Zaćma
Epidemiologia

Zaćma pozostaje główną przyczyną ślepoty na świecie, odpowiadając za około 51% przypadków globalnej ślepoty, co przekłada się na około 20 milionów osób. W 2019 roku około 94 miliony osób cierpiało na zaćmę, a liczba lat życia skorygowanych niepełnosprawnością (DALYs) z powodu zaćmy wzrosła z 3,49 mln w 1990 do 6,68 mln w 2019 roku. Wiek jest kluczowym czynnikiem ryzyka, z częstością występowania zaćmy rosnącą znacząco po 40. roku życia, osiągającą niemal powszechność u osób powyżej 90 lat. Zaćma wrodzona i dziecięca stanowi istotny problem zdrowotny, odpowiadając za około jedną trzecią przypadków ślepoty u niemowląt, z częstością występowania od 1 do 15 na 10 000 dzieci. Ponadto, zaćma jest częstsza u kobiet niż u mężczyzn, a jej obciążenie jest wyższe w regionach o niższym statusie socjoekonomicznym, szczególnie w Afryce Północnej i na Bliskim Wschodzie. Czynniki ryzyka obejmują ekspozycję na promieniowanie UV-B, cukrzycę, stosowanie niektórych leków (inhibitory ACE, fibraty, inhibitory alfa-glukozydazy, insulina) oraz czynniki środowiskowe, takie jak zmiany klimatyczne i wysokie temperatury.

Epidemiologia zaćmy – dane globalne

Zaćma stanowi główną przyczynę ślepoty na świecie, odpowiadając za około 51% przypadków ślepoty globalnej, co przekłada się na około 20 milionów osób123. W 2010 roku zespół Vision Loss Expert Group finansowany przez Fundację Billa i Melindy Gatesów obliczył, że zaćma powodowała ślepotę (ostrość wzroku w lepszym oku poniżej 3/60) u 10,6 miliona osób oraz umiarkowane do ciężkiego upośledzenie wzroku (ostrość wzroku między 6/18 a 3/60) u 34,4 miliona osób4. Według danych WHO z 2019 roku, około 94 miliony osób na całym świecie cierpi z powodu zaćmy5.

Globalnie, liczba lat życia skorygowanych niepełnosprawnością (Disability-Adjusted Life Years, DALYs) z powodu zaćmy wzrosła z 3,492,604 w 1990 roku do 6,676,281 w 2019 roku6. Analiza trendów z badania Global Burden of Disease (GBD) 2019 wykazała, że globalne obciążenie upośledzeniem wzroku spowodowanym zaćmą znacząco wzrosło, z rozpowszechnieniem zwiększającym się o 58,45% i wskaźnikiem DALY rosnącym o 32,18% w ciągu ostatnich 30 lat7. W 2019 roku na całym świecie odnotowano 370,4 (95% UI: 163,2 do 689,3) lat życia z niepełnosprawnością (YLDs) przypisywanych zaćmie związanej z wysokim BMI, co stanowi ponad trzykrotny wzrost w porównaniu do 1990 roku8.

Dystrybucja geograficzna zaćmy

Istnieją znaczące różnice regionalne w rozpowszechnieniu zaćmy na świecie9. Zaćma odpowiada za 30-50% przypadków ślepoty w większości krajów afrykańskich i azjatyckich10. W regionie Wschodniego Śródziemnomorza zaćma jest odpowiedzialna za ponad 51% przypadków ślepoty1112. Natomiast w Ameryce Północnej stanowi tylko 12,7% przypadków ślepoty13.

Północna Afryka i Bliski Wschód zostały zidentyfikowane jako obszary wysokiego ryzyka zaćmy związanej z wysokim BMI w 2019 roku, z Arabią Saudyjską jako krajem o najwyższym obciążeniu14. W Australii zaćma jest drugą najczęstszą przyczyną obustronnego upośledzenia wzroku, a operacja zaćmy jest najczęstszą planową procedurą chirurgiczną15. W Wielkiej Brytanii zaćma związana z wiekiem dotyka około połowy osób w wieku powyżej 65 lat, a odsetek ten wzrasta do 70% u osób w wieku powyżej 85 lat1617.

Zaćma w różnych grupach wiekowych

Wiek jest najważniejszym czynnikiem ryzyka rozwoju zaćmy1819. Częstość występowania zaćmy wzrasta z każdą dekadą życia po 40. roku życia20. Badania australijskie wykazały, że częstość występowania zaćmy podwaja się z każdą dekadą po 40. roku życia, a prawie wszyscy w wieku 90 lat lub starsi są dotknięci zaćmą21.

W Stanach Zjednoczonych zmiany soczewki związane z wiekiem zostały odnotowane u 42% osób w wieku od 52 do 64 lat, 60% w wieku od 65 do 74 lat i 91% w wieku od 75 do 85 lat22. Do 80. roku życia ponad połowa wszystkich Amerykanów ma zaćmę23. Według badania Framingham Eye Study z lat 1973-1975, zaćma starcza występowała u 15,5% z 2477 zbadanych pacjentów24.

Globalne badania wskazują, że wskaźnik YLD zaćmy związanej z wysokim BMI wzrastał z wiekiem, a największa liczba przypadków zaćmy była obserwowana u osób w wieku 70-74 lat25. Aktualne badania sugerują, że obciążenie zaćmą związaną z wysokim BMI było wyższe u osób w wieku 70-74 lat i było wyższe wśród kobiet w porównaniu z mężczyznami26.

Zaćma u dzieci

Zaćma wrodzona i/lub dziedziczna u dzieci jest istotnym problemem zdrowotnym, odpowiadającym za około jedną trzecią przypadków ślepoty u niemowląt na całym świecie27. Zaćma związana z dzieciństwem jest odpowiedzialna za 5-20% światowej ślepoty u dzieci2829.

Częstość występowania zaćmy dziecięcej waha się od 1 do 15 na 10 000 dzieci3031. Szeroki zakres odzwierciedla różnice w populacjach, grupach wiekowych, metodach ustalania i definicjach przypadków. Częstość występowania zaćmy wrodzonej w krajach rozwiniętych wynosi 1-3 na 10 00032. Częstość występowania zaćmy wrodzonej w Stanach Zjednoczonych została określona na 1,2-6,0 przypadków na 10 00033.

Szacuje się, że rocznie rodzi się około 20 000-40 000 dzieci z zaćmą wrodzoną lub dziecięcą34. Między 8% a 25% zaćm wrodzonych jest dziedzicznych, a znajomość ich architektury genetycznej stale rośnie35. Przegląd z 2020 roku dotyczący genetyki zaćmy wrodzonej wykazał, że defekty genetyczne są odpowiedzialne za około jedną czwartą zaćm wrodzonych, a wiele mutacji zidentyfikowano w ponad 100 genach związanych z zaćmą wrodzoną36.

Zróżnicowanie płciowe w epidemiologii zaćmy

Najnowsze badania ujawniają, że zaćma częściej występuje u kobiet niż u mężczyzn, ze stosunkiem mężczyzn do kobiet wynoszącym 1 do około 1,337. Zaćma jest powszechniejsza u kobiet3839.

Nierówność płci w globalnym obciążeniu zaćmą utrzymuje się od 1990 do 2019 roku i stopniowo zwiększała się w ciągu dekad40. Kobiety miały wyższe wskaźniki YLD dla zaćmy związanej z wysokim BMI niż mężczyźni we wszystkich grupach wiekowych41.

Nierówność płci obserwowana w regionie Azji Południowo-Wschodniej była większa niż w innych regionach WHO, z najwyższymi zarówno standaryzowanymi wiekowo wskaźnikami DALY, jak i rozpowszechnieniem42. Nierówność płci w obciążeniu zaćmą utrzymywała się od 1990 roku, a nierówność pozostawała wraz ze starzeniem się w różnych stadiach upośledzenia wzroku i regionach o różnym poziomie rozwoju43.

Zróżnicowanie rasowe i etniczne w występowaniu zaćmy

Wiele badań z 2010 roku ujawnia, że zaćma jest najczęstsza w rasie białych Amerykanów, gdzie częstość występowania waha się od 17 do 18% na 100 osób. Czarnoskórzy byli drugą najczęściej dotkniętą grupą z częstością występowania na poziomie 13%, a następnie Latynosi z częstością występowania prawie 12%44.

W Stanach Zjednoczonych kilka badań dotyczących częstości występowania wykazało, że zaćma jest częstszą przyczyną upośledzenia wzroku u czarnoskórych niż u białych. Może to być spowodowane ograniczonym dostępem do opieki zdrowotnej wśród populacji niebiałych45.

Zaćma stanowi istotny problem dla rdzennych mieszkańców Australii i mieszkańców Wysp Cieśniny Torresa, będąc 12 razy bardziej prawdopodobną u rdzennych mieszkańców niż u nie-rdzennych Australijczyków. Ponadto rdzenni mieszkańcy czekają około 63% dłużej niż nie-rdzenni Australijczycy na operację zaćmy46.

Wpływ czynników socjoekonomicznych

Istnieje związek między ubóstwem a zaćmą47. Globalnie, podeszły wiek, płeć żeńska i niższy status socjoekonomiczny są związane z wyższym obciążeniem zaćmą48. Pod względem wskaźnika rozwoju społecznego (SDI), regiony o średnio-niskim SDI miały największą liczbę lat życia z niepełnosprawnością (YLD) związanych z zaćmą spowodowaną wysokim BMI w 2019 roku49.

Obciążenie chorobą było szczególnie dotkliwe u kobiet, w Afryce Północnej i na Bliskim Wschodzie oraz w regionach o średnio-niskim SDI50. Wyniki badań wykazały, że w ciągu ostatnich 3 dekad wyższe wskaźniki DALY były również związane z niższym SDI, HDI, krajowym PM2.5 i otaczającym promieniowaniem UV51.

Metody nadzoru nad zaćmą

System nadzoru nad zdrowiem wizji i oczu (VEHSS) raportuje częstość występowania zaćmy w następujących kategoriach na podstawie tych metod identyfikacji: zaćma oparta na badaniu, zaćma zgłaszana samodzielnie i zaćma zdiagnozowana52. Narodowe Badanie Wywiadów Zdrowotnych (NHIS) zawiera pytanie samooceny dotyczące tego, czy lekarz kiedykolwiek poinformował respondenta, że ma zaćmę53.

VEHSS raportuje roczną częstość występowania zdiagnozowanej zaćmy na podstawie obecności kodów Międzynarodowej Klasyfikacji Chorób ICD-9 i ICD-10 w roszczeniach pacjentów lub elektronicznych systemach dokumentacji medycznej (EHR)54. Należy zauważyć, że kody diagnostyczne w danych dotyczących roszczeń są przeznaczone do celów rozliczeniowych i mogą niedoszacowywać rzeczywistą częstość występowania zaćmy55.

VEHSS definiuje następujące podgrupy podsumowujące wskazujące, czy istnieją dowody, że pacjent ze zdiagnozowaną zaćmą miał również rozpoznanie wcześniejszego leczenia zaćmy56. VEHSS oddzielnie uwzględnia roczną częstość występowania leczenia zaćmy na podstawie kodów procedur57. VEHSS wykorzystuje nowe i istniejące źródła danych do dostarczania informacji o utracie wzroku, zaburzeniach oczu i usługach opieki okulistycznej w Stanach Zjednoczonych58.

Wskaźniki operacji zaćmy

Na częstość występowania zaćmy wpływa wskaźnik operacji zaćmy (CSR lub liczba operacji zaćmy wykonywanych na milion osób rocznie), który waha się od mniej niż 200 do ponad 6000 w różnych regionach59. Wysoki wskaźnik częstości występowania zaćmy w niektórych krajach rozwijających się nie wynika z braku rozwiązania klinicznego, ale częściowo z nieskutecznego wdrażania60.

W Wielkiej Brytanii operacja zaćmy pozostaje najczęściej przeprowadzanym zabiegiem chirurgicznym w NHS. W roku finansowym kończącym się w 2022 r. w Anglii było ponad 409 000 przyjęć do szpitala na operację zaćmy, w tempie 3 803 (3 789 do 3 816) na 100 000 populacji. Liczba ta wzrosła powyżej poziomu sprzed pandemii COVID-1961. W Kolumbii Brytyjskiej w latach 2018/2019 przeprowadzono 69 463 operacje zaćmy62.

Pokrycie operacją zaćmy u osób starszych w Afryce Subsaharyjskiej (SSA) waha się znacznie (od 12,1% do 96%). Liczba operacji potrzebnych na milion populacji waha się od 1800 w Rwandzie do 4500 w Mali63. Mimo to, według najnowszych danych WHO, tylko 17% osób z upośledzeniem wzroku lub ślepotą z powodu zaćmy uzyskało dostęp do wysokiej jakości chirurgii64.

