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[PMID]:29447172
[Au] Autor:Alemayehu AM; Belete GT; Adimassu NF
[Ad] Endereço:Department of Optometry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
[Ti] Título:Knowledge, attitude and associated factors among primary school teachers regarding refractive error in school children in Gondar city, Northwest Ethiopia.
[So] Source:PLoS One;13(2):e0191199, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Refractive error is an important cause of correctable visual impairment in the worldwide with a global distribution of 1.75% to 20.7% among schoolchildren. Teacher's knowledge about refractive error play an important role in encouraging students to seek treatment that helps in reducing the burden of visual impairment. OBJECTIVE: To determine knowledge, attitude and associated factors among primary school teachers regarding refractive error in school children in Gondar city. METHODS: Institution based cross-sectional study was conducted on 565 primary school teachers in Gondar city using pretested and structured self-administered questionnaire. For processing and analysis, SPSS version 20 was used and variables which had a P value of <0.05 in the multivariable analysis were considered as statistically significant. RESULT: A total of 565 study subjects were participated in this study with a mean age of 42.05 ± 12.01 years. Of these study participants 55.9% (95% CI: 51.9, 59.8) had good knowledge and 57.2% (95% CI: 52.9, 61.4) had favorable attitude towards refractive error. History of spectacle use [AOR = 2.13 (95% CI: 1.32, 3.43)], history of eye examination [AOR = 1.67 (95% CI: 1.19, 2.34)], training on eye health [AOR = 1.94 (95% CI; 1.09, 3.43)] and 11-20 years of experience [AOR = 2.53 (95% CI: 1.18, 5.43)] were positively associated with knowledge. Whereas being male [AOR = 2.03 (95% CI: 1.37, 3.01)], older age [AOR = 3.05 (95% CI: 1.07, 8.72)], 31-40 years of experience [AOR = 0.23 (95% CI: 0.07, 0.72)], private school type [AOR = 1.76 (95% CI: 1.06, 2.93)] and 5th -8th teaching category [AOR = 1.54 (95% CI: 1.05, 2.24)] were associated with attitude. CONCLUSION: Knowledge and attitude of study subjects were low which needs training of teachers about the refractive error.
[Mh] Termos MeSH primário: Conhecimentos, Atitudes e Prática em Saúde
Capacitação de Professores/métodos
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Etiópia
Óculos
Feminino
Seres Humanos
Conhecimento
Masculino
Meia-Idade
Erros de Refração/diagnóstico
Erros de Refração/etiologia
Erros de Refração/prevenção & controle
Fatores de Risco
Professores Escolares
Instituições Acadêmicas
Estudantes
Inquéritos e Questionários
Capacitação de Professores/classificação
Baixa Visão
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180216
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191199


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[PMID]:29347941
[Au] Autor:Puodziuviene E; Jokubauskiene G; Vieversyte M; Asselineau K
[Ad] Endereço:Eye clinic, Lithuanian University of Health Sciences, Eiveniu 2, Kaunas, Lithuania. edita.puodziuviene@lsmuni.lt.
[Ti] Título:A five-year retrospective study of the epidemiological characteristics and visual outcomes of pediatric ocular trauma.
