Prevalence, associations and characteristics of severe uncorrected refractive error in the Australian National Eye Health Survey.
Adult
Aged
Aged, 80 and over
Australia
/ epidemiology
Cross-Sectional Studies
Female
Health Surveys
/ statistics & numerical data
Humans
Male
Middle Aged
Native Hawaiian or Other Pacific Islander
/ statistics & numerical data
Odds Ratio
Prevalence
Refraction, Ocular
/ physiology
Refractive Errors
/ epidemiology
Risk Factors
Visual Acuity
/ physiology
epidemiology
uncorrected refractive error
vision loss
Journal
Clinical & experimental ophthalmology
ISSN: 1442-9071
Titre abrégé: Clin Exp Ophthalmol
Pays: Australia
ID NLM: 100896531
Informations de publication
Date de publication:
01 2020
01 2020
Historique:
received:
31
01
2019
revised:
20
08
2019
accepted:
21
09
2019
pubmed:
2
10
2019
medline:
5
6
2021
entrez:
2
10
2019
Statut:
ppublish
Résumé
In Australia, nationally representative data of the burden and associations of severe uncorrected refractive error are scarce. To report the prevalence and characteristics of severe uncorrected refractive error in Indigenous and non-Indigenous Australians. Population-based cross-sectional study. A total of 3098 non-Indigenous Australians aged 50 to 98 and 1738 Indigenous Australians aged 40 to 92 living in 30 randomly selected Australian sites were examined. Severe uncorrected refractive error was defined as an improvement of ≥2 lines on the logMAR chart in one or both eyes in participants with a presenting visual acuity <6/12. Severe uncorrected refractive error RESULTS: Prevalence of severe uncorrected refractive error was 11.0% (95% confidence interval 9.3-13.0) in non-Indigenous and 14.5% (12.5-16.7) in Indigenous Australians. Eighty-two percent of non-Indigenous and 77% of Indigenous participants had a spherical equivalent refraction between -2.00D and +2.00D. Indigenous Australians who were older (odds ratio [OR] for 70-79 years vs 40-49 years = 3.59), resided in outer regional areas (OR = 1.78) and did not have an eye examination in the previous 2-years (OR = 1.50) were associated with higher odds of severe uncorrected refractive error. Geographical remoteness (OR = .68 for inner regional), male gender (OR = 1.30), older age (OR for 70-79 years vs 50-59 years = 1.51) and failure to have an eye examination in the previous 2-years (OR = 2.06) were associated with severe uncorrected refractive error among non-Indigenous participants. Increased public awareness of the importance of regular optometric examinations may be required in groups at high risk of severe uncorrected refractive error.
Sections du résumé
IMPORTANCE
In Australia, nationally representative data of the burden and associations of severe uncorrected refractive error are scarce.
BACKGROUND
To report the prevalence and characteristics of severe uncorrected refractive error in Indigenous and non-Indigenous Australians.
DESIGN
Population-based cross-sectional study.
PARTICIPANTS
A total of 3098 non-Indigenous Australians aged 50 to 98 and 1738 Indigenous Australians aged 40 to 92 living in 30 randomly selected Australian sites were examined.
METHODS
Severe uncorrected refractive error was defined as an improvement of ≥2 lines on the logMAR chart in one or both eyes in participants with a presenting visual acuity <6/12.
MAIN OUTCOME MEASURE
Severe uncorrected refractive error RESULTS: Prevalence of severe uncorrected refractive error was 11.0% (95% confidence interval 9.3-13.0) in non-Indigenous and 14.5% (12.5-16.7) in Indigenous Australians. Eighty-two percent of non-Indigenous and 77% of Indigenous participants had a spherical equivalent refraction between -2.00D and +2.00D. Indigenous Australians who were older (odds ratio [OR] for 70-79 years vs 40-49 years = 3.59), resided in outer regional areas (OR = 1.78) and did not have an eye examination in the previous 2-years (OR = 1.50) were associated with higher odds of severe uncorrected refractive error. Geographical remoteness (OR = .68 for inner regional), male gender (OR = 1.30), older age (OR for 70-79 years vs 50-59 years = 1.51) and failure to have an eye examination in the previous 2-years (OR = 2.06) were associated with severe uncorrected refractive error among non-Indigenous participants.
