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

Table 3.

Cases and age-standardised prevalence in 2020 for moderate and severe vision impairment and percent changes from 1990 to 2020 in adults aged 50 years and older, by cause of vision impairment

Cases (thousands)
Age-standardised prevalence (per 1000)
2020 Percentage change from 1990 to 2020 2020 Percentage change from 1990 to 2020
Cataract
Global 78 800 (67200 to 91400) 175·2% (170·9 to 179·5) 43·4 (37·1 to 50·2) 19·2% (17·8 to 20·5)
Central Europe, eastern Europe, and central Asia 3050 (2490 to 3620) 49·7% (46·2 to 53·0) 21·3 (17·5 to 25·2) 0·4% (−1·1 to 1·9)
High income 7880 (6660 to 9230) 100·2% (94·0 to 106·5) 14·6 (12·2 to 17·1) −1·8% (−2·8 to −0·7)
Latin America and Caribbean 4350 (3650 to 5090) 208·6% (201·8 to 215·7) 33·9 (28·5 to 39·6) −1·2% (−2·4 to 0·14)
North Africa and Middle East 5020 (4230 to 5920) 181·0% (172·6 to 189·6) 58·1 (49·2 to 68·0) 0·6% (−2·1 to 3·6)
South Asia 27200 (23200 to 31800) 180·7% (171·8 to 189·6) 94·6 (81·1 to 109) 1·7% (−0·3 to 3·6)
Southeast Asia, east Asia, and Oceania 26 800 (23000 to 30900) 235·5% (228·3 to 242·7) 47·1 (40·4 to 54·1) 13·5% (11·7 to 15·3)
Sub-Saharan Africa 4440 (3780 to 5160) 150·8% (146·1 to 156·1) 51·4 (44·0 to 59·3) 11·4% (9·7 to 13·4)
Undercorrected refractive error
Global 86 100 (74200 to 101000) 101·8% (98·9 to 104·9) 45·8 (39·6 to 53·7) −6·9% (−8·0 to −5·9)
Central Europe, eastern Europe, and central Asia 6340 (5400 to 7480) 25·8% (23·2 to 28·3) 45·1 (38·5 to 53·1) −4·4% (−5·5 to −3·3)
High income 8940 (7680 to 10400) 69·6% (66·3 to 72·9) 19·4 (16·7 to 22·5) −4·6% (−5·6 to −3·6)
Latin America and Caribbean 5780 (4950 to 6780) 162·3% (158·5 to 165·8) 42·8 (36·8 to 50·0) −7·7% (−8·8 to −6·6)
North Africa and Middle East 4680 (3960 to 5550) 140·5% (134·2 to 147·2) 47·3 (40·2 to 55·4) −10·7% (−13·2 to −8·0)
South Asia 32 100 (27500 to 37900) 94·1% (89·6 to 99·7) 103 (88·2 to 121) −23·4% (−24·9 to −21·9)
Southeast Asia, east Asia, and Oceania 25 000 (21500 to 29300) 143·7% (138·4 to 148·7) 39·4 (33·9 to 45·6) −8·8% (−10·6 to −7·1)
Sub-Saharan Africa 3210 (2730 to 3800) 131·7% (126·7 to 136·4) 31·6 (27·3 to 37·0) 2·4% (0·6 to 4·1)
Glaucoma
Global 4130 (3240 to 5170) 151·2% (147·2 to 155·3) 2·29 (1·80 to 2·86) 8·3% (6·8 to 9·9)
Central Europe, eastern Europe, and central Asia 213 (167 to 270) 43·6% (40·0 to 47·6) 1·47 (1·15 to 1·86) −3·0% (−4·7 to −1·4)
High income 596 (467 to 762) 103·2% (95·7 to 111·5) 1·09 (0·853 to 1·39) −0·2% (−1·5 to 1·0)
Latin America and Caribbean 498 (390 to 623) 191·7% (185·2 to 199·2) 3·86 (3·02 to 4·84) −4·7% (−6·1 to −3·1)
North Africa and Middle East 325 (251 to 419) 148·1% (139·1 to 157·7) 3·76 (2·87 to 4·85) −9·7% (−12·8 to −6·5)
South Asia 952 (745 to 1200) 145·2% (136·4 to 154·5) 3·38 (2·66 to 4·21) −12·8% (−15·0 to −10·6)
Southeast Asia, east Asia, and Oceania 1160 (916 to 1450) 251·5% (242·0 to 262·0) 2·01 (1·58 to 2·52) 21·4% (18·3 to 24·8)
