Objective Social participation benefits health. We assessed the relationship between self-reported visual impairment (VI) and glaucoma versus seniors’ social participation. Methods Data from individuals aged ≥65 years responding to the Canadian Community Health Survey Healthy Aging 2008/2009 (n = 16,369) was analyzed. Participation in eight social activities by seniors with and without self-reported VI or glaucoma was compared. Results Seniors with VI had significantly reduced participation (p<0.05) in sports/physical activities (18.0% vs. 33.6%), family/friendship activities outside the household (39.7% vs. 53.0%), service club/fraternal organization activities (11.4% vs. 18.4%), volunteer/charity work (13.4% vs. 24.9%), educational/cultural activities (16.2% vs. 24.5%), and other social recreational activities (21.6% vs. 31.0%) compared to those without VI. Differences in participation in church/religious activities (40.6% vs. 44.5%) and community/professional association activities (15.3% vs. 18.0%) were non-significant between seniors with and without VI. Seniors with glaucoma versus those without had significantly reduced participation (p<0.05) in family/friendship activities (46.6% vs. 52.9%), sports/physical activities (26.0% vs. 33.6%) and volunteer/charity work (20.4% vs. 24.9%). No participation in any social activity was significantly higher among seniors with VI versus those without (10.1% vs. 2.9%, p<0.05), but was similar among seniors with and without glaucoma (3.9% vs. 3.1%, p>0.05). After adjusting for the effects of age, sex, education, household income, ethnicity, job status and chronic diseases (adjusted odds ratio, aOR = 3.4 (95% confidence interval (CI) 2.0–5.8), seniors with VI but no glaucoma were more likely not to engage in any social activities compared to seniors without VI and no glaucoma. Seniors with glaucoma but without VI had a similar level of non-participation (aOR = 0.9, 95%% CI 0.5–1.7). Conclusions Significantly reduced social participation was found across six community activities among seniors with self-reported VI and in three activities among those with self-reported glaucoma. Policies and programs that help seniors with VI or glaucoma engage in social activities are needed.

No abstract

No abstract

IntelliHealth database. Cataract surgery claims data were sorted by sex, by age, and by Ontario's 444 municipalities based on patient residence. Cataract surgery distribution was examined by population centre: Large Urban (100 000 persons), Medium (30 000À99 999 persons), Small (1000À29 999 persons), and Rural (<1000 persons) as defined by Statistics Canada. Wait times were extracted from the MOHLTC wait times database. Cataract surgery rate (CSR), defined as the number of cataract surgeries performed per million, was calculated. Results: Cataract surgery volumes remained unchanged from 2010 to 2014. Mean patient age was 71.6 § 10 years. Patients lived in large urban (63%), medium (15%), small (21%), and rural (0.6%) communities. Mean wait times increased by 28% to 68.5 days, and 90th percentile wait times increased by 44% to 154.3 days. A reduction in CSR was observed among seniors aged 65À74 years (¡10%) and 75+ years (¡16%). Rural communities showed the largest decline (¡19%). Among seniors aged 75 years, CSR declined the most for those living in rural communities (¡25%). Conclusions: Adjusting the current government policy of zero-growth in cataract surgery volumes will support growing demands for cataract care in our aging population.Objectif: Évaluer la prestation récente de services en matière de cataractes dans des collectivités de toutes tailles en Ontario. Nature: Analyse rétrospective de dossiers médicaux.Méthodes: À partir de la base de données savoirSANTÉ du ministère de la Santé et des Soins de longue durée (MSSLD) de l'Ontario, on a procédé à l'extraction des données brutes issues des réclamations soumises à l'Assurance-santé de l'Ontario pour des chirurgies de la cataracte (E140A, E214A) entre le 1 er avril 2009 et le 31 mars 2014. Les données sur les réclamations pour des chirurgies de la cataracte ont été triées en fonction du sexe, de l'âge et des 444 municipalités de l'Ontario, d'après le lieu de résidence du patient. La distribution des chirurgies de la cataracte a été répartie selon la classification des centres de population définis par Statistique Canada: grands centres de population urbains (≥ 100 000 habitants), moyens centres de population (30 000 à 99 999 habitants), petits centres (1000 à 29 999 habitants) et régions rurales (< 1000 habitants). Les délais d'attente ont été extraits de la base de données du MSSLD correspondante. On a pu alors calculer le taux de chirurgie de la cataracte (TCC), qui se définissait comme le nombre de chirurgies de la cataracte réalisées par million de personnes. Résultats: Le volume de chirurgies de la cataracte est demeuré le même entre 2010 et 2014. L'âge moyen des patients était de 71,6 ± 10 ans. La répartition des patients en fonction de leur lieu de résidence se détaillait comme suit : grands centres (63 %), moyens centres (15 %), petits centres (21 %) et régions rurales (0,6 %). Le délai d'attente moyen a augmenté de 28 %, pour atteindre 68,5 jours, et le 90 e percentile de délai d'attente a crû de 44 % pour atteindre 154,3 jours. On a enregistré u...

Purpose. To review the current literature on retinal displacement and provide a discussion of potential risk factors, postoperative outcomes, and future directions. Methods. Two databases, MEDLINE and EMBASE, were mined using a directed search strategy to identify all articles on retinal displacement. Results. We identified 1522 articles. A total of n = 14 articles were retained. We provide an overview on the potential influence of surgical type (n = 4), tamponade agents (n = 5), postoperative posture (n = 6), and preoperative retinal status (n = 5) on incidence of retinal displacement and visual outcomes (n = 8). Discussion. Pars plana vitrectomy (PPV) with gas tamponade is associated with displacement rates of up to 72%, typically in a downward direction. Meanwhile, pneumatic retinopexy and PPV with silicone oil may offer similar surgical success with a significantly lower risk of displacement. The impact of heavy liquids such as perfluorocarbon liquid, postoperative positioning and preoperative extent of detachment on displacement remains inconclusive. Patients with displacement had a significantly lower visual acuity and higher rates of distortion than those without displacement. However, not all patients with displacement experienced visual symptoms. Conclusion. Retinal displacement is a new concept in our understanding of retinal detachment. Additional studies are needed to better define its impact on postsurgical outcomes.