CONCLUSIONS AND RELEVANCE
Increased public awareness of the importance of regular optometric examinations may be required in groups at high risk of severe uncorrected refractive error.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
14-23Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2019 Royal Australian and New Zealand College of Ophthalmologists.
Références
Attebo K, Mitchell P, Smith W. Visual acuity and the causes of visual loss in Australia. The Blue Mountains Eye Study. Ophthalmology. 1996;103(3):357-364.
VanNewkirk MR, Weih L, McCarty CA, Taylor HR. Cause-specific prevalence of bilateral visual impairment in Victoria, Australia: the Visual Impairment Project. Ophthalmology. 2001;108(5):960-967.
Katz J, Tielsch JM, Sommer A. Prevalence and risk factors for refractive errors in an adult inner city population. Invest Ophthalmol Vis Sci. 1997;38(2):334-340.
Klein R, Klein BE, Linton KL, De Mets DL. The Beaver Dam Eye Study: visual acuity. Ophthalmology. 1991;98(8):1310-1315.
Lewallen S, Lowdon R, Courtright P, Mehl GL. A population-based survey of the prevalence of refractive error in Malawi. Ophthalmic Epidemiol. 1995;2(3):145-149.
Wolfram C, Höhn R, Kottler U, et al. Prevalence of refractive errors in the European adult population: the Gutenberg Health Study (GHS). Br J Ophthalmol. 2014;98(7):857-861.
Sherwin JC, Lewallen S, Courtright P. Blindness and visual impairment due to uncorrected refractive error in sub-Saharan Africa: review of recent population-based studies. Br J Ophthalmol. 2012;96(7):927-930.
Coleman AL, Yu F, Keeler E, Mangione CM. Treatment of uncorrected refractive error improves vision-specific quality of life. J Am Geriatr Soc. 2006;54(6):883-890.
Owsley C, McGwin G, Jr., Scilley K, Meek GC, Seker D, Dyer A. Effect of refractive error correction on health-related quality of life and depression in older nursing home residents. Arch Ophthalmol 2007; 125(11): 1471-7.
Liou HL, McCarty CA, Jin CL, Taylor HR. Prevalence and predictors of undercorrected refractive errors in the Victorian population. Am J Ophthalmol. 1999;127(5):590-596.
Thiagalingam S, Cumming RG, Mitchell P. Factors associated with undercorrected refractive errors in an older population: the Blue Mountains Eye Study. Br J Ophthalmol. 2002;86(9):1041-1045.
Landers J, Henderson T, Craig J. The prevalence and causes of visual impairment in indigenous Australians within central Australia: the Central Australian Ocular Health Study. Br J Ophthalmol. 2010;94(9):1140-1144.
Taylor HR, Xie J, Fox S, Dunn RA, Arnold AL, Keeffe JE. The prevalence and causes of vision loss in Indigenous Australians: the National Indigenous Eye Health Survey. Med J Aust. 2010;192(6):312-318.
Foreman J, Keel S, van Wijngaarden P, et al. Prevalence and causes of visual loss among the Indigenous peoples of the world: a systematic review. JAMA Ophthalmol. 2018; 136(5): 567-580.
AIHW. Vision problems among older Australians. Bulletin no. 27. AIHW cat. No.AUS 60. Canberra: AIHW; 2005.
Foreman J, Keel S, Dunn R, van Wijngaarden P, Taylor HR, Dirani M. Sampling methodology and site selection in the National Eye Health Survey (NEHS): an Australian population-based prevalence study. Clin Experiment Ophthalmol. 2016; 45(4): 336-347.
Foreman J, Keel S, van Wijngaarden P, Taylor HR, Dirani M. Recruitment and testing protocol in the National Eye Health Survey: a population-based eye study in Australia. Ophthalmic Epidemiol. 2017; 24(6): 353-363.
Ferraro JG, Pollard T, Muller A, Lamoureux EL, Taylor HR. Detecting cataract causing visual impairment using a nonmydriatic fundus camera. Am J Ophthalmol. 2005;139(4):725-726.
Keel S, Xie J, Foreman J, van Wijngaarden P, Taylor HR, Dirani M. The prevalence of diabetic retinopathy in Australian adults with self-reported diabetes: The National Eye Health Survey. Ophthalmology. 2017;124(7):977-984.
