The current status of visual disability in the elderly population of Taiwan

Tsai, Ching‐Yao; Woung, Lin‐Chung; Chou, Pesus; Yang, Chang-Sue; Sheu, Min-Muh; Wu, Jen-Rung; Chuang, Tsai-Li; Tung, Tao‐Hsin

doi:10.1007/s10384-004-0164-x

Cited by 32 publications

(30 citation statements)

References 14 publications

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“…In addition, blindness was defined as best-corrected acuity of 0.1 (6/60) or worse in the better eye. 22 Diabetic subjects were deemed to have DR if any type of DR or blindness was diagnosed in the subject.…”

Section: Screening and Diagnosis Of Diabetic Retinopathymentioning

confidence: 99%

Population-Based Study of Nonproliferative Diabetic Retinopathy Among Type 2 Diabetic Patients in Kinmen, Taiwan

et al. 2006

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Section: Screening and Diagnosis Of Diabetic Retinopathymentioning

confidence: 99%

Population-Based Study of Nonproliferative Diabetic Retinopathy Among Type 2 Diabetic Patients in Kinmen, Taiwan

et al. 2006

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“…In the younger population aged 18 years, the prevalence of myopia and high myopia are 84 and 21%, respectively [1], and in the older population aged over 65 years, 19.4 and 2.4%, respectively [2]. Cataract remains the most frequent ocular disease associated with visual impairment among the elderly with a prevalence of up to 60.2% in a nationwide survey [3]. …”

Section: Introductionmentioning

confidence: 99%

Visual Outcomes and Associated Risk Factors of Cataract Surgeries in Highly Myopic Taiwanese

Tsai¹,

Chang²,

Kuo³

et al. 2008

Ophthalmologica

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Aims: The purposes of this study were to describe the visual outcome of highly myopic eyes undergoing cataract surgery, to investigate associated risk factors for poor postoperative vision, and to assess postoperative complication frequency among the prevalent myopic Taiwanese population. Methods: We conducted a retrospective, noncomparative case series study at the Department of Ophthalmology, Zhongxing Branch, Taipei City Hospital, Taiwan. High myopia was defined as axial length of 26.0 mm. Main study outcomes were visual acuity for the initial 6-month postoperative period (including visual acuities and improvement of postoperative vision), and postoperative complications (including subsequent cataract formation and postoperative retinal detachment). Results: Fifty-two highly myopic eyes were registered between January 2002 and December 2004. Mean follow-up interval was 43.3 ± 20.2 weeks (range 25–103). Thirty-two eyes (61.5%) had good postoperative visual improvement (≧4 line Snellen chart). Thirty-seven eyes (71.2%) achieved good postoperative vision (20/40 or better). Fifteen eyes (28.8%) demonstrated poor postoperative vision. Pre-existing maculopathy was an independent risk factor for failure to achieve good postoperative vision (odds ratio, OR, 6.84, 95% confidence interval, CI: 1.12–41.8) and improvement (OR 16.1, 95% CI: 2.2–119.9). Diabetic history was considered another independent risk factor for poor postoperative vision (OR 15.6, 95% CI: 0.97–267.6). Six eyes (11.5%) developed subsequent posterior capsular opacification requiring Nd:YAG laser capsulotomy. Two eyes (3.8%) developed retinal detachment during follow-up. Conclusions: Most of highly myopic eyes achieved good visual improvement and good postoperative visual acuity after cataract surgery. Pre-existing maculopathy was an independent risk factor of postoperative visual improvement and status. It is crucial to examine retinal status prior to cataract surgery to prevent poor vision improvement, poor postoperative vision, or retinal complications.

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“…In the younger population of an age of 18 years, the prevalences of myopia and high myopia are 84 and 21%, respectively [1], and in the older population aged >65 years 19.4 and 2.4%, respectively [2]. Cataract remains the most frequent ocular disease associated with visual impairment among the elderly with a prevalence of up to 60.2% in a nationwide survey [3]. …”

Section: Introductionmentioning

confidence: 99%

Visual Outcomes and Associated Risk Factors of Cataract Surgeries in Highly Myopic Taiwanese

Tsai¹,

Chang

Kuo

et al. 2006

Ophthalmologica

Self Cite

View full text Add to dashboard Cite

Aims: The purposes of this study are to describe the visual outcome of highly myopic eyes undergoing cataract surgery, to investigate associated risk factors for poor postoperative vision and to assess the postoperative complication frequency among the myopic Taiwanese population. Methods: We conducted a retrospective, noncomparative case series study at the Department of Ophthalmology, Zhongxing Branch, Taipei City Hospital, Taiwan. High myopia was defined as axial length ≧26.0 mm. The main study outcomes were visual acuity for the initial 6-month postoperative period (including visual acuities and improvement of postoperative vision) and postoperative complications (including subsequent cataract formation and postoperative retinal detachment). Results: Fifty-two highly myopic eyes were enrolled between January 2002 and December 2004. The mean follow-up interval was 43.3 ± 20.2 weeks (range 25–103). Thirty-two eyes (61.5%) had good postoperative visual improvement (≧4 lines of Snellen chart). Thirty-seven eyes (71.2%) achieved good postoperative vision (20/40 or better). Fifteen eyes (28.8%) demonstrated poor postoperative vision. Pre-existing maculopathy was an independent risk factor for failure to achieve good postoperative vision [odds ratio (OR): 6.84, 95% confidence interval (CI): 1.12–41.8] and improvement (OR: 16.1, 95% CI: 2.2–119.9). Diabetic history was considered another independent risk factor for poor postoperative vision (OR: 15.6, 95% CI: 0.97–267.6). Six eyes (11.5%) developed subsequent posterior capsular opacification requiring Nd:YAG laser capsulotomy. Two eyes (3.8%) developed retinal detachment during follow-up. Conclusions: Most highly myopic eyes achieved good visual improvement and good postoperative visual acuity after cataract surgery. Pre-existing maculopathy was an independent risk factor of postoperative visual improvement and status. It is crucial to examine retinal status prior to cataract surgery to prevent poor vision improvement, poor postoperative vision or retinal complications.

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The current status of visual disability in the elderly population of Taiwan

Cited by 32 publications

References 14 publications

Population-Based Study of Nonproliferative Diabetic Retinopathy Among Type 2 Diabetic Patients in Kinmen, Taiwan

Population-Based Study of Nonproliferative Diabetic Retinopathy Among Type 2 Diabetic Patients in Kinmen, Taiwan

Visual Outcomes and Associated Risk Factors of Cataract Surgeries in Highly Myopic Taiwanese

Visual Outcomes and Associated Risk Factors of Cataract Surgeries in Highly Myopic Taiwanese

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