Resnikoff Serge, Pascolini Donatella, Etya'ale Daniel, Kocur Ivo, Pararajasegaram Ramachandra, Pokharel Gopal P, Mariotti Silvio P
Programme for the Prevention of Blindness and Deafness, World Health Organization, Geneva 1211, Switzerland.
Bull World Health Organ. 2004 Nov;82(11):844-51. Epub 2004 Dec 14.
This paper presents estimates of the prevalence of visual impairment and its causes in 2002, based on the best available evidence derived from recent studies. Estimates were determined from data on low vision and blindness as defined in the International statistical classification of diseases, injuries and causes of death, 10th revision. The number of people with visual impairment worldwide in 2002 was in excess of 161 million, of whom about 37 million were blind. The burden of visual impairment is not distributed uniformly throughout the world: the least developed regions carry the largest share. Visual impairment is also unequally distributed across age groups, being largely confined to adults 50 years of age and older. A distribution imbalance is also found with regard to gender throughout the world: females have a significantly higher risk of having visual impairment than males. Notwithstanding the progress in surgical intervention that has been made in many countries over the last few decades, cataract remains the leading cause of visual impairment in all regions of the world, except in the most developed countries. Other major causes of visual impairment are, in order of importance, glaucoma, age-related macular degeneration, diabetic retinopathy and trachoma.
本文基于近期研究得出的最佳现有证据,呈现了2002年视力损害的患病率及其成因的估计数据。这些估计数据是根据《国际疾病、损伤和死因统计分类》第十次修订版中所定义的视力低下和失明数据确定的。2002年全球视力受损人数超过1.61亿,其中约3700万为盲人。视力损害的负担在全球分布并不均匀:最不发达国家承担的份额最大。视力损害在各年龄组中的分布也不均衡,主要集中在50岁及以上的成年人。在全球范围内,性别分布也存在不平衡:女性视力受损的风险明显高于男性。尽管在过去几十年里许多国家在手术干预方面取得了进展,但除最发达国家外,白内障仍是世界所有地区视力损害的主要原因。视力损害的其他主要原因按重要性排序依次为青光眼、年龄相关性黄斑变性、糖尿病视网膜病变和沙眼。