Ferris FL 3rd, Wilkinson CP, Bird A, et al. Clinical classification of age-related macular degeneration. Ophthalmology. 2013;120(4):844-851.
Keel S, Xie J, Foreman J, et al. Prevalence of glaucoma in the Australian National Eye Health Survey. Br J Ophthalmol. 2019; 103(2): 191-195.
Taylor HR, Keeffe JE, Vu HT, et al. Vision loss in Australia. Med J Aust. 2005;182(11):565-568.
Lamoureux EL, Chong E, Wang JJ, et al. Visual impairment, causes of vision loss, and falls: the singapore malay eye study. Invest Ophthalmol Vis Sci. 2008;49(2):528-533.
Varma R, Ying-Lai M, Klein R, Azen SP. Prevalence and risk indicators of visual impairment and blindness in Latinos: the Los Angeles Latino Eye Study. Ophthalmology. 2004;111(6):1132-1140.
Fielder AR, Moseley MJ. Does stereopsis matter in humans? Eye (Lond). 1996;10(Pt 2):233-238.
O'Connor AR, Birch EE, Anderson S, HJIo D, science v. The functional significance of stereopsis. 2010;51(4):2019-2023.
Keeney K, Garvey J. The dilemma of the monocular driver and Keeney. Am J Ophthalmol. 1981;91(6):801-803.
Vu HT, Keeffe JE, McCarty CA, Taylor HR. Impact of unilateral and bilateral vision loss on quality of life. Br J Ophthalmol. 2005;89(3):360-363.
Rahi JS, Cumberland PM, Peckham CSJO. Visual impairment and vision-related quality of life in working-age adults: findings in the 1958 British birth cohort. Ophthalmology. 2009;116(2):270-274.
Foreman J, Xie J, Keel S, Taylor HR, Dirani M. Utilization of eye health-care services in Australia: the National Eye Health Survey. Clin Experiment Ophthalmol. 2017; 46(3): 213-221.
Anjou MD, Boudville AI, Taylor HR. Correcting Indigenous Australians' refractive error and presbyopia. Clin Experiment Ophthalmol. 2013;41(4):320-328.
Treacy MP, Treacy MG, Dimitrov BD, Seager FE, Stamp MA, Murphy CC. A method for the prescription of inexpensive spectacles by non-specialist healthcare workers: S-Glasses. Eye (Lond). 2013;27(4):474-479.
Attebo K, Ivers RQ, Mitchell P. Refractive errors in an older population: the Blue Mountains Eye Study. Ophthalmology. 1999;106(6):1066-1072.
Wang Q, Klein BE, Klein R, Moss SE. Refractive status in the Beaver Dam Eye Study. Invest Ophthalmol Vis Sci. 1994;35(13):4344-4347.
Kempen JH, Mitchell P, Lee KE, et al. The prevalence of refractive errors among adults in the United States, Western Europe, and Australia. Arch Ophthalmol. 2004;122(4):495-505.
Samarawickrama C, Wang JJ, Burlutsky G, Tan AG, Mitchell P. Nuclear cataract and myopic shift in refraction. Am J Ophthalmol. 2007;144(3):457-459.
Foreman J, Xie J, Keel S, et al. Cataract surgery coverage rates for Indigenous and non-Indigenous Australians: the National Eye Health Survey. Med J Aust. 2017;207(6):256-261.
Cleary G, Spalton DJ, Patel PM, Lin PF, Marshall J. Diagnostic accuracy and variability of autorefraction by the Tracey Visual Function Analyzer and the Shin-Nippon NVision-K 5001 in relation to subjective refraction. Ophthalmic Physiol Opt. 2009;29(2):173-181.
Sun JK, Aiello LP, Cavallerano JD, et al. Visual acuity testing using autorefraction or pinhole occluder compared with a manual protocol refraction in individuals with diabetes. Ophthalmology. 2011;118(3):537-542.
Tuncer I, Zengin MO, Karahan E. Comparison of the Retinomax hand-held autorefractor versus table-top autorefractor and retinoscopy. Int J Ophthalmol. 2014;7(3):491-495.