[So] Source:BMC Ophthalmol;18(1):10, 2018 Jan 18.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Pediatric trauma can lead to serious visual impairment as a result of the trauma itself or secondary to amblyopia. Precise data on epidemiological characteristics and visual outcomes of pediatric ocular injuries are valuable for the prevention of monocular blindness. METHODS: A total of 268 cases of pediatric ocular trauma admitted to the Department of Ophthalmology of the Lithuanian University of Health Sciences Hospital from January 2008 to December 2013 were retrospectively reviewed. Data analysed included age, sex, cause, type and treatment of injury, initial and final visual acuity (VA) and tissues involvement. Eye injuries were classified by Birmingham Eye Trauma Terminology (BETT) and Ocular Trauma Classification System (OTCS). RESULTS: The age of children ranged from 6 months to 17.5 years. Boys were more likely to suffer ocular injury than girls. Home was the leading place of eye injury (60.4%), followed by outdoors (31.7%), school (5.2%) and sporting area (2.2%). The highest percentage of eye injuries in children were caused by blunt (40.3%) and sharp objects (29.9%), followed by burns (9.3%), falls (6.7%), explosions (4.5%), fireworks (4.1%), gunshots (1.9%) and traffic accidents (0.7%). Closed globe injury (CGI) was the most common type of eye injury (53.4%). CGI were noted to be higher in children aged 13-18 years, while open globe injury (OGI) were higher in the pre-school age group. Injury of grade 4 and grade 5 were more common in OGI, while grade 1 and grade 2 predominated in cases of CGI. Hypotony, traumatic cataract, iris laceration, vitreous prolapse and uveitis were the most common presentations of OGI, while hyphema, secondary glaucoma and retinal edema were significantly related with CGI. Final diagnoses contributing to poor final visual outcome such as corneal scar corneal opacity, hypotony, aphakia, and retinal detachment were statistically significant related only with OGI. Overall, 65.63% of children regained good visual acuity (VA ≥ 0.5), but for 18.4% of them, the trauma resulted in severe visual impairment (VA ≤ 0.1). CONCLUSION: Ocular trauma in children still remains an important preventable cause of ocular morbidity. This study provides data indicating that ophthalmological injuries are a significant cause of visual impairment in children.
[Mh] Termos MeSH primário: Traumatismos Oculares/complicações
Medição de Risco
Baixa Visão/etiologia
Acuidade Visual
[Mh] Termos MeSH secundário: Adolescente
Distribuição por Idade
Criança
Pré-Escolar
Traumatismos Oculares/epidemiologia
Traumatismos Oculares/fisiopatologia
Feminino
Seres Humanos
Incidência
Lactente
Lituânia/epidemiologia
Masculino
Prognóstico
Estudos Retrospectivos
Distribuição por Sexo
Baixa Visão/epidemiologia
Baixa Visão/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180120
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0676-7


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[PMID]:29439666
[Au] Autor:Thapa R; Bajimaya S; Paudyal G; Khanal S; Tan S; Thapa SS; van Rens GHMB
[Ad] Endereço:Vitreo-retina Service, Tilganga Institute of Ophthalmology, P O Box 561, Kathmandu, Nepal. rabathapa@live.com.
[Ti] Título:Prevalence and causes of low vision and blindness in an elderly population in Nepal: the Bhaktapur retina study.
[So] Source:BMC Ophthalmol;18(1):42, 2018 Feb 13.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This study aims to explore the prevalence and causes of low vision and blindness focused on retinal disease in a population above 60 years in Nepal. METHODS: Two thousand one hundred subjects were enrolled in a population-based cross-sectional study. History, presenting and best corrected visual acuity after subjective refraction, anterior and posterior segment examinations was obtained in detail. RESULTS: Among the total subjects, 1860 (88.57%) had complete information. Age varies from 60 to 95 (mean age: 69.64 ± 7.31) years. Low vision and blindness in both eyes at presentation was found in 984 (52.90%, 95% confidence interval (CI): 50.60-55.19) and 36 (1.94%, 95% CI: 1.35-2.66) subjects respectively. After best correction, bilateral low vision and blindness was found in 426 (22.92%, 95% CI: 21.01-24.88), and 30 (1.61%, 95% CI: 0.10-2.30) subjects respectively. As compared to 60-69 years old, risk of visual impairment was four times higher (95% CI:3.26-5.58) in the 70-79 year olds and 14 times higher (95% CI: 9.72-19.73) in the age group 80 years and above. Major causes of bilateral low vision were cataract (68.07%), followed by retinal disorders (28.64%), and for blindness; retinal disorders (46.66%), followed by cataract (43.33%). Illiteracy was significantly associated with visual impairment. CONCLUSION: Among the elderly population, prevalence of visual impairment was high. Refractive error, cataract and retinal disorders were the major cause of low vision. Screening the population at the age 60 years and above, focused on cataract and posterior segment diseases, providing glasses and timely referral can help reduce visual impairment.
