英国威尔士无家可归者的屈光不正、视力损害和眼保健服务可及性的患病率。

Prevalence of refractive error, visual impairment and access to eyecare for the homeless in Wales, United Kingdom.

机构信息

University Hospital Wales, Department of Ophthalmology, Heath Park Way, Cardiff, CF14 4XW, UK.

University Hospital Wales, School of Optometry & Vision Sciences, Maindy Road, Cathays, Cardiff, CF24 4HQ, UK.

出版信息

Eye (Lond). 2021 Oct;35(10):2727-2732. doi: 10.1038/s41433-020-01271-6. Epub 2020 Nov 24.

DOI:10.1038/s41433-020-01271-6

PMID:33235337

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8452665/

Abstract

BACKGROUND/AIMS: To investigate visual impairment and disability, refractive error, and barriers to eye care in the homeless in Cardiff, United Kingdom.

METHODS

Prospective cross-sectional study carried out on participants in homeless shelters in Cardiff. We collected participants socio-demographic profile, ocular history and access to eyecare services. Quantitative data included near and distance visual acuity and a non-cycloplegic refraction.

RESULTS

A total of 100 participants were studied in this study. Prevalence of myopia was 19% and hyperopia 17%. Mean SE (Spherical Equivalent) for myopia -2.42D (95% CI: -1.65 to -3.19 D), for hyperopia this was +2.22D (95% CI: + 1.66 to +2.79). The prevalence of astigmatism was 36% (mean: 1.67 D, 95% CI: -0.88 to 0.94, n = 100). The number of participants with visual acuity (VA) worse than 6/12 was 11% in comparison to 0.89% and 1.1% in the general Cardiff and Welsh population respectively (p < 0.05). Additionally, 1% of the homeless subjects were registerable as blind (visual acuity worse than 3/60 in the better eye). Barriers to eyecare services were high, with 50% not seen by an optometrist within the last 5 years.

CONCLUSIONS

These findings indicate a significant disparity in ocular health, visual acuity and refractive error amongst the homeless in comparison with the general population.

摘要

背景/目的：调查英国卡迪夫无家可归者的视力障碍和残疾、屈光不正以及眼科保健障碍。

方法

对卡迪夫收容所的参与者进行前瞻性横断面研究。我们收集了参与者的社会人口统计学概况、眼部病史和获得眼科保健服务的情况。定量数据包括近视力和远视力以及非睫状肌麻痹验光。

结果

本研究共纳入 100 名参与者。近视患病率为 19%，远视患病率为 17%。近视的平均 SE（球镜等效值）为-2.42D（95%CI：-1.65 至-3.19D），远视为+2.22D（95%CI：+1.66 至+2.79）。散光的患病率为 36%（平均：1.67D，95%CI：-0.88 至 0.94，n=100）。视力（VA）低于 6/12 的参与者比例为 11%，而卡迪夫和威尔士普通人群的这一比例分别为 0.89%和 1.1%（p<0.05）。此外，1%的无家可归者可被登记为盲人（较好眼的视力低于 3/60）。眼科保健服务的障碍很高，50%的参与者在过去 5 年内没有接受过验光师的检查。