Rif'Ati Lutfah, Halim Aldiana, Lestari Yeni Dwi, Moeloek Nila F, Limburg Hans
National Institute for Health Research and Development (NIHRD, Ministry of Health Republic of Indonesia, Jakarta, Indonesia.
Research Department, The Indonesian Eye Center, Cicendo Eye Hospital, Bandung, Indonesia.
Ophthalmic Epidemiol. 2021 Oct;28(5):408-419. doi: 10.1080/09286586.2020.1853178. Epub 2020 Dec 30.
: To report the latest data on blindness and visual impairment (VI) in Indonesia.: Rapid Assessment of Avoidable Blindness (RAAB) surveys were done in 15 provinces in Indonesia between 2013 and 2017. The population of the study was people aged 50 +. In each province, the required number of clusters was selected with a probability proportionately to size. A weighted average analysis for prevalence, causes of visual impairment, and cataract surgical coverage (CSC) estimated the values of the country.: The prevalence of blindness in East Java was the highest at 4.4% (95% CI: 3.1-5.6%), followed by Nusa Tenggara Barat (NTB) at 4.0% (95% CI: 3.0-5.1%) and South Sumatra at 3.4% (95% CI: 2.4-4.4%). In number, blindness among people aged 50+ in East Java was the highest at 371,599, followed by West Java at 180,666 and Central Java at 176,977. Untreated cataract was the commonest cause of blindness in all provinces (range: 71.7% to 95.5%). CSC and CSC in Bali were the highest at 81.3% and 72.4%, respectively. Indonesia countrywide prevalence of blindness was 3.0%. The total number of people with VI (PVA less than 6/18 in the better eye) in Indonesia was 8,019,427, consisting of 1,654,595 of blindness and 6,364,832 of moderate and severe VI.: The burden of blindness in Indonesia is high, and untreated cataract contributes the most. There is an urgent need to increase cataract surgical coverage by providing better access to cataract surgery services for all people in need.
报告印度尼西亚失明和视力损害（VI）的最新数据。2013年至2017年期间，在印度尼西亚的15个省份开展了可避免失明快速评估（RAAB）调查。研究人群为50岁及以上人群。在每个省份，按规模比例概率选取所需数量的群组。对患病率、视力损害原因和白内障手术覆盖率（CSC）进行加权平均分析，以估算全国的数值。东爪哇的失明患病率最高，为4.4%（95%置信区间：3.1 - 5.6%），其次是西努沙登加拉（NTB），为4.0%（95%置信区间：3.0 - 5.1%），南苏门答腊为3.4%（95%置信区间：2.4 - 4.4%）。从数量上看，东爪哇50岁及以上人群中的失明人数最多，为371,599人，其次是西爪哇，为180,666人，中爪哇为176,977人。在所有省份，未治疗的白内障是失明最常见的原因（范围：71.7%至95.5%）。巴厘岛的CSC和CSC分别最高，为81.3%和72.4%。印度尼西亚全国失明患病率为3.0%。印度尼西亚视力损害患者（较好眼的最佳矫正视力低于6/18）总数为8,019,427人，其中失明患者1,654,595人，中度和重度视力损害患者6,364,832人。印度尼西亚的失明负担很重，未治疗的白内障贡献最大。迫切需要通过为所有有需要的人提供更好的白内障手术服务来提高白内障手术覆盖率。
