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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

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机构: [1]Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA USA [2]Univ Washington, Sch Med, Dept Hlth Metr Sci, Seattle, WA USA [3]Univ Washington, Dept Ophthalmol, Seattle, WA 98195 USA [4]Anglia Ruskin Univ, Vis & Eye Res Inst, Cambridge CB1 1PT, England [5]Imperial Coll London, Dept Math, London, England [6]Imperial Coll London, WHO Collaborating Ctr Publ Hlth Educ & Training, London, England [7]Imperial Coll London, Dept Primary Care & Publ Hlth, London, England [8]Univ Melbourne, Sch Populat & Global Hlth, Carlton, Vic, Australia [9]Heidelberg Univ, Dept Ophthalmol, Heidelberg, Germany [10]Heidelberg Univ, Heidelberg Inst Global Hlth HIGH, Heidelberg, Germany [11]Beijing Tongren Hosp, Beijing Inst Ophthalmol, Beijing, Peoples R China [12]Beijing Tongren Hosp, Beijing Tongren Eye Ctr, Beijing, Peoples R China [13]Jahrom Univ Med Sci, Dept Parasitol & Mycol, Jahrom, Iran [14]Aksum Univ, Dept Adult Hlth Nursing, Aksum, Ethiopia [15]Cairo Univ, Dept Neurol, Cairo, Egypt [16]Cairo Univ, Neurophysiol Unit, Cairo, Egypt [17]Univ Sharjah, Dept Clin Sci, Sharjah, U Arab Emirates [18]Wolkite Univ, Dept Publ Hlth, Wolkite, Ethiopia [19]Shahid Beheshti Univ Med Sci, Ophthalm Res Ctr, Tehran, Iran [20]Shahid Beheshti Univ Med Sci, Dept Ophthalmol, Tehran, Iran [21]Shahid Beheshti Univ Med Sci, Res Inst Endocrine Sci, Tehran, Iran [22]Shahid Beheshti Univ Med Sci, Dept Epidemiol, Tehran, Iran [23]Shahid Beheshti Univ Med Sci, Ophthalm Epidemiol Res Ctr, Tehran, Iran [24]Fred Hollows Fdn, Sydney, NSW, Australia [25]Berhan Publ Hlth & Eye Care Consultancy, Addis Ababa, Ethiopia [26]Iran Univ Med Sci, Eye Res Ctr, Tehran, Iran [27]Iran Univ Med Sci, Hlth Management & Econ Res Ctr, Tehran, Iran [28]Iran Univ Med Sci, Hlth Econ Dept, Tehran, Iran [29]Iran Univ Med Sci, Student Res Comm, Tehran, Iran [30]Iran Univ Med Sci, Sch Med, Tehran, Iran [31]Univ Leipzig Med Ctr, Dept Ophthalmol, Leipzig, Germany [32]Charite Med Univ Berlin, Dept Ophthalmol, Berlin, Germany [33]Univ Thessaly, Dept Med, Volos, Greece [34]Visibil Metr LLC, Dept Res, Chappaqua, NY USA [35]Adigrat Univ, Coll Med & Hlth Sci, Adigrat, Ethiopia [36]Adigrat Univ, Dept Med Lab Sci, Adigrat, Ethiopia [37]Osped San Raffaele, Dept Ophthalmol, Milan, Italy [38]Univ Vita Salute San Raffaele, Dept Ophthalmol, Milan, Italy [39]Univ Tehran Med Sci, Translat Ophthalmol Res Ctr, Tehran, Iran [40]Univ Tehran Med Sci, Multiple Sclerosis Res Ctr, Tehran, Iran [41]Univ Tehran Med Sci, Noncommunicable Dis Res Ctr, Tehran, Iran [42]Univ Tehran Med Sci, Sina Trauma & Surg Res Ctr, Tehran, Iran [43]Univ Tehran Med Sci, Dept Epidemiol & Biostat, Tehran, Iran [44]Bahir Dar Univ, Dept Hlth Syst & Hlth Econ, Bahir Dar, Ethiopia [45]Bahir Dar Univ, Dept Adult Hlth Nursing, Bahir Dar, Ethiopia [46]Bahir Dar Univ, Coll Med & Hlth Sci, Bahir