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

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dc.citation.issue3
dc.citation.volume80
dc.contributor.authorCypel, Marcela Colussi [UNIFESP]
dc.contributor.authorSalomao, Solange Rios [UNIFESP]
dc.contributor.authorCorrea Dantas, Paulo Elias
dc.contributor.authorLottenberg, Claudio Luiz
dc.contributor.authorKasahara, Niro
dc.contributor.authorRamos, Luiz Roberto [UNIFESP]
dc.contributor.authorBelfort, Rubens, Jr. [UNIFESP]
dc.coverageSao Paulo
dc.date.accessioned2020-07-13T11:53:16Z
dc.date.available2020-07-13T11:53:16Z
dc.date.issued2017
dc.description.abstractPurpose: 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.en
dc.description.affiliationUniv Fed Sao Paulo, EPM, Dept Ophthalmol & Visual Sci, UNIFESP, Sao Paulo, SP, Brazil
dc.description.affiliationSanta Casa Sao Paulo, Dept Ophthalmol, Sao Paulo, SP, Brazil
dc.description.affiliationHosp Israelita Albert Einstein, Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo, UNIFESP, Dept Med Prevent, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, EPM, Dept Ophthalmol & Visual Sci, UNIFESP, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, UNIFESP, Dept Med Prevent, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipCAPES (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
dc.format.extent159-164
dc.identifierhttps://www.scielo.br/scielo.php?pid=S0004-27492017000300159&script=sci_arttext
dc.identifier.citationArquivos Brasileiros De Oftalmologia. Sao Paulo, v. 80, n. 3, p. 159-164, 2017.
dc.identifier.doi10.5935/0004-2749.20170039
dc.identifier.fileS0004-27492017000300159.pdf
dc.identifier.issn0004-2749
dc.identifier.scieloS0004-27492017000300159.pdf
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54505
dc.identifier.wosWOS:000408254100005
dc.language.isoeng
dc.publisherConsel Brasil Oftalmologia
dc.relation.ispartofArquivos Brasileiros De Oftalmologia
dc.rightsAcesso aberto
dc.subjectAgingen
dc.subjectVision disorders/diagnosisen
dc.subjectGeriatric assessmenten
dc.subjectBlindnessen
dc.subjectVision, lowen
dc.subjectQuality of lifeen
dc.subjectSurveys and questionnairesen
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.titleVision status, ophthalmic assessment, and quality of life in the very olden
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