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Low-vision intervention in individuals with age-related macular degeneration

PURPOSE: The objective of this study was to estimate the level of visual impairment in patients diagnosed to have age-related macular degeneration (ARMD) who presented to low-vision care (LVC) clinic at a tertiary eye care center in India, to analyze the type of distant and near devices prescribed t...

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Autores principales: Gopalakrishnan, Sarika, Velu, Saranya, Raman, Rajiv
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7350438/
https://www.ncbi.nlm.nih.gov/pubmed/32317472
http://dx.doi.org/10.4103/ijo.IJO_1093_19
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author Gopalakrishnan, Sarika
Velu, Saranya
Raman, Rajiv
author_facet Gopalakrishnan, Sarika
Velu, Saranya
Raman, Rajiv
author_sort Gopalakrishnan, Sarika
collection PubMed
description PURPOSE: The objective of this study was to estimate the level of visual impairment in patients diagnosed to have age-related macular degeneration (ARMD) who presented to low-vision care (LVC) clinic at a tertiary eye care center in India, to analyze the type of distant and near devices prescribed to them and to compare the visual benefit in different age groups among patients with ARMD. METHODS: A retrospective review was done for 91 patients with low-vision secondary to ARMD who were referred to the LVC clinic from 2016 to 2017. Demographic profile: age, gender, occupation, ocular history, visual acuity status, and type of low-vision device (LVD) preferred were documented. The details of LVDs and subsequent improvements were noted. RESULT: Of the 91 patients, 64 (70.3%) were men and 27 (29.7%) were women. Of the cases which were referred, 36.26% had a severe visual impairment (VI), 32.96% had moderate VI, 28.57% had mild VI, and 5.49% had profound VI. The majority of the patients had myopia 57 (62.63%), followed by hyperopia in 25 (27.47%) subjects. The subjects were divided into three groups based on age 40–65 years, 66–75 years, and above 75 years for the analysis of VI. There was a statistically significant improvement (P < 0.01) in near vision with the help of LVDs in all three groups. SEE TV binocular telescope was the most commonly prescribed LVD for viewing distant objects. The most commonly preferred magnifier for near work was half-eye spectacle (56%) followed by stand magnifier (9.9%) and portable video magnifier (9.9%). CONCLUSION: The use of LVDs can help these patients with ARMD in cases where medical and surgical treatment have no or a limited role in restoring useful vision.
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spelling pubmed-73504382020-07-15 Low-vision intervention in individuals with age-related macular degeneration Gopalakrishnan, Sarika Velu, Saranya Raman, Rajiv Indian J Ophthalmol Original Article PURPOSE: The objective of this study was to estimate the level of visual impairment in patients diagnosed to have age-related macular degeneration (ARMD) who presented to low-vision care (LVC) clinic at a tertiary eye care center in India, to analyze the type of distant and near devices prescribed to them and to compare the visual benefit in different age groups among patients with ARMD. METHODS: A retrospective review was done for 91 patients with low-vision secondary to ARMD who were referred to the LVC clinic from 2016 to 2017. Demographic profile: age, gender, occupation, ocular history, visual acuity status, and type of low-vision device (LVD) preferred were documented. The details of LVDs and subsequent improvements were noted. RESULT: Of the 91 patients, 64 (70.3%) were men and 27 (29.7%) were women. Of the cases which were referred, 36.26% had a severe visual impairment (VI), 32.96% had moderate VI, 28.57% had mild VI, and 5.49% had profound VI. The majority of the patients had myopia 57 (62.63%), followed by hyperopia in 25 (27.47%) subjects. The subjects were divided into three groups based on age 40–65 years, 66–75 years, and above 75 years for the analysis of VI. There was a statistically significant improvement (P < 0.01) in near vision with the help of LVDs in all three groups. SEE TV binocular telescope was the most commonly prescribed LVD for viewing distant objects. The most commonly preferred magnifier for near work was half-eye spectacle (56%) followed by stand magnifier (9.9%) and portable video magnifier (9.9%). CONCLUSION: The use of LVDs can help these patients with ARMD in cases where medical and surgical treatment have no or a limited role in restoring useful vision. Wolters Kluwer - Medknow 2020-05 2020-04-20 /pmc/articles/PMC7350438/ /pubmed/32317472 http://dx.doi.org/10.4103/ijo.IJO_1093_19 Text en Copyright: © 2020 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Gopalakrishnan, Sarika
Velu, Saranya
Raman, Rajiv
Low-vision intervention in individuals with age-related macular degeneration
title Low-vision intervention in individuals with age-related macular degeneration
title_full Low-vision intervention in individuals with age-related macular degeneration
title_fullStr Low-vision intervention in individuals with age-related macular degeneration
title_full_unstemmed Low-vision intervention in individuals with age-related macular degeneration
title_short Low-vision intervention in individuals with age-related macular degeneration
title_sort low-vision intervention in individuals with age-related macular degeneration
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7350438/
https://www.ncbi.nlm.nih.gov/pubmed/32317472
http://dx.doi.org/10.4103/ijo.IJO_1093_19
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