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Review
. 2017 Jul;28(4):299-304.
doi: 10.1097/ICU.0000000000000376.

Refractive error in underserved adults: causes and potential solutions

V Swetha E Jeganathan  1 , Alan L Robin, Maria A Woodward
Affiliations
Review

Refractive error in underserved adults: causes and potential solutions

V Swetha E Jeganathan et al. Curr Opin Ophthalmol. 2017 Jul.

Abstract

Purpose of review: To evaluate the epidemiology of uncorrected refractive errors (URE) in adults both in the United States and globally, health outcomes impacted by URE, common barriers to treatment, and propose potential interventions.

Recent fndings: URE is the main cause of visual impairment and the second leading cause of blindness globally. Rates of URE are rising, and cause disability that reduces productivity, economic earnings, and the quality of life of affected individuals. Economic barriers, healthcare access, and sociocultural constraints are among the most fundamental barriers to correcting URE. However, innovative approaches are poised to lower rates of URE.

Summary: URE is a leading cause of preventable visual impairment with serious health consequences. Numerous social and financial barriers are associated with the high prevalence of URE in low-income adults. Novel delivery programs for eyeglasses and programs to provide refractive surgery to correct refractive error could decrease rates of URE.

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Conflict of interest statement

Conflicts of Interest: Scientific Advisory Board Aerie, Scientific Advisory Board DSM, Board of Directors Novaliq, Consultant Superior Vision (ALR). These are all outside the submitted work. No conflicting relationship exists for the other authors.

References

    1. Naidoo KS, Leasher J, Bourne RR, Flaxman SR, Jonas JB, Keeffe J, et al. Global Vision Impairment and Blindness Due to Uncorrected Refractive Error, 1990–2010. Optom Vis Sci. 2016;93(3):227–34. This systematic review estimated the number of people with moderate to severe VI and blindness worldwide due to URE. - PubMed
    1. Varma R, Vajaranant TS, Burkemper B, Wu S, Torres M, Hsu C, et al. Visual Impairment and Blindness in Adults in the United States: Demographic and Geographic Variations From 2015 to 2050. JAMA Ophthalmol. 2016;134(7):802–9. The study evaluated the demographic and geographic variations in VI and blindness in US adults in 2015 and estimated the projected prevalence in 2050. - PMC - PubMed
    1. Lou L, Yao C, Jin Y, Perez V, Ye J. Global Patterns in Health Burden of Uncorrected Refractive Error. Invest Ophthalmol Vis Sci. 2016;57(14):6271–7. The study examined the global burden of URE by socioeconomic status using disability-adjusted life years. - PubMed
    1. Ma Y, Qu X, Zhu X, Xu X, Zhu J, Sankaridurg P, et al. Age-Specific Prevalence of Visual Impairment and Refractive Error in Children Aged 3–10 Years in Shanghai, China. Invest Ophthalmol Vis Sci. 2016;57(14):6188–96. - PubMed
    1. Zebardast N, Friedman DS, Vitale S. The Prevalence and Demographic Associations of Presenting Near-Vision Impairment Among Adults Living in the United States. Am J Ophthalmol. 2017;174:134–44. The study showed demographic factors and access to eye care influenced near VI and utilization of near-vision correction in the US. - PMC - PubMed