The Asia-Pacific Journal of Ophthalmology

Asia-Pacific Journal of Ophthalmology:

Issue 6, November/December 2018 Review Article

Impact of Presbyopia and Its Correction in Low- and Middle-Income Countries

Chan, Ving Fai; MacKenzie, Graeme E.; Kassalow, Jordan; Gudwin, Ella; Congdon, Nathan

Author Information

From the *Brien Holden Vision Institute, Durban, South Africa; †Riemann Ltd, Clearly, London, United Kingdom; ‡VisionSpring, New York, New York; §EYElliance, New York, New York; ¶Queen’s University Belfast, Centre for Public Health, Belfast, United Kingdom; ǁOrbis International, New York, New York and; **Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.

Reprints: Ving Fai Chan, 12, Nuwestraat, Prince Albert, South Africa, 6930. 


Presbyopia affects more than 1 billion people worldwide, and the number is growing rapidly due to the aging global population. Uncorrected presbyopia is the world’s leading cause of vision impairment, and as with other causes. The burden falls unfairly on low- and middle-income countries (LMICs), in which rates of presbyopic correction are as low as 10%. The importance of presbyopia as a cause of vision impairment is further underscored by the fact that it strikes at the heart of the productive working years, although it can be safely and effectively treated with a pair of inexpensive glasses. To galvanize action for programs to address uncorrected presbyopia in the workplace and beyond LMICs, it is crucial to build a solid evidence base detailing the impact of presbyopia and its correction in important areas such as work productivity, activities of daily living, visual function, and quality of life. The aim of this review was to provide an up-to-date reference for program planners and policymakers seeking to build support for programs of presbyopia correction, particularly in low-resource settings.

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