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The Decreasing Prevalence of Nonrefractive Visual Impairment in Older Europeans: A Meta-analysis of Published and Unpublished Data

Title: The Decreasing Prevalence of Nonrefractive Visual Impairment in Older Europeans: A Meta-analysis of Published and Unpublished Data
Authors: Delcourt C; Le Goff M; von Hanno T; Mirshahi A; Khawaja AP; Verhoeven VJM; Hogg RE; Anastosopoulos E; Cachulo ML; Höhn R; Wolfram C; Bron A; Miotto S; Carrière I; Colijn JM; Buitendijk GHS; Evans J; Nitsch D; Founti P; Yip JLY; Pfeiffer N; Creuzot-Garcher C; Silva R; Piermarocchi S; Topouzis F; Bertelsen G; Foster PJ; Fletcher A; Klaver CCW; Korobelnik JF; European Eye Epidemiology Consortium. (Acar N; Azuara-Blanco A; Berendschot T; Bergen A; Binquet C; Bird A; Bobak M; Boon C; Brétillon L; Broe R; Buitendijk G; Capuano V; Chakravarthy U; Chan M; Chang P; Colijn J; Cougnard-Grégoire A; Cree A; Cumberland P; Cunha-Vaz J; Daien V; De Jong E; Deak G; Delyfer MN; den Hollander A; Dietzel M; Erke MG; Faria P; Farinha C; Fauser S; Finger R; Foster P; Gorgels T; Grauslund J; Grus F; Hammond C; Hansen M; Helmer C; Hense HW; Hermann M; Hoehn R; Hogg R; Holz F; Hoyng C; Jansonius N; Janssen S; Kersten E; Khawaja A; Klaver C; Lamparter J; Lechanteur Y; Lehtimäki T; Leung I; Lotery A; Mauschitz M; Meester M; Merle B; Meyer Zu Westrup V; Midena E; Mohan-Saïd S; Mueller M; Muldrew A; Murta J; Nickels S; Nunes S; Owen C; Peto T; Prokofyeva E; Rahi J; Raitakari O; Rauscher F; Ribeiro L; Rougier MB; Rudnicka A; Sahel J; Salonikiou A; Sanchez C; Schmitz-Valckenberg S; Schouten J; Schuster A; Schweitzer C; Segato T; Shehata J; Silvestri G; Simader C; Souied E; Speckauskas M; Springelkamp H; Tapp R; van Leeuwen E; Verhoeven V; Verzijden T; Von Hanno T; Vujosevic S; Wiedemann P; Williams K; Yip J; Zerbib J.)
Contributors: C. Delcourt; M. Le Goff; T. von Hanno; A. Mirshahi; A. Khawaja; V. Verhoeven; R. Hogg; E. Anastosopoulo; M. Cachulo; R. Höhn; C. Wolfram; A. Bron; S. Miotto; I. Carrière; J. Colijn; G. Buitendijk; J. Evan; D. Nitsch; P. Founti; J. Yip; N. Pfeiffer; C. Creuzot-Garcher; R. Silva; S. Piermarocchi; F. Topouzi; G. Bertelsen; P. Foster; A. Fletcher; C. Klaver; J. Korobelnik; (.N. European Eye Epidemiology Consortium.; A. Azuara-Blanco; T. Berendschot; A. Bergen; C. Binquet; A. Bird; M. Bobak; C. Boon; L. Brétillon; R. Broe; V. Capuano; U. Chakravarthy; M. Chan; P. Chang; A. Cougnard-Grégoire; A. Cree; P. Cumberland; J. Cunha-Vaz; V. Daien; E. De Jong; G. Deak; M. Delyfer; A. den Hollander; M. Dietzel; M. Erke; P. Faria; C. Farinha; S. Fauser; R. Finger; T. Gorgel; J. Grauslund; F. Gru; C. Hammond; M. Hansen; C. Helmer; H. Hense; M. Hermann; R. Hoehn; F. Holz; C. Hoyng; N. Jansoniu; S. Janssen; E. Kersten; J. Lamparter; Y. Lechanteur; T. Lehtimäki; I. Leung; A. Lotery; M. Mauschitz; M. Meester; B. Merle; V. Meyer Zu Westrup; E. Midena
Publication Year: 2018
Collection: The University of Milan: Archivio Istituzionale della Ricerca (AIR)
Subject Terms: Settore MED/30 - Malattie Apparato Visivo
Description: TOPIC: To estimate the prevalence of nonrefractive visual impairment and blindness in European persons 55 years of age and older. CLINICAL RELEVANCE: Few visual impairment and blindness prevalence estimates are available for the European population. In addition, many of the data collected in European population-based studies currently are unpublished and have not been included in previous estimates. METHODS: Fourteen European population-based studies participating in the European Eye Epidemiology Consortium (n = 70 723) were included. Each study provided nonrefractive visual impairment and blindness prevalence estimates stratified by age (10-year strata) and gender. Nonrefractive visual impairment and blindness were defined as best-corrected visual acuity worse than 20/60 and 20/400 in the better eye, respectively. Using random effects meta-analysis, prevalence rates were estimated according to age, gender, geographical area, and period (1991-2006 and 2007-2012). Because no data were available for Central and Eastern Europe, population projections for numbers of affected people were estimated using Eurostat population estimates for European high-income countries in 2000 and 2010. RESULTS: The age-standardized prevalence of nonrefractive visual impairment in people 55 years of age or older decreased from 2.22% (95% confidence interval [CI], 1.34-3.10) from 1991 through 2006 to 0.92% (95% CI, 0.42-1.42) from 2007 through 2012. It strongly increased with age in both periods (up to 15.69% and 4.39% in participants 85 years of age or older from 1991 through 2006 and from 2007 through 2012, respectively). Age-standardized prevalence of visual impairment tended to be higher in women than men from 1991 through 2006 (2.67% vs. 1.88%), but not from 2007 through 2012 (0.87% vs. 0.88%). No differences were observed between northern, western, and southern regions of Europe. The projected numbers of affected older inhabitants in European high-income countries decreased from 2.5 million affected individuals in 2000 to 1.2 ...
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/wos/WOS:000439463900012; volume:125; issue:8; firstpage:1149; lastpage:1159; numberofpages:11; journal:OPHTHALMOLOGY; https://hdl.handle.net/2434/881246
DOI: 10.1016/j.ophtha.2018.02.005
Availability: https://hdl.handle.net/2434/881246; https://doi.org/10.1016/j.ophtha.2018.02.005
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.FFA6BFEA
Database: BASE