[Mh] Termos MeSH primário: Cegueira/epidemiologia
Baixa Visão/epidemiologia
Pessoas com Deficiência Visual/estatística & dados numéricos
[Mh] Termos MeSH secundário: Distribuição por Idade
Idoso
Idoso de 80 Anos ou mais
Catarata/epidemiologia
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Nepal/epidemiologia
Prevalência
Refração Ocular/fisiologia
Erros de Refração/epidemiologia
Doenças Retinianas/epidemiologia
Fatores de Risco
Distribuição por Sexo
Inquéritos e Questionários
Acuidade Visual/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180218
[Lr] Data última revisão:
180218
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0710-9


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[PMID]:29433477
[Au] Autor:Li Y; Huang W; Qiqige A; Zhang H; Jin L; Ti P; Yip J; Xiao B
[Ad] Endereço:The Affiliated Eye Hospital of Nanchang University, Nanchang City, China.
[Ti] Título:Prevalence and causes of blindness, visual impairment among different ethnical minority groups in Xinjiang Uygur autonomous region, China.
[So] Source:BMC Ophthalmol;18(1):41, 2018 Feb 13.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim of this cross-sectional study is to ascertain the prevalence and causes of blindness, visual impairment, uptake of cataract surgery among different ethnic groups in Xinjiang Uygur Autonomous Region, China. METHODS: Four thousand one hundred fifty people at 50 years and above from different minority ethnic groups were randomly selected for an eye examination. The four trained eye teams collected data using tumbling E visual chart, torch, portable slit lamp and direct ophthalmoscope in 2015. The World Health Organization's definition of blindness and visual impairment (VI) was used to classify patients in each ethnic group. Data were analyzed by different minority groups and were compared with Han Chinese. RESULTS: 3977 (95.8%) out of 4150 people were examined. The prevalence of blindness from the study population was 1.7% (95% confidence interval: 1.3-2.2%).There was no significant difference in prevalence of blindness between Han Chinese and people of Khazak and other minority ethnic groups, nor, between male and female. Cataract was the leading course (65.5%) of blindness and uncorrected refractive error was the most common cause of VI (36.3%) followed by myopic retinopathy. The most common barrier to cataract surgery was lack of awareness of service availability. CONCLUSIONS: This study documented a low blindness prevalence among people aged 50 years and over comparing to prevalence identified through studies of other regions in China. It still indicates blindness and un-operated cataract as the significant public health issue, with no evidence of eye health inequalities, but some inequities in accessing to cataract surgery amongst ethnic minority groups in Xinjiang.
[Mh] Termos MeSH primário: Grupo com Ancestrais do Continente Asiático/etnologia
Cegueira/etnologia
Grupos Minoritários/estatística & dados numéricos
Baixa Visão/etnologia
Pessoas com Deficiência Visual/estatística & dados numéricos
[Mh] Termos MeSH secundário: Distribuição por Idade
Idoso
Idoso de 80 Anos ou mais
Catarata/etnologia
China/epidemiologia
Estudos Transversais
Grupos Étnicos
Feminino
Acesso aos Serviços de Saúde/estatística & dados numéricos
Seres Humanos
Masculino
Meia-Idade
Exame Físico
Prevalência
Erros de Refração/etnologia
Doenças Retinianas/etnologia
Distribuição por Sexo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180218
[Lr] Data última revisão:
180218
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180214
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0705-6


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[PMID]:29385989
[Au] Autor:Giocanti-Aurégan A; Chbat E; Darugar A; Morel C; Morin B; Conrath J; Devin F
[Ad] Endereço:Department Ophthalmology, Avicenne Hospital, DHU Vision and Handicaps, 125 rue de Stalingrad, 93000, Bobigny, France. audreygiocanti@yahoo.fr.
[Ti] Título:Influence of new societal factors on neovascular age-related macular degeneration outcomes.
