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ARTICLE |

Who Develops Cataracts? FREE

Sheila K. West, PhD
Arch Ophthalmol. 1991;109(2):196-198. doi:10.1001/archopht.1991.01080020042038
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Over 50% of the world's blind population is blind due to cataract, making it the single leading cause of blindness.1 The medical and social costs of cataractous blindness fall disproportionately on less developed countries such as India, where it is estimated that cataracts are three times more common and develop earlier in life than in the United States.2,3 Discussions of approaches to the cataract conundrum usually have a surgical framework; considerable debate has arisen over methods of providing acceptable and effective cataract surgery to those in most need in both the United States and abroad.4

See also pp 244,252, and 256.

Preventive ophthalmology offers another approach to the cataract problem by seeking to identify factors that might modify the onset or progression of cataracts. If a factor could be found that simply delayed the onset of cataract by 10 years, the number of cataract operations would decline

REFERENCES

World Health Organization Programme Advisory Group. Report of the Eighth Meeting of the WHO Programme Advisory Group on the Prevention of Blindness . Geneva, Switzerland: World Health Organization; 1989;. WHO publication 89.17.
Chatterjee A, Milton RC, Thyle S.  Prevalence and aetiology of cataract in Punjab . Br J Ophthalmol . 1982;;66:35-42.
McLaren DS. Malnutrition and the Eye . Orlando, Fla: Academic Press Inc; 1963;:305-310.
Taylor HR, Sommer A.  Cataract surgery: a global perspective . Arch Ophthalmol . 1990;;108:797-798.
Kupfer C.  The conquest of cataract: a global challenge . Trans Ophthalmol Soc UK . 1985;;104:1-10.
Leske MC, Chylack LT Jr, Wu S-Y.  The lens opacities casecontrol study: risk factors for cataract . Arch Ophthalmol . 1991;;109:244-251.
Dolezal JM, Perkins ES, Wallace RB.  Sunlight, skin sensitivity, and cataract . Am J Epidemiol . 1989;;129:559-568.
Bochow TW, West SK, Azar A, Mouqoz B, Sommer A, Taylor HR.  Ultraviolet light exposure and risk of posterior subcapsular cataracts . Arch Ophthalmol . 1989;;107:369-372.
West SK, Rosenthal F, Newland HS, Taylor HR.  Use of photographic techniques to grade nuclear cataracts . Invest Ophthalmol Vis Sci . 1988;;29:73-77.
West SK, Taylor HR, Newland HS.  Evaluation of photographic method of grading lens opacities for epidemiological research . Invest Ophthalmol Vis Sci . 1986;;27( (suppl) ):44.
Klein BEK, Klein R, Linton KLP.  Assessment of nuclear sclerotic cataract in the Beaver Dam eye study . Invest Ophthalmol Vis Sci . 1990;;31( (suppl) ):373.
Linton KLP, Klein BEK, Klein R.  Assessment of cortical opacities from photographs . Invest Ophthalmol Vis Sci . 1990;;31( (suppl) ):235.
Chylack LT Jr, Leske MC, Sperduto R, Khu P, McCarthy D, LOCS Research Group.  Lens opacities classification system . Arch Ophthalmol . 1988;;106:330-334.
Taylor HR, West SK, Rosenthal FS, et al.  Effect of ultraviolet radiation on cataract formation . N Engl J Med . 1988;;319:1429-1433.
West SK, Muqoz B, Emmett EA, Taylor HR.  Cigarette smoking and risk of nuclear cataracts . Arch Ophthalmol . 1989;;107:1166-1169.
Flaye DE, Sullivan KN, Cullinan TR, Silver JH, Whitelocke RAF.  Cataracts and cigarette smoking: the City Eye Study . Eye . 1989;;3:379-384.
Minassian DC, Mehra V, Jones BR.  Dehydrational crisis from severe diarrhoea of heatstroke and risk of cataract . Lancet . 1984;;1:751-753.
Mohan M, Sperduto RD, Angra SK, et al.  India-US casecontrol study of age-related cataracts . Arch Ophthalmol . 1989;;107:670-676.
Khan MU, Khan MR, Sheikh AK.  Dehydrating diarrhoea and cataract in rural Bangladesh . Indian J Med Res . 1987;;85:311-315.
Bunce GE, Kinoshita J, Horwitz JH.  Nutritional factors in cataract . Ann Rev Nutr . 1990;;10:233-254.
Jacques PF, Hartz SC, Chylack LT, McGandy RB, Sadowski JA.  Nutritional status in persons with and without senile cataract: food vitamin and mineral levels . Am J Clin Nutr . 1988;;48:152-158.
