Openly accessible

Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the Right to Sight: an analysis for the Global Burden of Disease Study

Steinmetz, JD, Bourne, RRA, Briant, PS, Flaxman, SR, Taylor, HRB, Jonas, JB, Abdoli, AA, Abrha, WA, Abualhasan, A, Abu-Gharbieh, EG, Adal, TG, Afshin, A, Ahmadieh, H, Alemayehu, W, Alemzadeh, SAS, Alfaar, AS, Alipour, V, Androudi, S, Arabloo, J, Arditi, AB, Aregawi, BB, Arrigo, A, Ashbaugh, C, Ashrafi, ED, Atnafu, DD, Bagli, EA, Baig, AAW, Bärnighausen, TW, Battaglia Parodi, M, Beheshti, MS, Bhagavathula, AS, Bhardwaj, N, Bhardwaj, P, Bhattacharyya, K, Bijani, A, Bikbov, M, Bottone, M, Braithwaite, TM, Bron, AM, Burugina Nagaraja, SA, Butt, ZA, Caetano dos Santos, FLL, Carneiro, VLJ, Casson, RJ, Cheng, C-YJ, Choi, J-YJ, Chu, D-T, Cicinelli, MVM, Coelho, JMG, Congdon, NGA, Couto, RAA, Cromwell, EAM, Dahlawi, SM, Dai, X, Dana, R, Dandona, L, Dandona, RA, Del Monte, MA, Derbew Molla, M, Dervenis, NA, Desta, AAP, Deva, JP, Diaz, D, Djalalinia, SE, Ehrlich, JR, Elayedath, RR, Elhabashy, HRB, Ellwein, LB, Emamian, MH, Eskandarieh, S, Farzadfar, FG, Fernandes, AG, Fischer, FS, Friedman, DSM, Furtado, JM, Gaidhane, S, Gazzard, G, Gebremichael, B, George, R, Ghashghaee, A, Gilani, SA, Golechha, M, Hamidi, SR, Hammond, BRR, Hartnett, MERK, Hartono, RK, Hashi, AI, Hay, SI, Hayat, K, Heidari, G, Ho, HC, Holla, R, Househ, MJ, Huang, JJE, Ibitoye, SEM, Ilic, IMD, Ilic, MDD, Ingram, ADN, Irvani, SSN, Shariful Islam, Sheikh, Itumalla, R, Jayaram, SP, Jha, RP, Kahloun, R, Kalhor, R, Kandel, H, Kasa, AS, Kavetskyy, TA, Kayode, GAH, Kempen, JH, Khairallah, M, Khalilov, RA, Khan, EAC, Khanna, RC, Khatib, MNA, Khoja, TAE, Kim, JE, Kim, YJ, Kim, GR, Kisa, S, Kisa, A, Kosen, S, Koyanagi, A, Kucuk Bicer, B, Kulkarni, VP, Kurmi, OP, Landires, IC, Lansingh, VCL, Leasher, JLE, LeGrand, KE, Leveziel, N, Limburg, H, Liu, X, Madhava Kunjathur, S, Maleki, S, Manafi, N, Mansouri, K, McAlinden, CG, Meles, GGM, Mersha, AM, Michalek, IMR, Miller, TR, Misra, S, Mohammad, Y, Mohammadi, SFA, Mohammed, JAH, Mokdad, AH, Moni, MAA, Montasir, AAR, Morse, ARF, Mulaw, GFC, Naderi, M, Naderifar, HS, Naidoo, KS, Naimzada, MD, Nangia, V, Narasimha Swamy, SM, Naveed, DM, Negash, HL, Nguyen, HL, Nunez-Samudio, VA, Ogbo, FA, Ogundimu, KT, Olagunju, ATE, Onwujekwe, OE, Otstavnov, NO, Owolabi, MO, Pakshir, K, Panda-Jonas, S, Parekh, U, Park, E-C, Pasovic, M, Pawar, S, Pesudovs, K, Peto, TQ, Pham, HQ, Pinheiro, M, Podder, V, Rahimi-Movaghar, V, Rahman, MHUY, Ramulu, PY, Rathi, P, Rawaf, SL, Rawaf, DL, Rawal, L, Reinig, NM, Renzaho, AM, Rezapour, AL, Robin, AL, Rossetti, L, Sabour, S, Safi, S, Sahebkar, A, Sahraian, MAM, Samy, AM, Sathian, B, Saya, GK, Saylan, MA, Shaheen, AAA, Shaikh, MAT, Shen, TT, Shibuya, KS, Shiferaw, WS, Shigematsu, M, Shin, JI, Silva, JC, Silvester, AA, Singh, JA, Singhal, DS, Sitorus, RS, Skiadaresi, EY, Skryabin, VYA, Skryabina, AA, Soheili, AB, Sorrie, MBARC, Sousa, RARCT, Sreeramareddy, CT, Stambolian, DG, Tadesse, EG, Tahhan, NI, Tareque, MI, Topouzis, FX, Tran, BX, Tsegaye, GK, Tsilimbaris, MK, Varma, R, Virgili, G, Vongpradith, AT, Vu, GT, Wang, YX, Wang, NH, Weldemariam, AHK, West, SKG, Wondmeneh, TGY, Wong, TY, Yaseri, M, Yonemoto, N, Yu, CS, Zastrozhin, MS, Zhang, Z-JR, Zimsen, SR, Resnikoff, S and Vos, T 2020, Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the Right to Sight: an analysis for the Global Burden of Disease Study, Lancet Global Health, doi: 10.1016/s2214-109x(20)30489-7.

