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Visual Impairment and Low Vision Aids—A Comparison between Children and Adults

(1) Background: This study aims to highlight differences in the etiology and fitting of low vision aids in visually impaired children and adolescents in comparison to adults. (2) Methods: A retrospective data collection from visually impaired patients presenting to obtain assistive devices from 1 Ja...

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Autores principales: Perrault, Madeleine A., Lauer, Gabriele, Voss, Sabine, Seitz, Berthold, Käsmann-Kellner, Barbara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10672320/
https://www.ncbi.nlm.nih.gov/pubmed/38003923
http://dx.doi.org/10.3390/jpm13111608
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author Perrault, Madeleine A.
Lauer, Gabriele
Voss, Sabine
Seitz, Berthold
Käsmann-Kellner, Barbara
author_facet Perrault, Madeleine A.
Lauer, Gabriele
Voss, Sabine
Seitz, Berthold
Käsmann-Kellner, Barbara
author_sort Perrault, Madeleine A.
collection PubMed
description (1) Background: This study aims to highlight differences in the etiology and fitting of low vision aids in visually impaired children and adolescents in comparison to adults. (2) Methods: A retrospective data collection from visually impaired patients presenting to obtain assistive devices from 1 January 2016 to 30 April 2020 was conducted. A total of 502 patients were included. Inclusion criteria were a minimum age of 4 years and the chart notation of a best-corrected distance visual acuity in the patient record prior to the fitting of magnifying visual aids. (3) Results: Of the 502 patients, 147 (29.3%) were children under the age of 18 years. The most common cause of visual impairment in children was albinism, and in adults, it was age-related macular degeneration (AMD). Children showed better distance visual acuity, with a median of 0.88 logMAR (Logarithm of the Minimum Angle of Resolution) compared to 1.0 in adults (p = 0.001). Near visual acuity was also significantly better, with a median of 0.54 logMAR in children compared to 0.9 in adults (p < 0.001). Near and distance visual acuity were significantly improved by fitting magnifying visual aids (p < 0.001). After fitting, near visual acuity averaged 0.3 logMAR, and distance visual acuity, 0.7. The most commonly prescribed aids were optical vision aids, which 68.5% of the patients received; 43.8% received electronic aids. In children, optical aids were more frequently prescribed, and in adults, electronic and acoustic aids (p < 0.001). (4) Conclusion: Visually impaired patients can regain the ability to read and improve distance vision by using individually adapted and tested magnifying vision aids, often with optical aids alone. Differences between children and adults could be discovered in the etiology and severity of visual impairment, as well as in the provision type of low vision aids.
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spelling pubmed-106723202023-11-14 Visual Impairment and Low Vision Aids—A Comparison between Children and Adults Perrault, Madeleine A. Lauer, Gabriele Voss, Sabine Seitz, Berthold Käsmann-Kellner, Barbara J Pers Med Article (1) Background: This study aims to highlight differences in the etiology and fitting of low vision aids in visually impaired children and adolescents in comparison to adults. (2) Methods: A retrospective data collection from visually impaired patients presenting to obtain assistive devices from 1 January 2016 to 30 April 2020 was conducted. A total of 502 patients were included. Inclusion criteria were a minimum age of 4 years and the chart notation of a best-corrected distance visual acuity in the patient record prior to the fitting of magnifying visual aids. (3) Results: Of the 502 patients, 147 (29.3%) were children under the age of 18 years. The most common cause of visual impairment in children was albinism, and in adults, it was age-related macular degeneration (AMD). Children showed better distance visual acuity, with a median of 0.88 logMAR (Logarithm of the Minimum Angle of Resolution) compared to 1.0 in adults (p = 0.001). Near visual acuity was also significantly better, with a median of 0.54 logMAR in children compared to 0.9 in adults (p < 0.001). Near and distance visual acuity were significantly improved by fitting magnifying visual aids (p < 0.001). After fitting, near visual acuity averaged 0.3 logMAR, and distance visual acuity, 0.7. The most commonly prescribed aids were optical vision aids, which 68.5% of the patients received; 43.8% received electronic aids. In children, optical aids were more frequently prescribed, and in adults, electronic and acoustic aids (p < 0.001). (4) Conclusion: Visually impaired patients can regain the ability to read and improve distance vision by using individually adapted and tested magnifying vision aids, often with optical aids alone. Differences between children and adults could be discovered in the etiology and severity of visual impairment, as well as in the provision type of low vision aids. MDPI 2023-11-14 /pmc/articles/PMC10672320/ /pubmed/38003923 http://dx.doi.org/10.3390/jpm13111608 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Perrault, Madeleine A.
Lauer, Gabriele
Voss, Sabine
Seitz, Berthold
Käsmann-Kellner, Barbara
Visual Impairment and Low Vision Aids—A Comparison between Children and Adults
title Visual Impairment and Low Vision Aids—A Comparison between Children and Adults
title_full Visual Impairment and Low Vision Aids—A Comparison between Children and Adults
title_fullStr Visual Impairment and Low Vision Aids—A Comparison between Children and Adults
title_full_unstemmed Visual Impairment and Low Vision Aids—A Comparison between Children and Adults
title_short Visual Impairment and Low Vision Aids—A Comparison between Children and Adults
title_sort visual impairment and low vision aids—a comparison between children and adults
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10672320/
https://www.ncbi.nlm.nih.gov/pubmed/38003923
http://dx.doi.org/10.3390/jpm13111608
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