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. 2020 Dec 1;9(2):e144–e160. doi: 10.1016/S2214-109X(20)30489-7

Table 2.

Cases and age-standardised prevalence in 2020 for blindness and percentage changes from 1990 to 2020 in adults aged 50 years and older, by cause of blindness

Cases (thousands)
Age-standardised prevalence (per 1000)
2020 Percentage change from 1990 to 2020 2020 Percentage change from 1990 to 2020
Cataract
Global 15 200 (12700 to 18000) 55·7% (51·4 to 59·9) 8·38 (7·04 to 9·93) −31·7% (−33·2 to −30·1)
Central Europe, eastern Europe, and central Asia 266 (211 to 332) −4·3% (−7·3 to −1·4) 1·88 (1·50 to 2·33) −36·1% (−37·5 to −34·6)
High income 456 (367 to 566) 56·0% (48·2 to 64·6) 0·877 (0·702 to 1·08) −22·6% (−24·2 to −21·3)
Latin America and Caribbean 1010 (826 to 1210) 78·4% (73·2 to 83·7) 7·85 (6·42 to 9·48) −43·8% (−44·7 to −42·7)
North Africa and Middle East 756 (593 to 941) 30·0% (24·9 to 35·4) 9·06 (7·13 to 11·4) −53·7% (−55·3 to −52·0)
South Asia 5910 (4990 to 6970) 51·1% (44·7 to 57·6) 22·3 (18·9 to 26·1) −46·4% (−48·1 to −44·5)
Southeast Asia, east Asia, and Oceania 5540 (4620 to 6590) 67·2% (62·5 to 72·5) 9·72 (8·14 to 11·5) −43·8% (−45·6 to −41·6)
Sub-Saharan Africa 1240 (1030 to 1490) 54·4% (51·3 to 57·7) 14·9 (12·4 to 17·8) −30·5% (−31·7 to −29·2)
Undercorrected refractive error
Global 2290 (1790 to 2800) 54·4% (48·7 to 60·6) 1·22 (0·960 to 1·50) −28·7% (−31·1 to −26·0)
Central Europe, eastern Europe, and central Asia 16·8 (12·8 to 21·1) 9·0% (5·7 to 12·0) 0·121 (0·0912 to 0·150) −17·0% (−19·2 to −14·6)
High income 46·1 (35·7 to 56·9) 35·1% (29·9 to 40·5) 0·103 (0·079 to 0·128) −23·1% (−24·8 to −21·4)
Latin America and Caribbean 126 (97·5 to 153) 97·3% (91·3 to 103·0) 0·943 (0·731 to 1·14) −31·2% (−32·9 to −29·6)
North Africa and Middle East 84·2 (63·8 to 103) 68·3% (61·5 to 74·7) 0·875 (0·673 to 1·07) −36·1% (−38·5 to −33·9)
South Asia 976 (762 to 1190) 25·8% (19·9 to 32·0) 3·30 (2·59 to 4·00) −52·3% (−54·0 to −50·5)
Southeast Asia, east Asia, and Oceania 933 (728 to 1140) 91·5% (82·8 to 101·5) 1·47 (1·16 to 1·79) −27·9% (−31·0 to −24·3)
Sub-Saharan Africa 111 (84·5 to 136) 91·4% (85·3 to 98·0) 1·14 (0·881 to 1·41) −15·0% (−17·2 to −12·8)
Glaucoma
Global 3600 (2800 to 4410) 61·8% (57·2 to 66·8) 2·04 (1·59 to 2·49) −31·9% (−33·0 to −30·6)
Central Europe, eastern Europe, and central Asia 178 (139 to 219) 5·5% (1·9 to 9·3) 1·25 (0·972 to 1·53) −31·4% (−32·8 to −30·0)
High income 785 (622 to 964) 60·3% (53·0 to 69·0) 1·41 (1·12 to 1·74) −23·2% (−24·5 to −21·9)
Latin America and Caribbean 334 (256 to 411) 105·5% (98·4 to 113·6) 2·63 (2·01 to 3·23) −36·2% (−37·6 to −34·8)
North Africa and Middle East 463 (354 to 578) 64·8% (57·6 to 72·3) 5·69 (4·37 to 7·10) −40·9% (−43·0 to −39)
South Asia 577 (439 to 726) 75·7% (65·1 to 86·7) 2·26 (1·71 to 2·83) −38·7% (−41·0 to −36·1)
Southeast Asia, east Asia, and Oceania 754 (575 to 957) 52·4% (44·5 to 61·3) 1·34 (1·02 to 1·67) −48·6% (−51·3 to −45·6)