Czynniki ryzyka zaćmy

Nasze obecne zrozumienie etiologii zaćmy pokazuje, że zdecydowanie największy wpływ ma rosnący wiek65. Jednak ekspozycja na promieniowanie ultrafioletowe B (UV-B), stosowanie dietetycznych witamin antyoksydacyjnych oraz obecność cukrzycy, występowanie odwodnienia i ciężkiej biegunki oraz stosowanie leków terapeutycznych, takich jak sterydy, oraz leków rekreacyjnych, takich jak nikotyna i alkohol, mogą być ważnymi czynnikami ryzyka66.

Badania wykazały związek między zaćmą a historią ciężkiej biegunki i odwodnienia67. Ponadto, zaobserwowano najwyraźniej ochronny wpływ aspiryny, paracetamolu i podobnych leków. Ten ochronny efekt dotyczy ryzyka związanego z cukrzycą68.

Cukrzyca (typu 1 lub 2) stanowi bardzo wysokie ryzyko zaćmy i prawdopodobieństwo jej rozwoju w młodszym wieku69. Zaćmy mogą występować wtórnie w stosunku do chorób ocznych lub ogólnoustrojowych, takich jak cukrzyca, która powoduje 2-5-krotnie zwiększone ryzyko rozwoju zmętnienia soczewki70.

Nadmierna ekspozycja na promieniowanie ultrafioletowe B (UVB) ze światła słonecznego zwiększa ryzyko zaćmy71. Badanie z 2023 roku z udziałem prawie 60 000 osób w Urumqi w północno-zachodniej części Chin wykazało, że temperatury przekraczające 28,7°C (około 83°F) zwiększały ryzyko zapalenia spojówek o około 16% w porównaniu do dziennych temperatur około 10,7°C (51°F)72.

Globalne trendy zdrowotne wskazują, że zmiana klimatu stanowi rosnące zagrożenie dla zdrowia oczu, w tym rozwoju zaćmy. Ponieważ soczewka nie może regenerować białek, im dłużej przebywa się w gorącu, tym większe ryzyko rozwoju zaćmy73.

Leki systemowe a zaćma

Przeprowadzono badanie mające na celu ocenę związku między lekami systemowymi a częstością występowania zaćmy korowej w populacji azjatyckiej74. Po uwzględnieniu wieku, płci, pochodzenia etnicznego, wskaźnika masy ciała, statusu palenia, statusu społeczno-ekonomicznego, nadciśnienia, hiperlipidemii, cukrzycy, czasu trwania cukrzycy i chorób sercowo-naczyniowych, inhibitory ACE (OR=1,27; 95%CI 1,05 do 1,55), fibraty (OR=1,57; 95%CI 1,05 do 2,35), inhibitory alfa-glukozydazy (AGI) (OR=1,85; 95%CI 1,13 do 3,02) i insulina (OR=1,80; 95%CI 1,11 do 2,93) były istotnie związane z obecnością zaćmy korowej75.

Inhibitory ACE, fibraty i inhibitory alfa-glukozydazy były związane ze zwiększoną częstością występowania zaćmy korowej w tej populacji azjatyckiej, niezależnie od obecności odpowiednio nadciśnienia, hiperlipidemii i cukrzycy76.

Zaćma pourazowa

Zaćma może również wystąpić nagle, w wyniku bezpośredniego urazu mechanicznego na polu bitwy lub ekspozycji na gazy, chemikalia lub nową broń w strefach wojny77. „W przypadku zaćmy pourazowej może ona pochodzić z bezpośredniego i pośredniego urazu oka,” wyjaśnił dr Mariia Viswanathan, okulista i szef Edukacji, Szkolenia, Badań i Nadzoru w Oddziale Opieki Klinicznej i Integracji w Centrum Doskonałości Wzroku Agencji Zdrowia Obronnego (VCE)78.

Zaćmy pourazowe u członków służb mogą wystąpić natychmiast po urazie oka, miesiące, a nawet lata później. Mogą być również wynikiem sytuacji niebojowych, jak podaje VCE79. W XX wieku częstość urazów oczu wśród żołnierzy wzrastała z każdym większym konfliktem zbrojnym, jak podaje VCE. Jeszcze w 2008 roku 13% ofiar bojowych wymagających ewakuacji miało urazy oczu80.

Wpływ zaćmy – społeczny i ekonomiczny

Zaćma stanowi istotny problem zdrowia publicznego o znaczących konsekwencjach społecznych i ekonomicznych. Bezpośrednie koszty medyczne leczenia zaćmy w USA szacuje się na 6,8 miliarda dolarów rocznie81. Socjoekonomiczny efekt operacji zaćmy jest znaczący82.

Utrata wzroku z powodu zaćmy zwiększa ryzyko demencji u osób starszych, zwiększa prawdopodobieństwo upadków i wypadków drogowych, a poprzez szkodliwy wpływ na jakość życia zwiększa śmiertelność83. Mimo że ryzyko śmierci w wyniku usunięcia zaćmy jest prawie zaniedbywalnie małe, badania wykazały zwiększone ryzyko śmiertelności u pacjentów, którzy przeszli operację. Te dane sugerują związek między zaćmą starczą a zwiększoną śmiertelnością84.

Bariery w dostępie do leczenia zaćmy

Skuteczne zarządzanie i leczenie zaćmy w Afryce Subsaharyjskiej (SSA) napotyka na kilka znaczących barier. Brak świadomości jest powszechnym problemem, ponieważ wiele osób, szczególnie na obszarach wiejskich, nie jest poinformowanych o zaćmie lub dostępnych opcjach leczenia. Ograniczony dostęp do opieki zdrowotnej jest kolejną krytyczną barierą, z niewystarczającą liczbą placówek i usług opieki zdrowotnej, szczególnie w krajach o niższym i średnim dochodzie85.

Ograniczenia ekonomiczne są powszechnym problemem, ponieważ wysoki koszt operacji zaćmy uniemożliwia wielu osobom poszukiwanie terminowej interwencji medycznej86. W wielu krajach usługi chirurgiczne są niewystarczające, a zaćma pozostaje główną przyczyną ślepoty87.

Nawet tam, gdzie usługi chirurgiczne są dostępne, słabe widzenie związane z zaćmą może nadal być powszechne w wyniku długiego oczekiwania na operację i barier w dostępie do niej, takich jak koszty, brak informacji i problemy z transportem88.

Prognozy i trendy w epidemiologii zaćmy

Przewiduje się, że z powodu wzrostu populacji i starzenia się społeczeństwa, wskaźniki DALY związane z zaćmą dla obu płci będą nadal wzrastać w ciągu najbliższych 15 lat89. Chociaż standaryzowany wiekowo wskaźnik DALY dla zaćmy zmniejszył się, w ciągu ostatnich 30 lat nastąpił znaczący wzrost liczby DALY. Prognozy sugerują, że globalne obciążenie zaćmą będzie nadal rosło w ciągu najbliższych 15 lat90.

Populacja świata rośnie (głównie w krajach rozwijających się), a ludzie będą żyć dłużej. Więc bez dostępnej, wydajnej operacji zaćmy, częstość występowania będzie rosnąć. Kraje rozwijające się ponoszą rosnące obciążenie z powodu ślepoty zaćmowej, ponieważ zaćma występuje wcześniej w życiu, a częstość występowania jest wyższa91.

Szacunki przewidują, że obecnie zaćma dotyka około 22 milionów dorosłych w wieku 40 lat lub starszych i że do 2020 roku liczba ta w przybliżeniu się podwoi92. Oszacowano, że przypadki zaćmy będą nadal wzrastać, głównie w krajach rozwijających się, gdzie wzrost populacji będzie największy. Wraz ze wzrostem liczby osób w wieku powyżej 65 lat, wzrośnie częstość występowania zaćmy i potrzeba operacji zaćmy93.

Strategie zapobiegania i kontroli zaćmy

Aby zmniejszyć częstość występowania zaćmy, baza zasobów (infrastruktura, sprzęt, okuliści i inni pracownicy okulistyczni) musi się poprawić, podobnie jak zarządzanie zasobami w celu zbudowania odpowiednich procesów dla maksymalnego efektywnego kosztowo wykorzystania zasobów. Przyszłe rozwiązania będą musiały stawić czoła tym wyzwaniom94.

Program zapobiegania ślepocie WHO zapewnia wsparcie techniczne państwom członkowskim w rozwoju kompleksowych systemów opieki okulistycznej w celu rozwiązania problemu obciążenia zaćmą95. Efektywne globalne polityki mające na celu zmniejszenie występowania tych czynników ryzyka mogą odegrać kluczową rolę w łagodzeniu wpływu zaćmy i zmniejszeniu jej obciążenia96.

Korekcja okularowa wady refrakcji i operacja zaćmy należą do najbardziej efektywnych kosztowo interwencji opieki zdrowotnej97. Niskokosztowa operacja zaćmy z małym nacięciem z implantacją soczewki jest sprawdzoną strategią kliniczną98.

Do czasu, gdy wyniki obecnych badań nad skutecznością suplementów witaminowych antyoksydacyjnych staną się dostępne, jedynymi skutecznymi interwencjami ochronnymi zmniejszającymi ryzyko zaćmy wydają się być zmniejszenie ekspozycji oczu na promieniowanie UV-B i zaprzestanie palenia99. Zmniejszenie gazów cieplarnianych i substancji zubożających warstwę ozonową, które zwiększają ekspozycję na promieniowanie UV, ma kluczowe znaczenie dla ochrony zdrowia oczu na poziomie globalnym100.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

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  1. 09.04.2026
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Materiały źródłowe

