AI Article Synopsis
- Many elderly residents in Dutch care institutions experience visual impairment, which leads to increased falls, depression, and care needs; this project aimed to identify these individuals and improve eye care.
- A total of 640 residents participated in basic eye exams, leading to 210 referrals for specialized vision care, but compliance was low, and the overall prevalence of visual impairment found was 24%, primarily due to cataracts.
- The study concludes that while vision screening is valuable in care settings, simplifying the care process could enhance its effectiveness and ultimately improve the quality of life for elderly residents.
Article Abstract
Introduction: Many elderly in care institutions in The Netherlands are visually impaired (visual acuity < 0.3). They fall more frequently, are more depressed and require more care. In this project visually impaired residents were identified and referred for adequate eye care. The aim of this study is to evaluate the intervention, including validation of the screening, assessment of the prevalence and causes of visual impairment as well as the outcome of the treatment. The effectiveness of the care chain is also evaluated.
Materials And Methods: 640 residents were offered a basic eye examination and 210 of them were referred, via their general practitioner, to an optometrist (10), ophthalmologist (98), or centre for visually impaired persons (1).
Results: Compliance in this study was poor. The prevalence of visual impairment (24%) was lower than in comparable studies. Cataract was the main cause in 51%. Overall 17 (8.1%) residents were treated by ophthalmologists and nine (4.3%) were referred to optical shops. Constraints in the care chain are identified.
Discussion: Vision screening in care institutions for elderly is feasible and useful. The care chain should be shorter and simpler. That will increase the effectiveness of this intervention, and thereby the quality of life for many residents.
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| http://dx.doi.org/10.1007/s12439-014-0079-z | DOI Listing |
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