Glaucoma Service, Cambridge University Hospital.
Vision & Eye Research Institute, School of Medicine, Anglia Ruskin University, Cambridge, UK.
Curr Opin Ophthalmol. 2020 Mar;31(2):81-84. doi: 10.1097/ICU.0000000000000647.
To describe the VISION 2020: The Right to Sight, global initiative for the elimination of avoidable blindness, the contribution of glaucoma to the magnitude of global blindness and priorities going forward.
Although the target of the World Health Organization's Global Action Plan (2014-2019) has not been met in terms of 25% reduction in avoidable blindness, there is evidence that the contribution of glaucoma to blindness and vision impairment is reducing. Yet this focus on a threshold of visual acuity by which to measure prevalence underestimates the true burden of glaucoma. Recent population-based studies demonstrate the scale of the unmet need.
Scaling up of integrated people-centered eye care, by embedding glaucoma detection and care pathways in health systems with a strong focus on primary healthcare, is necessary. Solutions include reinforcing existing pathways while emphasizing high-quality glaucoma care, in addition to novel solutions such as self-testing, digital portable technology, artificial intelligence, and multilevel care pathways that extend to the most underserved parts of the global community.
描述 VISION 2020：看见的权利，这一消除可避免盲目的全球倡议，青光眼对全球盲症严重程度的影响，以及未来的优先事项。
尽管世界卫生组织全球行动计划（2014-2019 年）在降低 25%可避免盲症方面的目标尚未实现，但有证据表明，青光眼对盲症和视力损害的影响正在减少。然而，这种关注视力敏锐度的阈值来衡量患病率，低估了青光眼的真正负担。最近的基于人群的研究表明了未满足需求的规模。
通过将青光眼检测和护理途径嵌入以初级保健为重点的综合以人为本的眼科保健系统，来扩大服务范围是必要的。解决方案包括加强现有途径，同时强调高质量的青光眼护理，以及新的解决方案，如自我检测、数字便携技术、人工智能和多层次的护理途径，这些途径延伸到全球社区最服务不足的地区。