  • #1 Cataract – Wikipedia
    https://en.wikipedia.org/wiki/Cataract
    Age-related cataracts are responsible for 51% of world blindness, about 20 million people. […] Globally, cataracts cause moderate to severe disability in 53.8 million (2004), 52.2 million of whom are in low and middle income countries. […] In many countries, surgical services are inadequate, and cataracts remain the leading cause of blindness. […] Even where surgical services are available, low vision associated with cataracts may still be prevalent as a result of long waits for, and barriers to, surgery, such as cost, lack of information and transportation problems. […] In the United States, age-related lens changes have been reported in 42% between the ages of 52 and 64, 60% between the ages 65 and 74, and 91% between the ages of 75 and 85. […] Cataracts affect nearly 22 million Americans age 40 and older.
  • #2 EPIDEMIOLOGY
    https://www.aao.org/education/topic-detail/cataract–middle-eastnorth-africa
    According to the World Health Organization (WHO), cataract is the leading cause of blindness and visual impairment in the world (47.9%). […] The overall prevalence of visual loss as a result of cataract increases each year as the worlds population ages. […] In 2002, cataract caused reversible blindness in more than 17 million (47.8%) of the 37 million blind individuals worldwide; this figure is projected to reach 40 million by year 2020. […] Cataract accounts for 30%50% of blindness in most African and Asia countries. […] Cataracts occur earlier in life in developing countries and in rural areas, and the incidence is higher.
  • #3 Cataract
    https://www.abdn.ac.uk/medical/elf/courses/view/171082/cataract/1/page12
    Cataract formation is the leading cause of preventable blindness worldwide. It accounts for 51% of the world blindness, roughly 20 million people as of 2010. Cataracts are more common in women than men. […] Reduction in smoking UV light exposure could delay cataract onset.
  • #4 Epidemiology, Pathophysiology, Causes, Morphology, and Visual Effects of Cataract | Ento Key
    https://entokey.com/epidemiology-pathophysiology-causes-morphology-and-visual-effects-of-cataract/
    The prevalence, distribution, strategies to reduce the cataract prevalence and the disordered physiological processes, causes, and different forms of cataract are discussed. […] In 2010 the Vision Loss Expert Group funded by the Bill Melinda Gates Foundation, Fight for Sight, and others calculated that cataracts caused blindness (visual acuity in the better eye of less than 3/60) in 10.6 million people and moderate to severe visual impairment (MSVI, visual acuity of between 6/18 and 3/60) in 34.4 million people. However, wide regional variations exist in the prevalence of cataracts. […] The worlds population is increasing (predominantly in developing countries), and people will live to greater ages. So without accessible, efficient cataract surgery, the prevalence will increase. Developing countries bear an increasing burden for cataract blindness because cataracts occur earlier in life, and the incidence is higher.
  • #5
    https://www.who.int/news-room/fact-sheets/detail/blindness-and-visual-impairment
    Globally, the leading causes of vision impairment and blindness are: […] cataract […] In high income countries, diseases such as glaucoma and age-related macular degeneration are more common. […] Among this 1 billion people, the main conditions causing distance vision impairment or blindness are cataract (94 million) […] Spectacle correction for refractive error and surgery for cataract are among the most cost-effective of all health-care interventions. […] only 17% of people with vision impairment or blindness due to cataract have received access to quality surgery.
  • #6 JMIR Public Health and Surveillance – Changing Trends in the Global Burden of Cataract Over the Past 30 Years: Retrospective Data Analysis of the Global Burden of Disease Study 2019
    https://publichealth.jmir.org/2023/1/e47349
    Cataracts now account for the largest proportion of the global burden of blindness and vision loss. Understanding the changing trends in the global burden of cataracts over the past 30 years and the next 15 years is of clear significance for the prevention and control of cataracts in key populations. […] This study aims to assess the global burden of cataracts over the past 30 years by using age-period-cohort modeling and to estimate trends in the next 15 years. […] Globally, the number of DALYs due to cataract increased from 3,492,604 in 1990 to 6,676,281 in 2019. […] While the ASDR of cataracts has decreased, there has been a notable increase in the number of DALYs over the past 30 years. Projections suggest that the global burden of cataracts will continue to rise over the next 15 years.
  • #7 JMIR Public Health and Surveillance – Changing Trends in the Global Burden of Cataract Over the Past 30 Years: Retrospective Data Analysis of the Global Burden of Disease Study 2019
    https://publichealth.jmir.org/2023/1/e47349
    A trend analysis of the Global Burden of Disease (GBD) Study 2019 data showed that the global burden of visual impairment due to cataracts exhibited a substantial increase, with the prevalence rate rising by 58.45% and the DALY rate increasing by 32.18% over the past 30 years. […] Our findings showed that over the last 3 decades, higher DALY rates were also associated with lower SDI, HDI, national PM2.5, and ambient UVR. […] We predicted that, due to population growth and aging, the DALYs due to cataracts for both sexes are expected to continue to increase over the next 15 years. […] Effective global policies aimed at reducing the prevalence of these risk factors could play a critical role in mitigating the impact of cataract and reduce its burden.
  • #8 Global regional and national burden of cataract attributable to high body mass index from 1990 to 2019 | BMJ Open
    https://bmjopen.bmj.com/content/15/1/e084058
    Globally, there were 370.4 (95% UI: 163.2 to 689.3) YLDs due to cataract attributed to high BMI in 2019, more than triple the number in 1990. […] The ASR of YLD increased during 1990-2019, with AAPC of 1.54 (95% CI: 1.41 to 1.66). […] In 2019, the burden of cataract due to high BMI was higher in females and the elderly population. […] North Africa and the Middle East were the high-risk areas of cataract attributable to high BMI in 2019, with Saudi Arabia being the country with the heaviest burden. […] In terms of SDI, low-middle SDI regions had the greatest number of cataract-related YLDs due to high BMI in 2019. […] The global YLDs for cataract due to high BMI have shown a notable increase from 1990 to 2019. […] The YLD rate of cataract attributable to high BMI increased with age.
  • #9 Epidemiology, Pathophysiology, Causes, Morphology, and Visual Effects of Cataract | Ento Key
    https://entokey.com/epidemiology-pathophysiology-causes-morphology-and-visual-effects-of-cataract/
    The prevalence, distribution, strategies to reduce the cataract prevalence and the disordered physiological processes, causes, and different forms of cataract are discussed. […] In 2010 the Vision Loss Expert Group funded by the Bill Melinda Gates Foundation, Fight for Sight, and others calculated that cataracts caused blindness (visual acuity in the better eye of less than 3/60) in 10.6 million people and moderate to severe visual impairment (MSVI, visual acuity of between 6/18 and 3/60) in 34.4 million people. However, wide regional variations exist in the prevalence of cataracts. […] The worlds population is increasing (predominantly in developing countries), and people will live to greater ages. So without accessible, efficient cataract surgery, the prevalence will increase. Developing countries bear an increasing burden for cataract blindness because cataracts occur earlier in life, and the incidence is higher.
  • #10 EPIDEMIOLOGY
    https://www.aao.org/education/topic-detail/cataract–middle-eastnorth-africa
    According to the World Health Organization (WHO), cataract is the leading cause of blindness and visual impairment in the world (47.9%). […] The overall prevalence of visual loss as a result of cataract increases each year as the worlds population ages. […] In 2002, cataract caused reversible blindness in more than 17 million (47.8%) of the 37 million blind individuals worldwide; this figure is projected to reach 40 million by year 2020. […] Cataract accounts for 30%50% of blindness in most African and Asia countries. […] Cataracts occur earlier in life in developing countries and in rural areas, and the incidence is higher.
  • #11 WHO EMRO | Cataract | Health topics
    https://www.emro.who.int/health-topics/cataract/
    Cataract is responsible for over 51% of blindness in the Eastern Mediterranean Region. […] Although cataract can be easily surgically operated, in many countries access to eye care is limited. […] As people in the world live longer, the number of people with cataract is anticipated to grow. […] The WHO prevention of blindness programme provides technical support to Member States in the development of comprehensive eye care systems to address the burden of cataract.
  • #12 Cataract – Wikipedia
    https://en.wikipedia.org/wiki/Cataract
    By age 80, more than half of all Americans have cataracts. […] Direct medical costs for cataract treatment are estimated at $6.8 billion annually. […] In the eastern Mediterranean region, cataracts are responsible for over 51% of blindness. […] Childhood-related cataracts are responsible for 520% of world childhood blindness. […] Vision loss due to cataracts increases the risk of dementia in the elderly population, increases the likelihood of falls and road traffic accidents, and by detrimental effects on the quality of life increases mortality.
  • #13 Cataract in adults – UpToDate
    https://www.uptodate.com/contents/cataract-in-adults
    Cataract is a significant cause of blindness worldwide. […] Cataracts continue to be an important cause of blindness. Worldwide, cases of blindness due to cataract have increased from 12.3 million in 1990 to 20 million in 2010, with the proportion of blindness due to cataract ranging from 12.7 percent in North America to 42 percent in Southeast Asia. […] The pattern and rate of blinding disorders differs between nations depending upon whether nutritional and infectious causes of blindness are eradicated and whether there are resources available for treatable disorders such as cataract.
  • #14 Global regional and national burden of cataract attributable to high body mass index from 1990 to 2019 | BMJ Open
    https://bmjopen.bmj.com/content/15/1/e084058
    Globally, there were 370.4 (95% UI: 163.2 to 689.3) YLDs due to cataract attributed to high BMI in 2019, more than triple the number in 1990. […] The ASR of YLD increased during 1990-2019, with AAPC of 1.54 (95% CI: 1.41 to 1.66). […] In 2019, the burden of cataract due to high BMI was higher in females and the elderly population. […] North Africa and the Middle East were the high-risk areas of cataract attributable to high BMI in 2019, with Saudi Arabia being the country with the heaviest burden. […] In terms of SDI, low-middle SDI regions had the greatest number of cataract-related YLDs due to high BMI in 2019. […] The global YLDs for cataract due to high BMI have shown a notable increase from 1990 to 2019. […] The YLD rate of cataract attributable to high BMI increased with age.
  • #15 Causes of Cataracts | Ausmed
    https://www.ausmed.com/learn/articles/cataracts
    Cataracts are estimated to affect around 411,000 Australians (AIHW 2021). […] In Australia, cataracts are the second most common cause of bilateral vision impairment (Croakey Professional Services 2022) and cataract surgery is the most common elective surgical procedure (ACSQHC 2021). […] Cataracts are a significant issue for Aboriginal and Torres Strait Islander people, being 12 times more likely to affect First Nations people than non-First Nations Australians. Furthermore, First Nations people wait about 63% longer than non-First Nations Australians to receive cataract surgery (Vision 2020 Australia 2019). […] The Cataract Clinical Care Standard was released by the Australian Commission on Safety and Quality in Health Care in 2021. […] This standard aims to guide the assessment and care of patients over the age of 18 with cataracts in all healthcare settings (ACSQHC 2021).
  • #16 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Cataract-Epidemiology.aspx
    Cataracts are very common, but are more likely to develop in older individuals. In the UK alone, age-related cataracts are thought to affect around half of those aged over 65 years to some degree, with this figure rising to 70% in those aged over 85. […] Australian studies have shown that the prevalence of cataract doubles with each decade of age after 40 years and that nearly everyone aged 90 years or older is affected by cataracts. Other developed countries show similar incidence and prevalence of cataract. […] Estimates predict that, currently, cataracts affect around 22 million adults aged 40 or older and that by the year 2020, this number will have approximately doubled. […] Cataracts are the most common cause of impaired vision globally and particularly affect populations in developing countries, where they often cause blindness. […] It has been estimated that cases of cataracts will continue to rise predominantly in developing countries where population increases will be the greatest. As the number of individuals aged over 65 years continues to increase, so will the incidence of cataract and the need for cataract surgery.
  • #17 Epidemiology – GPnotebook
    https://gpnotebook.com/en-IE/pages/ophthalmology/posterior-subcapsular-cataract/epidemiology
    major cause of blindness worldwide. This may seem surprising, since it is eminently treatable by surgery, with a 95% success rate. However, psychological, social and economical factors prevent many patients from receiving treatment […] In the UK, cataract surgery remains the most frequently undertaken surgical procedure in the NHS. In the financial year ending 2022, there were over 409,000 admissions to hospital for cataract surgery in England, a rate of 3,803 (3,789 to 3,816) per 100,000 population. This number had risen above that seen prior to the COVID-19 pandemic. (1) […] may occur at any age, but they are predominantly a condition of old age (2) […] prevalence increases with age: 16% in 65-69 years age group, 24% in 70-74 years age group, 42% in 75-79 years age group, 59% in 80-84 years age group, 71% in 85 years plus age group
  • #18 Epidemiology of age-related cataract | Eye
    https://www.nature.com/articles/eye1999119
    To investigate the aetiology of cataract, it is necessary to measure both the type and severity of lens opacities, as well as the dose and duration of exposure to the putative risk factor. […] Our current understanding of the aetiology of cataract shows that by far the greatest effect is seen with increasing age. […] However, exposure to ultraviolet-B (UV-B) radiation, use of dietary antioxidant vitamins and the presence of diabetes, the occurrence of dehydration and severe diarrhoea and the use of therapeutic drugs such as steroids, and recreational drugs such as nicotine and alcohol, may be important risk factors. […] Until the results of the current studies of the effectiveness of antioxidant vitamin supplements become available, the only effective protective interventions to reduce the risk of cataract seem to be to reduce ocular exposure to UV-B radiation and to stop smoking.
