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Effective Refractive Error Coverage in Adults Aged 50 Years and Older: Estimates From Population-Based Surveys in 61 Countries Publisher Pubmed



Bourne RRA1 ; Cicinelli MV2 ; Sedighi T1 ; Tapply IH3 ; Mccormick I4 ; Jonas JB5 ; Congdon NG6 ; Ramke J4 ; Naidoo KS7 ; Fricke TR8 ; Burton MJ4 ; Muller A9 ; Bikbov MM10 ; Furtado JM11 Show All Authors
Authors
  1. Bourne RRA1
  2. Cicinelli MV2
  3. Sedighi T1
  4. Tapply IH3
  5. Mccormick I4
  6. Jonas JB5
  7. Congdon NG6
  8. Ramke J4
  9. Naidoo KS7
  10. Fricke TR8
  11. Burton MJ4
  12. Muller A9
  13. Bikbov MM10
  14. Furtado JM11
  15. Kyari F4
  16. He M13
  17. Wang YX14
  18. Vijaya L15
  19. Nangia V16
  20. Brian G17
  21. Emamian MH18
  22. Fotouhi A19
  23. Hashemi H20
  24. Khandekar RB21
  25. Marmamula S22
  26. Salomao S23
  27. George R15
  28. Kazakbaeva G10
  29. Braithwaite T24
  30. Casson RJ25
  31. Iwase A26
  32. Gupta N27
  33. Abdianwall MH28
  34. Varma R31
  35. Wong TY29
  36. Wang N14
  37. Taylor HR12
  38. Flaxman SR30
  39. Keel S9
  40. Resnikoff S8

Source: The Lancet Global Health Published:2022


Abstract

Background: In 2021, WHO Member States endorsed a global target of a 40-percentage-point increase in effective refractive error coverage (eREC; with a 6/12 visual acuity threshold) by 2030. This study models global and regional estimates of eREC as a baseline for the WHO initiative. Methods: The Vision Loss Expert Group analysed data from 565 448 participants of 169 population-based eye surveys conducted since 2000 to calculate eREC (met need/[met need + undermet need + unmet need]). A binary logistic regression model was used to estimate eREC by Global Burden of Disease (GBD) Study super region among adults aged 50 years and older. Findings: In 2021, distance eREC was 79·1% (95% CI 72·4–85·0) in the high-income super region; 62·1% (54·7–68·8) in north Africa and Middle East; 49·5% (45·0–54·0) in central Europe, eastern Europe, and central Asia; 40·0% (31·7–48·2) in southeast Asia, east Asia, and Oceania; 34·5% (29·4–40·0) in Latin America and the Caribbean; 9·0% (6·5–12·0) in south Asia; and 5·7% (3·1–9·0) in sub-Saharan Africa. eREC was higher in men and reduced with increasing age. Global distance eREC increased from 2000 to 2021 by 19·0%. Global near vision eREC for 2021 was 20·5% (95% CI 17·8–24·4). Interpretation: Over the past 20 years, distance eREC has increased in each super region yet the WHO target will require substantial improvements in quantity and quality of refractive services in particular for near vision impairment. Funding: WHO, Sightsavers, The Fred Hollows Foundation, Fondation Thea, Brien Holden Vision Institute, Lions Clubs International Foundation. © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
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