April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
PREVALENCE AND CAUSES OF VISION IMPAIRMENT AND BLINDNESS IN OLDER ADULTS IN AN URBAN CENSUS SECTOR OF PARINTINS, BRAZILIAN AMAZON REGION
Author Affiliations & Notes
  • Joao M Furtado
    Departamento de Oftalmologia e Ciências Visuais, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil
    Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Faculdade de Medicina de Ribeirão Preto, USP, Ribeirão Preto, Brazil
  • Sergio Munoz
    Departamento de Salud Publica, Universidad de La Frontera, Temuco, Chile
  • Adriana Berezovsky
    Departamento de Oftalmologia e Ciências Visuais, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil
  • Marcos J Cohen
    Instituto de Olhos de Manaus, Manaus, Brazil
    Departamento de Cirurgia, Setor de Oftalmologia, Faculdade de Medicina, Universidade Federal do Amazonas - UFAM, Manaus, Brazil
  • Jacob M Cohen
    Instituto de Olhos de Manaus, Manaus, Brazil
    Departamento de Cirurgia, Setor de Oftalmologia, Faculdade de Medicina, Universidade Federal do Amazonas - UFAM, Manaus, Brazil
  • Paulo H Morales
    Departamento de Oftalmologia e Ciências Visuais, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil
  • Nivea Nunes Cavascan
    Departamento de Oftalmologia e Ciências Visuais, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil
  • Sung Eun Song Watanabe
    Departamento de Oftalmologia e Ciências Visuais, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil
  • Rubens Belfort, Jr.
    Departamento de Oftalmologia e Ciências Visuais, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil
  • Solange Rios Salomao
    Departamento de Oftalmologia e Ciências Visuais, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil
  • Footnotes
    Commercial Relationships Joao Furtado, None; Sergio Munoz, None; Adriana Berezovsky, None; Marcos Cohen, None; Jacob Cohen, None; Paulo Morales, None; Nivea Nunes Cavascan, None; Sung Watanabe, None; Rubens Belfort, Jr., None; Solange Salomao, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 6079. doi:https://doi.org/
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      Joao M Furtado, Sergio Munoz, Adriana Berezovsky, Marcos J Cohen, Jacob M Cohen, Paulo H Morales, Nivea Nunes Cavascan, Sung Eun Song Watanabe, Rubens Belfort, Jr., Solange Rios Salomao; PREVALENCE AND CAUSES OF VISION IMPAIRMENT AND BLINDNESS IN OLDER ADULTS IN AN URBAN CENSUS SECTOR OF PARINTINS, BRAZILIAN AMAZON REGION. Invest. Ophthalmol. Vis. Sci. 2014;55(13):6079. doi: https://doi.org/.

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

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Abstract

Purpose: To investigate prevalence and causes of vision impairment/blindness in older adults from an urban census sector of Parintins, Brazil

Methods: An urban census sector was conveniently chosen for its proximity to the eye clinic for ophthalmic assessment. Subjects were enumerated through a door-to-door survey and those with ages 45 years and older were invited for measurement of presenting and best-corrected visual acuity and an ocular examination. The principal cause of visual impairment/blindness was identified for eyes with presenting visual acuity less than 20/32

Results: A total of 178 eligible persons in 136 households were enumerated, and 144 (80.9%) examined. The prevalence of presenting visual acuity>20/32 in both eyes was 70.7% (95% confidence interval [CI]: 60.2% - 79.7%), and 79.5% (95% CI: 71.0% - 86.4%) with best correction. The prevalence of presenting visual impairment (<20/63->20/200) in the better eye was 20.7% (95% CI: 12.9% - 30.4%), and 15.4% (95% CI: 9.4% - 23.2%) with best correction. The prevalence of presenting bilateral blindness (<20/200 in both eyes) was 8.70% (95% CI: 3.8% - 16.4%), and 5.13% (95% CI: 1.9% - 10.8%) with best correction. Presenting and best-corrected blindness and vision impairment were associated with lack of schooling and older age. Cataract (27.6%), retinal disorders (20.7%) and corneal scar/opacities (13.8%) were the most common causes of blind eyes. Uncorrected refractive errors (40.4%) and cataract (40.4%) were the main causes of vision impairment<20/63 to >20/200, with uncorrected refractive errors (85.4%) and cataract (12.2%) as main causes of mild vision impairment <20/32 to ≥20/63

Conclusions: The current results indicate that visual impairment and blindness is a significant problem in older adults from this small urban area of the Brazilian Amazon region. Blindness and vision impairment prevalence from this area was four to five times higher than those found in a previous population-based study in a large urban area of Sao Paulo, Brazil. There is an urgent need to implement prevention of blindness programs for older adults with emphasis on those without schooling

Keywords: 463 clinical (human) or epidemiologic studies: prevalence/incidence  
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