[So] Source:BMC Ophthalmol;18(1):22, 2018 Feb 01.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: To assess the impact of unstudied societal factors for neovascular age-related macular degeneration (nAMD) on functional outcomes after anti-VEGFs. METHODS: Charts of 94 nAMD patients treated in the Monticelli-Paradis Centre, Marseille, France, were reviewed. Phone interviews were conducted to assess societal factors, including transportation, living status, daily reading and social security scheme (SSS). Primary outcome was the impact of family support and disease burden on functional improvement in nAMD. RESULTS: Between baseline and month 24 (M24), 42.4% of the variability in best-corrected visual acuity (BCVA) was explained by the cumulative effect of the following societal factors: intermittent out-patient follow-up, marital status, daily reading, transportation type, commuting time. No isolated societal factor significantly correlated with ETDRS BCVA severity at M24. A trend to correlation was observed between the EDTRS score at M24 and the SSS (P = 0.076), economic burden (P = 0.075), time between diagnosis and treatment initiation (P = 0.070). A significant correlation was found for the disease burdensome on the patient (P = 0.034) and low vision rehabilitation (P = 0.014). CONCLUSIONS: Societal factors could influence functional outcomes in nAMD patients treated with anti-VEGFs. They could contribute to the healing process or sustain disease progression.
[Mh] Termos MeSH primário: Efeitos Psicossociais da Doença
Cobertura do Seguro
Qualidade de Vida/psicologia
Degeneração Macular Exsudativa/economia
Degeneração Macular Exsudativa/psicologia
[Mh] Termos MeSH secundário: Idoso
Inibidores da Angiogênese/administração & dosagem
Feminino
Seres Humanos
Injeções Intravítreas
Masculino
Ranibizumab/administração & dosagem
Estudos Retrospectivos
Fator A de Crescimento do Endotélio Vascular/antagonistas & inibidores
Baixa Visão/reabilitação
Acuidade Visual/fisiologia
Degeneração Macular Exsudativa/tratamento farmacológico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Angiogenesis Inhibitors); 0 (VEGFA protein, human); 0 (Vascular Endothelial Growth Factor A); ZL1R02VT79 (Ranibizumab)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180202
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0690-9


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[PMID]:29222719
[Au] Autor:Bittner AK; Seger K
[Ad] Endereço:Nova Southeastern University, College of Optometry, 3200 S. University Drive, Fort Lauderdale, FL, 33328, USA. abittne1@jhmi.edu.
[Ti] Título:Longevity of visual improvements following transcorneal electrical stimulation and efficacy of retreatment in three individuals with retinitis pigmentosa.
[So] Source:Graefes Arch Clin Exp Ophthalmol;256(2):299-306, 2018 Feb.
[Is] ISSN:1435-702X
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:PURPOSE: A small-scale randomized controlled trial conducted by our group found that four of seven retinitis pigmentosa (RP) subjects who received six weekly Transcorneal Electrical Stimulation (TES) sessions developed significant improvements in visual acuity (VA), quick contrast sensitivity function (qCSF), and/or Goldmann visual fields (GVF). We longitudinally monitored three of these participants for declining visual function due to natural RP progression to determine the duration of their responses and administered retreatments. METHODS: Over a period of 29-35 months, repeated ETDRS VA, qCSF and/or GVF tests and three to six TES treatment courses consisting of six weekly sessions were administered in each eye of three RP participants every four to 16 months in an unmasked, prospective case series study. RESULTS: For two participants, there were significant VA improvements of 44-52 letters (0.88-1.04 logMAR) and 15-23 letters (0.3-0.46 logMAR) in the worse eye at baseline after each of three or four treatment courses of TES compared to initial baseline. They had no significant decreases from baseline for VA or qCSF over 29 to 35 months, The third participant had a significant mean improvement in VA in the eye with better baseline vision (p = 0.004) and binocularly (p < 0.001) following six treatment courses over the 29-month period. For the first two participants, mean annual rates of GVF change for each eye ranged from -5% to 0% with the V4e stimulus, and -26% to +33% the III4e stimulus. The third participant's mean annual GVF changes were +14 to +35%, with a statistically significant improvement across 29 months for both the V4e and III4e stimuli in the right eye (p = 0.045; p = 0.015) and the V4e stimulus in the left eye (p = 0.047). CONCLUSION: Following encouraging visual improvements after TES that lasted for several months, it appears it may be possible to restore and prevent slowly diminishing vision over time with retreatments, which requires confirmation in a large-scale randomized controlled trial.
