Near visual impairment and spectacle coverage in Telangana, India

Marmamula, Srinivas; Khanna, Rohit C; Kunuku, Eswararao; Rao, Gullapalli N

doi:10.1111/ceo.12943

Cited by 14 publications

(11 citation statements)

References 28 publications

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“…In the final analysis, we included 14 studies which reported data on distance RE and URE,[1011121314151617181920212223] and 6 studies reporting data on presbyopia. [101124252627] The characteristics of these studies are presented as Tables 2-4.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of refractive errors, uncorrected refractive error, and presbyopia in adults in India: A systematic review

Sheeladevi

Bharani

Nukella

et al. 2019

Indian J Ophthalmol

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Purpose: The objective of this review is to estimate the prevalence of refractive errors, uncorrected refractive error (URE), and uncorrected presbyopia in adults aged ≥30 years in India. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines were followed. A detailed literature search was performed to include all studies published from India from the year 1990 using the Cochrane Library, Medline, and Embase. Refractive error was defined by >0.50 D ametropia. URE was defined by presenting visual acuity (PVA) worse than 6/18 improving with pinhole or spectacle correction, and uncorrected presbyopia by near vision

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Section: Resultsmentioning

confidence: 99%

Prevalence of refractive errors, uncorrected refractive error, and presbyopia in adults in India: A systematic review

Sheeladevi

Bharani

Nukella

et al. 2019

Indian J Ophthalmol

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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: 93%

“…A minimum sample size of 2664 was calculated with presbyopia prevalence of 58% with relative precision of 5%, design effect of 2 and a nonresponse rate of 15%. [ 9 ]…”

Section: Methodsmentioning

confidence: 99%

“…[ 3 ] Prevalence of uncorrected presbyopia ranged from 28.1 to 63% among adults aged more than 30 years. [ 4 5 6 7 8 9 10 ] This estimate is likely to increase with increasing proportion of elderly. Presbyopia not only affects the quality of life of individuals but also takes a toll on the economy of the country as a whole, specifically low- and middle-income countries like India.…”

Section: Introductionmentioning

confidence: 99%

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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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“…We have used presenting VA as it represents the day-to-day 'real-life' vision of the participants. Our previous report on NVI also used a similar approach [27].…”

Section: Discussionmentioning

confidence: 99%

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

Marmamula

Barrenkala

Khanna

et al. 2020

Eye

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Background/objective To report on the prevalence and risk factors for near vision impairment (NVI) among the elderly in residential care in Telangana State in India. Methods Individuals aged ≥60 years were recruited from 41 'home for the aged' centres in Hyderabad, India. All participants had complete eye examinations including presenting and best-corrected visual acuity assessment for distance and near. NVI was defined as binocular presenting near vision worse than N8 (6/15) among those who had a normal presenting distance visual acuity of 6/18 in the better eye. Results Of the 826 participants, the mean age was 74.4 years (standard deviation-8.4 years), 525 (63.6%) were women, 715 (86.6%) had at least school education. The prevalence of NVI was 51.2% (95% CI: 47.7-54.7) based on presenting vision. On applying multiple logistic regression analysis, the odds of NVI were higher in 80 years and older age (OR: 2.17; 95% CI: 3.44-13.6). Those with school education (OR: 0.58: 95% CI: 0.36-0.94) and higher education (OR: 0.38; 95% CI: 0.21-0.69) had lower odds for NVI. Similarly, those with self-reported diabetes (OR: 0.69; 95% CI: 0.49-0.97), those using spectacles (OR: 0.09; 95% CI: 0.05-0.16), and those who had undergone cataract surgery (OR: 0.51; 95% CI: 0.36-0.74) had lower odds for NVI. Conclusions NVI was common among the elderly in residential care in homes for the aged in Hyderabad, India. As most of this NVI is correctable, a routine screening programme and dispensing of spectacles can be undertaken to address this vision loss.

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Near visual impairment and spectacle coverage in Telangana, India

Abstract: NVI is common in rural Telangana with low spectacle coverage. Service delivery programs should use a multi-pronged approach to address the burden of NVI.

Cited by 14 publications

References 28 publications

Prevalence of refractive errors, uncorrected refractive error, and presbyopia in adults in India: A systematic review

Prevalence of refractive errors, uncorrected refractive error, and presbyopia in adults in India: A systematic review

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

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

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