Jacques PF, Chylack LT, McGandy RB, Hartz SC.  Antioxidant status in persons with and without senile cataract . Arch Ophthalmol . 1988;;108:337-340.
Nutrition Monitoring in the United States: An Update Report on Nutrition Monitoring . Washington, DC: US Department of Health and Human Services, Public Health Service; 1989;:56-57. DHHS publication 9PHS 89-1255.
Sperduto RD, Ferris FL III, Kurinij N.  Do we have a nutritional treatment for age-related cataract or macular degeneration? Arch Ophthalmol . 1990;;108:1403-1405.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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World Health Organization Programme Advisory Group. Report of the Eighth Meeting of the WHO Programme Advisory Group on the Prevention of Blindness . Geneva, Switzerland: World Health Organization; 1989;. WHO publication 89.17.
Chatterjee A, Milton RC, Thyle S.  Prevalence and aetiology of cataract in Punjab . Br J Ophthalmol . 1982;;66:35-42.
McLaren DS. Malnutrition and the Eye . Orlando, Fla: Academic Press Inc; 1963;:305-310.
Taylor HR, Sommer A.  Cataract surgery: a global perspective . Arch Ophthalmol . 1990;;108:797-798.
Kupfer C.  The conquest of cataract: a global challenge . Trans Ophthalmol Soc UK . 1985;;104:1-10.
Leske MC, Chylack LT Jr, Wu S-Y.  The lens opacities casecontrol study: risk factors for cataract . Arch Ophthalmol . 1991;;109:244-251.
Dolezal JM, Perkins ES, Wallace RB.  Sunlight, skin sensitivity, and cataract . Am J Epidemiol . 1989;;129:559-568.
Bochow TW, West SK, Azar A, Mouqoz B, Sommer A, Taylor HR.  Ultraviolet light exposure and risk of posterior subcapsular cataracts . Arch Ophthalmol . 1989;;107:369-372.
West SK, Rosenthal F, Newland HS, Taylor HR.  Use of photographic techniques to grade nuclear cataracts . Invest Ophthalmol Vis Sci . 1988;;29:73-77.
West SK, Taylor HR, Newland HS.  Evaluation of photographic method of grading lens opacities for epidemiological research . Invest Ophthalmol Vis Sci . 1986;;27( (suppl) ):44.
Klein BEK, Klein R, Linton KLP.  Assessment of nuclear sclerotic cataract in the Beaver Dam eye study . Invest Ophthalmol Vis Sci . 1990;;31( (suppl) ):373.
Linton KLP, Klein BEK, Klein R.  Assessment of cortical opacities from photographs . Invest Ophthalmol Vis Sci . 1990;;31( (suppl) ):235.
Chylack LT Jr, Leske MC, Sperduto R, Khu P, McCarthy D, LOCS Research Group.  Lens opacities classification system . Arch Ophthalmol . 1988;;106:330-334.
Taylor HR, West SK, Rosenthal FS, et al.  Effect of ultraviolet radiation on cataract formation . N Engl J Med . 1988;;319:1429-1433.
West SK, Muqoz B, Emmett EA, Taylor HR.  Cigarette smoking and risk of nuclear cataracts . Arch Ophthalmol . 1989;;107:1166-1169.
Flaye DE, Sullivan KN, Cullinan TR, Silver JH, Whitelocke RAF.  Cataracts and cigarette smoking: the City Eye Study . Eye . 1989;;3:379-384.
Minassian DC, Mehra V, Jones BR.  Dehydrational crisis from severe diarrhoea of heatstroke and risk of cataract . Lancet . 1984;;1:751-753.
Mohan M, Sperduto RD, Angra SK, et al.  India-US casecontrol study of age-related cataracts . Arch Ophthalmol . 1989;;107:670-676.
Khan MU, Khan MR, Sheikh AK.  Dehydrating diarrhoea and cataract in rural Bangladesh . Indian J Med Res . 1987;;85:311-315.
Bunce GE, Kinoshita J, Horwitz JH.  Nutritional factors in cataract . Ann Rev Nutr . 1990;;10:233-254.
Jacques PF, Hartz SC, Chylack LT, McGandy RB, Sadowski JA.  Nutritional status in persons with and without senile cataract: food vitamin and mineral levels . Am J Clin Nutr . 1988;;48:152-158.
Jacques PF, Chylack LT, McGandy RB, Hartz SC.  Antioxidant status in persons with and without senile cataract . Arch Ophthalmol . 1988;;108:337-340.
Nutrition Monitoring in the United States: An Update Report on Nutrition Monitoring . Washington, DC: US Department of Health and Human Services, Public Health Service; 1989;:56-57. DHHS publication 9PHS 89-1255.
Sperduto RD, Ferris FL III, Kurinij N.  Do we have a nutritional treatment for age-related cataract or macular degeneration? Arch Ophthalmol . 1990;;108:1403-1405.

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