[Mh] Termos MeSH primário: Estimulação Elétrica/métodos
Retina/patologia
Retinite Pigmentosa/terapia
Baixa Visão/etiologia
Acuidade Visual
Campos Visuais
[Mh] Termos MeSH secundário: Adulto
Sensibilidades de Contraste
Córnea
Método Duplo-Cego
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Retina/fisiopatologia
Retinite Pigmentosa/diagnóstico
Retinite Pigmentosa/fisiopatologia
Retratamento
Fatores de Tempo
Tomografia de Coerência Óptica
Resultado do Tratamento
Baixa Visão/fisiopatologia
Baixa Visão/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171210
[St] Status:MEDLINE
[do] DOI:10.1007/s00417-017-3858-8


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[PMID]:29240745
[Au] Autor:Ramachandran N; Bhikoo R; Ah-Chan J; Bradshaw H
[Ad] Endereço:Ophthalmology Registrar, Southern DHB.
[Ti] Título:Waking up to poor vision after a night out.
[So] Source:N Z Med J;130(1467):87-89, 2017 12 15.
[Is] ISSN:1175-8716
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Mh] Termos MeSH primário: Retina/fisiopatologia
Escotoma/diagnóstico por imagem
Manobra de Valsalva
Baixa Visão/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Diagnóstico Diferencial
Seres Humanos
Masculino
Escotoma/etiologia
Tomografia de Coerência Óptica
Baixa Visão/etiologia
Acuidade Visual
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE


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[PMID]:28930518
[Au] Autor:Vingolo EM; Napolitano G; Fragiotta S
[Ad] Endereço:Department of Medical-Surgical Sciences and Biotechnologies, U.O.C. Ophthalmology, Sapienza University of Rome, Via Firenze 1, 04019, Terracina, Italy.
[Ti] Título:Microperimetric biofeedback training: fundamentals, strategies and perspectives.
[So] Source:Front Biosci (Schol Ed);10:48-64, 2018 01 01.
[Is] ISSN:1945-0524
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Microperimetric biofeedback training (MBFT) is a visual rehabilitative strategy based on fixation stability improvement reinforcing or creating a new preferential fixation locus. The rationale consists in reeducating visual system to a new visual condition, promoting retina-brain transmission, and thus cortical plasticity. The use of MBFT found is major application in visual diseases involving central vision, but later it revealed promising functional outcomes even in myopia, inherited retinal degenerations and nystagmus. However, the use of microperimetric biofeedback is still limited due to poor knowledge of the procedure and inconsistent standards of practice, and thus an incipient skepticism on its efficacy. This review provides an overview of the rationale, current implications, procedures and future perspectives of microperimetric biofeedback training.
[Mh] Termos MeSH primário: Biorretroalimentação Psicológica/métodos
Baixa Visão/radioterapia
[Mh] Termos MeSH secundário: Biorretroalimentação Psicológica/fisiologia
Fixação Ocular/fisiologia
Seres Humanos
Retina/fisiopatologia
Baixa Visão/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180122
[Lr] Data última revisão:
180122
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170921
[St] Status:MEDLINE


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[PMID]:29217023
[Au] Autor:Kasuga T; Aruga F; Ono K; Hiratsuka Y; Murakami A
[Ad] Endereço:Department of Ophthalmology, Juntendo Tokyo Koto Geriatric Medical Center, Tokyo, Japan; Department of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo, Japan.. Electronic address: tkasuga@juntendo.ac.jp.
[Ti] Título:Visual impairment as an independent risk factor for falls in hospitalized patients.
[So] Source:Can J Ophthalmol;52(6):559-563, 2017 Dec.
[Is] ISSN:1715-3360
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate the association between visual impairment and the risk of falls in hospitalized patients. DESIGN: Individually matched case-control study. METHODS: The medical records of patients who fell while hospitalized at Juntendo Tokyo Koto Geriatric Medical Center (JTKGMC) from January to December 2014 were reviewed retrospectively. Among them, 36 patients who were recorded as visiting the Ophthalmology Outpatient Clinic from 1 year before to 1 year after the fall were included as cases. As the control subjects, 36 individually matched patients were chosen who were hospitalized in the same beds in the same hospital wards. Visual impairment and blindness were defined according to U.S. criteria. Conditional logistic regression analysis was used for both univariate and multivariate analyses. Based on previous reports, multivariate analysis was performed with adjustment for age, sex, a history of falls, and use of walking aids. This study was approved by the institutional review board of JTKGMC and was performed according to the tenets of the Declaration of Helsinki. RESULTS: The crude odds ratio (OR) for visual impairment was 6.0 (95% confidence interval [CI]: 0.72-49.83). For a history of falls and use of walking aids, the crude OR (95% CI) was 2.5 (0.97-6.44) and 2.8 (0.88-8.64), respectively. After adjustment for age, sex, a history of falls, and use of walking aids, the association between falls and visual impairment was significant (OR: 13.9; 95% CI: 1.0004-194.41). CONCLUSION: These findings suggest that visual impairment could be an independent risk factor for falls among hospitalized patients.
