Bulletin of the World Health Organization

Global cost of correcting vision impairment from uncorrected refractive error

TR Fricke, BA Holden, DA Wilson, G Schlenther, KS Naidoo, S Resnikoff & KD Frick

Volume 90, Number 10, October 2012, 728-738

Table 3. Distance and near vision impairment due to uncorrected refractive error (URE) and number of functional clinical refractionists,a worldwide, 2006–2010

WHO region and subregionb Population (millions) Estimated no. of people aged over 5 years with distance vision impairment due to URE (thousands) Estimated no. of people aged over 5 years with near vision impairment due to URE (thousands) Estimated total no. of cases of vision impairment due to UREc (thousands) No. of existing functional clinical refractionists No. of additional functional clinical refractionists required
African Region
D 346 2 976 29 272 32 248 2 605 4 348
E 408 3 326 34 892 38 218 2 380 5 790
Total 754 6 301 64 165 70 466 4 985 10 138
Region of the Americas
A 346 6 278 18 681 24 959 18 901 0
B 474 6 504 51 241 57 745 5 565 4 906
D 79 1 018 6 732 7 750 442 1 131
Total 898 13 800 76 654 90 454 24 908 6 038
Eastern Mediterranean Region
B 151 1 631 12 615 14 246 4 949 516
D 409 4 220 32 607 36 827 4 164 4 024
Total 561 5 852 45 222 51 074 9 113 4 540
European Region
A 423 8 338 6 106 14 444 43 307 16
B 216 3 049 17 222 20 271 4 653 776
C 230 3 702 4 510 8 211 3 610 1 314
Total 868 15 088 27 838 42 926 51 570 2 106
South-East Asia Region
B 321 4 863 30 411 35 274 2 246 4 168
D 1 383 49 684 111 219 160 903 10 169 17 483
Total 1 703 54 547 141 630 196 178 12 415 21 651
Western Pacific Region
A 157 1 415 6 756 8 171 19 849 0
B 1 604 60 482 176 553 237 035 37 707 1 560
Total 1 761 61 897 183 309 245 206 57 556 1 560
Unassigned 57 607 5 636 6 243 6 515 171
Global total 6 602 158 092 544 454 702 546 167 013 46 204

WHO, World Health Organization.

a A functional clinical refractionist is a person who spends 100% of his or her clinical time providing refraction services.

b World Health Organization subregion categories: A: very low child mortality and very low adult mortality; B: low child mortality and low adult mortality; C: low child mortality and high adult mortality; D: high child mortality and high adult mortality; and E: high child mortality and very high adult mortality.

c The number of cases is reported, as some individuals had both distance and near vision impairment due to URE.