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• W3206677013 abstract "Background Many causes of vision impairment can be prevented or treated. With an ageing global population, thedemands for eye health services are increasing. We estimated the prevalence and relative contribution of avoidablecauses of blindness and vision impairment globally from 1990 to 2020. We aimed to compare the results with theWorld Health Assembly Global Action Plan (WHA GAP) target of a 25% global reduction from 2010 to 2019 inavoidable 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]) ofmoderate and severe vision impairment (MSVI; presenting visual acuity from <6/18 to 3/60) and blindness (<3/60 orless than 10° visual field around central fixation) by cause, age, region, and year. Because of data sparsity at youngerages, 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 didnot change between 2010 and 2019 (percentage change –0·2% [95% UI –1·5 to 1·0]; 2019 prevalence 9·58 cases per1000 people [95% IU 8·51 to 10·8], 2010 prevalence 96·0 cases per 1000 people [86·0 to 107·0]). Age-standardisedprevalence 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]) andMSVI (31·5% [30·0 to 33·1]). The leading global causes of blindness in those aged 50 years and older in 2020 werecataract (15·2 million cases [9% IU 12·7–18·0]), followed by glaucoma (3·6 million cases [2·8–4·4]), undercorrectedrefractive error (2·3 million cases [1·8–2·8]), age-related macular degeneration (1·8 million cases [1·3–2·4]), anddiabetic retinopathy (0·86 million cases [0·59–1·23]). Leading causes of MSVI wer" @default.
• W3206677013 created "2021-10-25" @default.
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• W3206677013 date "2021-01-01" @default.
• W3206677013 modified "2023-09-26" @default.
• W3206677013 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" @default.
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• W3206677013 doi "https://doi.org/10.2139/ssrn.3939242" @default.
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