  • #19 Senile Cataract (Age-Related Cataract): Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/1210914-overview
    Although the risk of dying as a result of cataract extraction is almost negligible, studies have shown an increased risk of mortality in patients who underwent surgery. […] These data imply an association between senile cataracts and increased mortality. […] Age is an important risk factor for senile cataract. As a person ages, the chance of developing a senile cataract increases. […] In the absence of any other accompanying ocular disease prior to surgery that would affect significantly the visual outcome (eg macular degeneration or optic nerve atrophy), a successful uncomplicated standard ECCE or phacoemulsification carries a very promising visual prognosis of gaining at least 2 lines in the Snellen distance vision chart. […] Education programs are geared toward early detection and surgical intervention when vision is impaired functionally.
  • #20 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Cataract-Epidemiology.aspx
    Cataracts are very common, but are more likely to develop in older individuals. In the UK alone, age-related cataracts are thought to affect around half of those aged over 65 years to some degree, with this figure rising to 70% in those aged over 85. […] Australian studies have shown that the prevalence of cataract doubles with each decade of age after 40 years and that nearly everyone aged 90 years or older is affected by cataracts. Other developed countries show similar incidence and prevalence of cataract. […] Estimates predict that, currently, cataracts affect around 22 million adults aged 40 or older and that by the year 2020, this number will have approximately doubled. […] Cataracts are the most common cause of impaired vision globally and particularly affect populations in developing countries, where they often cause blindness. […] It has been estimated that cases of cataracts will continue to rise predominantly in developing countries where population increases will be the greatest. As the number of individuals aged over 65 years continues to increase, so will the incidence of cataract and the need for cataract surgery.
  • #21 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Cataract-Epidemiology.aspx
    Cataracts are very common, but are more likely to develop in older individuals. In the UK alone, age-related cataracts are thought to affect around half of those aged over 65 years to some degree, with this figure rising to 70% in those aged over 85. […] Australian studies have shown that the prevalence of cataract doubles with each decade of age after 40 years and that nearly everyone aged 90 years or older is affected by cataracts. Other developed countries show similar incidence and prevalence of cataract. […] Estimates predict that, currently, cataracts affect around 22 million adults aged 40 or older and that by the year 2020, this number will have approximately doubled. […] Cataracts are the most common cause of impaired vision globally and particularly affect populations in developing countries, where they often cause blindness. […] It has been estimated that cases of cataracts will continue to rise predominantly in developing countries where population increases will be the greatest. As the number of individuals aged over 65 years continues to increase, so will the incidence of cataract and the need for cataract surgery.
  • #22 Cataract – Wikipedia
    https://en.wikipedia.org/wiki/Cataract
    Age-related cataracts are responsible for 51% of world blindness, about 20 million people. […] Globally, cataracts cause moderate to severe disability in 53.8 million (2004), 52.2 million of whom are in low and middle income countries. […] In many countries, surgical services are inadequate, and cataracts remain the leading cause of blindness. […] Even where surgical services are available, low vision associated with cataracts may still be prevalent as a result of long waits for, and barriers to, surgery, such as cost, lack of information and transportation problems. […] In the United States, age-related lens changes have been reported in 42% between the ages of 52 and 64, 60% between the ages 65 and 74, and 91% between the ages of 75 and 85. […] Cataracts affect nearly 22 million Americans age 40 and older.
  • #23 Cataract – Wikipedia
    https://en.wikipedia.org/wiki/Cataract
    By age 80, more than half of all Americans have cataracts. […] Direct medical costs for cataract treatment are estimated at $6.8 billion annually. […] In the eastern Mediterranean region, cataracts are responsible for over 51% of blindness. […] Childhood-related cataracts are responsible for 520% of world childhood blindness. […] Vision loss due to cataracts increases the risk of dementia in the elderly population, increases the likelihood of falls and road traffic accidents, and by detrimental effects on the quality of life increases mortality.
  • #24 Senile Cataract (Age-Related Cataract): Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/1210914-overview
    Senile cataract is an age-related, vision-impairing disease characterized by gradual progressive clouding and thickening of the lens of the eye. It is the worlds leading cause of treatable blindness. […] Senile cataract continues to be the main cause of visual impairment and blindness in the world. […] In the Framingham Eye Study from 1973-1975, senile cataract was seen in 15.5% of the 2477 patients examined. […] An updated study by the Wilmer Eye Institute in 2004 noted that approximately 20.5 million (17.2%) Americans older than 40 years had a cataract in either eye and 6.1 million (5.1%) were pseudophakic/aphakic. […] Prevent Blindness America currently estimates that more than 22 million Americans aged 40 years and older have a cataract. […] Most morbidity associated with senile cataracts occurs postoperatively and is discussed in further detail later.
  • #25 Global regional and national burden of cataract attributable to high body mass index from 1990 to 2019 | BMJ Open
    https://bmjopen.bmj.com/content/15/1/e084058
    The highest number of cataracts was observed in people aged 70-74 years. […] Females presented higher YLD rates for cataract attributable to high BMI than males across all ages. […] The current study indicated that the high BMI-related cataract burden was higher in people aged 70-74 years and was higher among females compared with males. […] The burden increased with age, and the population aged 70-74 years group had the highest YLD rate globally. […] The disease burden was particularly severe in females, in North Africa and the Middle East, and in low-middle SDI regions.
  • #26 Global regional and national burden of cataract attributable to high body mass index from 1990 to 2019 | BMJ Open
    https://bmjopen.bmj.com/content/15/1/e084058
    The highest number of cataracts was observed in people aged 70-74 years. […] Females presented higher YLD rates for cataract attributable to high BMI than males across all ages. […] The current study indicated that the high BMI-related cataract burden was higher in people aged 70-74 years and was higher among females compared with males. […] The burden increased with age, and the population aged 70-74 years group had the highest YLD rate globally. […] The disease burden was particularly severe in females, in North Africa and the Middle East, and in low-middle SDI regions.
  • #27 Congenital and Hereditary Cataracts: Epidemiology and Genetics | SpringerLink
    https://link.springer.com/chapter/10.1007/978-3-030-38938-3_1
    Lens opacities or cataracts in children are usually congenital and/or hereditary and less often are secondary to trauma, infections, or systemic disorders such as diabetes or galactosemia. […] Congenital cataracts cause approximately one-third of blindness in infants worldwide. […] Between 8% and 25% of congenital cataracts are inherited, and knowledge of their genetic architecture is increasing. […] Delineating the relationship between the genes and mutations causing cataracts and their phenotypic presentation can help us to understand the biology of the lens and provide a framework for the clinical approach to diagnosis and therapy. […] Cataracts (as well as corneal or vitreous opacities) in children must be diagnosed and treated early to prevent permanent vision loss due to amblyopia. […] Establishing a genetic cause of cataract can be helpful in establishing comorbidities, both ocular and systemic.
  • #28 Cataract – Wikipedia
    https://en.wikipedia.org/wiki/Cataract
    By age 80, more than half of all Americans have cataracts. […] Direct medical costs for cataract treatment are estimated at $6.8 billion annually. […] In the eastern Mediterranean region, cataracts are responsible for over 51% of blindness. […] Childhood-related cataracts are responsible for 520% of world childhood blindness. […] Vision loss due to cataracts increases the risk of dementia in the elderly population, increases the likelihood of falls and road traffic accidents, and by detrimental effects on the quality of life increases mortality.
  • #29 Cataracts in Children, Congenital and Acquired – EyeWiki
    https://eyewiki.org/Cataracts_in_Children,_Congenital_and_Acquired
    A cataract is any light scattering opacity of the lens. It is estimated that congenital cataracts are responsible for 5% to 20% of blindness in children worldwide. Incidence varies from country to country. One retrospective study of the prevalence of infantile cataracts in the U.S. showed a rate of 3-4 visually significant cataracts per 10,000 live births. […] These numbers underestimate the total number since they do not take into consideration visually insignificant cataracts. […] Regardless of the etiology, prompt treatment of visually significant cataracts is necessary to allow proper development of vision. […] The first step in the workup of bilateral cataracts should be a family history including examination of family members. If there is a clear autosomal dominant pattern and the child is healthy, further evaluation is not necessary.
  • #30 Cataract in children – UpToDate
    https://www.uptodate.com/contents/cataract-in-children
    Cataracts are a common and frequently curable cause of blindness in children. Early detection and prompt intervention are critical for a good visual outcome, particularly in newborns. […] The reported prevalence of childhood cataracts ranges from 1 to 15 per 10,000 children. The wide range reflects differences in populations, age groups, methods of ascertainment, and case definitions. The prevalence of congenital cataract in developed countries is 1 to 3 per 10,000.
  • #31 Cataract | 5-Minute Pediatric Consult
    https://peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617203/all/Cataract?q=Ectodermal+dysplasia
    Prevalence of childhood cataracts is 1 to 15:10,000, with the range being attributable to reporting, definition, age, and variance in populations. […] Approximately four children per million total population will be born with bilateral congenital cataracts in developed countries. […] Adjusted cumulative incidence is 2.49 per 10,000 in the 1st year of life, increasing to 3.46 by age 15 years.
  • #32 Cataract in children – UpToDate
    https://www.uptodate.com/contents/cataract-in-children
    Cataracts are a common and frequently curable cause of blindness in children. Early detection and prompt intervention are critical for a good visual outcome, particularly in newborns. […] The reported prevalence of childhood cataracts ranges from 1 to 15 per 10,000 children. The wide range reflects differences in populations, age groups, methods of ascertainment, and case definitions. The prevalence of congenital cataract in developed countries is 1 to 3 per 10,000.
  • #33 Congenital Cataract: Background, Pathophysiology, Epidemiology
    https://emedicine.medscape.com/article/1210837-overview
    The prevalence of congenital cataracts in the United States has been reported to be 1.2-6.0 cases per 10,000. […] The worldwide incidence of congenital cataracts is unknown and likely underestimated in underdeveloped countries. It has been reported that there are approximately 20,000-40,000 cases of children born with congenital or childhood cataracts per year. […] A 2020 review of the genetics of congenital cataracts found that genetic defects are responsible for approximately one fourth of congenital cataracts. Multiple mutations have been identified in upwards of 100 genes associated with congenital cataracts. […] Visual morbidity may result from deprivation amblyopia, refractive amblyopia, nystagmus, strabismus, glaucoma, and retinal detachment.
  • #34 Congenital Cataract: Background, Pathophysiology, Epidemiology
    https://emedicine.medscape.com/article/1210837-overview
    The prevalence of congenital cataracts in the United States has been reported to be 1.2-6.0 cases per 10,000. […] The worldwide incidence of congenital cataracts is unknown and likely underestimated in underdeveloped countries. It has been reported that there are approximately 20,000-40,000 cases of children born with congenital or childhood cataracts per year. […] A 2020 review of the genetics of congenital cataracts found that genetic defects are responsible for approximately one fourth of congenital cataracts. Multiple mutations have been identified in upwards of 100 genes associated with congenital cataracts. […] Visual morbidity may result from deprivation amblyopia, refractive amblyopia, nystagmus, strabismus, glaucoma, and retinal detachment.
  • #35 Congenital and Hereditary Cataracts: Epidemiology and Genetics | SpringerLink
    https://link.springer.com/chapter/10.1007/978-3-030-38938-3_1
    Lens opacities or cataracts in children are usually congenital and/or hereditary and less often are secondary to trauma, infections, or systemic disorders such as diabetes or galactosemia. […] Congenital cataracts cause approximately one-third of blindness in infants worldwide. […] Between 8% and 25% of congenital cataracts are inherited, and knowledge of their genetic architecture is increasing. […] Delineating the relationship between the genes and mutations causing cataracts and their phenotypic presentation can help us to understand the biology of the lens and provide a framework for the clinical approach to diagnosis and therapy. […] Cataracts (as well as corneal or vitreous opacities) in children must be diagnosed and treated early to prevent permanent vision loss due to amblyopia. […] Establishing a genetic cause of cataract can be helpful in establishing comorbidities, both ocular and systemic.
  • #36 Congenital Cataract: Background, Pathophysiology, Epidemiology
    https://emedicine.medscape.com/article/1210837-overview
    The prevalence of congenital cataracts in the United States has been reported to be 1.2-6.0 cases per 10,000. […] The worldwide incidence of congenital cataracts is unknown and likely underestimated in underdeveloped countries. It has been reported that there are approximately 20,000-40,000 cases of children born with congenital or childhood cataracts per year. […] A 2020 review of the genetics of congenital cataracts found that genetic defects are responsible for approximately one fourth of congenital cataracts. Multiple mutations have been identified in upwards of 100 genes associated with congenital cataracts. […] Visual morbidity may result from deprivation amblyopia, refractive amblyopia, nystagmus, strabismus, glaucoma, and retinal detachment.
  • #37 Cataract – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK539699/
