Prevalence and Associated Factors of Uncorrected Refractive Error in Older Adults in a Population-Based Study in France

Naël, Virginie; Moreau, Gwendoline; Monfermé, Solène; Cougnard‐Grégoire, Audrey; Scherlen, Anne-Catherine; Arleo, Angelo; Korobelnik, Jean‐François; Delcourt, Cécile; Helmer, Catherine

doi:10.1001/jamaophthalmol.2018.4229

Cited by 20 publications

(19 citation statements)

References 38 publications

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“…Although with these differences, the URE in the present urban Chinese population is quite high (7.9%; 95% CI, 7.13-8.58%). Consistent with the previous studies, we observed higher URE in the older individuals (30,35). Females demonstrated higher…”

Section: Discussionsupporting

confidence: 92%

Improving Access to Refractive Services in Adults: A Health Examination Center-Based Model

et al. 2021

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Purpose: To assess the potential of a health examination center-based screening model in improving service for uncorrected refractive error.Methods: Individuals aged ≥18 years undergoing the routine physical examinations at a tertiary hospital in the northeast China were invited. Presenting visual acuity, noncycloplegic autorefraction, noncontact tonometry, fundus photography, and slit-lamp examination were performed. Refractive error was defined as having spherical equivalent ≤ -0.75 D or ≥ +1 D and uncorrected refractive error was considered as refractive error combined with presenting visual acuity < 6/12 in the better eye. Costs for the screening were assessed.Results: A total of 5,284 participants (61 ± 14 years) were included. The overall prevalence of myopia and hyperopia was 38.7% (95% CI, 37.4–40.0%) and 23.5% (95% CI, 22.3–24.6%), respectively. The prevalence of uncorrected refractive error was 7.85% (95% CI, 7.13–8.58%). Women (p < 0.001 and p = 0.003), those with age ≥ 70 years (p < 0.001 and p = 0.003), and myopia (p < 0.001 and p < 0.001) were at higher risk of uncorrected refractive error and uncorrected refractive error-related visual impairment. Spectacle coverage rate was 70.6% (95% CI, 68.2–73.0%). The cost to identify a single case of refractive error and uncorrected refractive error was US$3.2 and US$25.2, respectively.Conclusion: The prevalence of uncorrected refractive error is high in the urban Chinese adults. Health examination center-based refractive error screening is able to provide an efficient and low-cost model to improve the refractive services in China.

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Section: Discussionsupporting

confidence: 92%

Improving Access to Refractive Services in Adults: A Health Examination Center-Based Model

et al. 2021

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“…These results need to be replicated in other large longitudinal studies with both measure of near and distance visual acuity, and potential mediators need to be further explored. A large part of VL is correctable or preventable [46] . However, future researches and interventional studies are needed to further evaluate whether VL is only an indicator of future dementia or whether the improvement of VL, may represent a promising opportunity for dementia prevention.…”

Section: Discussionmentioning

confidence: 99%

Vision loss and 12-year risk of dementia in older adults: the 3C cohort study

Naël¹,

Pérès²,

Dartigues³

et al. 2019

Eur J Epidemiol

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“…Several studies have reported on URE in the elderly including a study that we conducted in the home for the aged in Prakasam district in India 4,11,16‐20 . From a nursing home‐based study in the United States, Tielsch reported that 54% of the participants improved their presenting visual acuity on best correction with about 8% improving by three or more lines on the letter chart 11 .…”

Section: Discussionmentioning

confidence: 99%

Uncorrected refractive errors for distance among the residents in 'homes for the aged' in South India–The Hyderabad Ocular Morbidity in Elderly Study (HOMES)

Marmamula

Barrenkala

Challa

et al. 2020

Ophthalmic Physiologic Optic

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Purpose: To investigate the prevalence and risk factors of Uncorrected Refractive Errors (URE) for distance in elderly residents in 'homes for the aged' in Hyderabad, India. Methods: Individuals aged ≥60 years and residing in 'homes for the aged' in Hyderabad, India for a minimum of 1 month and providing consent for participation were recruited. All participants underwent visual acuity assessment, refraction, slit lamp biomicroscopy, intraocular pressure measurement, fundus examination, and retinal imaging. Monocular presenting visual acuity was recorded using a logMAR chart. Objective and subjective refraction were performed, and best-corrected visual acuity was recorded. URE was defined as presenting visual acuity worse than 6/12 but improving to 6/12 or better with refraction. Univariable and multivariable logistic regression analyses were used to assess the risk factors associated with URE. Results: In total, 1 513 elderly participants were enumerated from 41 homes of which 1 182 participants (78.1%) were examined. The mean age of participants was 75.0 years (standard deviation 8.8 years; range: 60-108 years). 35.4% of those examined were men and 20.3% had no formal education. The prevalence of URE was 13.5% (95% CI: 11.5-15.5; n = 159). On applying multiple logistic regression analysis, compared to those living in private homes, the odds of URE were significantly higher among the elderly living in the aided homes (OR: 1.65; 95% CI: 1.11-2.43) and free homes (OR: 1.67; 95% CI: 1.00-2.80). As compared to those who reported having an eye examination in the last 3 years, the odds of URE were higher among those who never had an eye examination in the last three years (OR: 1.51; 95% CI: 1.07-2.14). Similarly, those who had unilateral cataract surgery (OR: 1.80; 95% CI: 1.10-2.93) or bilateral cataract surgery (1.69; 95% CI: 1.10-2.56) had higher odds of URE compared to those elderly who were not operated for cataract. Gender, self-report of diabetes, and education were not associated with URE. Conclusions: A large burden of URE was found among the residents in the 'homes for the aged' in Hyderabad, India which could be addressed with a pair of glasses. Over 40% of the residents never had an eye examination in the last three

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Prevalence and Associated Factors of Uncorrected Refractive Error in Older Adults in a Population-Based Study in France

Cited by 20 publications

References 38 publications

Improving Access to Refractive Services in Adults: A Health Examination Center-Based Model

Improving Access to Refractive Services in Adults: A Health Examination Center-Based Model

Vision loss and 12-year risk of dementia in older adults: the 3C cohort study

Uncorrected refractive errors for distance among the residents in 'homes for the aged' in South India–The Hyderabad Ocular Morbidity in Elderly Study (HOMES)

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