Bergholz Richard, Dutescu Ralf Michael, Steinhagen-Thiessen Elisabeth, Rosada Adrian
Department of Ophthalmology, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
ACTO e.V., An-Institute, RWTH Aachen University, Karlsburgweg 9, 52070, Aachen, Germany.
Graefes Arch Clin Exp Ophthalmol. 2019 Sep;257(9):1981-1988. doi: 10.1007/s00417-019-04386-z. Epub 2019 Jul 23.
Vision of the elderly may be affected by typical age-related diseases like cataract and macular degeneration. Little is known about the effect of aging on visual difficulties and vision-related quality of life. This study was conducted to compare the ophthalmological health status of younger and older individuals within a large cohort study of residents of a greater metropolitan area (Berlin Aging Study II [BASE-II]).
A total of 1655 participants (805 men) aged 60 years and older and 494 participants (232 men) aged between 22 and 48 years from the Berlin Aging Study II were included in the analysis. The subjects were examined during a 2-day clinical examination period. History of ocular diseases, vision-related quality of life using the visual function questionnaire (VFQ- 25), refraction, distance and near visual acuity, tonometry, and color vision were provided.
Older subjects performed significantly worse concerning distance and near visual acuity, color vision, and vision-related quality of life compared to young subjects. Intraocular pressure showed no significant difference between groups. Individuals are often unaware of existing eye diseases.
The prevalence of ocular diseases and the impairment of vision increases with age. Although 98% of elderly subjects have reported to suffer from any ocular disease, subjective quality of life seems to be affected to a lesser extent.
老年人的视力可能会受到白内障和黄斑变性等典型的与年龄相关疾病的影响。关于衰老对视觉困难和与视力相关的生活质量的影响，人们了解甚少。本研究旨在比较大柏林都市圈居民的一项大型队列研究（柏林衰老研究II [BASE-II]）中年轻人和老年人的眼科健康状况。
分析纳入了柏林衰老研究II中的1655名60岁及以上的参与者（805名男性）和494名年龄在22至48岁之间的参与者（232名男性）。在为期2天的临床检查期间对受试者进行了检查。提供了眼部疾病史、使用视觉功能问卷（VFQ-25）评估的与视力相关的生活质量、验光、远视力和近视力、眼压测量以及色觉检查结果。
与年轻受试者相比，老年受试者在远视力和近视力、色觉以及与视力相关的生活质量方面表现明显更差。两组间眼压无显著差异。个体往往未意识到自己存在眼部疾病。
眼部疾病的患病率和视力损害随年龄增长而增加。尽管98%的老年受试者报告患有某种眼部疾病，但主观生活质量似乎受到的影响较小。
