Characteristics of Glaucoma Patients Attending a Vision Rehabilitation Service
| Autor: | Mona Kaleem, Carol A. Applegate, Janet S. Sunness, Raneem Rajjoub, Christopher Schiefer, Jennifer Wall, Jing Tian |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Intraocular pressure medicine.medical_specialty Activities of daily living Visual acuity Adolescent genetic structures Glaucoma 01 natural sciences Young Adult 03 medical and health sciences 0302 clinical medicine Activities of Daily Living medicine Humans Vision rehabilitation 0101 mathematics Child Depression (differential diagnoses) Aged Retrospective Studies Aged 80 and over business.industry Medical record 010102 general mathematics General Medicine Middle Aged medicine.disease eye diseases Visual field Cross-Sectional Studies 030221 ophthalmology & optometry Physical therapy sense organs medicine.symptom business |
| Zdroj: | Ophthalmology Glaucoma. 4:638-645 |
| ISSN: | 2589-4196 |
| Popis: | Purpose In this study, we describe common demographic and clinical characteristics of the glaucoma patient population attending vision rehabilitation. Design Cross-sectional study. Participants Patients attending a hospital-based vision rehabilitation center with a primary ocular diagnosis of glaucoma. Methods Participants’ charts were retrospectively reviewed. Data extracted from medical records included demographics, referring physician, ocular history, glaucoma diagnosis, past ocular surgery, intraocular pressure, optic nerve findings, results of a functional intake assessing activities of daily living, depression, visual hallucinations, best-corrected visual acuity (BCVA), mean deviation (MD) scores on visual field testing, and log contrast sensitivity (CS). Main Outcome Measures Participant demographic information, ocular history, self-reported difficulty with activities of daily living, depression, visual hallucinations, BCVA, visual field, and CS. Results The mean age of patients in this study was 77 years and ranged from 8 to 103 years. Ninety percent of patients were referred to vision rehabilitation by an ophthalmologist. Median BCVA was 20/50. Fifty-five percent of patients were functionally monocular, and for all patients, there was a median 9-line difference in BCVA between eyes. Median MD score was −13.95 decibels (dB). Median CS was 1.05. Patients reported having the greatest difficulty with reading (88%), writing (72%), and mobility (67%). Seventy-eight percent of patients stopped driving, and 12% reported difficulty driving. Among those experiencing depression, there was a 4:1 ratio of depressed patients having difficulty with mobility. One-third of patients experienced visual hallucinations. Conclusions Most glaucoma patients attending vision rehabilitation are not legally blind, but many are functionally monocular. This may cause greater difficulty performing functions that require the use of binocularity. Increasing the referral of younger glaucoma patients to vision rehabilitation may help patients learn to cope with the loss of visual function that occurs over time. |
| Databáze: | OpenAIRE |
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