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Br J Ophthalmol 85:897-903 doi:10.1136/bjo.85.8.897
  • World view

Blindness in Africa: present situation and future needs

Table 1

Prevalence and causes of blindness and low vision

Country (reference) Prevalence of blindness and/or [low vision] Age group examined Proportion of bilateral blindness [low vision] due to:
Cataract Trachoma Glaucoma Cornea
Benin (1) 0.6 (0.4–0.9)
[2.6 (2.1–3.1)]
All 54 [63] [4] 15 [3.4] 11
Cameroon (2) 1.2 6+ 55 7.4 12
Central African Republic (3) 2.2 (1.83–2.57)
[3.0 (2.53–3.38)]
All 16.4 [54] 4.5 [1.7] 2.2 [0]
Congo (4) 0.3 [2.1] All 81 [80] 9 [3.4]
Ethiopia (5) 1.83 7+ years
Ethiopia (6) 0.85 (0.63–1.07)
[1.7 (1.4–1.9)]
All 47.7 20.6 9.5
Ethiopia (7) 1.9 (1.1–2.9) All 47 26
The Gambia (8) 0.7 [1.4] All 45 [57] 17 2 20 [13]
Ghana (9) 1.7 (1.1–2.5) 30+ years 62.5 [51.5] 0 [0] 0 [0] 8.2 [10.3]
Kenya (10) 0.7 [2.5] All 38 (39) 18.7 (12.9) 8.6
Malawi (11) 1.27 (0.76–1.96) [2.0] 6+ years 40 [58] 15 [3.2] 30 [6.5]
Mali (12) 1.7 [1.7] All 68.7 [63.3] 12.1 8.1
Niger (13) 1.67 All 59 2.4
Nigeria (14) 11.8 [16.1] All
Nigeria (15) 0.33 (0.06–0.6) [1.08] All 70.6 [82] 17.6 [4.4]
Nigeria (16) 0.9 (0.84–0.96) All 48 11
South Africa (17) 1.0 (0.7–1.2)
[1.4 (1.1–1.7)]
All 59 [68.2] 23 [4.7]
South Africa (18) 0.57 (0.46–0.68) All 55 10 6
Sudan (19) 6.4 [4.7] All
Tanzania (20) 1.26 (0.8–1.89) [1.04] 7+ years 22 [31] 26 [15.8] 17.4 17.4 [15.9]
Togo (21) 0.82 All 39–70 0.9–10.7 3.6–7.6
Zambia (22) 3.6 [12.1] 6+ years [54] [24]
  • Blindness is defined as <3/60 by all surveys except Sudan, where blindness is <6/60. Low vision is <6/18, ⩾3/60 except for the following: Sudan <6/18, ⩾6/60; Benin <6/60, ⩾3/60 (95% confidence intervals, when provided).

  • These might have included some blindness from trachoma.

  • Causes of blindness include blindness and low vision combined.

  • Survey was in an onchocerciasis endemic region where onchocerciasis accounted for 73% of blindness.

  • This includes phthisis bulbi.

  • At the time of this survey this region was known for vitamin A deficiency.

  • Survey in an onchocerciasis endemic region.

  • Survey covered four separate regions in which the causes of blindness varied. Prevalence is for all regions combined.

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