Leading causes of certifiable visual loss in England and Wales during the year ending 31 March 2013.


Quartilho, A; Simkiss, P; Zekite, A; Xing, W; Wormald, R; Bunce, C; (2016) Leading causes of certifiable visual loss in England and Wales during the year ending 31 March 2013. Eye (London, England). ISSN 0950-222X DOI: 10.1038/eye.2015.288

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Abstract

PurposeThe last article on causes of sight impairment (SI) in England and Wales was for April 2007-March 2008. This report updates these figures for April 2012-March 2013.MethodsIn England and Wales, registration for SI is initiated by completion of a certificate of vision impairment (CVI). The main cause of visual impairment was ascertained for certificates completed April 2012-March 2013. A proportional comparison against April 2007-March 2008 was made.ResultsWe received 24 009 CVIs of which 10 410 were for severe sight impairment (SSI) and 13 129 were for SI. These numbers were slightly higher than those observed in April 2007-March 2008 (9823 SSI; 12 607 SI). The ratio SI:SSI has remained static with 55% of all certifications being SI. The proportion of certificates without a single main cause has fallen slightly (16.6 to 14%). The proportion of certificates with a main cause of degeneration of the macula and posterior pole (mostly age-related macular degeneration (AMD)) decreased from 58.6 to 50% SSI and from 57.2 to 52.5% SI. Glaucoma remains the second most common cause (11% SSI; 7.6% SI) but hereditary retinal disorders overtook diabetes as third leading cause of SSI.ConclusionAMD is still by far the leading cause of certifications for sight impairment in England and Wales (both SI and SSI). Proportionate changes have been observed since 2008, but it is important to note that a proportionate increase in one condition will impact on others.Eye advance online publication, 29 January 2016; doi:10.1038/eye.2015.288.

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Research Centre: The International Centre for Evidence in Disability
International Centre for Eye Health
PubMed ID: 26821759
Web of Science ID: 374124600015
URI: http://researchonline.lshtm.ac.uk/id/eprint/2528741

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