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A comparison of the causes of blindness certifications in England and Wales in working age adults (16–64 years), 1999–2000 with 2009–2010

BMJ Open · 2014 · Vol. 4(2) · pp. e004015–e004015
Gerald LiewMichel MichaelidesCatey Bunce

Abstract

For the first time in at least five decades, diabetic retinopathy/maculopathy is no longer the leading cause of certifiable blindness among working age adults in England and Wales, having been overtaken by inherited retinal disorders. This change may be related to factors including the introduction of nationwide diabetic retinopathy screening programmes in England and Wales and improved glycaemic control. Inherited retinal disease, now representing the commonest cause of certification in the working age population, has clinical and research implications, including with respect to the provision of care/resources in the NHS and the allocation of research funding.

Healthcare Policy and ManagementMedical Coding and Health InformationGlobal Health Care IssuesMedicineCertificationBlindnessGerontologyOptometryFamily medicineNew englandEpidemiologyPediatricsManagement

MeSH terms

AdolescentAdultBlindnessEnglandFemaleHumansMaleMiddle AgedState MedicineWalesPersons with Visual DisabilitiesVisually Impaired Persons

Funding

  • NIHR Biomedical Research Centre, Royal Marsden NHS Foundation Trust/Institute of Cancer Research
  • National Institute for Health and Care Research
  • Moorfields Eye Hospital NHS Foundation Trust
  • Medical Research Council
  • National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology
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A comparison of the causes of blindness certifications in England and Wales in working age adults (16–64 years), 1999–2000 with 2009–2010 · Scinovex