Dar, Ethiopia [47]Univ Hosp Ioannina, Dept Ophthalmol, Ioannina, Greece [48]Fdn Res & Technol, Inst Mol Biol & Biotechnol, Ioannina, Greece [49]Sultan Zainal Abidin Univ, Unit Biochem, Kuala Terengganu, Malaysia [50]Harvard Univ, TH Chan Sch Publ Hlth, Boston, MA 02115 USA [51]Harvard Univ, Dept Ophthalmol, Boston, MA 02115 USA [52]NYU, Dept Phys Med & Rehabil, New York, NY USA [53]Charles Univ Prague, Dept Social & Clin Pharm, Hradec Kralova, Czech Republic [54]United Arab Emirates Univ, Inst Publ Hlth, Al Ain, U Arab Emirates [55]Govt Med Coll Pali, Dept Anat, Pali, India [56]All India Inst Med Sci, Dept Community Med & Family Med, Jodhpur, Rajasthan, India [57]All India Inst Med Sci, Sch Publ Hlth, Jodhpur, Rajasthan, India [58]All India Inst Med Sci, Dept Surg Oncol, Jodhpur, Rajasthan, India [59]Natl Inst Biomed Genom, Dept Stat & Computat Genom, Kalyani, W Bengal, India [60]Univ Calcutta, Dept Stat, Kolkata, India [61]Babol Univ Med Sci, Social Determinants Hlth Res Ctr, Babol, Iran [62]Ufa Eye Res Inst, Epidemiol Dept, Ufa, Russia [63]Middlesex Univ London, Dept Comp Sci, London, England [64]Moorfields Eye Hosp NHS Fdn Trust, Ophthalmol Dept, London, England [65]London Sch Hyg & Trop Med, Int Ctr Eye Hlth, London, England [66]Univ Hosp Dijon, Dept Ophthalmol, Dijon, France [67]Univ Bourgogne Franche Comte, Eye & Nutr Res Grp, Dijon, France [68]Employee State Insurance Post Grad Inst Med Sci &, Dept Community Med, Bangalore, Karnataka, India [69]Univ Waterloo, Sch Publ Hlth & Hlth Syst, Waterloo, ON, Canada [70]Shifa Trust Eye Hosp, Shifa Sch Publ Hlth, Rawalpindi, Pakistan [71]Fed Polytech Sch Lausanne, Inst Microengn, Lausanne, Switzerland [72]Univ Minho, Sch Sci, Braga, Portugal [73]Assoc Licensed Optometry Profess, Direct Board, Linda A Velha, Portugal [74]Univ Adelaide, Dept Ophthalmol, Adelaide, SA, Australia [75]Univ Adelaide, Sch Publ Hlth, Adelaide, SA, Australia [76]Singapore Eye Res Inst, Ocular Epidemiol Res Grp, Singapore, Singapore [77]Ophthalmol & Visual Sci Acad Clin Program, Singapore, Singapore [78]Duke NUS Med Sch, Singapore, Singapore [79]Seoul Natl Univ Hosp, Biomed Informat, Seoul, South Korea [80]Hanoi Natl Univ Educ, Fac Biol, Hanoi, Vietnam [81]Ist Sci San Raffaele, Dept Ophthalmol, Milan, Italy [82]Univ Porto, Univ Hosp Ctr Porto, Porto, Portugal [83]Univ Porto, Dept Chem Sci, Porto, Portugal [84]Univ Porto, Dept Chem, Porto, Portugal [85]Queens Univ, Ctr Publ Hlth, Belfast, Antrim, North Ireland [86]Orbis Int, New York, NY USA [87]Imam Abdulrahman Bin Faisal Univ, Environm Hlth Dept, Dammam, Saudi Arabia [88]Publ Hlth Fdn India, Gurugram, India [89]Indian Council Med Res, New Delhi, India [90]Univ Michigan, Dept Ophthalmol & Visual Sci, Ann Arbor, MI USA [91]Univ Michigan, Inst Hlth Care Policy & Innovat, Ann Arbor, MI USA [92]Univ Michigan, Dept Syst Populat & Leadership, Ann Arbor, MI 48109 USA [93]Univ Gondar, Dept Biochem, Gondar, Ethiopia [94]Univ Gondar, Dept Surg Nursing, Gondar, Ethiopia [95]Royal Liverpool Univ Hosp, St Pauls Eye Unit, Liverpool, Merseyside, England [96]Aristotle Univ Thessaloniki, Dept Ophthalmol, Thessaloniki, Greece [97]Aristotle Univ Thessaloniki, Dept Ophthalmol 1, Thessaloniki, Greece [98]Univ Tunku Abdul Rahman, Dept Ophthalmol, Kajang, Malaysia [99]Univ Nacl Autonoma Mexico, Ctr Complex Sci, Mexico City, DF, Mexico [100]Autonomous Univ Sinaloa, Fac Vet Med & Zootech, Culiacan Rosales, Mexico [101]Minist Hlth & Med Educ, Dev Res & Technol Ctr, Tehran, Iran [102]Mahatma Gandhi Univ Med Sci & Technol, Sch Behav Sci, Kottayam, Kerala, India [103]NEI, NIH, Bethesda, MD 20892 USA [104]Shahroud Univ Med Sci, Ophthalm Epidemiol Res Ctr, Shahroud, Iran [105]Univ Fed Sao Paulo, Dept Ophthalmol & Visual Sci, Sao Paulo, Brazil [106]Ravensburg Weingarten Univ Appl Sci, Inst Gerontol Hlth Serv & Nursing Res, Weingarten, Germany [107]Univ Sao Paulo, Div Ophthalmol, Ribeirao Preto, Brazil [108]Datta Meghe Inst Med Sci, Dept Med, Wardha, India [109]Datta Meghe Inst Med Sci, Global Evidence Synth Initiat, Wardha, India [110]Datta Meghe Inst Med Sci, Dept Ophthalmol, Wardha, India [111]UCL, Inst Ophthalmol, London, England [112]Haramaya Univ, Sch Publ Hlth, Harar, Ethiopia [113]Sankara Nethralaya Med Res Fdn, Glaucoma Serv, Chennai, Tamil Nadu, India [114]Univ Lahore, Fac Allied Hlth Sci, Lahore, Pakistan [115]Afro Asian Inst, Lahore, Pakistan [116]Indian Inst Publ Hlth Gandhinagar, Hlth Syst & Policy Res, Gandhinagar, India [117]Hamdan Bin Mohammed Smart Univ, Sch Hlth & Environm Studies, Dubai, U Arab Emirates [118]Univ Georgia, Brain & Behav Sci Program, Athens, GA 30602 USA [119]Univ Utah, Moran Eye Ctr, Salt Lake City, UT USA [120]Indonesian Adv Coll Hlth Sci, Inst Publ Hlth Sci, Jakarta, Indonesia [121]Jigjiga Univ, Dept Publ Hlth, Jijiga, Ethiopia [122]Univ Vet & Anim Sci, Inst Pharmaceut Sci, Lahore, Pakistan [123]Xi An Jiao Tong Univ, Dept Pharm Adm & Clin Pharm, Xian, Peoples R China [124]Univ Hong Kong, Dept Urban Planning & Design, Hong Kong, Peoples R China [125]Manipal Acad Higher Educ, Kasturba Med Coll, Manipal, Karnataka, India [126]Hamad Bin Khalifa Univ, Coll Sci & Engn, Doha, Qatar [127]Yale Univ, Dept Ophthalmol & Visual Sci, New Haven, CT USA [128]Yale Univ, Dept Genet, New Haven, CT USA [129]Univ Ibadan, Dept Hlth Promot & Educ, Ibadan, Nigeria [130]Univ Ibadan, Dept Med, Ibadan, Nigeria [131]Univ Belgrade, Fac Med, Belgrade, Serbia [132]Univ Kragujevac, Dept Epidemiol, Kragujevac, Serbia [133]Deakin Univ, Inst Phys Act & Nutr, Burwood, Vic, Australia [134]Univ Sydney, Sydney Med Sch, Sydney, NSW, Australia [135]Univ Sydney, Ophthalmol Dept, Sydney, NSW, Australia [136]Univ Hail, Dept Hlth Management, Hail, Saudi Arabia [137]Univ Hyderabad, Sch Management Studies, Hyderabad, India [138]Govt Med Coll, Dept Biochem, Mysuru, India [139]Dr Baba Saheb Ambedkar Med Coll & Hosp, Dept Community Med, Delhi, India [140]Banaras Hindu Univ, Dept Community Med, Varanasi, Uttar