Table 1

Published estimates of cost of blindness in AMD and diabetic retinopathy

Study (ref)Place and date of cost estimateCategory and conditionOriginal estimateInflated to December 2002Factors included in estimate
*Using average 1999/2000 exchange rates, †converted to 2002 using retail prices index, ‡date of cost estimate uncertain in text.
Foulds et al,1983 (12)Scotland 1981Adult£3575£7433*Staffing costs of blind welfare service, state benefits
ScHARR, 2001 (9)UK 2000‡Older person with AMD, transition cost£153£159*Registration, social services at home assessment, low vision aids
£0–£194£0–£201*
Annual ongoing costs£343£356*Attendance allowance, residential care
£33–£1593£34–£1651*†
Smith et al, 2001 (11)UK 2000‡Older person with AMD£722–£2519£748–£2611*†Visual aids, optician visit, sensory disabilities team visit, social security payment, residential care
Chiang et al, 1992 (5)USA 1990Child 3–5 yearsUS$2187£1688*†Income assistance programmes, health insurance programs (Medicare, Medicaid), tax losses from reduced potential earnings, food stamps, special education programmes
Child 6–21 yearsUS$1778£1373*†
Adult 21–64 yearsUS$11896£9184*†
Retired 65+US$32£24*†
Dasbach et al, 1991 (13)USA 1985‡Adult with diabetic retinopathyUS$5100£5391*†Home visits by either a public health nurse, occupational therapist and/or vocational/rehabilitation counsellor
Wright et al, 2000 (8)Australia 1999Child <16 yearsAus$15948 ($5106–$23798)£6714*† (£2150–£9987)Subsidies and concessions linked to the Age Pension (Blind), Disability Support Pension (Blind) or Carer Allowance, pharmaceutical benefits, rent assistance, employment entry assistance, free postage, transport concessions, tax subsidies, household concessions such as reduced electricity and gas payments, occupational therapy, low vision clinics and devices, day centre use, visiting teacher services
Adult >21 years with diabetic retinopathyAus$17701 ($9669–$26720)£7452*† (£4070–£11250)
Retired (M >65, F >62) with AMDAus$14686 ($9749–$22507)£6183*† (£4104–£9476)
Greiner, 2001 (10)Switzerland, 1998Older person with AMDCHF2303 (good vision)£1042*†Optical and non-optical aids, services provided by district nurses and health visitors, low vision rehabilitation, institutional homes for the elderly or blind
CHF4893 (impaired vision)£2213*†
CHF13098 (highly impaired vision)£5924*†