Sub-Saharan Africa 510 (398 to 628) 70·1% (65·1 to 75·2) 6·64 (5·20 to 8·09) −23·5% (−25·5 to −21·5)
Age-related macular degeneration
Global 1840 (1340 to 2420) 69·8% (64·4 to 75·3) 1·03 (0·755 to 1·36) −28·0% (−30·0 to −25·6)
Central Europe, eastern Europe, and central Asia 62·5 (43·2 to 84·0) 21·8% (17·2 to 27·5) 0·437 (0·305 to 0·587) −16·8% (−18·5 to −14·9)
High income 595 (455 to 768) 48·3% (40·8 to 56·3) 1·08 (0·828 to 1·39) −28·6% (−30·0 to −27·3)
Latin America and Caribbean 71·1 (49·1 to 97·1) 142·1% (131·5 to 152·5) 0·550 (0·379 to 0·747) −21·2% (−23·3 to −18·8)
North Africa and Middle East 194 (136 to 264) 105·1% (95·0 to 115·8) 2·23 (1·55 to 2·99) −23·3% (−26·5 to −20·1)
South Asia 296 (199 to 421) 53·4% (42·4 to 65·4) 1·05 (0·717 to 1·47) −41·0% (−44·1 to −37·5)
Southeast Asia, east Asia, and Oceania 492 (340 to 673) 104·0% (91·8 to 116·5) 0·835 (0·578 to 1·14) −27·3% (−31·3 to −22·9)
Sub-Saharan Africa 130 (91·4 to 178) 78·5% (70·2 to 86·5) 1·50 (1·05 to 2·04) −19·1% (−23·0 to −15·7)
Diabetic retinopathy
Global 861 (592 to 1230) 150·9% (143·3 to 159·0) 0·459 (0·316 to 0·658) 14·9% (11·4 to 18·4)
Central Europe, eastern Europe, and central Asia 11·9 (7·96 to 17·3) 26·6% (17·8 to 36·4) 0·0842 (0·0565 to 0·121) −6·1% (−11·8 to −0·2)
High income 139 (97·2 to 196) 53·2% (44·2 to 62·2) 0·307 (0·215 to 0·433) −13·7% (−17·6 to −9·7)
Latin America and Caribbean 203 (142 to 283) 130·7% (121·7 to 140·5) 1·50 (1·05 to 2·09) −17·9% (−20·5 to −15·2)
North Africa and Middle East 61·0 (40·1 to 91·8) 169·3% (149·2 to 193·1) 0·621 (0·413 to 0·928) 0·9% (−6·2 to 9·3)
South Asia 152 (101 to 225) 190·7% (162·6 to 222·9) 0·487 (0·330 to 0·708) 17·9% (7·8 to 30·1)
Southeast Asia, east Asia, and Oceania 261 (171 to 387) 286·7% (257·9 to 316·2) 0·406 (0·269 to 0·602) 44·5% (33·1 to 56·3)
Sub-Saharan Africa 33·9 (23·0 to 49·2) 177·4% (162·4 to 192·3) 0·341 (0·234 to 0·498) 25·7% (19·4 to 32·3)
Residual causes of vision loss
Global 9840 (8200 to 11500) 69·3% (62·0 to 76·5) 5·33 (4·46 to 6·24) −24·2% (−27·3 to −21·3)
Central Europe, eastern Europe, and central Asia 647 (545 to 754) 11·7% (8·7 to 14·9) 4·63 (3·92 to 5·38) −22·5% (−23·9 to −21·1)
High-income 551 (461 to 650) 48·5% (43·1 to 54·9) 1·22 (1·03 to 1·44) −16·5% (−18·5 to −14·4)
Latin America and Caribbean 1140 (940 to 1350) 125·2% (117·5 to 133·1) 8·69 (7·16 to 10·3) −25·8% (−27·6 to −24·1)
North Africa and Middle East 788 (631 to 959) 73·7% (65·1 to 82·5) 8·48 (6·79 to 10·4) −35·6% (−38·8 to −32·8)
South Asia 1670 (1370 to 2010) 23·4% (12·1 to 36·5) 5·93 (4·84 to 7·10) −54·2% (−58·5 to −49·7)
Southeast Asia, east Asia, and Oceania 3850 (3230 to 4500) 117·0% (108·1 to 125·6) 6·35 (5·33 to 7·40) −23·0% (−26·2 to −19·8)
Sub-Saharan Africa 1200 (973 to 1440) 54·7% (49·4 to 60·0) 12·9 (10·4 to 15·3) −30·0% (−32·1 to −27·8)

Data in parentheses are 95% uncertainty intervals. Data for all ages are given in the appendix (p 2).