Pradesh, India [141]Ophtalmologistes Associe Monastir, Monastir, Tunisia [142]Qazvin Univ Med Sci, Inst Prevent Noncommunicable Dis, Qazvin, Iran [143]Qazvin Univ Med Sci, Hlth Serv Management Dept, Qazvin, Iran [144]Sydney Local Hlth Dist, Ophthalmol Dept, Sydney, NSW, Australia [145]John Paul II Catholic Univ Lublin, Dept Appl Phys, Lublin Voivodeship, Poland [146]Drohobych Ivan Franko State Pedag Univ, Dept Biol & Chem, Drogobych, Ukraine [147]Int Res Ctr Excellence, Inst Human Virol Nigeria, Abuja, Nigeria [148]Univ Utrecht, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands [149]MyungSung Med Coll, Eye Unit, Addis Ababa, Ethiopia [150]Fattouma Bourguiba Univ Hosp, Dept Ophthalmol, Monastir, Tunisia [151]Baku State Univ, Dept Biophys & Mol Biol, Baku, Azerbaijan [152]Azerbaijan Natl Acad Sci, Inst Radiat Problems, Baku, Azerbaijan [153]Hlth Serv Acad, Dept Epidemiol & Biostat, Islamabad, Pakistan [154]Allen Foster Community Eye Hlth Res Ctr, Prasad Eye Inst, Hyderabad, India [155]UNSW, Sch Optometry & Vis Sci, Sydney, NSW, Australia [156]Hlth Ministers Council Gulf Cooperat Council Stat, Execut Board, Riyadh, Saudi Arabia [157]Yonsei Univ, Dept Prevent Med, Seoul, South Korea [158]Yonsei Univ, Inst Hlth Serv Res, Seoul, South Korea [159]Yonsei Univ, Coll Med, Seoul, South Korea [160]Med Coll Wisconsin, Dept Ophthalmol & Visual Sci, Milwaukee, WI 53226 USA [161]Xiamen Univ Malaysia, Sch Tradit Chinese Med, Sepang, Malaysia [162]Kristiania Univ Coll, Sch Hlth Sci, Oslo, Norway [163]Tulane Univ, Global Community Hlth & Behav Sci, New Orleans, LA 70118 USA [164]Oslo Metropolitan Univ, Dept Nursing & Hlth Promot, Oslo, Norway [165]San Juan de Dios Sanitary Pk, Biomed Res Networking, Ctr Mental Hlth Network, St Boi De Llobregat, Spain [166]Catalan Inst Res & Adv Studies ICREA, Barcelona, Spain [167]Gazi Univ, Fac Med, Ankara, Turkey [168]Manipal Acad Higher Educ, Dept Community Med, Mangalore, India [169]Coventry Univ, Fac Hlth & Life Sci, Coventry, W Midlands, England [170]McMaster Univ, Dept Med, Hamilton, ON, Canada [171]McMaster Univ, Dept Psychiat & Behav Neurosci, Hamilton, ON, Canada [172]Inst Med Sci, Unit Genet & Publ Hlth, Las Tablas, Panama [173]Inst Med Sci, Unit Microbiol & Publ Hlth, Las Tablas, Panama [174]Minist Hlth, Dept Publ Hlth, Herrera, Panama [175]HelpMeSee, New York, NY USA [176]Mexican Inst Ophthalmol, Queretaro, Mexico [177]Nova Southeastern Univ, Coll Optometry, Ft Lauderdale, FL 33314 USA [178]CHU Poitiers, Ophthalmol Dept, Poitiers, France [179]Natl Inst Hlth & Med Res INSERM, Unit 1084, Poitiers, France [180]Hlth Informat Serv, Grootebroek, Netherlands [181]BGS Global Inst Med Sci, Dept Biochem, Bengaluru, India [182]Kermanshah Univ Med Sci, Clin Res Dev Ctr, Kermanshah, Iran [183]Univ Manitoba, Sch Med, Winnipeg, MB, Canada [184]Glaucoma Res Ctr, Montchoisi Clin, Lausanne, Switzerland [185]Univ Colorado, Dept Ophthalmol, Denver, CO USA [186]Singleton Hosp, Dept Ophthalmol, Swansea, W Glam, Wales [187]Mekelle Univ, Sch Publ Hlth, Mekelle, Ethiopia [188]Arba Minch Univ, Dept Nursing, Arba Minch, Ethiopia [189]Arba Minch Univ, Dept Publ Hlth, Arba Minch, Ethiopia [190]Arba Minch Univ, Dept Biomed Sci, Arba Minch, Ethiopia [191]Lausanne Univ Hosp, Woman Mother Child Dept, Lausanne, Switzerland [192]Pacific Inst Res & Evaluat, Calverton, MD USA [193]Curtin Univ, Sch Publ Hlth, Perth, WA, Australia [194]King Saud Univ, Internal Med Dept, Riyadh, Saudi Arabia [195]Samara Univ, Dept Publ Hlth, Samara, Ethiopia [196]World Hlth Org WHO Ctr eHlth, Sydney, NSW, Australia [197]TMSS Med Coll, Dept Med, Bogura, Bangladesh [198]Sofia Ismail Mem Med Ctr, Dept Med, Bogura, Bangladesh [199]Lighthouse Guild, New York, NY USA [200]Columbia Univ, Harkness Eye Inst, New York, NY USA [201]Woldia Univ, Dept Publ Hlth, Woldia, Ethiopia [202]Hamadan Univ Med Sci, Dept Orgon, Hamadan, Hamadan, Iran [203]Univ KwaZulu Natal, Discipline Optometry, Durban, South Africa [204]Moscow Inst Phys & Technol, Lab Publ Hlth Indicators Anal & Hlth Digitalizat, Dolgoprudnyi, Russia [205]Kursk State Med Univ, Expt Surg & Oncol Lab, Kursk, Russia [206]Suraj Eye Inst, Nagpur, Maharashtra, India [207]Govt Med Coll, Mysore Med Coll & Res Inst, Mysore, Karnataka, India [208]Univ Cent Punjab, Dept Biotechnol, Lahore, Pakistan [209]Duy Tan Univ, Inst Global Hlth Innovat, Hanoi, Vietnam [210]Western Sydney Univ, Translat Hlth Res Inst, Sydney, NSW, Australia [211]Sightsavers, Policy & Programme Syst, Haywards Heath, England [212]Univ Lagos, Dept Psychiat, Lagos, Nigeria [213]Univ Nigeria Nsukka, Dept Pharmacol & Therapeut, Enugu, Nigeria [214]Univ Coll Hosp, Dept Med, Ibadan, Nigeria [215]Shiraz Univ Med Sci, Dept Parasitol & Mycol, Shiraz, Iran [216]Pramukhswami Med Coll, Dept Forens Med & Toxicol, Anand, Gujarat, India [217]Queens Univ Belfast, Ctr Publ Hlth, Belfast, Antrim, North Ireland [218]Tairunnessa Mem Med Coll & Hosp, Med Coll, Gazipur, Bangladesh [219]Maharishi Markandeshwar Med Coll & Hosp, Dept Community Med, Solan, India [220]Johns Hopkins Univ, Dept Ophthalmol, Baltimore, MD USA [221]Johns Hopkins Univ, Wilmer Eye Inst, Baltimore, MD 21218 USA [222]Univ Coll London Hosp, London, England [223]Publ Hlth England, Acad Publ Hlth England, London, England [224]CQ Univ, Sch Hlth Med & Appl Sci, Sydney, NSW, Australia [225]Western Sydney Univ, Sch Social Sci & Psychol, Penrith, NSW, Australia [226]Western Sydney Univ, Translat Hlth Res Inst, Penrith, NSW, Australia [227]Univ Milan, Dept Ophthalmol, Milan, Italy [228]Food & Drug Adm Islamic Republ Iran, Halal Res Ctr, Tehran, Iran [229]Mashhad Univ Med Sci, Neurogen Inflammat Res Ctr, Mashhad, Razavi Khorasan, Iran [230]Ain Shams Univ, Dept Entomol, Cairo, Egypt [231]Hamad Med Corp, Dept Geriatr & Long Term Care, Doha, Qatar [232]Bournemouth Univ, Fac Hlth & Social Sci, Bournemouth, Dorset, England [233]Jawaharlal Inst Postgrad Med Educ & Res, Dept Prevent & Social Med, Pondicherry, India [234]Bayer, Market