    Prevalence and incidence: Many studies in 2010 reveal that cataracts are most common in the White American race, where prevalence ranges from 17 to 18% per 100 people. Blacks were the second-highest affected by cataracts, with a 13% prevalence rate, followed by Hispanics, with a prevalence rate of almost 12%.[27] […] Age: Onset is gradual and progressive, commonly in the older age group, typically in the fifth and sixth decade, though cases have been reported in children and the elderly as well.[28] […] Sex: Recent studies reveal that the disease is more common in women than men, with a male-to-female ratio of 1 to approximately 1.3.[29]
  • #38 Cataract
    https://www.abdn.ac.uk/medical/elf/courses/view/171082/cataract/1/page12
    Cataract formation is the leading cause of preventable blindness worldwide. It accounts for 51% of the world blindness, roughly 20 million people as of 2010. Cataracts are more common in women than men. […] Reduction in smoking UV light exposure could delay cataract onset.
  • #39 Epidemiology – GPnotebook
    https://gpnotebook.com/en-IE/pages/ophthalmology/posterior-subcapsular-cataract/epidemiology
    note that there is significant global regional variability, with the highest rates in South Asia. (2) […] cataracts are more common in women than men (2) […] in addition to age, risk factors for development of cataracts include gender, life style factors smoking, alcohol consumption, diabetes mellitus, steroid treatment, ultraviolet exposure, nutrition and socio-economic status, dehydration/diarrhoeal crises.
  • #40 Global, regional, national burden and gender disparity of cataract: findings from the global burden of disease study 2019 | BMC Public Health | Full Text
    https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-14491-0
    Globally, older age, females, and lower socioeconomic status are associated with higher cataract burden. […] The findings of this study highlight the importance to make gender-sensitive health policies to manage global vision loss caused by cataracts, especially in low SDI regions. […] Gender inequality in the global burden of cataracts has persisted from 1990 to 2019 and has even gradually increased over the decades. […] The gender inequality observed in the South-East Asia region was greater than that in the other WHO regions, with the highest both age-standardized rates of DALY and prevalence. […] Gender inequality in the burden of cataracts had persisted since 1990, and the inequality remained with aging among different stages of vision impairments and regions with different levels of development.
  • #41 Global regional and national burden of cataract attributable to high body mass index from 1990 to 2019 | BMJ Open
    https://bmjopen.bmj.com/content/15/1/e084058
    The highest number of cataracts was observed in people aged 70-74 years. […] Females presented higher YLD rates for cataract attributable to high BMI than males across all ages. […] The current study indicated that the high BMI-related cataract burden was higher in people aged 70-74 years and was higher among females compared with males. […] The burden increased with age, and the population aged 70-74 years group had the highest YLD rate globally. […] The disease burden was particularly severe in females, in North Africa and the Middle East, and in low-middle SDI regions.
  • #42 Global, regional, national burden and gender disparity of cataract: findings from the global burden of disease study 2019 | BMC Public Health | Full Text
    https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-14491-0
    Globally, older age, females, and lower socioeconomic status are associated with higher cataract burden. […] The findings of this study highlight the importance to make gender-sensitive health policies to manage global vision loss caused by cataracts, especially in low SDI regions. […] Gender inequality in the global burden of cataracts has persisted from 1990 to 2019 and has even gradually increased over the decades. […] The gender inequality observed in the South-East Asia region was greater than that in the other WHO regions, with the highest both age-standardized rates of DALY and prevalence. […] Gender inequality in the burden of cataracts had persisted since 1990, and the inequality remained with aging among different stages of vision impairments and regions with different levels of development.
  • #43 Global, regional, national burden and gender disparity of cataract: findings from the global burden of disease study 2019 | BMC Public Health | Full Text
    https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-14491-0
    Globally, older age, females, and lower socioeconomic status are associated with higher cataract burden. […] The findings of this study highlight the importance to make gender-sensitive health policies to manage global vision loss caused by cataracts, especially in low SDI regions. […] Gender inequality in the global burden of cataracts has persisted from 1990 to 2019 and has even gradually increased over the decades. […] The gender inequality observed in the South-East Asia region was greater than that in the other WHO regions, with the highest both age-standardized rates of DALY and prevalence. […] Gender inequality in the burden of cataracts had persisted since 1990, and the inequality remained with aging among different stages of vision impairments and regions with different levels of development.
  • #44 Cataract – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK539699/
    Prevalence and incidence: Many studies in 2010 reveal that cataracts are most common in the White American race, where prevalence ranges from 17 to 18% per 100 people. Blacks were the second-highest affected by cataracts, with a 13% prevalence rate, followed by Hispanics, with a prevalence rate of almost 12%.[27] […] Age: Onset is gradual and progressive, commonly in the older age group, typically in the fifth and sixth decade, though cases have been reported in children and the elderly as well.[28] […] Sex: Recent studies reveal that the disease is more common in women than men, with a male-to-female ratio of 1 to approximately 1.3.[29]
  • #45 Cataracts Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/report/cataracts
    Cataracts tend to run in families. […] In the United States, several prevalence studies have shown that cataracts are more likely to be a cause of vision impairment in blacks than in whites. This may be due to limited access to health care among non-white populations. […] Certain medical conditions and treatments increase the risk for cataracts: Diabetes (type 1 or type 2) poses a very high risk for cataracts and the likelihood of developing them at a younger age. […] Excessive exposure to ultraviolet B (UVB) radiation from sunlight increases the risk for cataracts. […] Cataract surgery improves vision in up to 95% of people and prevents millions of people from going blind. […] Cataract surgery is one of the safest of all surgical procedures. Most complications are not serious.
  • #46 Causes of Cataracts | Ausmed
    https://www.ausmed.com/learn/articles/cataracts
    Cataracts are estimated to affect around 411,000 Australians (AIHW 2021). […] In Australia, cataracts are the second most common cause of bilateral vision impairment (Croakey Professional Services 2022) and cataract surgery is the most common elective surgical procedure (ACSQHC 2021). […] Cataracts are a significant issue for Aboriginal and Torres Strait Islander people, being 12 times more likely to affect First Nations people than non-First Nations Australians. Furthermore, First Nations people wait about 63% longer than non-First Nations Australians to receive cataract surgery (Vision 2020 Australia 2019). […] The Cataract Clinical Care Standard was released by the Australian Commission on Safety and Quality in Health Care in 2021. […] This standard aims to guide the assessment and care of patients over the age of 18 with cataracts in all healthcare settings (ACSQHC 2021).
  • #47 Epidemiology and risk factors for cataract | Eye
    https://www.nature.com/articles/eye198782
    Cataract is the major cause of blindness worldwide. It is a greater problem in third world countries than in the West and several attempts have been made to explain the excess in these countries. This paper provides an overview of the literature especially on studies designed to identify risk factors for cataract. There is an association between poverty and cataract and, more specifically, between cataract and a history of severe diarrhoea-dehydration. Recent results from a case-control-led study of cataract in Oxford are also presented with the quantitation of risks associated with a number of factors including diarrhoea, renal failure and diabetes. […] In this study an apparently protective effect of aspirin, paracetamol and similar drugs was observed. This protective effect applies to the risk associated with diabetes. […] van Heyningen R and Harding JJ : Risk factors for cataract: diabetes, myopia and sex.
  • #48 Global, regional, national burden and gender disparity of cataract: findings from the global burden of disease study 2019 | BMC Public Health | Full Text
    https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-14491-0
    Globally, older age, females, and lower socioeconomic status are associated with higher cataract burden. […] The findings of this study highlight the importance to make gender-sensitive health policies to manage global vision loss caused by cataracts, especially in low SDI regions. […] Gender inequality in the global burden of cataracts has persisted from 1990 to 2019 and has even gradually increased over the decades. […] The gender inequality observed in the South-East Asia region was greater than that in the other WHO regions, with the highest both age-standardized rates of DALY and prevalence. […] Gender inequality in the burden of cataracts had persisted since 1990, and the inequality remained with aging among different stages of vision impairments and regions with different levels of development.
  • #49 Global regional and national burden of cataract attributable to high body mass index from 1990 to 2019 | BMJ Open
    https://bmjopen.bmj.com/content/15/1/e084058
    Globally, there were 370.4 (95% UI: 163.2 to 689.3) YLDs due to cataract attributed to high BMI in 2019, more than triple the number in 1990. […] The ASR of YLD increased during 1990-2019, with AAPC of 1.54 (95% CI: 1.41 to 1.66). […] In 2019, the burden of cataract due to high BMI was higher in females and the elderly population. […] North Africa and the Middle East were the high-risk areas of cataract attributable to high BMI in 2019, with Saudi Arabia being the country with the heaviest burden. […] In terms of SDI, low-middle SDI regions had the greatest number of cataract-related YLDs due to high BMI in 2019. […] The global YLDs for cataract due to high BMI have shown a notable increase from 1990 to 2019. […] The YLD rate of cataract attributable to high BMI increased with age.
  • #50 Global regional and national burden of cataract attributable to high body mass index from 1990 to 2019 | BMJ Open
    https://bmjopen.bmj.com/content/15/1/e084058
    The highest number of cataracts was observed in people aged 70-74 years. […] Females presented higher YLD rates for cataract attributable to high BMI than males across all ages. […] The current study indicated that the high BMI-related cataract burden was higher in people aged 70-74 years and was higher among females compared with males. […] The burden increased with age, and the population aged 70-74 years group had the highest YLD rate globally. […] The disease burden was particularly severe in females, in North Africa and the Middle East, and in low-middle SDI regions.
  • #51 JMIR Public Health and Surveillance – Changing Trends in the Global Burden of Cataract Over the Past 30 Years: Retrospective Data Analysis of the Global Burden of Disease Study 2019
    https://publichealth.jmir.org/2023/1/e47349
    A trend analysis of the Global Burden of Disease (GBD) Study 2019 data showed that the global burden of visual impairment due to cataracts exhibited a substantial increase, with the prevalence rate rising by 58.45% and the DALY rate increasing by 32.18% over the past 30 years. […] Our findings showed that over the last 3 decades, higher DALY rates were also associated with lower SDI, HDI, national PM2.5, and ambient UVR. […] We predicted that, due to population growth and aging, the DALYs due to cataracts for both sexes are expected to continue to increase over the next 15 years. […] Effective global policies aimed at reducing the prevalence of these risk factors could play a critical role in mitigating the impact of cataract and reduce its burden.
  • #52 Case Definitions: Cataract | Vision and Eye Health Surveillance System | CDC
    https://www.cdc.gov/vision-health-data/case-definitions/cataract.html
    VEHSS reports on the prevalence of cataract for the following categories based on these methods of identification: Examination-based cataract, self-reported cataract, and diagnosed cataract. […] The National Health Interview Survey (NHIS) includes a self-report question on whether a doctor ever told the respondent that they had cataracts. […] VEHSS reports the annual prevalence of diagnosed cataract based on the presence of International Classification of Diseases ICD-9 and ICD-10 codes in patient claims or electronic health record (EHR) systems. […] Note that diagnosis codes in claims data are intended for billing purposes and may underestimate the true prevalence of cataracts. […] VEHSS defines the following summary subgroups indicating whether there is evidence that a patient with diagnosed cataract also had a diagnosis of previous cataract treatment. […] VEHSS separately includes annual prevalence of cataract treatment based on procedure codes. […] VEHSS uses new and existing data sources to provide information on vision loss, eye disorders, and eye care services in the United States.
  • #53 Case Definitions: Cataract | Vision and Eye Health Surveillance System | CDC
    https://www.cdc.gov/vision-health-data/case-definitions/cataract.html
    VEHSS reports on the prevalence of cataract for the following categories based on these methods of identification: Examination-based cataract, self-reported cataract, and diagnosed cataract. […] The National Health Interview Survey (NHIS) includes a self-report question on whether a doctor ever told the respondent that they had cataracts. […] VEHSS reports the annual prevalence of diagnosed cataract based on the presence of International Classification of Diseases ICD-9 and ICD-10 codes in patient claims or electronic health record (EHR) systems. […] Note that diagnosis codes in claims data are intended for billing purposes and may underestimate the true prevalence of cataracts. […] VEHSS defines the following summary subgroups indicating whether there is evidence that a patient with diagnosed cataract also had a diagnosis of previous cataract treatment. […] VEHSS separately includes annual prevalence of cataract treatment based on procedure codes. […] VEHSS uses new and existing data sources to provide information on vision loss, eye disorders, and eye care services in the United States.
  • #54 Case Definitions: Cataract | Vision and Eye Health Surveillance System | CDC
    https://www.cdc.gov/vision-health-data/case-definitions/cataract.html
