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The Lancet Global Health Commission on Global Eye Health: vision beyond 2020

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Published:31st Mar 2021
Author: Burton MJ, Ramke J, Marques AP, Bourne RRA, Congdon N, Jones I et al.
Availability: Free full text
Ref.:Lancet Glob Health. 2021 Apr;9(4):e489-e551.
DOI:10.1016/S2214-109X(20)30488-5
The Lancet Global Health Commission on Global Eye Health: vision beyond 2020


Eye health and vision have widespread and profound implications for many aspects of life, health, sustainable development, and the economy. Yet nowadays, many people, families, and populations continue to suffer the consequences of poor access to high-quality, affordable eye care, leading to vision impairment and blindness.

In 2020, an estimated 596 million people had distance vision impairment worldwide, of whom 43 million were blind. Another 510 million people had uncorrected near vision impairment, simply because of not having reading spectacles. A large proportion of those affected (90%), live in low-income and middle-income countries (LMICs). However, encouragingly, more than 90% of people with vision impairment have a preventable or treatable cause with existing highly cost-effective interventions. Eye conditions affect all stages of life, with young children and older people being particularly affected. Crucially, women, rural populations, and ethnic minority groups are more likely to have vision impairment, and this pervasive inequality needs to be addressed. By 2050, population ageing, growth, and urbanisation might lead to an estimated 895 million people with distance vision impairment, of whom 61 million will be blind. Action to prioritise eye health is needed now.


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