Functional Difficulties of Patients Seeking Low Vision Services in South India.
Functional Difficulties of Patients Seeking Low Vision Services in South India.
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DOI：
10.1097/apo.0000000000000285
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发表时间：
2020-09
期刊：
影响因子：
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通讯作者：
Vardhan S A
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作者：
Ehrlich JR;Flora HJ;Stagg BC;Vengadesh B;Willey G;Vardhan S A
确定在印度南部寻求低视力护理的具有不同临床和人口统计学特征的患者的功能问题。基于临床的横断面调查。招募了2016年9月至2017年3月在xref，xref，India接受低视力服务评估的新患者。收集临床和社会人口学数据，并对参与者进行半结构化调查，以确定与视力相关的功能问题。进行分析，以确定与功能问题的关联。本研究由外部参考机构审查委员会批准，所有参与者均提供了知情同意书。该研究包括419名参与者（平均年龄42.0岁，65.2%为男性）。视网膜营养不良（35.8%）和获得性视网膜疾病（22.0%）是最常见的诊断。最常提到的功能问题是阅读（37.7%），移动性（19.9%）和面部识别（13.8%）。功能问题的数量不因诊断、年龄、性别、教育、职业或视力而异（p> 0.05）。患有视网膜营养不良的参与者更有可能提到夜间视力问题（p<0.001）。年龄与面孔识别困难（OR=1.20，95%CI=1.01-1.43）和夜间视力困难（OR=0.75，95%CI=0.60-1.00）显著相关。视力下降与报告活动问题显著相关（OR=2.87，95%CI=2.09-3.93）。这项研究支持在印度扩大低视力服务，针对共同的功能问题，包括阅读，流动性和面部识别。然而，结果并不支持使用眼科诊断为这一目的。
To determine the functional concerns of patients with different clinical and demographic characteristics seeking low vision care in south India. Cross-sectional clinic-based survey. Consecutive new patients evaluated by the low vision service at xref, xref, India from September 2016 to March 2017 were recruited. Clinical and sociodemographic data were collected and participants underwent a semi-structured survey to determine vision-related functional concerns. Analyses were conducted to determine associations with functional concerns. This study was approved by the xref Institutional Review Board and all participants provided informed consent. The study included 419 participants (mean age 42.0 years, 65.2% male). Retinal dystrophy (35.8%) and acquired retinal disease (22.0%) were the most common diagnoses. The most frequently cited functional concerns were reading (37.7%), mobility (19.9%), and facial identification (13.8%). The number of functional concerns did not vary by diagnosis, age, sex, education, occupation, or presenting visual acuity (p>.05). Participants with retinal dystrophy were more likely to cite problems with night vision (p<.001). Age was significantly associated with greater difficulty recognizing faces (OR=1.20, 95%CI=1.01–1.43) and less night vision difficulty (OR=0.75, 95%CI=0.60–1.00). Worse presenting visual acuity was significantly associated with reporting a mobility problem (OR=2.87, 95%CI=2.09–3.93). This study supports the expansion of low vision services in India targeted to common functional concerns including reading, mobility, and facial identification. However, results do not support the use of ocular diagnosis for this purpose.