The Visual Impairment of Inherited Retinal Diseases in Portugal as per the National Table of Disabilities.

Autor:	Marta A; Department of Ophthalmology, Centro Hospitalar Universitário de Santo António, EPE (CHUdSA), Porto, Portugal.; Instituto Ciências Biomédicas Abel Salazar (ICBAS), Porto, Portugal., Miranda V; Department of Ophthalmology, Centro Hospitalar Universitário de Santo António, EPE (CHUdSA), Porto, Portugal.; Instituto Ciências Biomédicas Abel Salazar (ICBAS), Porto, Portugal., Lume M; Department of Ophthalmology, Centro Hospitalar Universitário de Santo António, EPE (CHUdSA), Porto, Portugal., Parreira R; Department of Ophthalmology, Centro Hospitalar Universitário de Santo António, EPE (CHUdSA), Porto, Portugal., Azevedo Soares C; Medical Genetics Department, Centro de Genética Médica Jacinto Magalhães, Centro Hospitalar Universitário de Santo António, EPE (CHUdSA), Porto, Portugal.; Unit for Multidisciplinary Research in Biomedicine, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal.; Medical Science Department, Universidade de Aveiro, Aveiro, Portugal.; i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal., Menéres MJ; Department of Ophthalmology, Centro Hospitalar Universitário de Santo António, EPE (CHUdSA), Porto, Portugal.; Instituto Ciências Biomédicas Abel Salazar (ICBAS), Porto, Portugal., Lemos C; Instituto Ciências Biomédicas Abel Salazar (ICBAS), Porto, Portugal.; i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal., Melo Beirão J; Department of Ophthalmology, Centro Hospitalar Universitário de Santo António, EPE (CHUdSA), Porto, Portugal.; Instituto Ciências Biomédicas Abel Salazar (ICBAS), Porto, Portugal.
Jazyk:	angličtina
Zdroj:	Ophthalmology science [Ophthalmol Sci] 2023 Dec 07; Vol. 4 (3), pp. 100443. Date of Electronic Publication: 2023 Dec 07 (Print Publication: 2024).
DOI:	10.1016/j.xops.2023.100443
Abstrakt:	Purpose: To evaluate the visual impairment of patients with inherited retinal diseases (IRDs), as per the national table of disabilities (TNI). Design: Retrospective, single-center cohort study. Participants: Patients with a clinical diagnosis of IRD were recruited at a referral center in Portugal. Methods: Demographics and clinical data were collected from each individual patient file. The estimated visual disability coefficient was calculated through the evaluation of 7 graduated categories: orbital or eyelid deformities, low vision, visual field change, loss of bi-foveolar fixation, oculomotor palsy, photophobia, and chronic conjunctivitis. The TNI provides minimum and maximum disability values for numerous conditions within each category, which were summed to calculate an overall summary disability coefficient for each patient. Main Outcome Measures: Demographic/clinical and estimated minimum and maximum visual disability coefficient according to the TNI for each patient. Results: This study included 253 patients from 214 families, aged 3 to 80 years, with a mean age of 39.8 ± 20.0 years. The mean estimated minimum and maximum visual disability coefficients as per the TNI were 0.6 ± 0.4 and 0.7 ± 0.4, respectively. The low vision was the single most frequent contributor category (21.7%) present in the calculation of visual impairment. Low vision and visual field changes were the most frequent double combination (18.2%), and the addition of loss of bi-foveolar fixation was the most frequent triple combination (8.3%). Conclusions: This study found that IRD patients had a significant visual disability, with the majority having a disability coefficient ≥0.6, which would qualify them for a "multipurpose disability medical certificate." Financial Disclosures: The authors have no proprietary or commercial interest in any materials discussed in this article. (© 2023 by the American Academy of Ophthalmology.)
Databáze:	MEDLINE
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