[Mh] Termos MeSH primário: Acidentes por Quedas/estatística & dados numéricos
Hospitalização/estatística & dados numéricos
Baixa Visão/epidemiologia
Pessoas com Deficiência Visual/estatística & dados numéricos
Ferimentos e Lesões/epidemiologia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Estudos de Casos e Controles
Feminino
Seres Humanos
Japão/epidemiologia
Masculino
Razão de Chances
Estudos Retrospectivos
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171226
[Lr] Data última revisão:
171226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171209
[St] Status:MEDLINE


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[PMID]:29179756
[Au] Autor:Xia F; Wu L; Weng C; Zhou X
[Ad] Endereço:Department of Ophthalmology, Jing-An District Center Hospital of Shanghai (Huashan Hospital Fudan University Jing-An Branch), Shanghai Medical College, Fudan University, Shanghai, China.
[Ti] Título:Causes and Three-year Incidence of Irreversible Visual Impairment in Jing-An District, Shanghai, China from 2010-2015.
[So] Source:BMC Ophthalmol;17(1):216, 2017 Nov 28.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The registry system can be used to observe the distribution trend of diseases and analyze the related data to provide useful information in a way that enables the government to take appropriate interventional measures. The purpose of this study was to determine the causes and three-year incidence of newly registered disabled patients who were blind or had low vision in Jing-An District, Shanghai, China from 2010 to 2015. METHODS: Data from the registration system of visual disability in Jing-An District, Shanghai from 2010 to 2015 were collected and analyzed. In this registry, the only person with permanent visual impairment (VI) was identified as being a certified visually impaired person. The main causes of visual disability were obtained, the three-year incidence of visual disability was calculated, and the relationships between blindness or low vision and age, as well as those between blindness or low vision and gender, were analyzed. RESULTS: Six-hundred and forty-six newly certified people with VI were registered, including 206 blind patients and 440 low vision patients. The major causes of blindness were myopia macular degeneration (MMD, 23.30%), glaucoma (20.39%), and age-related macular degeneration (AMD, 17.96%). The three leading causes of low vision were MMD (58.86%), AMD (16.36%), and diabetic retinopathy (DR, 7.27%). DR (16.0%) was the first leading cause of blindness and the second leading cause of VI in patients aged 30-59 yrs. from 2010 to 2015. The three-year incidences of blindness in 2010-2012 and 2013-2015(P = 0.43), which remained stable throughout this time period, were 32.74/100000 and 36.51/100000, respectively. However, the three-year incidence of low vision was 64.51/100000 in 2010-2012 and 83.58/100000 in 2013-2015(P = 0.007), which shows that the incidence increased significantly due to the increase of patients with low vision caused by MMD and DR (P = 0.003 and P = 0.01, respectively). CONCLUSIONS: MMD, glaucoma, and AMD were the main causes of blindness, while DR was becoming a major cause of VI, especially in working-age people of Jing-An District, Shanghai, China.
[Mh] Termos MeSH primário: Cegueira
Oftalmopatias/complicações
Baixa Visão
[Mh] Termos MeSH secundário: Adulto
Distribuição por Idade
Idoso
Idoso de 80 Anos ou mais
Cegueira/epidemiologia
Cegueira/etiologia
China/epidemiologia
Feminino
Seres Humanos
Incidência
Masculino
Meia-Idade
Sistema de Registros
Baixa Visão/epidemiologia
Baixa Visão/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171219
[Lr] Data última revisão:
171219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-017-0603-3



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