Patients’ attitudes and beliefs to presbyopia and its correction

Hutchins, Brooke; Huntjens, Byki

doi:10.1016/j.optom.2020.02.001

Cited by 16 publications

(14 citation statements)

References 25 publications

(32 reference statements)

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“… 76 An online survey of pre-presbyopic and presbyopic volunteers perceived comfort and convenience of their optical correction as more important than cost, with spectacles preferred over multifocal contact lenses for near vision correction. 77 Multifocal IOLs have been shown to improve patients’ quality of life, in contrast to patient satisfaction following presbyopic LASIK, which was found to be similar to reading glasses. 78…”

Section: Unmet Needs Of Presbyopic Patientsmentioning

confidence: 97%

Presbyopia – A Review of Current Treatment Options and Emerging Therapies

Katz¹,

Karpecki²,

Dorca³

et al. 2021

OPTH

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Presbyopia is a common age-related vision disorder characterized by a progressive inability to focus on near objects. If uncorrected or under-corrected, presbyopia can significantly impact patients' quality of life. Presbyopia represents an area of considerable unmet need due to its rising prevalence worldwide as the population ages, the high proportion of under-treated individuals in some parts of the world, and the limitations of currently available corrective methods. Progressive or bifocal spectacles are associated with peripheral blur, a restricted visual field and impaired depth perception, which have been linked to an increased risk of falls in the elderly. Contact lens options can be difficult to maintain due to the development of age-related dry eye symptoms and reduced manual dexterity. Other corrective methods involve surgical interventions that modify the optics of the cornea, replace the crystalline lens, or attempt to restore active accommodation. While patients undergoing surgery report satisfactory outcomes post-operatively, many of them eventually require reading glasses. Non-invasive therapies with novel mechanisms of action are currently being investigated; these include miotic agents and UNR844, a lipoic acid choline ester. In this narrative review, available evidence on presbyopia prevalence, quality of life impact and risk factors are described, with a focus on observational studies in nonclinical settings. The diagnosis pathway and patient journey in presbyopia are outlined, and various treatment options are analyzed. The data reviewed herein reveals significant gaps in the provision of vision correction for this common condition, with a paucity of effective, non-invasive treatment options broadly accessible to presbyopic individuals.

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Section: Unmet Needs Of Presbyopic Patientsmentioning

confidence: 97%

Presbyopia – A Review of Current Treatment Options and Emerging Therapies

Katz¹,

Karpecki²,

Dorca³

et al. 2021

OPTH

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“…18 Most of the near visual impairment is corrected by wearing reading eyeglasses as prescribed by Optometrists/Ophthalmologists. 2,10 Besides, monovision contact lenses (one eye for distance and one for near), bifocal and multifocal contact lenses, accommodative intraocular lenses, and refractive surgery were other options of correction mechanisms. 11,19 Most studies done in different areas including Ethiopia focused on distance visual impairment, and near visual impairment was reported as presbyopia, though they are not interchangeable, rather presbyopia is a major cause of NVI.…”

Section: Introductionmentioning

confidence: 99%

<p>Near Vision Spectacle Coverage and Associated Factors Among Adults Living in Finote Selam Town, Northwest Ethiopia: Community-Based Cross-Sectional Study</p>

