Vision status, ophthalmic assessment, and quality of life in the very old

Cypel, Marcela; Salomão, Solange Rios; Dantas, Paulo E.C.; Lottenberg, Claudio Luiz; Kasahara, Niro; Ramos, Luiz Roberto; Belfort, Rubens

doi:10.5935/0004-2749.20170039

Cited by 16 publications

(18 citation statements)

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“…conference abstract); seven articles because of language‐restrictions; and one article because they utilised the same sample source from a study that was already included . Of the 22 included studies, nine used a cross‐sectional design, eight compared cases with controls, and five studies compared the target population to normative data . Findings from the normative comparison studies were summarised by a narrative approach.…”

Section: Resultsmentioning

confidence: 99%

“…They were published between 1998 and 2018; 13 of the 22 studies were carried out in the past 10 years. Six studies were conducted in North America, six in Asia, six in Europe, two in Australia, and two in Brazil . With regard to participants with visual impairment, 9% to 82% were female and mean age ranged from 21 to 87 years .…”

Section: Resultsmentioning

confidence: 99%

“…41 Two studies specifically included patients who were legally blind 36,39 and one study included patients with multiple sensory impairments. 32 Presence of visual impairment and/or diagnosis of ocular disease was determined by a comprehensive ophthalmologic examination (measurement of presenting and/or post-refraction VA) in 10 studies, 10,[26][27][28][29][30][31]34,40 by examination of medical records in seven studies, 8,25,33,35,37,38,41 by self-reported measures in two studies, 9,32 and based on certificates for governmental disability benefits in three studies. 24,36,39 With regard to fatigue outcomes, visual impairment was defined as besteye presenting VA worse than 20/60 (6/18, 0.33) in three studies; 8,26,27 as best-eye post-refraction VA less than 20/ 60 (6/18, 0.33) in one study 30 ; as best-eye post-refraction VA worse than 20/40 (6/12, 0.50) in one study 10 ; as besteye presenting VA worse than 20/40 (6/12, 0.50) in one study 31 ; as binocular presenting VA of 20/40 (6/12, 0.50) or worse in one study 28 ; and as best-eye post-refraction VA of 20/1000 (6/300, 0.02) or worse in another study.…”

Section: Search Resultsmentioning

confidence: 99%

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The association between visual impairment and fatigue: a systematic review and meta‐analysis of observational studies

Schakel

Bode

Elsman

et al. 2019

Ophthalmic Physiologic Optic

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Purpose The aim was to compare fatigue levels between patients with visual impairment and controls with normal sight and to examine the association between fatigue and vision loss severity. Methods A systematic literature search was performed using databases of PubMed, Embase, PsycINFO and Cochrane to identify observational studies with outcomes related to fatigue (e.g. vitality subscale of the Short‐Form 36, Fatigue Assessment Scale). A meta‐analysis was performed using standardised mean differences (SMDs) and odds ratios (OR) to quantitatively summarise the association between visual impairment and fatigue. Sources of heterogeneity were explored by subgroup and sensitivity analyses. Study quality was assessed with the Newcastle‐Ottawa scale. Results After reviewing 4477 studies, 22 studies with a total of 40 004 participants were included, of which 18 contributed to meta‐analysis. Among these, eight were assessed as moderate quality studies and 10 as high quality studies. Pooled analysis involving 2500 patients and 8395 controls showed higher fatigue severity levels (S.M.D. = −0.36, 95% CI −0.50 to −0.22, 14 studies) among visually impaired patients compared to normally sighted controls. This effect size was small and persisted in sensitivity analyses that involved study quality, fatigue assessment tools and visual acuity data. Furthermore, pooled analysis of four studies including 2615 patients and 5438 controls showed a significant association between visual impairment and fatigue (OR = 2.61, 95% CI 1.69 to 4.04). Secondary meta‐analysis of four studies showed no significant difference in fatigue severity (S.M.D. = 0.01, 95% CI −0.37 to 0.39) between patients with moderate visual impairment and patients with severe visual impairment or blindness. Conclusions Current moderate to high quality evidence suggest that patients with visual impairment experience more severe fatigue symptoms than persons with normal sight. However, a limited number of available studies indicates that fatigue is not associated with severity of vision loss. Future studies are required to determine which factors and underlying mechanisms may explain the association between visual impairment and fatigue. Discussing fatigue at an early stage and developing intervention options for vision‐related fatigue should be considered within the field of low vision rehabilitation.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Search Resultsmentioning

confidence: 99%

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The association between visual impairment and fatigue: a systematic review and meta‐analysis of observational studies

Schakel

Bode

Elsman

et al. 2019

Ophthalmic Physiologic Optic

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“…The lack of rational criteria in the ophthalmological appointment scheduling protocol, which causes an excessive delay in providing medical services, has the most severe consequence of irreparable loss of vision, in cases of glaucoma, dia-betic retinopathy, among other pathologies. For another significant portion of patients diagnosed with cataracts and refraction, the delay will result in years of substantial loss of quality of life due to reduced visual acuity [38][39][40] . The advent of telemedicine has the potential to qualify health Regulation of the state list for a face-to-face visit in Ophtalmology.…”

