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Journal Articles Ophthalmology: Journal of The American Academy of Ophthalmology Year : 2018

The Decreasing Prevalence of Nonrefractive Visual Impairment in Older Europeans

Cécile Delcourt (1) , Mélanie Le Goff (1) , Therese von Hanno , Alireza Mirshahi , Anthony Khawaja , Virginie Verhoeven , Ruth Hogg , Eleftherios Anastosopoulos , Maria Luz Cachulo , René Höhn , Christian Wolfram , Alain M. Bron (2, 3) , Stefania Miotto , Isabelle Carrière (4) , Johanna Colijn , Gabriëlle Buitendijk , Jennifer Evans , Dorothea Nitsch , Panayiota Founti , Jennifer Yip , Norbert Pfeiffer , Catherine Creuzot-Garcher (2, 3) , Rufino Silva , Stefano Piermarocchi , Fotis Topouzis , Geir Bertelsen , Paul Foster , Astrid Fletcher , Caroline Klaver , Jean-François Korobelnik (1, 5) , Niyazi Acar , Augusto Azuara-Blanco , Tos Berendschot , Arthur Bergen , Christine Binquet , Alan Bird , Martin Bobak , Camiel Boon , Lionel Brétillon , Rebecca Broe , Vittorio Capuano , Usha Chakravarthy , Michelle Chan , Petrus Chang , Audrey Cougnard-Grégoire , Angela Cree , Phillippa Cumberland , José Cunha-Vaz , Vincent Daien (4, 6) , Eiko de Jong , Gabor Deak , Marie-Noëlle Delyfer , Anneke den Hollander , Martha Dietzel , Maja Gran Erke , Pedro Faria , Claudia Farinha , Sascha Fauser , Robert Finger , Theo Gorgels , Jakob Grauslund , Franz Grus , Christopher Hammond , Morten Hansen , Catherine Helmer , Hans-Werner Hense , Manuel Hermann , René Hoehn , Frank G. Holz , Carel Hoyng , Nomdo Jansonius , Sarah Janssen , Eveline Kersten , Julia Lamparter , Yara Lechanteur , Terho Lehtimäki , Irene Leung , Andrew Lotery , Matthias Mauschitz , Magda Meester , Bénédicte Merle , Verena Meyer zu Westrup , Edoardo Midena , Sadek Mohan-Saïd , Michael Mueller , Alyson Muldrew , Joaquim Murta , Stefan Nickels , Sandrina Nunes , Christopher Owen , Tunde Peto , Elena Prokofyeva , Jugnoo Rahi , Olli Raitakari , Franziska Rauscher , Luisa Ribeiro , Marie-Bénédicte Rougier , Alicja Rudnicka , José Sahel , Aggeliki Salonikiou , Clarisa Sanchez , Steffen Schmitz-Valckenberg , Johannes Schouten , Alexander Schuster , Cédric Schweitzer , Tatiana Segato , Jasmin Shehata , Giuliana Silvestri , Christian Simader , Eric Souied , Martynas Speckauskas , Henriët Springelkamp , Robyn J. Tapp , Elisa van Leeuwen , Timo Verzijden , Stela Vujosevic , Peter Wiedemann , Katie Williams , Jennyfer Zerbib
Cécile Delcourt
Therese von Hanno
  • Function : Author
Alireza Mirshahi
  • Function : Author
Anthony Khawaja
  • Function : Author
Virginie Verhoeven
  • Function : Author
Ruth Hogg
  • Function : Author
Eleftherios Anastosopoulos
  • Function : Author
Maria Luz Cachulo
  • Function : Author
René Höhn
  • Function : Author
Christian Wolfram
  • Function : Author
Stefania Miotto
  • Function : Author
Johanna Colijn
  • Function : Author
Gabriëlle Buitendijk
  • Function : Author
Jennifer Evans
  • Function : Author
Dorothea Nitsch
  • Function : Author
Panayiota Founti
  • Function : Author
  • PersonId : 869381
Jennifer Yip
  • Function : Author
Norbert Pfeiffer
  • Function : Author
Rufino Silva
  • Function : Author
Stefano Piermarocchi
  • Function : Author
Fotis Topouzis
  • Function : Author
Geir Bertelsen
  • Function : Author
Paul Foster
  • Function : Author
Astrid Fletcher
  • Function : Author
Caroline Klaver
  • Function : Author
Niyazi Acar
Augusto Azuara-Blanco
  • Function : Contributor
Tos Berendschot
  • Function : Contributor
Arthur Bergen
Christine Binquet
Alan Bird
  • Function : Contributor
Martin Bobak
  • Function : Contributor
Camiel Boon
  • Function : Contributor
Lionel Brétillon
Rebecca Broe
  • Function : Contributor
Vittorio Capuano
  • Function : Contributor
Usha Chakravarthy
  • Function : Contributor
Michelle Chan
  • Function : Contributor
Petrus Chang
  • Function : Contributor
Audrey Cougnard-Grégoire
  • Function : Contributor
Angela Cree
  • Function : Contributor
Phillippa Cumberland
  • Function : Contributor
José Cunha-Vaz
  • Function : Contributor
  • PersonId : 889535
Eiko de Jong
  • Function : Contributor
Gabor Deak
  • Function : Contributor