    VEHSS reports on the prevalence of cataract for the following categories based on these methods of identification: Examination-based cataract, self-reported cataract, and diagnosed cataract. […] The National Health Interview Survey (NHIS) includes a self-report question on whether a doctor ever told the respondent that they had cataracts. […] VEHSS reports the annual prevalence of diagnosed cataract based on the presence of International Classification of Diseases ICD-9 and ICD-10 codes in patient claims or electronic health record (EHR) systems. […] Note that diagnosis codes in claims data are intended for billing purposes and may underestimate the true prevalence of cataracts. […] VEHSS defines the following summary subgroups indicating whether there is evidence that a patient with diagnosed cataract also had a diagnosis of previous cataract treatment. […] VEHSS separately includes annual prevalence of cataract treatment based on procedure codes. […] VEHSS uses new and existing data sources to provide information on vision loss, eye disorders, and eye care services in the United States.
  • #55 Case Definitions: Cataract | Vision and Eye Health Surveillance System | CDC
    https://www.cdc.gov/vision-health-data/case-definitions/cataract.html
    VEHSS reports on the prevalence of cataract for the following categories based on these methods of identification: Examination-based cataract, self-reported cataract, and diagnosed cataract. […] The National Health Interview Survey (NHIS) includes a self-report question on whether a doctor ever told the respondent that they had cataracts. […] VEHSS reports the annual prevalence of diagnosed cataract based on the presence of International Classification of Diseases ICD-9 and ICD-10 codes in patient claims or electronic health record (EHR) systems. […] Note that diagnosis codes in claims data are intended for billing purposes and may underestimate the true prevalence of cataracts. […] VEHSS defines the following summary subgroups indicating whether there is evidence that a patient with diagnosed cataract also had a diagnosis of previous cataract treatment. […] VEHSS separately includes annual prevalence of cataract treatment based on procedure codes. […] VEHSS uses new and existing data sources to provide information on vision loss, eye disorders, and eye care services in the United States.
  • #56 Case Definitions: Cataract | Vision and Eye Health Surveillance System | CDC
    https://www.cdc.gov/vision-health-data/case-definitions/cataract.html
    VEHSS reports on the prevalence of cataract for the following categories based on these methods of identification: Examination-based cataract, self-reported cataract, and diagnosed cataract. […] The National Health Interview Survey (NHIS) includes a self-report question on whether a doctor ever told the respondent that they had cataracts. […] VEHSS reports the annual prevalence of diagnosed cataract based on the presence of International Classification of Diseases ICD-9 and ICD-10 codes in patient claims or electronic health record (EHR) systems. […] Note that diagnosis codes in claims data are intended for billing purposes and may underestimate the true prevalence of cataracts. […] VEHSS defines the following summary subgroups indicating whether there is evidence that a patient with diagnosed cataract also had a diagnosis of previous cataract treatment. […] VEHSS separately includes annual prevalence of cataract treatment based on procedure codes. […] VEHSS uses new and existing data sources to provide information on vision loss, eye disorders, and eye care services in the United States.
  • #57 Case Definitions: Cataract | Vision and Eye Health Surveillance System | CDC
    https://www.cdc.gov/vision-health-data/case-definitions/cataract.html
    VEHSS reports on the prevalence of cataract for the following categories based on these methods of identification: Examination-based cataract, self-reported cataract, and diagnosed cataract. […] The National Health Interview Survey (NHIS) includes a self-report question on whether a doctor ever told the respondent that they had cataracts. […] VEHSS reports the annual prevalence of diagnosed cataract based on the presence of International Classification of Diseases ICD-9 and ICD-10 codes in patient claims or electronic health record (EHR) systems. […] Note that diagnosis codes in claims data are intended for billing purposes and may underestimate the true prevalence of cataracts. […] VEHSS defines the following summary subgroups indicating whether there is evidence that a patient with diagnosed cataract also had a diagnosis of previous cataract treatment. […] VEHSS separately includes annual prevalence of cataract treatment based on procedure codes. […] VEHSS uses new and existing data sources to provide information on vision loss, eye disorders, and eye care services in the United States.
  • #58 Case Definitions: Cataract | Vision and Eye Health Surveillance System | CDC
    https://www.cdc.gov/vision-health-data/case-definitions/cataract.html
    VEHSS reports on the prevalence of cataract for the following categories based on these methods of identification: Examination-based cataract, self-reported cataract, and diagnosed cataract. […] The National Health Interview Survey (NHIS) includes a self-report question on whether a doctor ever told the respondent that they had cataracts. […] VEHSS reports the annual prevalence of diagnosed cataract based on the presence of International Classification of Diseases ICD-9 and ICD-10 codes in patient claims or electronic health record (EHR) systems. […] Note that diagnosis codes in claims data are intended for billing purposes and may underestimate the true prevalence of cataracts. […] VEHSS defines the following summary subgroups indicating whether there is evidence that a patient with diagnosed cataract also had a diagnosis of previous cataract treatment. […] VEHSS separately includes annual prevalence of cataract treatment based on procedure codes. […] VEHSS uses new and existing data sources to provide information on vision loss, eye disorders, and eye care services in the United States.
  • #59 Epidemiology, Pathophysiology, Causes, Morphology, and Visual Effects of Cataract | Ento Key
    https://entokey.com/epidemiology-pathophysiology-causes-morphology-and-visual-effects-of-cataract/
    Low-cost small-incision cataract surgery with lens implantation is a proven clinical strategy. The socioeconomic effect of cataract surgery is substantial. […] The cataract prevalence is influenced by the Cataract Surgical Rate (CSR or number of cataract surgeries performed per million people per year), which varies from less than 200 to over 6000 in different regions. […] So a high cataract prevalence rate in some developing countries is not for want of a clinical solution but partially due to ineffective implementation. […] To reduce cataract prevalence, the resource base (infrastructure, equipment, ophthalmologists, and other ophthalmic workers) must improve, as must management of the resources to build the right processes for maximal cost-effective resource utilization. Future solutions will have to address these challenges.
  • #60 Epidemiology, Pathophysiology, Causes, Morphology, and Visual Effects of Cataract | Ento Key
    https://entokey.com/epidemiology-pathophysiology-causes-morphology-and-visual-effects-of-cataract/
    Low-cost small-incision cataract surgery with lens implantation is a proven clinical strategy. The socioeconomic effect of cataract surgery is substantial. […] The cataract prevalence is influenced by the Cataract Surgical Rate (CSR or number of cataract surgeries performed per million people per year), which varies from less than 200 to over 6000 in different regions. […] So a high cataract prevalence rate in some developing countries is not for want of a clinical solution but partially due to ineffective implementation. […] To reduce cataract prevalence, the resource base (infrastructure, equipment, ophthalmologists, and other ophthalmic workers) must improve, as must management of the resources to build the right processes for maximal cost-effective resource utilization. Future solutions will have to address these challenges.
  • #61 Epidemiology – GPnotebook
    https://gpnotebook.com/en-IE/pages/ophthalmology/posterior-subcapsular-cataract/epidemiology
    major cause of blindness worldwide. This may seem surprising, since it is eminently treatable by surgery, with a 95% success rate. However, psychological, social and economical factors prevent many patients from receiving treatment […] In the UK, cataract surgery remains the most frequently undertaken surgical procedure in the NHS. In the financial year ending 2022, there were over 409,000 admissions to hospital for cataract surgery in England, a rate of 3,803 (3,789 to 3,816) per 100,000 population. This number had risen above that seen prior to the COVID-19 pandemic. (1) […] may occur at any age, but they are predominantly a condition of old age (2) […] prevalence increases with age: 16% in 65-69 years age group, 24% in 70-74 years age group, 42% in 75-79 years age group, 59% in 80-84 years age group, 71% in 85 years plus age group
  • #62 Cataract – Treatment of Adults – Province of British Columbia
    https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/cataract
    Between 1996-2001, the prevalence of low vision and blindness in all ages in B.C. was reported as 21.46/10,000 with cataract as the most common cause (29.9 %).3 […] In 2018/2019, 69,463 cataract surgeries were performed in B.C.4
  • #63 Prevalence and management of cataracts among older adults in Sub-Saharan Africa: a scoping review | BMC Ophthalmology | Full Text
    https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-024-03701-5
    The effective management and treatment of cataracts in Sub-Saharan Africa (SSA) face several significant barriers. Lack of awareness is a common issue, as many individuals, particularly in rural areas, are not informed about cataracts or the available treatment options. Limited access to healthcare is another critical barrier, with scarce healthcare facilities and services, especially in lower-middle-income countries. Economic constraints are a pervasive issue, as the high cost of cataract surgery prevents many from seeking timely medical intervention. […] This scoping review reveals a significant prevalence of cataracts among older adults in Sub-Saharan Africa (SSA), ranging from 3.9% to 62.5% across different countries. Surgery remains the primary management strategy, but cataract surgical coverage varies widely, from 12.1% to 96%. The number of surgeries needed per million population ranges from 1800 in Rwanda to 4500 in Mali. Significant barriers to effective management include lack of awareness, limited access to healthcare facilities and services, economic constraints due to the high cost of surgery, gender disparities with females being more affected but less likely to undergo surgery, and fear and misconceptions about cataract surgery.
  • #64
    https://www.who.int/news-room/fact-sheets/detail/blindness-and-visual-impairment
    Globally, the leading causes of vision impairment and blindness are: […] cataract […] In high income countries, diseases such as glaucoma and age-related macular degeneration are more common. […] Among this 1 billion people, the main conditions causing distance vision impairment or blindness are cataract (94 million) […] Spectacle correction for refractive error and surgery for cataract are among the most cost-effective of all health-care interventions. […] only 17% of people with vision impairment or blindness due to cataract have received access to quality surgery.
  • #65 Epidemiology of age-related cataract | Eye
    https://www.nature.com/articles/eye1999119
    To investigate the aetiology of cataract, it is necessary to measure both the type and severity of lens opacities, as well as the dose and duration of exposure to the putative risk factor. […] Our current understanding of the aetiology of cataract shows that by far the greatest effect is seen with increasing age. […] However, exposure to ultraviolet-B (UV-B) radiation, use of dietary antioxidant vitamins and the presence of diabetes, the occurrence of dehydration and severe diarrhoea and the use of therapeutic drugs such as steroids, and recreational drugs such as nicotine and alcohol, may be important risk factors. […] Until the results of the current studies of the effectiveness of antioxidant vitamin supplements become available, the only effective protective interventions to reduce the risk of cataract seem to be to reduce ocular exposure to UV-B radiation and to stop smoking.
  • #66 Epidemiology of age-related cataract | Eye
    https://www.nature.com/articles/eye1999119
    To investigate the aetiology of cataract, it is necessary to measure both the type and severity of lens opacities, as well as the dose and duration of exposure to the putative risk factor. […] Our current understanding of the aetiology of cataract shows that by far the greatest effect is seen with increasing age. […] However, exposure to ultraviolet-B (UV-B) radiation, use of dietary antioxidant vitamins and the presence of diabetes, the occurrence of dehydration and severe diarrhoea and the use of therapeutic drugs such as steroids, and recreational drugs such as nicotine and alcohol, may be important risk factors. […] Until the results of the current studies of the effectiveness of antioxidant vitamin supplements become available, the only effective protective interventions to reduce the risk of cataract seem to be to reduce ocular exposure to UV-B radiation and to stop smoking.
  • #67 Epidemiology and risk factors for cataract | Eye
    https://www.nature.com/articles/eye198782
    Cataract is the major cause of blindness worldwide. It is a greater problem in third world countries than in the West and several attempts have been made to explain the excess in these countries. This paper provides an overview of the literature especially on studies designed to identify risk factors for cataract. There is an association between poverty and cataract and, more specifically, between cataract and a history of severe diarrhoea-dehydration. Recent results from a case-control-led study of cataract in Oxford are also presented with the quantitation of risks associated with a number of factors including diarrhoea, renal failure and diabetes. […] In this study an apparently protective effect of aspirin, paracetamol and similar drugs was observed. This protective effect applies to the risk associated with diabetes. […] van Heyningen R and Harding JJ : Risk factors for cataract: diabetes, myopia and sex.
  • #68 Epidemiology and risk factors for cataract | Eye
    https://www.nature.com/articles/eye198782
    Cataract is the major cause of blindness worldwide. It is a greater problem in third world countries than in the West and several attempts have been made to explain the excess in these countries. This paper provides an overview of the literature especially on studies designed to identify risk factors for cataract. There is an association between poverty and cataract and, more specifically, between cataract and a history of severe diarrhoea-dehydration. Recent results from a case-control-led study of cataract in Oxford are also presented with the quantitation of risks associated with a number of factors including diarrhoea, renal failure and diabetes. […] In this study an apparently protective effect of aspirin, paracetamol and similar drugs was observed. This protective effect applies to the risk associated with diabetes. […] van Heyningen R and Harding JJ : Risk factors for cataract: diabetes, myopia and sex.
  • #69 Cataracts Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/report/cataracts
