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Prevalence and causes of vision loss in high-income countries and in Eastern and Central Europe: 1990-2010

机译:高收入国家以及东欧和中欧的视力丧失患病率和原因:1990-2010年

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Background: To assess prevalence and causes of blindness and vision impairment in high-income regions and in Central/Eastern Europe in 1990 and 2010., Methods: Based on a systematic review of medical literature, prevalence of moderate and severe vision impairment (MSVI; presenting visual acuity <6/18 but =3/60 in the better eye) and blindness ( presenting visual acuity <3/60) was estimated for 1990 and 2010., Results: Age-standardised prevalence of blindness and MSVI decreased from 0.2% to 0.1% (3.314 million to 2.736 million people) and from 1.6% to 1.0% (25.362 million to 22.176 million), respectively. Women were generally more affected than men. Cataract was the most frequent cause of blindness in all subregions in 1990, but macular degeneration and uncorrected refractive error became the most frequent causes of blindness in 2010 in all high-income countries, except for Eastern/Central Europe, where cataract remained the leading cause. Glaucoma and diabetic retinopathy were fourth and fifth most common causes for blindness for all regions at both times. Uncorrected refractive error, followed by cataract, macular degeneration, glaucoma and diabetic retinopathy, was the most common cause for MSVI in 1990 and 2010., Conclusions: In highly developed countries, prevalence of blindness and MSVI has been reduced by 50% and 38%, respectively, and the number of blind people and people with MSVI decreased by 17.4% and 12.6%, respectively, even with the increasing number of older people in the population. In high-income countries, macular degeneration has become the most important cause of blindness, but uncorrected refractive errors continue to be the leading cause of MSVI.
机译:背景:评估1990和2010年高收入地区和中欧/东欧的盲人和视力障碍的患病率和原因。方法:基于对医学文献的系统评价,中度和重度视力障碍(MSVI;估计1990年和2010年的视力<6/18,但更好的眼睛= 3/60)和失明(视力<3/60)。结果:年龄标准化的失明和MSVI患病率从0.2%降低分别增至0.1%(331.4万人至273.6万人)和1.6%至1.0%(2536.2万至2217.6万人)。妇女通常比男子受影响更大。白内障是1990年所有次区域失明的最常见原因,但在所有高收入国家中,黄斑变性和未矫正的屈光不正成为2010年失明的最常见原因,东欧/中欧除外,其中白内障仍是主要原因。青光眼和糖尿病性视网膜病变是这两个时期所有地区失明的第四和第五大常见原因。未矫正的屈光不正,其次是白内障,黄斑变性,青光眼和糖尿病性视网膜病变,是1990和2010年MSVI的最常见原因。结论:在高度发达国家,失明和MSVI的患病率分别降低了50%和38%即使老年人口数量增加,盲人和MSVI的人数也分别下降了17.4%和12.6%。在高收入国家,黄斑变性已成为失明的最重要原因,但未矫正的屈光不正仍​​然是MSVI的主要原因。

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