Global Vision Impairment Due to Uncorrected Presbyopia
Global Vision Impairment Due to Uncorrected Presbyopia
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DOI：
10.1001/archopht.126.12.1731
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发表时间：
2008-12-01
影响因子：
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通讯作者：
Frick, Kevin D.
中科院分区：
文献类型：
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作者：
Holden, Brien A.;Fricke, Timothy R.;Frick, Kevin D.
目的：评估未矫正老视的个人和社区负担。方法：我们采用多项基于人群的调查来估计全球老视患病率、老视眼镜覆盖率以及社区对未矫正老视造成的视力损害的感知。出于规划的目的，数据外推的未来使用的人口预测从美国人口普查局的国际数据库中提取。结果：据估计，有10.4亿人在2005年全球老花眼，其中5.17亿人没有眼镜或眼镜不足。其中，4.1亿人无法以他们需要的方式完成近距离任务。未矫正的老视视力损害主要存在于发展中国家（94%）。结论：未矫正的老视导致世界各地广泛的，可避免的视力损害。要缓解这一问题，就需要大量增加经过培训的人员，以提供适当的眼科护理，同时在发展中国家建立可持续的、负担得起的眼镜供应系统。此外，鉴于老花眼患者患青光眼和糖尿病眼病等永久性视力威胁疾病的风险较高，初级眼科护理应包括验光服务以及这些和其他此类疾病的检测和适当转诊。
Objectives: To evaluate the personal and community burdens of uncorrected presbyopia.Methods: We used multiple population-based surveys to estimate the global presbyopia prevalence, the spectacle coverage rate for presbyopia, and the community perception of vision impairment caused by uncorrected presbyopia. For planning purposes, the data were extrapolated for the future using population projections extracted from the International Data Base of the US Census Bureau.Results: It is estimated that there were 1.04 billion people globally with presbyopia in 2005, 517 million of whom had no spectacles or inadequate spectacles. Of these, 410 million were prevented from performing near tasks in the way they required. Vision impairment from uncorrected presbyopia predominantly exists (94%) in the developing world.Conclusions: Uncorrected presbyopia causes widespread, avoidable vision impairment throughout the world. Alleviation of this problem requires a substantial increase in the number of personnel trained to deliver appropriate eye care together with the establishment of sustainable, affordable spectacle delivery systems in developing countries. In addition, given that people with presbyopia are at higher risk for permanently sight-threatening conditions such as glaucoma and diabetic eye disease, primary eye care should include refraction services as well as detection and appropriate referral for these and other such conditions.