Marie-Noëlle Delyfer
  • Function : Contributor
Anneke den Hollander
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Martha Dietzel
  • Function : Contributor
Maja Gran Erke
  • Function : Contributor
Pedro Faria
  • Function : Contributor
Claudia Farinha
  • Function : Contributor
Sascha Fauser
  • Function : Contributor
Robert Finger
Theo Gorgels
  • Function : Contributor
Jakob Grauslund
  • Function : Contributor
Franz Grus
  • Function : Contributor
Christopher Hammond
  • Function : Contributor
Morten Hansen
  • Function : Contributor
Catherine Helmer
  • Function : Contributor
Hans-Werner Hense
  • Function : Contributor
Manuel Hermann
  • Function : Contributor
René Hoehn
  • Function : Contributor
Frank G. Holz
  • Function : Contributor
Carel Hoyng
  • Function : Contributor
Nomdo Jansonius
  • Function : Contributor
Sarah Janssen
Eveline Kersten
  • Function : Contributor
Julia Lamparter
  • Function : Contributor
Yara Lechanteur
  • Function : Contributor
Terho Lehtimäki
  • Function : Contributor
Irene Leung
  • Function : Contributor
Andrew Lotery
  • Function : Contributor
Matthias Mauschitz
  • Function : Contributor
Magda Meester
  • Function : Contributor
Bénédicte Merle
  • Function : Contributor
Verena Meyer zu Westrup
  • Function : Contributor
Edoardo Midena
  • Function : Contributor
  • PersonId : 892383
Sadek Mohan-Saïd
  • Function : Contributor
Michael Mueller
  • Function : Contributor
Alyson Muldrew
  • Function : Contributor
Joaquim Murta
  • Function : Contributor
Stefan Nickels
  • Function : Contributor
Sandrina Nunes
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  • PersonId : 889531
Christopher Owen
Tunde Peto
  • Function : Contributor
Elena Prokofyeva
  • Function : Contributor
Jugnoo Rahi
  • Function : Contributor
Olli Raitakari
  • Function : Contributor
Franziska Rauscher
  • Function : Contributor
Luisa Ribeiro
  • Function : Contributor
Marie-Bénédicte Rougier
  • Function : Contributor
  • PersonId : 1028455
Alicja Rudnicka
  • Function : Contributor
José Sahel
  • Function : Contributor
Aggeliki Salonikiou
  • Function : Contributor
Clarisa Sanchez
  • Function : Contributor
Steffen Schmitz-Valckenberg
  • Function : Contributor
Johannes Schouten
  • Function : Contributor
Alexander Schuster
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Cédric Schweitzer
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  • PersonId : 780906
  • IdRef : 133631583
Tatiana Segato
  • Function : Contributor
Jasmin Shehata
  • Function : Contributor
Giuliana Silvestri
  • Function : Contributor
  • PersonId : 900626
Christian Simader
  • Function : Contributor
  • PersonId : 874672
Eric Souied
  • Function : Contributor
Martynas Speckauskas
  • Function : Contributor
Henriët Springelkamp
  • Function : Contributor
Robyn J. Tapp
  • Function : Contributor
Elisa van Leeuwen
  • Function : Contributor
Timo Verzijden
  • Function : Contributor
Stela Vujosevic
  • Function : Contributor
Peter Wiedemann
  • Function : Contributor
Katie Williams
  • Function : Contributor
Jennyfer Zerbib
  • Function : Contributor

Abstract

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 million in 2010. Of those, 584 000 were blind in 2000, in comparison with 170 000 who were blind in 2010.CONCLUSIONS:Despite the increase in the European older population, our study indicated that the number of visually impaired people has decreased in European high-income countries in the last 20 years. This may be the result of major improvements in eye care and prevention, the decreasing prevalence of eye diseases, or both.
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Dates and versions

hal-02341535 , version 1 (17-03-2024)

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Cécile Delcourt, Mélanie Le Goff, Therese von Hanno, Alireza Mirshahi, Anthony Khawaja, et al.. The Decreasing Prevalence of Nonrefractive Visual Impairment in Older Europeans. Ophthalmology: Journal of The American Academy of Ophthalmology, 2018, 125 (8), pp.1149-1159. ⟨10.1016/j.ophtha.2018.02.005⟩. ⟨hal-02341535⟩
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