The Visual Status of Older Persons Residing in Nursing Homes | Geriatrics | JAMA Ophthalmology | JAMA Network
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1.
Tielsch  JMJavitt  JCColeman  AKatz  JSommer  A The prevalence of blindness and visual impairment among nursing home residents in Baltimore.  N Engl J Med 1995;332 (18) 1205- 1209PubMedGoogle ScholarCrossref
2.
West  SKFriedman  DMunoz  B  et al.  A randomized trial of visual impairment interventions for nursing home residents: study design, baseline, characteristics, and visual loss.  Ophthalmic Epidemiol 2003;10 (3) 193- 209PubMedGoogle ScholarCrossref
3.
Mitchell  PHayes  PWang  JJ Visual impairment in nursing home residents: the Blue Mountains Eye Study.  Med J Aust 1997;166 (2) 73- 76PubMedGoogle Scholar
4.
Horowitz  A Vision impairment and functional disability among nursing home residents.  Gerontologist 1994;34 (3) 316- 323PubMedGoogle ScholarCrossref
5.
van der Pols  JCBates  CJMcGraw  PV  et al.  Visual acuity measurements in a national sample of British elderly people.  Br J Ophthalmol 2000;84 (2) 165- 170PubMedGoogle ScholarCrossref
6.
VanNewkirk  MRWeih  LMcCarty  CAStanislavsky  YLKeefe  JETaylor  HR Visual impairment and eye diseases in elderly institutionalized Australians.  Ophthalmology 2000;107 (12) 2203- 2208PubMedGoogle ScholarCrossref
7.
Taiel-Sartral  MNounou  PRea  C  et al.  Visual acuity and ocular disease in geriatric nursing homes: study in 219 elderly people in France.  J Fr Ophtalmol 1999;22 (4) 431- 437PubMedGoogle Scholar
8.
de Winter  LJHoyng  CBFroeling  PGMeulendijks  CFvan der Wilt  GJ Prevalence of remediable disability due to low vision among institutionalised elderly people.  Gerontology 2004;50 (2) 96- 101PubMedGoogle ScholarCrossref
9.
Whitmore  WG Eye disease in a geriatric nursing home population.  Ophthalmology 1989;96 (3) 393- 398PubMedGoogle ScholarCrossref
10.
Klein  RKlein  BEKLinton  KLPDe Mets  DL The Beaver Dam Eye Study: visual acuity.  Ophthalmology 1991;98 (8) 1310- 1315PubMedGoogle ScholarCrossref
11.
Sturgess  IRudd  AGShilling  J Unrecognized problems amongst residents of part III homes.  Age Ageing 1994;23 (1) 54- 56PubMedGoogle ScholarCrossref
12.
Friedman  DSWest  SKMunoz  B  et al.  Racial variations in causes of vision loss in nursing homes.  Arch Ophthalmol 2004;122 (7) 1019- 1024PubMedGoogle ScholarCrossref
13.
Wang  JJMitchell  PSmith  WCumming  RGLeeder  SR Incidence of nursing home placement in a defined community.  Med J Aust 2001;174 (6) 271- 275PubMedGoogle Scholar
14.
Friedman  DSMunoz  BRoche  KBMassof  RBroman  AWest  SK Poor uptake of cataract surgery in nursing home residents: the Salisbury Eye Evaluation in Nursing Home Groups Study.  Arch Ophthalmol 2005;123 (11) 1581- 1587PubMedGoogle ScholarCrossref
15.
Koch  JMDatta  GMakhdoom  SGrossberg  GT Unmet visual needs of Alzheimer's disease patients in long-term care facilities.  J Am Med Dir Assoc 2005;6 (4) 233- 237PubMedGoogle ScholarCrossref
16.
Folstein  MFFolstein  SWMcHugh  PR “Mini-Mental State” a practical method for grading the cognitive state of patients for the clinician.  J Psychiatr Res 1975;12 (3) 189- 198PubMedGoogle ScholarCrossref
17.
Brod  MStewart  ALSands  LWalton  P Conceptualization and measurement of quality of life in dementia: the dementia quality of life instrument (DQOL).  Gerontologist 1999;39 (1) 25- 35PubMedGoogle ScholarCrossref
18.
Simmons  SFSchnelle  JF Strategies to measure nursing home residents' satisfaction and preferences related to incontinence and mobility care: implications for evaluating intervention effects.  Gerontologist 1999;39 (3) 345- 355PubMedGoogle ScholarCrossref
19.
Logsdon  RGGibbons  LEMcCurry  SMTeri  L Quality of life in Alzheimer's disease: patient and caregiver reports.  J Ment Health Aging 1999;521- 32Google Scholar
20.
Ferris  FLKassoff  ABresnick  GHBailey  I New visual acuity charts for clinical research.  Am J Ophthalmol 1982;94 (1) 91- 96PubMedGoogle Scholar
21.
Pelli  DGRobson  JGWilkins  AJ The design of a new letter chart for measuring contrast sensitivity.  Clin Vis Sci 1988;2 (3) 187- 199Google Scholar
22.
Elliott  DBBullimore  MABailey  IL Improving the reliability of the Pelli-Robson contrast sensitivity test.  Clin Vis Sci 1991;6 (6) 471- 475Google Scholar
23.
West  SKMunoz  BRubin  GS  et al.  Function and visual impairment in a population-based study of older adults: the SEE Project.  Invest Ophthalmol Vis Sci 1997;38 (1) 72- 82PubMedGoogle Scholar
24.
Muñoz  BWest  SKRubin  GS  et al.  Causes of blindness and visual impairment in a population of older Americans: the Salisbury Eye Evaluation Study.  Arch Ophthalmol 2000;118 (6) 819- 825PubMedGoogle ScholarCrossref
25.
Muñoz  BWest  SKRodriguez  J  et al.  Blindness, visual impairment and the problem of uncorrected refractive error in a Mexican-American population: Proyecto VER.  Invest Ophthalmol Vis Sci 2002;43 (3) 608- 614PubMedGoogle Scholar
26.
Tielsch  JMSommer  AWill  JKatz  JRoyall  RM Blindness and visual impairment in an American urban population: the Baltimore eye survey.  Arch Ophthalmol 1990;108 (2) 286- 290PubMedGoogle ScholarCrossref
27.
Azen  SPVarma  RPreston-Marti  S  et al.  Binocular visual acuity summation and inhibition in an ocular epidemiological study: the Los Angela Latino Eye Study.  Invest Ophthalmol Vis Sci 2002;43 (6) 1742- 1748PubMedGoogle Scholar
28.
Marron  JABailey  IL Visual factors and orientation-mobility performance.  Am J Optom Physiol Opt 1982;59 (5) 413- 426PubMedGoogle ScholarCrossref
29.
West  SKRubin  GSBroman  ATMunoz  BBandeen-Roche  KTurano  K How does visual impairment affect performance on tasks of everyday life? the SEE Project.  Arch Ophthalmol 2002;120 (6) 774- 780PubMedGoogle ScholarCrossref
30.
Legge  GERubin  GSLuebker  A Psychophysics of reading, V: the role of contrast in normal vision.  Vision Res 1987;27 (7) 1165- 1177PubMedGoogle ScholarCrossref
31.
Rubin  GSLegge  GE Psychophysics of reading, VI: the role of contrast in low vision.  Vision Res 1989;29 (1) 79- 91PubMedGoogle ScholarCrossref
32.
Scott  IUSmiddy  WESchiffman  JFeuer  WJPappas  CJ Quality of life of low-vision patients and the impact of low-vision services.  Am J Ophthalmol 1999;128 (1) 54- 62PubMedGoogle ScholarCrossref
33.
Verbrugge  LMPatrick  DL Seven chronic conditions: their impact on US adults' activity levels and use of medical services.  Am J Public Health 1995;85 (2) 173- 182PubMedGoogle ScholarCrossref
34.
Wang  JJMitchell  PCumming  RGSmith  W Visual impairment and nursing home placement in older Australians: the Blue Mountains Eye Study.  Ophthalmic Epidemiol 2003;10 (1) 3- 13PubMedGoogle ScholarCrossref
Epidemiology
July 2007

