The Differential Burden of Blindness in the United States

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Abstract
IN a series of papers from the Baltimore Eye Survey, Sommer and colleagues have confirmed that the leading causes of blindness in the United States are cataract, primary open-angle glaucoma, and age-related macular degeneration.1 2 3 4 5 The results show differences in the race-specific rates of blindness that raise fundamental questions about the U.S. system of medical eye care and its availability to black Americans. In their population-based survey, age-adjusted rates of bilateral blindness were 1.75 percent among blacks and 0.76 percent among whites.2 In a study in this issue of the Journal, Sommer et al. report that among those under the . . .

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