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Highlights • Of the 285 million people worldwide suffering from severe visual impairment and blindness, 65% of the visually impaired and 82% of the blind people are 50 years or older. • In all regions of the world women are in majority among the blind and visually impaired, even when adjusting for age. • Cataract is the major cause of blindess globally and the second most common cause of visual impairment. • Gender inequity in access to cataract surgery is a major reason for the female predominance among the blind and visually impaired.