Fong Calvin Sze-un, Wang Jie Jin, Rochtchina Elena, Schneider Julie, Jakobsen Kirsten B, Smith Wayne, Mitchell Paul
Centre for Vision Research, Department of Ophthalmology and Westmead Millennium Institute, University of Sydney, Sydney, Australia.
Ophthalmic Epidemiol. 2009 Jul-Aug;16(4):249-53. doi: 10.3109/09286580902863072.
To assess changes in the pattern of eye care utilization among older Australians with correctable visual impairment, identified in an eye survey.
The Blue Mountains Eye Study (BMES) examined 3654 Australians aged >or= 49 years at baseline (BMES-I). Five-year follow-up examinations were attended by 2334 participants, 75.0% of survivors (BMES-II). Interviewers collected data on eye care utilization at each visit. Habitual (presenting) and best-corrected visual acuity were assessed using a LogMAR chart. Survey reports, including visual acuity and recommendations were sent to participants after each visit. Those with under-corrected refractive error were informed that they could benefit from a new distance prescription. Eye care utilization was compared before and after the BMES-I survey.
Of 2152 participants with data from both examinations, 26 had non-correctable and 115 had correctable visual impairment at BMES-I. The proportion of the 115 participants with correctable visual impairment who reported seeing an eye care provider during the previous 2 years increased from 55% at BMES-I to 64% at BMES-II. Comparing the data collected at BMES-II with that at BMES-I, a higher proportion of reported optometric visits in the previous 5 years was evident for all participants regardless of their correctable visual impairment status. Among those with correctable visual impairment at BMES-I, 58% improved to no visual impairment at BMES-II, and the proportion who subsequently wore distance correction increased from 57% to 71%.
We observed modest increases in eye care utilization by older persons after an eye survey, particularly those with correctable visual impairment.
评估在一项眼部调查中确定的患有可矫正视力损害的澳大利亚老年人的眼部护理利用模式的变化。
蓝山眼研究（BMES）在基线时（BMES-I）检查了3654名年龄≥49岁的澳大利亚人。2334名参与者参加了为期五年的随访检查，占幸存者的75.0%（BMES-II）。访员在每次就诊时收集眼部护理利用情况的数据。使用LogMAR视力表评估习惯（就诊时）视力和最佳矫正视力。每次就诊后，向参与者发送包括视力和建议的调查报告。屈光不正矫正不足的人被告知他们可以从新的远用处方中受益。比较BMES-I调查前后的眼部护理利用情况。
在2152名两次检查均有数据的参与者中，BMES-I时有26人有不可矫正的视力损害，115人有可矫正的视力损害。115名有可矫正视力损害的参与者中，报告在过去两年内看过眼科护理人员的比例从BMES-I时的55%增加到BMES-II时的64%。将BMES-II收集的数据与BMES-I收集的数据进行比较，无论其可矫正视力损害状况如何，所有参与者在过去5年中报告的验光就诊比例都更高。在BMES-I时有可矫正视力损害的人中，58%在BMES-II时改善为无视力损害，随后佩戴远用矫正眼镜的比例从57%增加到71%。
我们观察到在眼部调查后，老年人的眼部护理利用情况有适度增加，特别是那些有可矫正视力损害的人。
