World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland;
Br J Ophthalmol. 2012 May;96(5):614-8. doi: 10.1136/bjophthalmol-2011-300539. Epub 2011 Dec 1.
From the most recent data the magnitude of visual impairment and its causes in 2010 have been estimated, globally and by WHO region. The definitions of visual impairment are the current definitions of presenting vision in the International Classification of Diseases version 10.
A systematic review was conducted of published and unpublished surveys from 2000 to the present. For countries without data on visual impairment, estimates were based on newly developed imputation methods that took into account country economic status as proxy.
Surveys from 39 countries satisfied the inclusion criteria for this study. Globally, the number of people of all ages visually impaired is estimated to be 285 million, of whom 39 million are blind, with uncertainties of 10-20%. People 50 years and older represent 65% and 82% of visually impaired and blind, respectively. The major causes of visual impairment are uncorrected refractive errors (43%) followed by cataract (33%); the first cause of blindness is cataract (51%).
This study indicates that visual impairment in 2010 is a major health issue that is unequally distributed among the WHO regions; the preventable causes are as high as 80% of the total global burden.
根据最近的数据,估计了 2010 年全球和世界卫生组织(WHO)区域视觉障碍的严重程度及其原因。视觉障碍的定义是国际疾病分类第 10 版中当前的视力表现定义。
对 2000 年至今发表和未发表的调查进行了系统回顾。对于没有视觉障碍数据的国家,根据新开发的估算方法进行了估计,这些方法考虑了国家经济状况作为替代指标。
来自 39 个国家的调查符合本研究的纳入标准。全球估计有 2.85 亿所有年龄段的视觉障碍者,其中 3900 万人失明,不确定性为 10-20%。50 岁及以上的人群分别占视觉障碍者和盲人的 65%和 82%。视觉障碍的主要原因是未矫正的屈光不正(43%),其次是白内障(33%);失明的首要原因是白内障(51%)。
本研究表明,2010 年视觉障碍是一个主要的健康问题,在世界卫生组织区域之间分布不均;可预防的原因占全球总负担的 80%之高。