Fekadu¹,

Assem²,

Belsti³

2020

OPTH

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Background: Near visual impairment leads to difficulty with near tasks at a working distance (40 centimeters) when near visual acuity is 6/12 (N8) or worse. High cost is the main barrier reported for low near vision spectacle coverage. Objective: This study aimed to determine near vision spectacle coverage and associated factors among adults living in Finote Selam town, Northwest Ethiopia. Methods: A community-based, cross-sectional study was applied from June 3 to 25, 2019. A total of 565 study participants aged ≥35 years were recruited using a systematic random sampling technique. A pre-tested questionnaire with adequate physical examination was used for data collection. The data were entered into EPI INFO software and exported to a statistical package for science for analysis. Mean (standard), frequencies, tables, and figures were used to present descriptive statistics. A bi-variable and multivariable logistic regression was used to determine the association between independent variables and outcome variable with a P-value of less than 0.20 and a P-value of less than 0.05, respectively. Odds ratios and a 95% confidence interval were used to show strength of association. Results: A total of 549 adults participated, with a response rate of 97.20% and a mean age of 46.4±8.7 years. The near vision spectacle coverage was 156 (28.42%; 95% CI=24.65-32.31). Higher education level (AOR=2.8; 95% CI=1.21-5.21), history of eye examination (AOR=2.40; 95% CI=1.51-3.81), awareness about near vision problems (AOR=2.12; 95% CI=1.41-3.24), and need of a high plus lens (AOR=4.21; 95% CI=2.41-7.39) were associated with near vision spectacle coverage. Conclusion: Near vision spectacle coverage was low among adults living in Finote Selam town. Higher educational level, history of eye examination, awareness about near vision problems, and need of a high plus lens were associated with near vision spectacle coverage.

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“…[ 24 ] Studies on awareness about presbyopia says that almost 60% of people with presbyopia are not aware about the condition and management. [ 25 ] Hence, strategies on improving the awareness of presbyopia and demonstration of improvement in the quality of the work might improve utilization of presbyopic services and spectacles. The study has also included the individuals below 18 years of age, and among them, 7.1% (n = 220) had self-reported to have undergone an eye examination and 1.55% (n = 48) had a vision less than 6/9 logMAR.…”

Section: Discussionmentioning

confidence: 99%

Eye care seeking behavior among rural adults in South India: Tamil Nadu Rural Eye Examination (TREE) Study Report 1

Narayanan

Rangavittal

2022

Indian Journal of Ophthalmology

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Purpose: To present the eye care seeking behavior among rural adults in South India. Methods: This cross-sectional study was conducted between 2019 and 2020 covering three blocks of the Thiruvannamalai district, Tamil Nadu, India. Door-to-door survey was performed to collect demographic information, status of literacy, occupation, and details of previous eye examination. Distance visual acuity was tested for individuals available in the house using a log MAR (logarithm of minimum angle of resonance) chart. Association between demographic details, details of previous eye examination, and status of vision was analyzed using logistic regression. Results: A data of 12,913 individuals were included for the analysis, of which 6460 (50.03%) were females. Of the total individuals, 2007 (15.54%) had undergone an eye examination previously. There were 1639 (28.50%) people who had a vision less than 0.2 log MAR in at least one eye. The odds of reported ‘previous eye examination’ were more among females [odds ratio (OR) 1.48, 95% confidence interval (CI): 1.32–1.66, P < 0.001]; individuals aged above 60 years [OR: 11.46, 95% CI: 9.44–13.91, P < 0.001], between 40 and 60 years [OR: 10.43, 95% CI: 8.85–12.30, P < 0.001], and between 18 and 40 years [OR: 2.48, 95% CI: 2.16–2.84, P < 0.001]; illiterates (OR: 1.76, 95% CI: 1.45–2.15, P < 0.001); and farmers (OR: 1.32 95% CI: 1.12–1.55, P = 0.001). Conclusion: The study presents the utilization of eye care among rural South Indian adults. Almost 84.46% of individuals had not undergone any eye examination. Robust measures to promote eye care management would help in effective utilization of eye care services among rural adults.

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Patients’ attitudes and beliefs to presbyopia and its correction

Cited by 16 publications

References 25 publications

Presbyopia – A Review of Current Treatment Options and Emerging Therapies

Presbyopia – A Review of Current Treatment Options and Emerging Therapies

<p>Near Vision Spectacle Coverage and Associated Factors Among Adults Living in Finote Selam Town, Northwest Ethiopia: Community-Based Cross-Sectional Study</p>

Eye care seeking behavior among rural adults in South India: Tamil Nadu Rural Eye Examination (TREE) Study Report 1

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