    Cataracts tend to run in families. […] In the United States, several prevalence studies have shown that cataracts are more likely to be a cause of vision impairment in blacks than in whites. This may be due to limited access to health care among non-white populations. […] Certain medical conditions and treatments increase the risk for cataracts: Diabetes (type 1 or type 2) poses a very high risk for cataracts and the likelihood of developing them at a younger age. […] Excessive exposure to ultraviolet B (UVB) radiation from sunlight increases the risk for cataracts. […] Cataract surgery improves vision in up to 95% of people and prevents millions of people from going blind. […] Cataract surgery is one of the safest of all surgical procedures. Most complications are not serious.
  • #70 Cataract and Cataract Surgical Coverage | 12 | Ophthalmic Epidemiology
    https://www.taylorfrancis.com/chapters/edit/10.1201/9781315146737-12/cataract-cataract-surgical-coverage-olusola-olawoye-priya-adhisesha-reddy-ving-fai-chan-prabhath-piyasena-nathan-congdon
    Cataracts can be secondary to ocular or systemic diseases, such as diabetes, which causes a two- to five-fold increased risk of developing lens opacity. […] Older age is associated with increasing prevalence of nuclear and cortical cataracts.
  • #71 Cataracts Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/report/cataracts
    Cataracts tend to run in families. […] In the United States, several prevalence studies have shown that cataracts are more likely to be a cause of vision impairment in blacks than in whites. This may be due to limited access to health care among non-white populations. […] Certain medical conditions and treatments increase the risk for cataracts: Diabetes (type 1 or type 2) poses a very high risk for cataracts and the likelihood of developing them at a younger age. […] Excessive exposure to ultraviolet B (UVB) radiation from sunlight increases the risk for cataracts. […] Cataract surgery improves vision in up to 95% of people and prevents millions of people from going blind. […] Cataract surgery is one of the safest of all surgical procedures. Most complications are not serious.
  • #72 How climate change is damaging our vision | Knowable Magazine
    https://knowablemagazine.org/content/article/health-disease/2025/how-climate-change-threatens-eye-health
    One 2023 study of nearly 60,000 people in rmqi, in northwestern China, found that temperatures exceeding 28.7C just 83F increased the risk of conjunctivitis by roughly 16 percent compared to daily temperatures around 10.7C, or 51F. […] Reducing greenhouse gases and ozone-depleting chemicals, which increase UV exposure, are key to protecting eye health at a global level.
  • #73 How climate change is damaging our vision | Knowable Magazine
    https://knowablemagazine.org/content/article/health-disease/2025/how-climate-change-threatens-eye-health
    Cataracts, pink eye and other ocular disorders are linked to heat, air pollution and higher UV exposure. […] A number of well-known factors, including exposure to UV radiation, genetics and aging can lead to cataracts, a condition affecting roughly 94 million people in which the lenses of the eyes get cloudy, causing blurry vision. But in recent years, researchers have found another causative factor for cataracts and other eye disorders: climate change. […] Climate change is increasing risk to eye health in multiple ways. […] Since the lens cant regenerate the proteins, the more time one spends in the heat, the greater the risk of developing cataracts. […] Cataracts are one of the most common causes of vision impairment worldwide. But climate change is also causing an uptick in other eye conditions.
  • #74 Systemic medications and cortical cataract: the Singapore Epidemiology of Eye Diseases Study | British Journal of Ophthalmology
    https://bjo.bmj.com/content/104/3/330
    To evaluate the association between systemic medications and cortical cataract prevalence in an Asian population. […] The Singapore Epidemiology of Eye Diseases Study recruited 10033 Chinese, Malay and Indian residents aged 40+ years living in Singapore. […] Associations between medications and the presence of cortical cataract were assessed using logistic regression. […] A total of 8965 participants were included, the mean age was 57.6 (SD=9.8) years, and 4555 (50.8%) were women. […] After adjusting for age, gender, ethnicity, body mass index, smoking status, socioeconomic status, hypertension, hyperlipidaemia, diabetes, duration of diabetes and cardiovascular disease, ACE inhibitors (OR=1.27; 95%CI 1.05 to 1.55), fibrates (OR=1.57; 95%CI 1.05 to 2.35), alpha-glucosidase inhibitors (AGIs) (OR=1.85; 95%CI 1.13 to 3.02) and insulin (OR=1.80; 95%CI 1.11 to 2.93) were significantly associated with the presence of cortical cataract. […] ACE inhibitors, fibrates and AGIs were associated with increased prevalence of cortical cataract in this Asian population, independent of the presence of hypertension, hyperlipidaemia and diabetes, respectively.
  • #75 Systemic medications and cortical cataract: the Singapore Epidemiology of Eye Diseases Study | British Journal of Ophthalmology
    https://bjo.bmj.com/content/104/3/330
    To evaluate the association between systemic medications and cortical cataract prevalence in an Asian population. […] The Singapore Epidemiology of Eye Diseases Study recruited 10033 Chinese, Malay and Indian residents aged 40+ years living in Singapore. […] Associations between medications and the presence of cortical cataract were assessed using logistic regression. […] A total of 8965 participants were included, the mean age was 57.6 (SD=9.8) years, and 4555 (50.8%) were women. […] After adjusting for age, gender, ethnicity, body mass index, smoking status, socioeconomic status, hypertension, hyperlipidaemia, diabetes, duration of diabetes and cardiovascular disease, ACE inhibitors (OR=1.27; 95%CI 1.05 to 1.55), fibrates (OR=1.57; 95%CI 1.05 to 2.35), alpha-glucosidase inhibitors (AGIs) (OR=1.85; 95%CI 1.13 to 3.02) and insulin (OR=1.80; 95%CI 1.11 to 2.93) were significantly associated with the presence of cortical cataract. […] ACE inhibitors, fibrates and AGIs were associated with increased prevalence of cortical cataract in this Asian population, independent of the presence of hypertension, hyperlipidaemia and diabetes, respectively.
  • #76 Systemic medications and cortical cataract: the Singapore Epidemiology of Eye Diseases Study | British Journal of Ophthalmology
    https://bjo.bmj.com/content/104/3/330
    To evaluate the association between systemic medications and cortical cataract prevalence in an Asian population. […] The Singapore Epidemiology of Eye Diseases Study recruited 10033 Chinese, Malay and Indian residents aged 40+ years living in Singapore. […] Associations between medications and the presence of cortical cataract were assessed using logistic regression. […] A total of 8965 participants were included, the mean age was 57.6 (SD=9.8) years, and 4555 (50.8%) were women. […] After adjusting for age, gender, ethnicity, body mass index, smoking status, socioeconomic status, hypertension, hyperlipidaemia, diabetes, duration of diabetes and cardiovascular disease, ACE inhibitors (OR=1.27; 95%CI 1.05 to 1.55), fibrates (OR=1.57; 95%CI 1.05 to 2.35), alpha-glucosidase inhibitors (AGIs) (OR=1.85; 95%CI 1.13 to 3.02) and insulin (OR=1.80; 95%CI 1.11 to 2.93) were significantly associated with the presence of cortical cataract. […] ACE inhibitors, fibrates and AGIs were associated with increased prevalence of cortical cataract in this Asian population, independent of the presence of hypertension, hyperlipidaemia and diabetes, respectively.
  • #77 Cataracts Concern Battle Fighters, the Aging | Health.mil
    https://www.health.mil/News/Articles/2021/06/21/Cataracts-Concern-Battle-Fighters-the-Aging?page=37
    Developing a cataract of the eye is usually thought of as something to worry about as one ages, when an opacity, or cloudiness, of the lens develops over time. But a cataract can also happen suddenly, as a result of direct force trauma on the battlefield, or exposure to gasses, chemicals, or new weaponry in war zones. […] „In case of traumatic cataract, it can be from direct and indirect trauma to the eye,” explained Dr. Mariia Viswanathan, an ophthalmologist and the chief of Education, Training, Research, and Surveillance at the Clinical Care and Integration branch of the Defense Health Agency’s Vision Center of Excellence (VCE). „It’s damaging the protein, and so the loss of transparency. It can be force trauma, it can be chemical trauma, it can be ionization. Different types of weapons can cause traumatic cataract. It’s a very complex process.”
  • #78 Cataracts Concern Battle Fighters, the Aging | Health.mil
    https://www.health.mil/News/Articles/2021/06/21/Cataracts-Concern-Battle-Fighters-the-Aging?page=37
    Developing a cataract of the eye is usually thought of as something to worry about as one ages, when an opacity, or cloudiness, of the lens develops over time. But a cataract can also happen suddenly, as a result of direct force trauma on the battlefield, or exposure to gasses, chemicals, or new weaponry in war zones. […] „In case of traumatic cataract, it can be from direct and indirect trauma to the eye,” explained Dr. Mariia Viswanathan, an ophthalmologist and the chief of Education, Training, Research, and Surveillance at the Clinical Care and Integration branch of the Defense Health Agency’s Vision Center of Excellence (VCE). „It’s damaging the protein, and so the loss of transparency. It can be force trauma, it can be chemical trauma, it can be ionization. Different types of weapons can cause traumatic cataract. It’s a very complex process.”
  • #79 Cataracts Concern Battle Fighters, the Aging | Health.mil
    https://www.health.mil/News/Articles/2021/06/21/Cataracts-Concern-Battle-Fighters-the-Aging?page=37
    Traumatic cataracts in service members can occur immediately after an eye injury, months, or even years later. They can also be the result of non-battlefield situations, the VCE says. […] Throughout the 20th century, the incidence of eye injuries among war fighters increased with each major armed conflict, the VCE says. As recently as 2008, 13% of combat casualties requiring evacuation were reported to have sustained ocular injuries. […] Viswanathan said that cases of traumatic cataracts have leveled off in recent times, depending on the conflicts U.S. service members have been involved in because advances in eye protection have been accompanied by advances in armaments deployed by the enemy. […] Non-traumatic cataracts most commonly affect people over 40. […] The bottom line? Non-traumatic cataracts are often avoidable by the use of eye protection and a healthy lifestyle.
  • #80 Cataracts Concern Battle Fighters, the Aging | Health.mil
    https://www.health.mil/News/Articles/2021/06/21/Cataracts-Concern-Battle-Fighters-the-Aging?page=37
    Traumatic cataracts in service members can occur immediately after an eye injury, months, or even years later. They can also be the result of non-battlefield situations, the VCE says. […] Throughout the 20th century, the incidence of eye injuries among war fighters increased with each major armed conflict, the VCE says. As recently as 2008, 13% of combat casualties requiring evacuation were reported to have sustained ocular injuries. […] Viswanathan said that cases of traumatic cataracts have leveled off in recent times, depending on the conflicts U.S. service members have been involved in because advances in eye protection have been accompanied by advances in armaments deployed by the enemy. […] Non-traumatic cataracts most commonly affect people over 40. […] The bottom line? Non-traumatic cataracts are often avoidable by the use of eye protection and a healthy lifestyle.
  • #81 Cataract – Wikipedia
    https://en.wikipedia.org/wiki/Cataract
    By age 80, more than half of all Americans have cataracts. […] Direct medical costs for cataract treatment are estimated at $6.8 billion annually. […] In the eastern Mediterranean region, cataracts are responsible for over 51% of blindness. […] Childhood-related cataracts are responsible for 520% of world childhood blindness. […] Vision loss due to cataracts increases the risk of dementia in the elderly population, increases the likelihood of falls and road traffic accidents, and by detrimental effects on the quality of life increases mortality.
  • #82 Epidemiology, Pathophysiology, Causes, Morphology, and Visual Effects of Cataract | Ento Key
    https://entokey.com/epidemiology-pathophysiology-causes-morphology-and-visual-effects-of-cataract/
    Low-cost small-incision cataract surgery with lens implantation is a proven clinical strategy. The socioeconomic effect of cataract surgery is substantial. […] The cataract prevalence is influenced by the Cataract Surgical Rate (CSR or number of cataract surgeries performed per million people per year), which varies from less than 200 to over 6000 in different regions. […] So a high cataract prevalence rate in some developing countries is not for want of a clinical solution but partially due to ineffective implementation. […] To reduce cataract prevalence, the resource base (infrastructure, equipment, ophthalmologists, and other ophthalmic workers) must improve, as must management of the resources to build the right processes for maximal cost-effective resource utilization. Future solutions will have to address these challenges.
  • #83 Cataract – Wikipedia
    https://en.wikipedia.org/wiki/Cataract
    By age 80, more than half of all Americans have cataracts. […] Direct medical costs for cataract treatment are estimated at $6.8 billion annually. […] In the eastern Mediterranean region, cataracts are responsible for over 51% of blindness. […] Childhood-related cataracts are responsible for 520% of world childhood blindness. […] Vision loss due to cataracts increases the risk of dementia in the elderly population, increases the likelihood of falls and road traffic accidents, and by detrimental effects on the quality of life increases mortality.
  • #84 Senile Cataract (Age-Related Cataract): Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/1210914-overview
    Although the risk of dying as a result of cataract extraction is almost negligible, studies have shown an increased risk of mortality in patients who underwent surgery. […] These data imply an association between senile cataracts and increased mortality. […] Age is an important risk factor for senile cataract. As a person ages, the chance of developing a senile cataract increases. […] In the absence of any other accompanying ocular disease prior to surgery that would affect significantly the visual outcome (eg macular degeneration or optic nerve atrophy), a successful uncomplicated standard ECCE or phacoemulsification carries a very promising visual prognosis of gaining at least 2 lines in the Snellen distance vision chart. […] Education programs are geared toward early detection and surgical intervention when vision is impaired functionally.
  • #85 Prevalence and management of cataracts among older adults in Sub-Saharan Africa: a scoping review | BMC Ophthalmology | Full Text
    https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-024-03701-5
