Cushley Laura N, Leonard-Hawkhead Benedict, Jackson Andrew Jonathan, Peto Tunde
Centre for Public Health, Queen's University Belfast, Belfast, UK.
Department of Ophthalmology, Belfast Health and Social Care Trust, Belfast, UK.
Acta Ophthalmol. 2025 Feb;103(1):7-15. doi: 10.1111/aos.16763. Epub 2024 Sep 28.
Visual impairment is a global problem which is predicted to rise in the coming years. Some of the biggest causes of visual impairment globally include uncorrected refractive error, cataract and age-related macular degeneration. People with a visual impairment often require support and so many countries hold registers of visual impairment. These registers can sit at a national, regional or local level. This scoping review aims to identify which countries hold visual impairment registries and have published data from them.
Medline All, Embase and EBSCOHost were searched using several search terms after consulting an information specialist. All papers after the year 2000 were included in the scoping review. All results are shown using a PRISMA diagram and presented narratively.
The total number of articles and papers identified was 1266; after screening and review, 57 articles were included in the review from 2000 to 2024. These articles came from 19 different countries and encompassed national, regional and local visual impairment databases. Many countries cited age-related macular degeneration as the major cause of blindness with diabetic retinopathy and glaucoma following. In less economically developed countries, refractive error was the main cause of sight loss. There were papers which focused on specific eye conditions such as glaucoma and diabetic retinopathy or on specific cohorts including working-age population and children. The leading causes of blindness in children appeared to be inherited retinal diseases, albinism and cerebral visual impairment.
Certification of visual impairment is held differently across the world. There is commonality among different countries regarding the major causes of visual impairment in both adults and children. The importance of holding visual impairment registers to support people with a visual impairment and to plan services is essential.
视力障碍是一个全球性问题,预计在未来几年还会增加。全球一些导致视力障碍的主要原因包括未矫正的屈光不正、白内障和年龄相关性黄斑变性。视力障碍患者通常需要支持,因此许多国家都设有视力障碍登记册。这些登记册可以设在国家、地区或地方层面。本范围综述旨在确定哪些国家设有视力障碍登记处并已公布相关数据。
在咨询信息专家后,使用多个搜索词对医学期刊全文数据库(Medline All)、荷兰医学文摘数据库(Embase)和EBSCOHost进行搜索。2000年后的所有论文都纳入范围综述。所有结果均使用系统评价和Meta分析的首选报告项目(PRISMA)流程图展示,并进行叙述性呈现。
确定的文章和论文总数为1266篇;经过筛选和评审,2000年至2024年期间有57篇文章被纳入综述。这些文章来自19个不同国家,涵盖国家、地区和地方的视力障碍数据库。许多国家将年龄相关性黄斑变性列为失明的主要原因,其次是糖尿病性视网膜病变和青光眼。在经济欠发达国家,屈光不正为视力丧失的主要原因。有论文聚焦于特定眼部疾病,如青光眼和糖尿病性视网膜病变,或特定人群,包括工作年龄人口和儿童。儿童失明的主要原因似乎是遗传性视网膜疾病、白化病和脑性视力障碍。
世界各地对视力障碍的认证方式各不相同。不同国家在成人和儿童视力障碍的主要原因方面存在共性。设立视力障碍登记处以支持视力障碍患者并规划服务至关重要。