June 2017
Volume 58, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2017
UNCORRECTED REFRACTIVE ERRORS IN OLDER ADULTS: PREVALENCE ACCORDING TO THE PRESENCE OF AGE-RELATED EYE DISEASE
Author Affiliations & Notes
  • Virginie Nael
    R&D Life and Vision Science, Essilor International, Bordeaux, France
    Bordeaux Population Health Research Center, Inserm U1219, Bordeaux, France
  • Anne-Catherine Scherlen
    R&D Life and Vision Science, Essilor International, Bordeaux, France
  • Catherine Helmer
    Bordeaux Population Health Research Center, Inserm U1219, Bordeaux, France
    University of Bordeaux, ISPED, Bordeaux, France
  • Arleo Angelo
    Sorbonne University, UPMC University of Paris 06, INSERM, CNRS, Vision Institute, Paris, France
  • Jean-Francois Korobelnik
    Department of Ophthalmology, University Hospital, Bordeaux, France
  • Cécile Delcourt
    Bordeaux Population Health Research Center, Inserm U1219, Bordeaux, France
    University of Bordeaux, ISPED, Bordeaux, France
  • Footnotes
    Commercial Relationships   Virginie Nael, Essilor International (E); Anne-Catherine Scherlen, Essilor International (E); Catherine Helmer, None; Arleo Angelo, None; Jean-Francois Korobelnik, Alcon (C), Allergan (C), Bayer (C), Carl Zeiss Meditec (C), Ipsen (S), Janssen-Cilag (F), Novartis (C), Novartis (F), Théa (C); Cécile Delcourt, Bausch&Lomb (C), laboratoires Théa (F), Novartis (C)
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2017, Vol.58, 2372. doi:
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      Virginie Nael, Anne-Catherine Scherlen, Catherine Helmer, Arleo Angelo, Jean-Francois Korobelnik, Cécile Delcourt; UNCORRECTED REFRACTIVE ERRORS IN OLDER ADULTS: PREVALENCE ACCORDING TO THE PRESENCE OF AGE-RELATED EYE DISEASE. Invest. Ophthalmol. Vis. Sci. 2017;58(8):2372.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : In older adults, the prevalence of uncorrected refractive errors (URE) and the visual acuity (VA) gain brought by an optimal optical correction have been rarely estimated according to the presence of age-related eye disease. This study aimed at estimating the visual acuity gain brought by the optimal optical correction according to the presence of eye disease

Methods : Alienor is a population-based cohort on age-related eye diseases in older adults residents of Bordeaux, France. Eye examinations were performed at the Bordeaux hospital or at-home for participants who were unable to come to the hospital. Examinations included measures of visual acuity, refraction and retinal photographs (macula and optic nerve). In addition, at the hospital, slit lamp examinations and SD-OCT examination of the macula and the optic nerve were performed. Presenting and best-corrected monocular distance visual acuity were evaluated using the ETDRS at 4 meters and were scored as the total number of letters read correctly. Best correction was assessed using objective and subjective refraction. Uncorrected Refractive Error (URE) was defined as presenting distance visual acuity in the better-seeing eye improved by ≥5 letters using the best correction. The visual acuity gain was defined as the difference between the best-corrected and presenting distance visual acuity

Results : Of 707 participants (mean age: 84.2y), 216 had no eye disease, 235 had a retinal pathology or glaucoma, 36 had cataract and 197 had been seen at home with a missing diagnosis of eye disease. In the population, the prevalence of URE was 38.8% (95%CI: 35.2-42.4) and the median VA gain was 3 ETDRS letters (interquartile range [IQR], 1-6). URE were estimated at 29.6% in participants with no eye disease with a median VA gain estimated at 2 ETDRS letters (IQR, 0.5-5), 38.3% (95%CI: 32.1-44.5) in those with retinal pathology or glaucoma with a median VA gain estimated at 3 ETDRS letters (IQR, 1-6), 44.4% (95%CI: 28.2-60.7) in those with cataract with a median VA gain estimated at 4 ETDRS letters (IQR, 1-7) and at 48.7% (95%CI: 41.8-55.7) in participants seen at home with a median VA gain estimated at 4 ETDRS letters (IQR, 1-8)

Conclusions : Our results showed that a high proportion of visual impairment could be improved by the use of optimal refractive correction for distance visual acuity even in people with eye diseases

This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.

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