Vision status, ophthalmic assessment, and quality of life in the very old

Vision status, ophthalmic assessment, and quality of life in the very old

Author Cypel, Marcela Colussi Autor UNIFESP Google Scholar
Salomao, Solange Rios Autor UNIFESP Google Scholar
Correa Dantas, Paulo Elias Google Scholar
Lottenberg, Claudio Luiz Google Scholar
Kasahara, Niro Google Scholar
Ramos, Luiz Roberto Autor UNIFESP Google Scholar
Belfort, Rubens, Jr. Autor UNIFESP Google Scholar
Abstract Purpose: To determine the vision status, ophthalmic findings, and quality of life among the very elderly. Methods: This was a cross-sectional observational study of individuals aged 80 years and above. A comprehensive ophthalmic exam was performed with mea-surement of both the presenting (PVA) and best-corrected visual acuity. The Quality of Life Short Form-36 (SF-36) and the Visual Function Questionnaire (VFQ-25) were also administered. Results: A total of 150 non-institutionalized participants were assigned to three age groups: 80-89 years (n = 70), 90-99 years (n = 50), and 100 years and older (n= 30). PVA and best-corrected visual acuity were normal (>= 20/30) in 20 (13.3%) and 37 participants (24.7%), respectively. Regarding PVA, mild visual impairment (<20/30 to >= 20/60) was found in in 53 (35.4%), moderate visual impairment (<20/60 to >= 20/200) in 50 (33.3%), severe visual impairment (<20/200 to >= 20/400) in 8 (5.3%), and blindness (<20/400) in 19 (12.7%) participants. Regarding best-corrected visual acuity, mild, moderate, and severe visual impairments were present in 55 (36.7%), 38 (25.3%), and 5 (3.3%) participants, respectively, and blindness was present in 15 (10%). The main causes of visual impairment/blindness were cataract (43.8%), refractive errors (21.5%), age-related macular degeneration (17.7%), and myopic degeneration (3.8%). SF-36 scores were worse in those with low visual acuity, while VFQ-25 domain scores were poorer in those with vision impairment/blindness. Conclusion: Vision impairment and blindness was present in three-quarters of this sample, but it was notable that adequate correction with spectacles improved visual acuity. This reinforces the need for regular ophthalmic care in elderly patients to improve their quality of life by optimizing vision.
Keywords Aging
Vision disorders/diagnosis
Geriatric assessment
Vision, low
Quality of life
Surveys and questionnaires
Aged, 80 and over
xmlui.dri2xhtml.METS-1.0.item-coverage Sao Paulo
Language English
Sponsor CAPES (Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior) at Departamento de Oftalmologia, Escola Paulista de Medicina, Universidade Federal de Sao Paulo, Sao Paulo, SP, Brasil
Date 2017
Published in Arquivos Brasileiros De Oftalmologia. Sao Paulo, v. 80, n. 3, p. 159-164, 2017.
ISSN 0004-2749 (Sherpa/Romeo, impact factor)
Publisher Consel Brasil Oftalmologia
Extent 159-164
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000408254100005
SciELO ID S0004-27492017000300159.pdf (statistics in SciELO)

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