Near vision impairment among the elderly in residential care—the Hyderabad Ocular Morbidity in Elderly Study (HOMES)

Marmamula, Srinivas; Barrenkala, Navya Rekha; Khanna, Rohit C; Challa, Rajesh; Bhakki, Madhuri; Kumbham, Thirupathi Reddy; Modepalli, Satya Brahmanandam; Yellapragada, Ratnakar; Friedman, David S.

doi:10.1038/s41433-020-01243-w

Cited by 5 publications

(5 citation statements)

References 24 publications

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“…There was a significant correlation between education level and UNVA (18). With improvement in education level, the mean UNVA of participants gradually increased.…”

Section: Discussionmentioning

confidence: 82%

Uncorrected near vision acuity and associated factors in a coastal province in southern China: the Fujian eye cross sectional study

Qin

et al. 2022

Ann Transl Med

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Background: Near vision (NV) is essential to visual quality of individuals, and could be affected by different factors and changed gradually with the development of society. An update estimates is needed. Our study aims to investigate the age-trends in and sociodemographic characteristics associated with uncorrected near vision acuity (UNVA) in people ≥50 years in southern China. Methods: A population-based, cross-sectional survey on the eye health status of residents in both inland and coastal areas of Fujian Province, southern China was performed by Eye Institute and Affiliated Xiamen Eye Center of Xiamen University. People aged ≥50 years (10,044 subjects) in Fujian province were recruited according to the cluster sampling design by Fujian eye cross sectional study (FJES) group. The contents of the questionnaire survey included age, gender, education, occupation and other socioeconomic status.UNVA and slit lamp examination were performed for the participants in the field survey. Analysis of variance (ANOVA) was applied to compare the mean among groups of normally distributed parameters of UNVA and the chi-square (χ 2 ) test was used to compare the proportion.Results: Among the baseline participants, 8,211 (81.8%) attended follow-up examinations. The sample had a mean age of 64.4 years [standard deviation (SD) =8.9], and 4,836 of the participants were female (58.9%).The average UNVA values for males and females were 0.29±0.18 and 0.28±0.17, respectively (P=0.000).UNVA gradually decreased with age and plateaued between 65 and 80 years old. There were significant differences in the mean values of UNVA associated with different occupations (P=0.000). UNVA was significantly different among people with different education levels (P=0.000). The average UNVA in people in coastal areas was 0.28, while that in people in inland areas was 0.29 (P=0.006). People in urban areas appeared to have better UNVA on average (0.29) than those in rural areas (0.27; P=0.000).Conclusions: After age 50, NV was reduced gradually. Age, gender, education, occupation, income and geographical factors may affect the NV performance of adults, which should be taken into account to achieve a good management of vision quality.

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“…There was a significant correlation between education level and UNVA (18). With improvement in education level, the mean UNVA of participants gradually increased.…”

Section: Discussionmentioning

confidence: 82%

Uncorrected near vision acuity and associated factors in a coastal province in southern China: the Fujian eye cross sectional study

Qin

et al. 2022

Ann Transl Med

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“…[ 5 ] also reported a higher prevalence in Andhra Pradesh and Telangana. [ 9 20 21 22 ] The higher prevalence in these studies might be due to inclusion of age group more than 40 years where the prevalence is expected to be higher. Also, the higher prevalence was noted in the weaving community due to the nature of work they are involved in.…”

Section: Discussionmentioning

confidence: 95%

Prevalence of presbyopia, spectacles coverage and barriers for unmet need among adult population of rural Jhajjar, Haryana

