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Refractive error in underserved adults: causes and potential solutions.

V Swetha E Jeganathan1, Alan L Robin, Maria A Woodward

  • 1aDepartment of Ophthalmology, Kellogg Eye Center, Michigan Medicine, Ann Arbor bDepartment of Ophthalmology and International Health, Johns Hopkins University, Baltimore cInstitute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, USA.

Current Opinion in Ophthalmology
|April 6, 2017
PubMed
Summary
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Uncorrected refractive errors (URE) are a major cause of preventable vision loss globally, impacting quality of life and productivity. Innovative interventions and improved access to corrective treatments are crucial to reduce URE rates.

Area of Science:

  • Ophthalmology
  • Public Health
  • Epidemiology

Background:

  • Uncorrected refractive errors (URE) represent a significant global health challenge.
  • URE is a primary cause of visual impairment and a leading cause of blindness worldwide.
  • The prevalence of URE is increasing, leading to substantial disability.

Purpose of the Study:

  • To examine the epidemiology of URE in adults in the US and globally.
  • To identify health outcomes associated with URE.
  • To explore barriers to URE treatment and propose interventions.

Main Methods:

  • This review synthesizes current epidemiological data on URE.
  • It analyzes the impact of URE on individual and societal well-being.
  • Barriers to treatment and potential solutions are discussed.

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Main Results:

  • URE is the leading cause of visual impairment and second leading cause of blindness globally.
  • Rising URE rates contribute to reduced productivity, economic earnings, and quality of life.
  • Key barriers include economic constraints, limited healthcare access, and sociocultural factors.

Conclusions:

  • URE is a preventable cause of vision impairment with severe health implications.
  • Social and financial barriers disproportionately affect low-income populations with URE.
  • Novel eyeglasses delivery and refractive surgery programs show promise in reducing URE prevalence.