Ageing and Health Department, Guy's and St Thomas' NHS Foundation Trust, Westminster Bridge Road, London, SE1 7EH, UK.
Quay Health Solutions GP Care Home Service, London, UK.
Eur Geriatr Med. 2023 Feb;14(1):153-164. doi: 10.1007/s41999-022-00741-2. Epub 2023 Jan 16.
The prevalence of eye disease and visual impairment in care home residents is disproportionately higher compared to the general population. Access to eye care services and treatment can be variable for this vulnerable population.
This paper reviews the available evidence of services and interventions for delivering eye care to care home residents. The key review questions are: (1) What is the existing evidence for eye care interventions or services (including service configuration) for care home residents? (2) Does the provision of these interventions or services improve outcomes?
Literature search of EMBASE/MEDLINE for original papers published since 1995. Two reviewers independently reviewed abstracts/papers. Data were extracted and evaluated using narrative synthesis.
13 original papers met the inclusion criteria. Domiciliary optometrist services improved diagnosis and management of eye conditions, with one study showing 53% of residents benefited from direct ophthalmology intervention. Provision of interventions, such as cataract surgery, refractive error correction and low-vision rehabilitation, improved visual acuity and vision-related quality of life but did not improve cognitive or physical function, depression or health-related quality of life. There was little UK-based literature to inform eye service design or interventions to improve outcomes such as falls.
Care home-based eye assessments improve the management of eye conditions. Interventions improve visual acuity and vision-related quality of life. Further research is needed to better understand current UK services, access difficulties or examples of good practice as well as to identify and test cost-effective service models for this vulnerable group.
与一般人群相比，养老院居民的眼病和视力障碍患病率不成比例地更高。这个弱势群体获得眼科保健服务和治疗的机会可能会有所不同。
本文回顾了为养老院居民提供眼科保健服务的现有证据。主要审查问题是：（1）为养老院居民提供的眼科保健干预措施或服务（包括服务配置）有哪些现有证据？（2）提供这些干预措施或服务是否能改善结果？
对 1995 年以来发表的原始论文进行 EMBASE/MEDLINE 文献检索。两名审查员独立审查摘要/论文。使用叙述性综合法提取和评估数据。
13 篇原始论文符合纳入标准。家庭眼科医生服务改善了眼部疾病的诊断和管理，一项研究表明，有 53%的居民受益于直接眼科干预。提供白内障手术、屈光不正矫正和低视力康复等干预措施可提高视力和与视力相关的生活质量，但不能改善认知或身体功能、抑郁或健康相关的生活质量。几乎没有英国的文献可以为改善跌倒等结果的眼科服务设计或干预措施提供信息。
基于养老院的眼部评估可改善眼部疾病的管理。干预措施可提高视力和与视力相关的生活质量。需要进一步研究，以更好地了解英国当前的服务、获取困难或良好实践的例子，以及为这一弱势群体确定和测试具有成本效益的服务模式。
