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Visual acuity measurements in a national sample of British elderly people.

机译:全国英国老年人样本中的视敏度测量。

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BACKGROUND: Despite the fact that visual function has an important role in the quality of life in later years, very few studies have measured visual acuity in population based nationwide samples of British elderly people. Such measurements were carried out in the context of the national diet and nutrition survey of people aged 65 years or over (NDNS). METHODS: NDNS participants, who were living in 80 different randomly selected postcode areas of mainland Britain, were visited at their home by a nurse who measured visual acuity at 3 metres, using the Glasgow acuity card (GAC) method. In addition, a brief questionnaire related to ocular health was administered. RESULTS: Visual acuity was measured in 1362 NDNS participants who were not classified as mentally impaired. Visual impairment (using the WHO low vision criteria) was measured in 195 (14.3%) subjects. Prevalence of visual impairment increased significantly with age (65-74 years 3.1%; 75-84 years 11.6%; 85+ years 35.5%, p<0.001 for trend). Impaired vision was more common in subjects living in a nursing home (odds ratio adjusted for age 2.59 (95% CI 2.23 to 2. 96)) and in women (odds ratio adjusted for age 1.55 (95% CI 1.21 to 1.89)). 132 (9.7%) subjects had previously undergone cataract surgery and another 157 (11.5%) had been told that they currently had cataract. Vision improved 0.2 log units or more (at least one Snellen line) with the aid of a pinhole occluder in 289 subjects (21. 2%). CONCLUSION: Results of this nationwide, community based study confirm that problems with poor distance visual acuity exist in a substantial part of the elderly community, particularly in women and people living in nursing homes.
机译:背景:尽管视觉功能在以后的生活质量中起着重要作用,但很少有研究在全国范围内以人口为基础的英国老年人样本中测量视敏度。这些测量是在对65岁或65岁以上人群进行的全国饮食和营养调查(NDNS)的背景下进行的。方法:NDNS参与者生活在英国大陆的80个随机选择的邮政编码区域中,由一名护士使用格拉斯哥视力卡(GAC)方法在其家中测量了3米的视敏度,对他们进行了探访。此外,还进行了与眼睛健康有关的简短调查表。结果:对1362名未归类为智力障碍的NDNS参与者进行了视敏度测量。在195名(14.3%)受试者中测量了视力障碍(使用WHO低视标准)。视力障碍的患病率随着年龄的增长而显着增加(65-74岁3.1%; 75-84岁11.6%; 85岁以上35.5%,趋势p <0.001)。生活在疗养院中的受试者(比值调整为2.59(95%CI为2.23至2.96))和女性(比值调整为1.55(95%CI为1.21至1.89))中,视力障碍更常见。 132名(9.7%)受试者此前曾接受过白内障手术,另有157名(11.5%)被告知他们目前患有白内障。借助于针孔封堵器,在289名受试者(21.%)中,视力提高了0.2 log单位或更多(至少一条Snellen线)。结论:这项全国性的,以社区为基础的研究的结果证实,老年人社区的相当一部分地区存在远距离视力问题,特别是妇女和住在疗养院的人。

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