13] Leeds Teaching Hosp NHS Trust, Ophthalm Publ Hlth, London, England
[14] Imperial Coll, Dept Math, London, England
[15] Imperial Coll, Data Sci Inst, London, England
[16] Heidelberg Univ, Dept Ophthalmol, Seegartenklin Heidelberg, Mannheim, Germany
[17] LV Prasad Eye Inst, Hyderabad, Telangana, India
[18] Univ Penn, Ophthalmol & Epidemiol, Philadelphia, PA 19104 USA
[19] Nova Southeastern Univ, Coll Optometry, HPD, Davie, FL USA
[20] Hlth Informat Serv, Grootebroek, Netherlands
[21] African Vis Res Inst, Durban, South Africa
[22] Pesudovs, Glenelg, SA, Australia
[23] Brien Holden Vis Inst, Sydney, NSW, Australia
[24] Royal Liverpool Univ Hosp, Ophthalmol, Liverpool, Merseyside, England
[25] Univ Melbourne, Melbourne Sch Populat Hlth, Carlton, Vic, Australia
关键词
global burden of disease study; vision loss expert group; vision loss; blindness; vision impairment; refractive error; cataract; glaucoma; macular degeneration; epidemiology; VISUAL IMPAIRMENT; GLOBAL PREVALENCE; CATARACT-SURGERY; BLINDNESS; POPULATION; GLAUCOMA; BURDEN; EPIDEMIOLOGY; RANIBIZUMAB; DISTANCE;
D O I
10.1136/bjophthalmol-2018-313308
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Background To determine the prevalence and causes of blindness and vision impairment (VI) in East Asia in 2015 and to forecast the trend to 2020. Methods Through a systematic literature review and meta-analysis, we estimated prevalence of blindness (presenting visual acuity <3/60 in the better eye), moderate-to-severe vision impairment (MSVI; 3/60 <= presenting visual acuity <6/18), mild vision impairment (mild VI: 6/18 <= presenting visual acuity <6/12) and uncorrected presbyopia for 1990, 2010, 2015 and 2020. A total of 44 population-based studies were included. Results In 2015, age-standardised prevalence of blindness, MSVI, mild VI and uncorrected presbyopia was 0.37% (80% uncertainty interval (UI) 0.12%-0.68%), 3.06% (80% UI 1.35%-5.16%) and 2.65% (80% UI 0.92%-4.91%), 32.91% (80% UI 18.72%-48.47%), respectively, in East Asia. Cataract was the leading cause of blindness (43.6%), followed by uncorrected refractive error (12.9%), glaucoma, age-related macular degeneration, corneal diseases, trachoma and diabetic retinopathy (DR). The leading cause for MSVI was uncorrected refractive error, followed by cataract, age-related macular degeneration, glaucoma, corneal disease, trachoma and DR. The burden of VI due to uncorrected refractive error, cataracts, glaucoma and DR has continued to rise over the decades reported. Conclusions Addressing the public healthcare barriers for cataract and uncorrected refractive error can help eliminate almost 57% of all blindness cases in this region. Therefore, public healthcare efforts should be focused on effective screening and effective patient education, with access to high-quality healthcare.
引用
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页码:616 / 622
页数:7
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