期刊
BRITISH JOURNAL OF OPHTHALMOLOGY
卷 105, 期 1, 页码 32-36出版社
BMJ PUBLISHING GROUP
DOI: 10.1136/bjophthalmol-2019-315678
关键词
epidemiology; vision; public health
资金
- Wellcome Trust/DBT India Alliance Fellowship [IA/CPHE/14/1/501506]
- Hyderabad Eye Research Foundation (HERF), India
In 'homes for the aged' in Hyderabad, India, visual impairment is common among elderly residents, mainly due to cataract and uncorrected refractive error. Those aged 80 years and older, living in 'free' homes, and who were immobile/bedridden had significantly higher odds of visual impairment.
Background/Aim To investigate the prevalence, causes and risk factors of visual impairment (VI) among the elderly in 'home for the aged' in Hyderabad, India. Methods Individuals aged >= 60 years were recruited from 41 'homes for the aged'. All participants had complete eye examinations including presenting visual acuity, refraction, slit-lamp examination, intraocular pressure measurement and fundus imaging by trained clinicians. VI was defined as presenting visual acuity worse than 6/18 in the better eye. Multivariate logistic regression was used to determine the risk factors associated with VI. Results 1512 elderly residents from 41 homes for the aged were enumerated, of whom 1182 (78.1%) were examined. The mean age of examined participants was 75.0 years (SD 8.8 years; range: 60-108 years); 35.4% of those examined were men. The prevalence of VI was 30.1% (95% CI 27.5 to 32.8). The leading cause of VI was cataract (46.3%, n=165), followed by uncorrected refractive error (27.0%, n=96), posterior capsular opacification (14.9%, n=53) and posterior segment disease (6.5%, n=23). Overall, 88.2% of the VI was either treatable or correctable. In multiple logistic regression, those aged 80 years and older (OR: 1.7, p<0.01), living in 'free' homes (OR: 1.5, p<0.01) and who were immobile/bedridden (OR: 3.02, p<0.01) had significantly higher odds of VI. Gender was not associated with VI. Conclusions VI was common and largely avoidable in residents of 'homes for the aged' in Hyderabad, India. Screening for vision loss in 'homes for aged' and the provision of appropriate services should become routine practice to achieve the goal of healthy ageing in India.
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