Access, Istanbul, Turkey [235]Najah Natl Univ, Publ Hlth Div, Nablus, Palestine [236]Kings Coll London, Inst Populat Hlth, London, England [237]Debre Berhan Univ, Dept Nursing, Debre Berhan, Ethiopia [238]Natl Inst Infect Dis, Tokyo, Japan [239]Pan Amer Hlth Org, Family Hlth Promot & Life Course Dept, Washington, DC USA [240]SpaMedica, Ophthalmol Dept, Bolton, England [241]Univ Alabama Birmingham, Sch Med, Birmingham, AL USA [242]Us Dept Vet Affairs VA, Med Serv, Birmingham, AL USA [243]Gmers Med Coll & Civil Hosp, Dept Ophthalmol, Ahmadabad, Gujarat, India [244]Univ Indonesia, Dept Ophthalmol, Jakarta, Indonesia [245]Cipto Mangunkusumo Natl Hosp, Dept Ophthalmol, Jakarta, Indonesia [246]Hywel Dda Univ Hlth Board, Dept Ophthalmol, Llanelli, England [247]Moscow Res & Pract Ctr Addict, Dept 16, Moscow, Russia [248]Moscow Res & Pract Ctr Addict, Lab Genet & Genom, Moscow, Russia [249]Balashiha Cent Hosp, Therapeut Dept, Balashikha, Russia [250]Semnan Univ Med Sci, Nursing Care Res Ctr, Semnan, Iran [251]Int Med Univ, Div Community Med, Kuala Lumpur, Malaysia [252]Univ Penn, Dept Ophthalmol, Philadelphia, PA 19104 USA [253]Univ Rajshahi, Dept Populat Sci & Human Resource Dev, Rajshahi, Bangladesh [254]Hanoi Med Univ, Dept Hlth Econ, Hanoi, Vietnam [255]Univ Crete, Med Sch, Iraklion, Greece [256]Southern Calif Eye Inst, Los Angeles, CA USA [257]Univ Florence, Area Farmaco & Salute Bambino, Psicol, NEUROFARBA Dipartimento Neurosci, Florence, Italy [258]Nguyen Tat Thanh Univ, Ctr Excellence Behav Med, Ho Chi Minh City, Vietnam [259]Singapore Natl Eye Ctr, Singapore Eye Res Inst, Singapore, Singapore [260]Natl Ctr Neurol & Psychiat, Dept Neuropsychopharmacol, Kodaira, Tokyo, Japan [261]Juntendo Univ, Dept Publ Hlth, Tokyo, Japan [262]Wuhan Univ, Dept Epidemiol & Biostat, Wuhan, Peoples R China [263]Wuhan Univ, Sch Med, Wuhan, Peoples R China [264]Russian Med Acad Continuous Profess Educ, Addictol Dept, Moscow, Russia [265]Russian Med Acad Continuous Profess Educ, Pediat Dept, Moscow, Russia [266]Brien Holden Vis Inst, Sydney, NSW, Australia
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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 degrees 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 [9s% 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. Copyright (C) 2020 The Author(s). Published by Elsevier Ltd.

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出版当年[2020]版:
大类 | 1 区 医学
小类 | 1 区 公共卫生、环境卫生与职业卫生
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 公共卫生、环境卫生与职业卫生
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出版当年[2019]版:
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版:
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA USA
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通讯机构: [4]Anglia Ruskin Univ, Vis & Eye Res Inst, Cambridge CB1 1PT, England [*1]Vision and Eye Research Institute, Anglia Ruskin University, Cambridge CB1 1PT, UK
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