The Visual Status of Older Persons Residing in Nursing Homes

Author Affiliations

Author Affiliations: Departments of Ophthalmology (Drs Owsley, McGwin, and Scilley and Mss Meek, Dyer, and Seker), Epidemiology and International Health (Dr McGwin), and Surgery (Dr McGwin), University of Alabama at Birmingham.

Arch Ophthalmol. 2007;125(7):925-930. doi:10.1001/archopht.125.7.925
Abstract

Objective  To characterize habitual visual acuity, contrast sensitivity, spectacle use, and eye care utilization in a large sample of older adults residing in nursing homes.

Methods  Of 33 nursing homes identified in Birmingham, Alabama, 17 served as sites. Eligibility criteria included age 55 years or older, English-speaking, and Mini-Mental State Examination score of 13 or higher. Habitual distance and near visual acuity and contrast sensitivity were measured for each eye and binocularly. Residents and a family member/guardian were interviewed about spectacle use and eye care utilization. Medical records provided information on demographics, chronic medical conditions, date of last eye examination, duration of residence in the nursing home, and health insurance.

Results  Of 380 enrollees, 57% had distance visual acuity in the better eye worse than 20/40; 10% had visual acuity of 20/200 or worse. Near visual acuity was slightly worse on average by a line than distance acuity. Three-fourths of residents had abnormal binocular contrast sensitivity. The medical record had no record of or reference to an eye examination for 66% of enrollees despite 90% having health insurance.

Conclusion  The high rate of visual impairment in nursing homes underscores the need to understand its causes and to evaluate interventions to address this public health challenge.

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