Attached Files
Name Description MIMEType Size Downloads
islam-causesofblindnessand-2020.pdf Published version application/pdf 526.70KB 45

Title Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the Right to Sight: an analysis for the Global Burden of Disease Study
Author(s) Steinmetz, JD
Bourne, RRA
Briant, PS
Flaxman, SR
Taylor, HRB
Jonas, JB
Abdoli, AA
Abrha, WA
Abualhasan, A
Abu-Gharbieh, EG
Adal, TG
Afshin, A
Ahmadieh, H
Alemayehu, W
Alemzadeh, SAS
Alfaar, AS
Alipour, V
Androudi, S
Arabloo, J
Arditi, AB
Aregawi, BB
Arrigo, A
Ashbaugh, C
Ashrafi, ED
Atnafu, DD
Bagli, EA
Baig, AAW
Bärnighausen, TW
Battaglia Parodi, M
Beheshti, MS
Bhagavathula, AS
Bhardwaj, N
Bhardwaj, P
Bhattacharyya, K
Bijani, A
Bikbov, M
Bottone, M
Braithwaite, TM
Bron, AM
Burugina Nagaraja, SA
Butt, ZA
Caetano dos Santos, FLL
Carneiro, VLJ
Casson, RJ
Cheng, C-YJ
Choi, J-YJ
Chu, D-T
Cicinelli, MVM
Coelho, JMG
Congdon, NGA
Couto, RAA
Cromwell, EAM
Dahlawi, SM
Dai, X
Dana, R
Dandona, L
Dandona, RA
Del Monte, MA
Derbew Molla, M
Dervenis, NA
Desta, AAP
Deva, JP
Diaz, D
Djalalinia, SE
Ehrlich, JR
Elayedath, RR
Elhabashy, HRB
Ellwein, LB
Emamian, MH
Eskandarieh, S
Farzadfar, FG
Fernandes, AG
Fischer, FS
Friedman, DSM
Furtado, JM
Gaidhane, S
Gazzard, G
Gebremichael, B
George, R
Ghashghaee, A
Gilani, SA
Golechha, M
Hamidi, SR
Hammond, BRR
Hartnett, MERK
Hartono, RK
Hashi, AI
Hay, SI
Hayat, K
Heidari, G
Ho, HC
Holla, R
Househ, MJ
Huang, JJE
Ibitoye, SEM
Ilic, IMD
Ilic, MDD
Ingram, ADN
Irvani, SSN
Shariful Islam, SheikhORCID iD for Shariful Islam, Sheikh orcid.org/0000-0001-7926-9368
Itumalla, R
Jayaram, SP
Jha, RP
Kahloun, R
Kalhor, R
Kandel, H
Kasa, AS
Kavetskyy, TA
Kayode, GAH
Kempen, JH
Khairallah, M
Khalilov, RA
Khan, EAC
Khanna, RC
Khatib, MNA
Khoja, TAE
Kim, JE
Kim, YJ
Kim, GR
Kisa, S
Kisa, A
Kosen, S
Koyanagi, A
Kucuk Bicer, B
Kulkarni, VP
Kurmi, OP
Landires, IC
Lansingh, VCL
Leasher, JLE
LeGrand, KE
Leveziel, N
Limburg, H
Liu, X
Madhava Kunjathur, S
Maleki, S
Manafi, N
Mansouri, K
McAlinden, CG
Meles, GGM
Mersha, AM
Michalek, IMR
Miller, TR
Misra, S
Mohammad, Y
Mohammadi, SFA
Mohammed, JAH
Mokdad, AH
Moni, MAA
Montasir, AAR
Morse, ARF
Mulaw, GFC
Naderi, M
Naderifar, HS
Naidoo, KS
Naimzada, MD
Nangia, V
Narasimha Swamy, SM
Naveed, DM
Negash, HL
Nguyen, HL
Nunez-Samudio, VA
Ogbo, FA
Ogundimu, KT
Olagunju, ATE
Onwujekwe, OE
Otstavnov, NO
Owolabi, MO
Pakshir, K
Panda-Jonas, S
Parekh, U
Park, E-C
Pasovic, M
Pawar, S
Pesudovs, K
Peto, TQ
Pham, HQ
Pinheiro, M
Podder, V
Rahimi-Movaghar, V
Rahman, MHUY
Ramulu, PY
Rathi, P
Rawaf, SL
Rawaf, DL
Rawal, L
Reinig, NM
Renzaho, AM
Rezapour, AL
Robin, AL
Rossetti, L
Sabour, S
Safi, S
Sahebkar, A
Sahraian, MAM
Samy, AM
Sathian, B
Saya, GK
Saylan, MA
Shaheen, AAA
Shaikh, MAT
Shen, TT
Shibuya, KS
Shiferaw, WS
Shigematsu, M
Shin, JI
Silva, JC
Silvester, AA
Singh, JA
Singhal, DS
Sitorus, RS
Skiadaresi, EY
Skryabin, VYA
Skryabina, AA
Soheili, AB
Sorrie, MBARC
Sousa, RARCT
Sreeramareddy, CT
Stambolian, DG
Tadesse, EG
Tahhan, NI
Tareque, MI
Topouzis, FX
Tran, BX
Tsegaye, GK
Tsilimbaris, MK
Varma, R
Virgili, G
Vongpradith, AT
Vu, GT
Wang, YX
Wang, NH
Weldemariam, AHK
West, SKG
Wondmeneh, TGY
Wong, TY
Yaseri, M
Yonemoto, N
Yu, CS
Zastrozhin, MS
Zhang, Z-JR
Zimsen, SR
Resnikoff, S
Vos, T
Journal name Lancet Global Health
