Change in function and spectacle-use 2 months after providing presbyopic spectacles in rural Tanzania.
Change in function and spectacle-use 2 months after providing presbyopic spectacles in rural Tanzania.
复制标题
在坦桑尼亚农村提供老花眼镜 2 个月后功能和眼镜使用的变化。
DOI：
10.1136/bjo.2008.145607
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
West,SheilaK
中科院分区：
文献类型：
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作者：
Patel,Ilesh;Munoz,Beatriz;Mkocha,Harran;Schwarzwalder,AlisonW;McHiwa,Wilson;West,SheilaK
目的检查近视眼镜的保留和使用，以及在提供近视眼镜2个月后，自我报告和基于绩效的近视力的变化。方法我们对坦桑尼亚农村地区配戴近视眼镜的人群进行了为期2个月的跟踪调查。此前，年龄为40 的居民接受了远视力和近视力检查。那些有老花眼和远视眼的人(功能性老花眼)被配戴近视眼镜。在基线时，受试者被要求穿一根针；他们还被问及关于他们的近视感知、独立能力和总体健康的问题。在2个 月时，受试者再次接受询问。结果在866名配戴眼镜的人中，89%的人在2个 月时看到了眼镜。92%的人仍在使用眼镜。使用者受过任何教育的可能性(51.8%)高于非使用者(28.3%)(p<；0.001)。基线时只有31%的患者成功穿针，随访时这一比例上升至91%(p<；0.001)。从基线到随访，眼镜使用者对近视和独立能力的满意度有显著提高，但对一般健康的感知没有变化。男性比女性更有可能买得起眼镜，并且知道从哪里买到眼镜。结论我们的队列维护了他们的眼镜，并报告了与使用眼镜相关的明显改善。对于近视力障碍的人来说，简单阅读眼镜的价值表明，2020年远景议程需要更多地强调近视力。
AimsTo examine near vision spectacle retention and use, and changes in self-reported and performance-based near vision, 2 months after the provision of near vision spectacles.MethodsWe conducted a 2-month follow-up of a population-based cohort of persons in rural Tanzania with near vision impairment who had received spectacles. Previously, residents age ≥40 years were examined for distance and near vision acuity. Those with presbyopia and hyperopia (‘functional presbyopia’) were given near vision spectacles. At baseline, subjects were asked to thread a needle; they were also asked questions on the perception of their near vision, ability to be independent and general health. At 2 months, subjects were again queried. Questions on the perceived affordability of replacement spectacles were also asked.ResultsOf the 866 people provided with spectacles, 89% were seen at 2 months. Ninety-two per cent were still using the spectacles. Users were more likely to have any education (51.8%) than non-users (28.3%) (p<0.001). Only 31% had successfully threaded a needle at baseline, increasing to 91% at follow-up (p<0.001). Spectacle-users showed a significant improvement in satisfaction with near vision and ability to be independent, but no change in perception of general health, from baseline to follow-up. Men were more likely than women to be able to afford spectacles and to know where to get them.ConclusionsOur cohort maintained their spectacles and reported tangible improvements associated with their use. The value of simple reading spectacles for those with near vision impairment suggests that a greater emphasis on near vision is needed in the Vision 2020 agenda.