Repositorio
Institucional

Rios Salomao, Solange

Cunha, Cristina Coimbra#Berezovsky, Adriana#Furtado, Joao Marcello#Ferraz, Nivea Nunes#Fernandes, Arthur Gustavo#Munoz, Sergio#Watanabe, Sung Song#Sacai, Paula Yuri#Cypel, Marcela#Mitsuhiro, Marcia Higashi#Morales, Paulo Henrique#Vasconcelos, Galton Carvalho#Cohen, Marcos Jacob#Campos, Mauro#Cohen, Jacob Moyses#Belfort, Rubens, Jr.

Presbyopia and Ocular Conditions Causing Near Vision Impairment in Older Adults From the Brazilian Amazon Region

ELSEVIER SCIENCE INC

AMERICAN JOURNAL OF OPHTHALMOLOGY

en

PURPOSE: To investigate the prevalence and causes of near vision impairment (NVI) in a population of older adults from the Brazilian Amazon Region. DESIGN: Population-based cross-sectional study. METHODS: Cluster sampling was used in randomly selecting subjects 45 years of age and older from urban and rural areas of Parintins city, Brazil. Participants underwent ophthalmic examination, including uncorrected (UCNVA), presenting (PNVA), and best-corrected near visual acuity (BCNVA) from each eye, biomicroscopy, funduscopy, and subjective refraction, including testing with additional lenses for near vision optical correction. A principal cause for NVI was assigned by the ophthalmologist and presbyopia was defined as UCNVA <= 20/40 changing to > 20/40 with BCNVA. Free-of-charge glasses were provided for those in need. RESULTS: A total of 2384 subjects were enumerated and 2025 had reliable NVA measurements from both eyes. The prevalence of NVI in the better-seeing eye was 96.5% with UCNVA, decreasing to 81.1% with PNVA and to 20.5% with BCNVA. Presbyopia was the principal cause of NVI in 71.8%, followed by cataract (16.5%) and pterygium (2.5%), and was associated with younger age and high schooling. Glasses for near vision were prescribed and provided to 1414 (69.8%) participants. CONCLUSIONS: A high prevalence of NVI was detected even in those wearing glasses for near. Prescription and provision of low-cost reading glasses should be considered by Brazilian health authorities to address this easily and promptly correctable form of vision impairment. (C) 2018 Elsevier Inc. All rights reserved.

Artículo original

CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTIFICO E TECNOLOGICO - CNPQ, BRASILIA, BRAZIL, Programa Ciencia sem Fronteiras (Grant # 402120/2012-4 to S.R.S., S.M., and J.M.F., Research Scholarships to S.R.S. and R.B.J.), Fundacao de Amparo a Pesquisa do Estado de Sao Paulo, FAPESP, Sao Paulo, Brazil (Grant # 2013/16397-7 to S.R.S.), SightFirst Program-Lions Club International Foundation (Grant #1758 to S.R.S.), Instituto da Visao, Sao Paulo, SP, Brazil, Fundacao Piedade Cohen (FUNDAPI), Manaus, AM, Brazil.

CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTIFICO E TECNOLOGICO - CNPQ, BRASILIA, BRASIL, Programa Ciencia sem Fronteiras (Subvención

402120/2012-4 a S.R.S., S.M. y J.M.F., Becas de investigación para S.R.S. y R.B.J.), Fundacao de Amparo a Pesquisa do Estado de Sao Paulo, FAPESP, Sao Paulo, Brasil (Subvención

2013/16397-7 a S.R.S.), Programa SightFirst-Fundación Internacional Lions Club (Subvención

1758 a S.R.S.), Instituto da Visao, Sao Paulo, SP, Brasil, Fundacao Piedade Cohen (FUNDAPI), Manaus, AM, Brasil.

CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTIFICO E TECNOLOGICO - CNPQ, BRASILIA, BRAZIL, Programa Ciencia sem Fronteiras (Grant

402120/2012-4 to S.R.S., S.M., and J.M.F., Research Scholarships to S.R.S. and R.B.J.), Fundacao de Amparo a Pesquisa do Estado de Sao Paulo, FAPESP, Sao Paulo, Brazil (Grant

2013/16397-7 to S.R.S.), SightFirst Program-Lions Club International Foundation (Grant

1758 to S.R.S.), Instituto da Visao, Sao Paulo, SP, Brazil, Fundacao Piedade Cohen (FUNDAPI), Manaus, AM, Brazil.

10.1016/j.ajo.2018.08.012

pdf

http://dx.doi.org/10.1016/j.ajo.2018.08.012

Ophthalmology

Oftalmología

Geriatría y Gerontología

Salud Pública y Ambiental

WOS:000452812500015

Presbyopia and Ocular Conditions Causing Near Vision Impairment in Older Adults From the Brazilian Amazon Region

Artículo original

version publicada

ELSEVIER SCIENCE INC

AMERICAN JOURNAL OF OPHTHALMOLOGY

Oftalmología

0002-9394

en

CNPq 402120/2012-4#FAPESP 2013/16397-7#SightFirst Program-Lions Club International Foundation 1758#FUNDAPI

CNPQ 402120/2012-4

FAPESP 2013/16397-7

LCIF 1758

Instituto da Visao

FUNDAPI

FAPESP 13/16397-7

CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTIFICO E TECNOLOGICO - CNPQ, BRASILIA, BRAZIL, Programa Ciencia sem Fronteiras (Grant # 402120/2012-4 to S.R.S., S.M., and J.M.F., Research Scholarships to S.R.S. and R.B.J.), Fundacao de Amparo a Pesquisa do Estado de Sao Paulo, FAPESP, Sao Paulo, Brazil (Grant # 2013/16397-7 to S.R.S.), SightFirst Program-Lions Club International Foundation (Grant #1758 to S.R.S.), Instituto da Visao, Sao Paulo, SP, Brazil, Fundacao Piedade Cohen (FUNDAPI), Manaus, AM, Brazil.

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