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2020-12
ISSN 2214-109X
Summary Background: Many causes of vision impairment can be prevented or treated. With an ageing global population, the demands for eye health services are increasing. We estimated the prevalence and relative contribution of avoidable causes of blindness and vision impairment globally from 1990 to 2020. We aimed to compare the results with the World Health Assembly Global Action Plan (WHA GAP) target of a 25% global reduction from 2010 to 2019 in avoidable vision impairment, defined as cataract and undercorrected refractive error. Methods: We did a systematic review and meta-analysis of population-based surveys of eye disease from January, 1980, to October, 2018. We fitted hierarchical models to estimate prevalence (with 95% uncertainty intervals [UIs]) of moderate and severe vision impairment (MSVI; presenting visual acuity from <6/18 to 3/60) and blindness (<3/60 or less than 10° visual field around central fixation) by cause, age, region, and year. Because of data sparsity at younger ages, our analysis focused on adults aged 50 years and older. Findings: Global crude prevalence of avoidable vision impairment and blindness in adults aged 50 years and older did not change between 2010 and 2019 (percentage change −0·2% [95% UI −1·5 to 1·0]; 2019 prevalence 9·58 cases per 1000 people [95% IU 8·51 to 10·8], 2010 prevalence 96·0 cases per 1000 people [86·0 to 107·0]). Age-standardised prevalence of avoidable blindness decreased by −15·4% [–16·8 to −14·3], while avoidable MSVI showed no change (0·5% [–0·8 to 1·6]). However, the number of cases increased for both avoidable blindness (10·8% [8·9 to 12·4]) and MSVI (31·5% [30·0 to 33·1]). The leading global causes of blindness in those aged 50 years and older in 2020 were cataract (15·2 million cases [9% IU 12·7–18·0]), followed by glaucoma (3·6 million cases [2·8–4·4]), undercorrected refractive error (2·3 million cases [1·8–2·8]), age-related macular degeneration (1·8 million cases [1·3–2·4]), and diabetic retinopathy (0·86 million cases [0·59–1·23]). Leading causes of MSVI were undercorrected refractive error (86·1 million cases [74·2–101·0]) and cataract (78·8 million cases [67·2–91·4]). Interpretation: Results suggest eye care services contributed to the observed reduction of age-standardised rates of avoidable blindness but not of MSVI, and that the target in an ageing global population was not reached. Funding: Brien Holden Vision Institute, Fondation Théa, The Fred Hollows Foundation, Bill & Melinda Gates Foundation, Lions Clubs International Foundation, Sightsavers International, and University of Heidelberg.
Notes In Press
Language eng
DOI 10.1016/s2214-109x(20)30489-7
Indigenous content off
Field of Research 0605 Microbiology
1117 Public Health and Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2020, The Author(s)
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30146150

Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in TR Web of Science
Scopus Citation Count Cited 4 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 56 Abstract Views, 45 File Downloads  -  Detailed Statistics
Created: Mon, 07 Dec 2020, 18:26:52 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.