Section: Discussionmentioning

confidence: 99%

Avaliação Econômica de um Serviço de Telemedicina para ampliação da Atenção Primária à Saúde no Rio Grande do Sul: o microcusteio do Projeto TeleOftalmo

Zanotto

Etges

Siqueira

et al. 2020

Ciênc. saúde coletiva

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Resumo Este estudo avaliou o custo de um serviço público de telediagnóstico em oftalmologia. O método de custeio baseado em atividades e tempo (TDABC) foi adotado para examinar os componentes de custos relacionados à teleoftalmologia. Com este método, também foi possível estabelecer o custo unitário padrão que o telediagnóstico deveria ter, dada a capacidade instalada e utilização de profissionais. Dados de um ano de telediagnósticos foram considerados, e avaliou-se a mudança do custo por telediagnóstico ao longo do período de adaptação da tecnologia no sistema. O custo padrão calculado por diagnóstico oftalmológico a distância foi de R$ 119, considerando a emissão de 1.080 laudos de telediagnóstico oftalmológico por mês. Foi identificado um desequilíbrio entre as atividades que sugere a capacidade do método TDABC orientar ações de gestão e melhoria na alocação dos recursos. Ao longo de um ano, o custo unitário real passou de R$ 783 para R$ 283, ainda havendo espaço para se aproximar do custo padrão estimado. Avaliações econômicas parciais possuem importante aporte para subsidiar a incorporação de novas tecnologias. O TDABC merece destaque nesse sentido, pois permite obter informações mais precisas sobre custo da tecnologia, melhorando a capacidade de dimensionamento e gerenciamento da organização de saúde.

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“…[9][10][11] Various reports have noted the inverse correlation between VI severity and quality-of-life (QoL) scores. [12][13][14][15][16][17] Increasing VI is also associated with substantial health burden, 18 and elderly people with VI are more likely to need community support services and nursing home care. 19,20 The US annual economic burden and governmental budget of visual disorders were estimated to be $35.4 billion and $13.7 billion, respectively.…”

Section: Introductionmentioning

confidence: 99%

Epidemiological factors associated with health knowledge of three common eye diseases: A community-based pilot survey in Hong Kong

et al. 2020

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Objectives: To assess the proportions of respondents in the general community having heard or awareness, and their knowledge level, of three common eye diseases: age-related macular degeneration, cataract, and glaucoma. We also attempted to assess for risk factors that may be associated with any variations, which will help identify the areas of inadequate knowledge and demographics of potential audiences for focused health education. Methods: We conducted a community-based pilot survey for the residents from a southern suburb of Hong Kong in early 2016, by inviting all aged 50 or above to complete a standardized questionnaire in the local community hall. Results: Most of the 222 respondents have heard, or awareness, of cataract (92.79% or 81.98%, respectively), followed by glaucoma (86.94% or 52.70%, respectively), and age-related macular degeneration (51.35% or 29.28%, respectively). The results of Cronbach’s alpha (α > 0.7) and Spearman’s correlation coefficient (p < 0.01) suggested that the internal consistency, convergent and discriminant validities of the questionnaire were acceptable for the study population. Compared to a previous Hong Kong survey in 2002, the proportions of having heard of the three eye diseases were greater, but the overall knowledge remained limited. From a maximum knowledge score of 29, the median scores for age-related macular degeneration, cataract, and glaucoma were 9, 13, and 14, respectively. Except for the treatment of cataract, the knowledge level in most areas was low. Sociodemographic factors and medical history, rather than behavioral factors, were more likely to be associated with having a higher knowledge level. Subjects with family or friends with a history of glaucoma or age-related macular degeneration were more aware and knowledgeable, but not for subjects who were current and past smokers or alcohol drinkers. For age-related macular degeneration, gender modified the effect between age and knowledge level, while age was a confounder of having medical history, and having heard or awareness, of the disease. Conclusion: Despite a larger proportion of the community having heard or awareness since 15 years ago, much effort remains for improving health knowledge of these three eye diseases in Hong Kong. We recommend targeting respondents with higher lifestyle risks, such as current and past smokers or alcohol drinkers, as a focused audience, and utilizing family members, relatives, or friends as another way of distributing health information.

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Vision status, ophthalmic assessment, and quality of life in the very old

Abstract: Vision impairment and blindness was present in three-quarters of this sample, but it was notable that adequate correction with spectacles improved visual acuity. This reinforces the need for regular ophthalmic care in elderly patients to improve their quality of life by optimizing vision.

Cited by 16 publications

References 0 publications

The association between visual impairment and fatigue: a systematic review and meta‐analysis of observational studies

The association between visual impairment and fatigue: a systematic review and meta‐analysis of observational studies

Avaliação Econômica de um Serviço de Telemedicina para ampliação da Atenção Primária à Saúde no Rio Grande do Sul: o microcusteio do Projeto TeleOftalmo

Epidemiological factors associated with health knowledge of three common eye diseases: A community-based pilot survey in Hong Kong

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