Malhotra

Vashist

Kalaivani

et al. 2022

Journal of Family Medicine and Primary Care

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Background: Presbyopia is a major cause for near visual impairment among adults. Presbyopia induced visual impairment can be corrected easily by spectacles. We aimed to study the prevalence of presbyopia among adults aged ≥35 years and spectacles coverage among them. We also studied the unmet need for presbyopia along with the barriers to uptake of services. Methods: This is a population-based cross-sectional study conducted among adults aged ≥35 years in a rural district of Haryana. Near vision assessment and semistructured interview schedule were administered by a team of trained ophthalmic assistant, social worker and health assistant. Results: A total of 3832 adults aged ≥35 years were enumerated, from which 3246 (84.7%) were examined. Prevalence of presbyopia was found to be 42.9% (95% confidence interval 41.2–44.6). Participants with increasing age, literacy and women had higher prevalence, and those that were employed and belonged to below poverty line economic status had lower prevalence of presbyopia. Spectacles coverage among presbyopes was found to be 25.8%. There was an inverse association between unmet need for presbyopia and women, increasing education status and office work. Lack of felt need and personal reasons were the most common barriers for unmet need due to presbyopia. Conclusions: There is high prevalence of presbyopia among adult population, with spectacles coverage being low. Awareness activities along with affordable, accessible and socially acceptable services for those affected with presbyopia would be one of the key components of management.

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“…Earlier papers reported that reading was the most important leisure activity in this cohort. [ 11 ] Higher education could be a surrogate indicator of better socio-economic status and hence increased access and affordability for seeking services and spectacles. This is further corroborated by higher odds for spectacles use among those in private homes compared to those in subsidized and free homes, though this was not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

“…In earlier publications, a high prevalence of correctable vision impairment for distance and near vision, even among those who were using spectacles, was reported. [ 10 11 ] This suggests that a more frequent change of spectacles is required in this age group. The present study reported that over 70% of the elderly had spectacles that were procured more than a year ago.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence, pattern, and compliance with spectacles use among the elderly in homes for the aged in South India: The Hyderabad Ocular Morbidity in Elderly Study (HOMES)

Marmamula

Bhoopalan

Kumbham

et al. 2022

Indian Journal of Ophthalmology

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Purpose: This study was conducted to report on the pattern of spectacles use and compliance among the elderly (aged ≥60 years) in homes for the aged in Hyderabad region in Telangana State, India. Methods: Participants were recruited from 41 homes for the aged centres for comprehensive eye health assessments. A questionnaire was used to collect information on current and past use of spectacles, type of spectacles, spectacles provider and amount paid for the spectacles. For those that reported using spectacles in the past, information was collected on the reasons for their discontinuation. Compliance with spectacles use was assessed after eight months of provision of the spectacles. Results: A total of 1182/1513 participants were examined from 41 homes for the aged in Hyderabad, India. The mean age of the participants examined was 75 years (standard deviation (SD): 8.8 years; range: 60–108 years); 764 (64.6%) of them were women and 240 participants (20.3%) had no formal education. The prevalence of spectacles use was 69.9% (95% confidence interval [CI]: 67.1–72.4; n = 825). Bifocals were the most commonly used type of spectacles (86.7%) followed by single vision glasses for distance vision (7.4%). Private eye clinics were the largest service provider (85.5%) followed by local optical outlets (6.9%) and other service providers (7.7%). The prevalence of spectacles compliance was 81.5% (211/259). Conclusion: Use of spectacles and compliance are high among the elderly living in residential care homes in the Hyderabad region. Spectacles use can be further improved by periodic eye assessments along the lines similar to school eye programs, which can immensely benefit this vulnerable, aged population.

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Near vision impairment among the elderly in residential care—the Hyderabad Ocular Morbidity in Elderly Study (HOMES)

Cited by 5 publications

References 24 publications

Uncorrected near vision acuity and associated factors in a coastal province in southern China: the Fujian eye cross sectional study

Uncorrected near vision acuity and associated factors in a coastal province in southern China: the Fujian eye cross sectional study

Prevalence of presbyopia, spectacles coverage and barriers for unmet need among adult population of rural Jhajjar, Haryana

Prevalence, pattern, and compliance with spectacles use among the elderly in homes for the aged in South India: The Hyderabad Ocular Morbidity in Elderly Study (HOMES)

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