Sub-Saharan Africa 391 (306 to 493) 111·9% (107·1 to 116·8) 4·57 (3·61 to 5·69) −4·3% (−6·3 to −2·2)
Age-related macular degeneration
Global 6220 (5030 to 7570) 150·2% (145·9 to 154·8) 3·39 (2·75 to 4·12) 10·6% (8·7 to 12·6)
Central Europe, eastern Europe, and central Asia 228 (182 to 282) 51·1% (47·8 to 54·3) 1·57 (1·26 to 1·95) 4·8% (3·13 to 6·51)
High income 738 (584 to 917) 76·8% (70·5 to 83·3) 1·39 (1·11 to 1·72) −9·4% (−11·2 to −7·5)
Latin America and Caribbean 333 (269 to 407) 202·2% (193·0 to 212·2) 2·55 (2·07 to 3·13) 1·5% (−1·2 to 4·5)
North Africa and Middle East 493 (390 to 613) 166·0% (156·5 to 175·6) 5·48 (4·36 to 6·77) −0·5% (−4·0 to 2·8)
South Asia 1220 (968 to 1510) 121·4% (112·8 to 130·2) 4·18 (3·36 to 5·11) −20·5% (−23·0 to −18·0)
Southeast Asia, east Asia, and Oceania 2760 (2210 to 3380) 214·6% (204·7 to 224·4) 4·61 (3·73 to 5·61) 13·8% (10·7 to 17·1)
Sub-Saharan Africa 453 (359 to 565) 132·2% (124·6 to 140·3) 4·96 (3·98 to 6·14) 5·6% (2·3 to 9·0)
Diabetic retinopathy
Global 2950 (2140 to 3950) 129·5% (123·2 to 135·9) 1·59 (1·15 to 2·12) 3·3% (0·4 to 5·8)
Central Europe, eastern Europe, and central Asia 134 (94·2 to 183) 21·7% (17·3 to 25·9) 0·942 (0·661 to 1·28) −11·3% (−13·9 to −8·7)
High income 386 (277 to 522) 68·4% (63·5 to 74·1) 0·802 (0·578 to 1·08) −7·7% (−9·7 to −6·0)
Latin America and Caribbean 396 (290 to 533) 185·6% (177·6 to 193·6) 2·97 (2·17 to 4·01) −0·9% (−3·1 to 1·4)
North Africa and Middle East 399 (288 to 540) 115·9% (106·3 to 125·6) 4·14 (3·00 to 5·53) −19·6% (−23·2 to −16·0)
South Asia 389 (279 to 527) 123·7% (114·5 to 134·5) 1·28 (0·921 to 1·72) −15·8% (−19·2 to −12·4)
Southeast Asia, east Asia, and Oceania 1100 (796 to 1500) 182·7% (166·3 to 200·2) 1·79 (1·29 to 2·42) 3·2% (−2·6 to 9·0)
Sub-Saharan Africa 138 (98·6 to 186) 145·3% (138·2 to 152·4) 1·44 (1·04 to 1·92) 9·9% (7·1 to 12·8)
Residual causes of vision loss
Global 28 200 (24100 to 33000) 104·4% (100·3 to 108·5) 15·2 (13·0 to 17·8) −8·3% (−9·7 to −6·9)
Central Europe, eastern Europe, and central Asia 4180 (3540 to 4950) 34·6% (31·9 to 37·5) 29·1 (24·7 to 34·3) −5·7% (−7·0 to −4·4)
High income 3060 (2570 to 3630) 82·6% (77·6 to 88·5) 6·32 (5·34 to 7·50) −1·6% (−2·9 to −0·3)
Latin America and Caribbean 2710 (2260 to 3230) 176·9% (171·1 to 183·2) 20·5 (17·1 to 24·3) −7·6% (−8·9 to −6·3)
North Africa and Middle East 1090 (890 to 1330) 112·1% (98·8 to 124·5) 11·6 (9·40 to 14·1) −22·1% (−26·7 to −17·6)
South Asia 6900 (5780 to 8250) 141·1% (132·4 to 151·1) 22·9 (19·5 to 27·0) −5·7% (−8·5 to −2·8)
Southeast Asia, east Asia, and Oceania 7850 (6780 to 9100) 158·1% (148·7 to 167·5) 12·7 (11·0 to 14·7) −5·9% (−8·7 to −3·1)
Sub-Saharan Africa 2410 (2020 to 2880) 49·0% (42·0 to 56·0) 24·7 (20·8 to 29·2) −32·4% (−35·5 to −29·3)

Data in parentheses are 95% uncertainty intervals. Data for all ages are given in the appendix (p 3).