    The effective management and treatment of cataracts in Sub-Saharan Africa (SSA) face several significant barriers. Lack of awareness is a common issue, as many individuals, particularly in rural areas, are not informed about cataracts or the available treatment options. Limited access to healthcare is another critical barrier, with scarce healthcare facilities and services, especially in lower-middle-income countries. Economic constraints are a pervasive issue, as the high cost of cataract surgery prevents many from seeking timely medical intervention. […] This scoping review reveals a significant prevalence of cataracts among older adults in Sub-Saharan Africa (SSA), ranging from 3.9% to 62.5% across different countries. Surgery remains the primary management strategy, but cataract surgical coverage varies widely, from 12.1% to 96%. The number of surgeries needed per million population ranges from 1800 in Rwanda to 4500 in Mali. Significant barriers to effective management include lack of awareness, limited access to healthcare facilities and services, economic constraints due to the high cost of surgery, gender disparities with females being more affected but less likely to undergo surgery, and fear and misconceptions about cataract surgery.
  • #86 Prevalence and management of cataracts among older adults in Sub-Saharan Africa: a scoping review | BMC Ophthalmology | Full Text
    https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-024-03701-5
    The effective management and treatment of cataracts in Sub-Saharan Africa (SSA) face several significant barriers. Lack of awareness is a common issue, as many individuals, particularly in rural areas, are not informed about cataracts or the available treatment options. Limited access to healthcare is another critical barrier, with scarce healthcare facilities and services, especially in lower-middle-income countries. Economic constraints are a pervasive issue, as the high cost of cataract surgery prevents many from seeking timely medical intervention. […] This scoping review reveals a significant prevalence of cataracts among older adults in Sub-Saharan Africa (SSA), ranging from 3.9% to 62.5% across different countries. Surgery remains the primary management strategy, but cataract surgical coverage varies widely, from 12.1% to 96%. The number of surgeries needed per million population ranges from 1800 in Rwanda to 4500 in Mali. Significant barriers to effective management include lack of awareness, limited access to healthcare facilities and services, economic constraints due to the high cost of surgery, gender disparities with females being more affected but less likely to undergo surgery, and fear and misconceptions about cataract surgery.
  • #87 Cataract – Wikipedia
    https://en.wikipedia.org/wiki/Cataract
    Age-related cataracts are responsible for 51% of world blindness, about 20 million people. […] Globally, cataracts cause moderate to severe disability in 53.8 million (2004), 52.2 million of whom are in low and middle income countries. […] In many countries, surgical services are inadequate, and cataracts remain the leading cause of blindness. […] Even where surgical services are available, low vision associated with cataracts may still be prevalent as a result of long waits for, and barriers to, surgery, such as cost, lack of information and transportation problems. […] In the United States, age-related lens changes have been reported in 42% between the ages of 52 and 64, 60% between the ages 65 and 74, and 91% between the ages of 75 and 85. […] Cataracts affect nearly 22 million Americans age 40 and older.
  • #88 Cataract – Wikipedia
    https://en.wikipedia.org/wiki/Cataract
    Age-related cataracts are responsible for 51% of world blindness, about 20 million people. […] Globally, cataracts cause moderate to severe disability in 53.8 million (2004), 52.2 million of whom are in low and middle income countries. […] In many countries, surgical services are inadequate, and cataracts remain the leading cause of blindness. […] Even where surgical services are available, low vision associated with cataracts may still be prevalent as a result of long waits for, and barriers to, surgery, such as cost, lack of information and transportation problems. […] In the United States, age-related lens changes have been reported in 42% between the ages of 52 and 64, 60% between the ages 65 and 74, and 91% between the ages of 75 and 85. […] Cataracts affect nearly 22 million Americans age 40 and older.
  • #89 JMIR Public Health and Surveillance – Changing Trends in the Global Burden of Cataract Over the Past 30 Years: Retrospective Data Analysis of the Global Burden of Disease Study 2019
    https://publichealth.jmir.org/2023/1/e47349
    A trend analysis of the Global Burden of Disease (GBD) Study 2019 data showed that the global burden of visual impairment due to cataracts exhibited a substantial increase, with the prevalence rate rising by 58.45% and the DALY rate increasing by 32.18% over the past 30 years. […] Our findings showed that over the last 3 decades, higher DALY rates were also associated with lower SDI, HDI, national PM2.5, and ambient UVR. […] We predicted that, due to population growth and aging, the DALYs due to cataracts for both sexes are expected to continue to increase over the next 15 years. […] Effective global policies aimed at reducing the prevalence of these risk factors could play a critical role in mitigating the impact of cataract and reduce its burden.
  • #90 JMIR Public Health and Surveillance – Changing Trends in the Global Burden of Cataract Over the Past 30 Years: Retrospective Data Analysis of the Global Burden of Disease Study 2019
    https://publichealth.jmir.org/2023/1/e47349
    Cataracts now account for the largest proportion of the global burden of blindness and vision loss. Understanding the changing trends in the global burden of cataracts over the past 30 years and the next 15 years is of clear significance for the prevention and control of cataracts in key populations. […] This study aims to assess the global burden of cataracts over the past 30 years by using age-period-cohort modeling and to estimate trends in the next 15 years. […] Globally, the number of DALYs due to cataract increased from 3,492,604 in 1990 to 6,676,281 in 2019. […] While the ASDR of cataracts has decreased, there has been a notable increase in the number of DALYs over the past 30 years. Projections suggest that the global burden of cataracts will continue to rise over the next 15 years.
  • #91 Epidemiology, Pathophysiology, Causes, Morphology, and Visual Effects of Cataract | Ento Key
    https://entokey.com/epidemiology-pathophysiology-causes-morphology-and-visual-effects-of-cataract/
    The prevalence, distribution, strategies to reduce the cataract prevalence and the disordered physiological processes, causes, and different forms of cataract are discussed. […] In 2010 the Vision Loss Expert Group funded by the Bill Melinda Gates Foundation, Fight for Sight, and others calculated that cataracts caused blindness (visual acuity in the better eye of less than 3/60) in 10.6 million people and moderate to severe visual impairment (MSVI, visual acuity of between 6/18 and 3/60) in 34.4 million people. However, wide regional variations exist in the prevalence of cataracts. […] The worlds population is increasing (predominantly in developing countries), and people will live to greater ages. So without accessible, efficient cataract surgery, the prevalence will increase. Developing countries bear an increasing burden for cataract blindness because cataracts occur earlier in life, and the incidence is higher.
  • #92 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Cataract-Epidemiology.aspx
    Cataracts are very common, but are more likely to develop in older individuals. In the UK alone, age-related cataracts are thought to affect around half of those aged over 65 years to some degree, with this figure rising to 70% in those aged over 85. […] Australian studies have shown that the prevalence of cataract doubles with each decade of age after 40 years and that nearly everyone aged 90 years or older is affected by cataracts. Other developed countries show similar incidence and prevalence of cataract. […] Estimates predict that, currently, cataracts affect around 22 million adults aged 40 or older and that by the year 2020, this number will have approximately doubled. […] Cataracts are the most common cause of impaired vision globally and particularly affect populations in developing countries, where they often cause blindness. […] It has been estimated that cases of cataracts will continue to rise predominantly in developing countries where population increases will be the greatest. As the number of individuals aged over 65 years continues to increase, so will the incidence of cataract and the need for cataract surgery.
  • #93 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Cataract-Epidemiology.aspx
    Cataracts are very common, but are more likely to develop in older individuals. In the UK alone, age-related cataracts are thought to affect around half of those aged over 65 years to some degree, with this figure rising to 70% in those aged over 85. […] Australian studies have shown that the prevalence of cataract doubles with each decade of age after 40 years and that nearly everyone aged 90 years or older is affected by cataracts. Other developed countries show similar incidence and prevalence of cataract. […] Estimates predict that, currently, cataracts affect around 22 million adults aged 40 or older and that by the year 2020, this number will have approximately doubled. […] Cataracts are the most common cause of impaired vision globally and particularly affect populations in developing countries, where they often cause blindness. […] It has been estimated that cases of cataracts will continue to rise predominantly in developing countries where population increases will be the greatest. As the number of individuals aged over 65 years continues to increase, so will the incidence of cataract and the need for cataract surgery.
  • #94 Epidemiology, Pathophysiology, Causes, Morphology, and Visual Effects of Cataract | Ento Key
    https://entokey.com/epidemiology-pathophysiology-causes-morphology-and-visual-effects-of-cataract/
    Low-cost small-incision cataract surgery with lens implantation is a proven clinical strategy. The socioeconomic effect of cataract surgery is substantial. […] The cataract prevalence is influenced by the Cataract Surgical Rate (CSR or number of cataract surgeries performed per million people per year), which varies from less than 200 to over 6000 in different regions. […] So a high cataract prevalence rate in some developing countries is not for want of a clinical solution but partially due to ineffective implementation. […] To reduce cataract prevalence, the resource base (infrastructure, equipment, ophthalmologists, and other ophthalmic workers) must improve, as must management of the resources to build the right processes for maximal cost-effective resource utilization. Future solutions will have to address these challenges.
  • #95 WHO EMRO | Cataract | Health topics
    https://www.emro.who.int/health-topics/cataract/
    Cataract is responsible for over 51% of blindness in the Eastern Mediterranean Region. […] Although cataract can be easily surgically operated, in many countries access to eye care is limited. […] As people in the world live longer, the number of people with cataract is anticipated to grow. […] The WHO prevention of blindness programme provides technical support to Member States in the development of comprehensive eye care systems to address the burden of cataract.
  • #96 JMIR Public Health and Surveillance – Changing Trends in the Global Burden of Cataract Over the Past 30 Years: Retrospective Data Analysis of the Global Burden of Disease Study 2019
    https://publichealth.jmir.org/2023/1/e47349
    A trend analysis of the Global Burden of Disease (GBD) Study 2019 data showed that the global burden of visual impairment due to cataracts exhibited a substantial increase, with the prevalence rate rising by 58.45% and the DALY rate increasing by 32.18% over the past 30 years. […] Our findings showed that over the last 3 decades, higher DALY rates were also associated with lower SDI, HDI, national PM2.5, and ambient UVR. […] We predicted that, due to population growth and aging, the DALYs due to cataracts for both sexes are expected to continue to increase over the next 15 years. […] Effective global policies aimed at reducing the prevalence of these risk factors could play a critical role in mitigating the impact of cataract and reduce its burden.
  • #97
    https://www.who.int/news-room/fact-sheets/detail/blindness-and-visual-impairment
    Globally, the leading causes of vision impairment and blindness are: […] cataract […] In high income countries, diseases such as glaucoma and age-related macular degeneration are more common. […] Among this 1 billion people, the main conditions causing distance vision impairment or blindness are cataract (94 million) […] Spectacle correction for refractive error and surgery for cataract are among the most cost-effective of all health-care interventions. […] only 17% of people with vision impairment or blindness due to cataract have received access to quality surgery.
  • #98 Epidemiology, Pathophysiology, Causes, Morphology, and Visual Effects of Cataract | Ento Key
    https://entokey.com/epidemiology-pathophysiology-causes-morphology-and-visual-effects-of-cataract/
    Low-cost small-incision cataract surgery with lens implantation is a proven clinical strategy. The socioeconomic effect of cataract surgery is substantial. […] The cataract prevalence is influenced by the Cataract Surgical Rate (CSR or number of cataract surgeries performed per million people per year), which varies from less than 200 to over 6000 in different regions. […] So a high cataract prevalence rate in some developing countries is not for want of a clinical solution but partially due to ineffective implementation. […] To reduce cataract prevalence, the resource base (infrastructure, equipment, ophthalmologists, and other ophthalmic workers) must improve, as must management of the resources to build the right processes for maximal cost-effective resource utilization. Future solutions will have to address these challenges.
  • #99 Epidemiology of age-related cataract | Eye
    https://www.nature.com/articles/eye1999119
    To investigate the aetiology of cataract, it is necessary to measure both the type and severity of lens opacities, as well as the dose and duration of exposure to the putative risk factor. […] Our current understanding of the aetiology of cataract shows that by far the greatest effect is seen with increasing age. […] However, exposure to ultraviolet-B (UV-B) radiation, use of dietary antioxidant vitamins and the presence of diabetes, the occurrence of dehydration and severe diarrhoea and the use of therapeutic drugs such as steroids, and recreational drugs such as nicotine and alcohol, may be important risk factors. […] Until the results of the current studies of the effectiveness of antioxidant vitamin supplements become available, the only effective protective interventions to reduce the risk of cataract seem to be to reduce ocular exposure to UV-B radiation and to stop smoking.
  • #100 How climate change is damaging our vision | Knowable Magazine
    https://knowablemagazine.org/content/article/health-disease/2025/how-climate-change-threatens-eye-health
    One 2023 study of nearly 60,000 people in rmqi, in northwestern China, found that temperatures exceeding 28.7C just 83F increased the risk of conjunctivitis by roughly 16 percent compared to daily temperatures around 10.7C, or 51F. […] Reducing greenhouse gases and ozone-depleting chemicals, which increase UV exposure, are key to protecting eye health at a global level.