The impact of low vision on social function: The potential importance of lost visual social cues

Klauke, Susanne; Sondocie, Chloe; Fine, Ione

doi:10.1016/j.optom.2022.03.003

Cited by 19 publications

(11 citation statements)

References 107 publications

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“…Several studies have shown an association between depression in old age and visual disturbances, including cataract. The association between low vision and depression may be explained by reduction in daily activity, such as reading, loss of autonomy, difficult social interaction and loss of self-esteem ( 44 ). A recent metanalysis has identified a huge 25% prevalence of depression in samples of patients referred to eye clinics and low vision rehabilitation centers.…”

Section: Cataract Frailty Falls and Fracturesmentioning

confidence: 99%

Beyond vision:Cataract and health status in old age, a narrative review

Mencucci

Stefanini²,

Favuzza³

et al. 2023

Front. Med.

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Cataract is a leading cause of visual impairment in old age. Lens opacification is notoriously associated with several geriatric conditions, including frailty, fall risk, depression and cognitive impairment. The association is largely attributable to visual impairment, while other mechanisms, associated with extraocular comorbidity and lifestyle, might partly explain this correlation. Available literature suggests that cataract surgery may be effective in decreasing fall risk, improving depressive symptoms and limiting the risk of cognitive impairment and dementia incidence, although intervention studies on these outcomes are still limited. In this review we also emphasize the need to move from the concept of visual acuity to functional vision, especially in the context of the geriatric patient. Research is needed regarding the effect on the cited outcomes of different cataract treatment strategies, such as systematic bilateral versus monolateral surgery and use of different intraocular lenses.

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Section: Cataract Frailty Falls and Fracturesmentioning

confidence: 99%

Beyond vision:Cataract and health status in old age, a narrative review

Mencucci

Stefanini²,

Favuzza³

et al. 2023

Front. Med.

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“…216 The lack of visual cues that humans rely upon for routine interpersonal interactions complicates communication with the low-vision patient and may render it challenging to convey the anesthesia plan and to obtain informed consent. 15 Sensitivity to the special needs of low-vision subjects is an essential part of compassionate and appropriate care and our obligation to patients both legally and ethically. Appropriate accommodations for low-vision patients undergoing care in healthcare organizations are mandated in the United States by the Americans with Disability Act, 217 and by similar laws in other countries.…”

Section: Patients With Low Visionmentioning

confidence: 99%

“…14 The lack of visual cues may complicate communication, including difficulties in discussing the anesthetic plan and the obtaining of informed consent. 15 This review provides a best evidence-based approach to the anesthetic implications of diseases of the eye, and the prevention of perioperative eye complications. The review is organized anatomically, beginning with diseases of the outer covering of the eye, the cornea, followed by the posterior eye, the retina, and the optic nerve.…”

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confidence: 99%

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Perioperative Care of the Patient with Eye Pathologies Undergoing Nonocular Surgery

et al. 2022

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The authors reviewed perioperative ocular complications and implications of ocular diseases during nonocular surgeries. Exposure keratopathy, the most common perioperative eye injury, is preventable. Ischemic optic neuropathy, the leading cause of perioperative blindness, has well-defined risk factors. The incidence of ischemic optic neuropathy after spine fusion, but not cardiac surgery, has been decreasing. Central retinal artery occlusion during spine fusion surgery can be prevented by protecting eyes from compression. Perioperative acute angle closure glaucoma is a vision-threatening emergency that can be successfully treated by rapid reduction of elevated intraocular pressure. Differential diagnoses of visual dysfunction in the perioperative period and treatments are detailed. Although glaucoma is increasingly prevalent and often questions arise concerning perioperative anesthetic management, evidence-based recommendations to guide safe anesthesia care in patients with glaucoma are currently lacking. Patients with low vision present challenges to the anesthesia provider that are becoming more common as the population ages.

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“…Face recognition is a vital aspect of communication and social connection. People with vision impairment report difficulties with both discrimination of familiar faces and recognition of facial expressions under a range of conditions, with potential to cause anxiety, embarrassment, avoidance of social situations and social isolation 1–4 . Studies have shown that ocular conditions affecting central or peripheral vision can cause reduced performance on various face recognition tasks, 5–18 and that both impaired visual acuity (VA) and contrast sensitivity (CS) are associated with poor face recognition 5–11 .…”

Section: Introductionmentioning

confidence: 99%

Effect of low luminance on face recognition in adults with central and peripheral vision loss

Venugopal

Wood

Black

et al. 2023

Ophthalmic Physiologic Optic

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PurposeTo investigate the effect of low luminance on face recognition, specifically facial identity discrimination (FID) and facial expression recognition (FER), in adults with central vision loss (CVL) and peripheral vision loss (PVL) and to explore the association between clinical vision measures and low luminance FID and FER.MethodsParticipants included 33 adults with CVL, 17 with PVL and 20 controls. FID and FER were assessed under photopic and low luminance conditions. For the FID task, 12 sets of three faces with neutral expressions were presented and participants asked to indicate the odd‐face‐out. For FER, 12 single faces were presented and participants asked to name the expression (neutral, happy or angry). Photopic and low luminance visual acuity (VA) and contrast sensitivity (CS) were recorded for all participants and for the PVL group, Humphrey Field Analyzer (HFA) 24‐2 mean deviation (MD).ResultsFID accuracy in CVL, and to a lesser extent PVL, was reduced under low compared with photopic luminance (mean reduction 20% and 8% respectively; p < 0.001). FER accuracy was reduced only in CVL (mean reduction 25%; p < 0.001). For both CVL and PVL, low luminance and photopic VA and CS were moderately to strongly correlated with low luminance FID (ρ = 0.61–0.77, p < 0.05). For PVL, better eye HFA 24‐2 MD was moderately correlated with low luminance FID (ρ = 0.54, p = 0.02). Results were similar for low luminance FER. Together, photopic VA and CS explained 75% of the variance in low luminance FID, and photopic VA explained 61% of the variance in low luminance FER. Low luminance vision measures explained little additional variance.ConclusionLow luminance significantly reduced face recognition, particularly for adults with CVL. Worse VA and CS were associated with reduced face recognition. Clinically, photopic VA is a good predictor of face recognition under low luminance conditions.

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The impact of low vision on social function: The potential importance of lost visual social cues

Cited by 19 publications

References 107 publications

Beyond vision:Cataract and health status in old age, a narrative review

Beyond vision:Cataract and health status in old age, a narrative review

Perioperative Care of the Patient with Eye Pathologies Undergoing Nonocular Surgery

Effect of low luminance on face recognition in adults with central and peripheral vision loss

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