Vision Screening By Age-Related Eye Diseases
Published 2025 - 43rd Congress of the ESCRS
Reference: PO447 | Type: Free paper | DOI: 10.82333/2khe-hx94
Authors: Yan Ning Neo* 1 , Sjoerd Elferink 2 , Sarah Schimansky 3 , Casper van der Zee 4 , Oliver Findl 5
1Whipps Cross University Hospital,London,United Kingdom;Moorfields Eye Hospital NHS Foundation Trust,London,United Kingdom, 26Flevoziekenhuis,Almere,Netherlands, 3Bristol Eye Hospital,Bristol,United Kingdom, 4UMC Utrecht,Utercht,Netherlands, 5Vienna Institute for Research in Ocular Surgery, a Karl Landsteiner Institute, Hanusch Hospital,Vienna,Austria
Purpose
People live longer, although large differences per gender and the socio-economic group remain they live longer and only in the last 6 months of their life, do they need the most to expensive health care services.Visual impairment and blindness in elderly patients is underreported. Globally 90% of vision impairment and blindness are avoidable and treatable. Vision impairment and blindness by elderlies in Nursing homes are more common than in communities. Eye care and vision have profound implications on many aspects of life, health, sustainable development, and the economy. A good quality of life throughout life and good health is very important. Most elderly in nursing homes have poor access to high-quality eye care.
Setting
This study aims to ascertain the prevalence of age-related eye diseases (AREDs), vision impairment, and blindness in several high-income European countries (including Belgium) and the US. We also consider the incidence of specific vision difficulties such as cataracts, glaucoma, macular degeneration, DR, and refractive errors.
Methods
Literature study was conducted using PubMed, Medline Web of Science, scopus,Trips and the Cochrane database. The study aimed to identify Identification of known Gaps in eye health care with elderlies. Additionally, it examined differences in Ophthalmological practices differences for the elderly in Belgium.
Results
The prevalence of AREDs in nursing homes varies widely. The prevalence rates range are as follows, for conditions such as cataracts (13,96%-82,5%), glaucoma (5,3%- 41,4%), macular degeneration (4,6%- 70,7%), diabetic retinopathy ( 0.71%- 7,7%) and refractive error (6,6%-57%) for the nursing home residence. The effect of vision screening on visual outcomes is statistically insignificant in most studies, as many only used a single question to assess vision. There are geographical variations in the prevalence of AREDs across different parts of Belgium. Primary, secondary, and tertiary prevention can have beneficial effects on visual outcomes.
Conclusions
The increasing prevalence of eye diseases among older adults highlights the need for improved eye care strategies.
Primary, secondary, and tertiary prevention are crucial. The USPSTF does not recommend vision screening by asymptomatic elderly elderly individuals in primary care settings. In contrast, the Canadian Task Force (TF) recommends free yearly vision screening for the elderly as a prevention measure.
Screening for prevention can be beneficial and there are no direct harms associated with vision screening. The American and Canadian recommendations for vision screening are different. Further well-designed and well-implemented research is needed