Vision status, ophthalmic assessment, and quality of life in the very old
To determine the vision status, ophthalmic findings, and quality of life among the very elderly. 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 visu...
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| Veröffentlicht in: | Arquivos brasileiros de oftalmologia 2017-06, Vol.80 (3), p.159-164 |
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| container_title | Arquivos brasileiros de oftalmologia |
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| creator | Cypel, Marcela Colussi Salomão, Solange Rios Dantas, Paulo Elias Correa Lottenberg, Claudio Luiz Kasahara, Niro Ramos, Luiz Roberto Belfort, Jr, Rubens |
| description | To determine the vision status, ophthalmic findings, and quality of life among the very elderly.
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.
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 ( |
| doi_str_mv | 10.5935/0004-2749.20170039 |
| format | Article |
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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.
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.
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.</description><identifier>ISSN: 0004-2749</identifier><identifier>ISSN: 1678-2925</identifier><identifier>EISSN: 1678-2925</identifier><identifier>DOI: 10.5935/0004-2749.20170039</identifier><identifier>PMID: 28832732</identifier><language>eng</language><publisher>Brazil: Conselho Brasileiro de Oftalmologia</publisher><subject>Age Factors ; Aged, 80 and over ; Aging - physiology ; Brazil - epidemiology ; Cross-Sectional Studies ; Eye Diseases - epidemiology ; Eye Diseases - physiopathology ; Female ; Geriatric Assessment - methods ; Humans ; Male ; OPHTHALMOLOGY ; Prevalence ; Quality of Life ; Statistics, Nonparametric ; Surveys and Questionnaires ; Vision Disorders - epidemiology ; Vision Disorders - etiology ; Vision Disorders - physiopathology ; Visual Acuity - physiology</subject><ispartof>Arquivos brasileiros de oftalmologia, 2017-06, Vol.80 (3), p.159-164</ispartof><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-cfa73a227dbf6913697dee0bc5d044ee9ad390dc6587b133c4fbfe42ad6486103</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28832732$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cypel, Marcela Colussi</creatorcontrib><creatorcontrib>Salomão, Solange Rios</creatorcontrib><creatorcontrib>Dantas, Paulo Elias Correa</creatorcontrib><creatorcontrib>Lottenberg, Claudio Luiz</creatorcontrib><creatorcontrib>Kasahara, Niro</creatorcontrib><creatorcontrib>Ramos, Luiz Roberto</creatorcontrib><creatorcontrib>Belfort, Jr, Rubens</creatorcontrib><title>Vision status, ophthalmic assessment, and quality of life in the very old</title><title>Arquivos brasileiros de oftalmologia</title><addtitle>Arq Bras Oftalmol</addtitle><description>To determine the vision status, ophthalmic findings, and quality of life among the very elderly.
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.
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.
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.</description><subject>Age Factors</subject><subject>Aged, 80 and over</subject><subject>Aging - physiology</subject><subject>Brazil - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Eye Diseases - epidemiology</subject><subject>Eye Diseases - physiopathology</subject><subject>Female</subject><subject>Geriatric Assessment - methods</subject><subject>Humans</subject><subject>Male</subject><subject>OPHTHALMOLOGY</subject><subject>Prevalence</subject><subject>Quality of Life</subject><subject>Statistics, Nonparametric</subject><subject>Surveys and Questionnaires</subject><subject>Vision Disorders - epidemiology</subject><subject>Vision Disorders - etiology</subject><subject>Vision Disorders - physiopathology</subject><subject>Visual Acuity - physiology</subject><issn>0004-2749</issn><issn>1678-2925</issn><issn>1678-2925</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kMlqwzAQhkVpadK0L9BD0bGHOB1JtmwdS-gSCPTQ5SpkaUwUvCSWXcjb18FNTgPDv_B_hNwzWCRKJE8AEEc8jdWCA0sBhLogUybTLOKKJ5dkehZMyE0IWwAeK5VckwnPMsFTwadk9eODb2oaOtP1YU6b3abbmLLylpoQMIQK625OTe3ovjel7w60KWjpC6S-pt0G6S-2w690t-SqMGXAu_87I9-vL1_L92j98bZaPq8jKzLZRbYwqTCcpy4vpGJCqtQhQm4TB3GMqIwTCpyVSZbmTAgbF3mBMTdOxplkIGZkMeYG67Fs9Lbp23oo1J_Hufo4d8QBAoANoGbkcTTs2mbfY-h05YPFsjQ1Nn3QTAnOZAKZGKR8lNq2CaHFQu9aX5n2oBnoI3N97tAn5oPp4T-_zyt0Z8sJsvgDtTB5PQ</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Cypel, Marcela Colussi</creator><creator>Salomão, Solange Rios</creator><creator>Dantas, Paulo Elias Correa</creator><creator>Lottenberg, Claudio Luiz</creator><creator>Kasahara, Niro</creator><creator>Ramos, Luiz Roberto</creator><creator>Belfort, Jr, Rubens</creator><general>Conselho Brasileiro de Oftalmologia</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>GPN</scope></search><sort><creationdate>20170601</creationdate><title>Vision status, ophthalmic assessment, and quality of life in the very old</title><author>Cypel, Marcela Colussi ; Salomão, Solange Rios ; Dantas, Paulo Elias Correa ; Lottenberg, Claudio Luiz ; Kasahara, Niro ; Ramos, Luiz Roberto ; Belfort, Jr, Rubens</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-cfa73a227dbf6913697dee0bc5d044ee9ad390dc6587b133c4fbfe42ad6486103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Age Factors</topic><topic>Aged, 80 and over</topic><topic>Aging - physiology</topic><topic>Brazil - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Eye Diseases - epidemiology</topic><topic>Eye Diseases - physiopathology</topic><topic>Female</topic><topic>Geriatric Assessment - methods</topic><topic>Humans</topic><topic>Male</topic><topic>OPHTHALMOLOGY</topic><topic>Prevalence</topic><topic>Quality of Life</topic><topic>Statistics, Nonparametric</topic><topic>Surveys and Questionnaires</topic><topic>Vision Disorders - epidemiology</topic><topic>Vision Disorders - etiology</topic><topic>Vision Disorders - physiopathology</topic><topic>Visual Acuity - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cypel, Marcela Colussi</creatorcontrib><creatorcontrib>Salomão, Solange Rios</creatorcontrib><creatorcontrib>Dantas, Paulo Elias Correa</creatorcontrib><creatorcontrib>Lottenberg, Claudio Luiz</creatorcontrib><creatorcontrib>Kasahara, Niro</creatorcontrib><creatorcontrib>Ramos, Luiz Roberto</creatorcontrib><creatorcontrib>Belfort, Jr, Rubens</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SciELO</collection><jtitle>Arquivos brasileiros de oftalmologia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cypel, Marcela Colussi</au><au>Salomão, Solange Rios</au><au>Dantas, Paulo Elias Correa</au><au>Lottenberg, Claudio Luiz</au><au>Kasahara, Niro</au><au>Ramos, Luiz Roberto</au><au>Belfort, Jr, Rubens</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vision status, ophthalmic assessment, and quality of life in the very old</atitle><jtitle>Arquivos brasileiros de oftalmologia</jtitle><addtitle>Arq Bras Oftalmol</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>80</volume><issue>3</issue><spage>159</spage><epage>164</epage><pages>159-164</pages><issn>0004-2749</issn><issn>1678-2925</issn><eissn>1678-2925</eissn><abstract>To determine the vision status, ophthalmic findings, and quality of life among the very elderly.
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.
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.
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.</abstract><cop>Brazil</cop><pub>Conselho Brasileiro de Oftalmologia</pub><pmid>28832732</pmid><doi>10.5935/0004-2749.20170039</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Age Factors Aged, 80 and over Aging - physiology Brazil - epidemiology Cross-Sectional Studies Eye Diseases - epidemiology Eye Diseases - physiopathology Female Geriatric Assessment - methods Humans Male OPHTHALMOLOGY Prevalence Quality of Life Statistics, Nonparametric Surveys and Questionnaires Vision Disorders - epidemiology Vision Disorders - etiology Vision Disorders - physiopathology Visual Acuity - physiology |
| title | Vision status, ophthalmic assessment, and quality of life in the very old |
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