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低视力辅助产品的回顾性分析——一项为期6年的综述。

Retrospective analysis of low vision assistive products - A 6-year review.

作者信息

Gurnani Bharat, Kaur Kirandeep, Sivakumar Priya, Bhandari Sahil

机构信息

Department of Cataract, Cornea and Refractive Services, Aravind Eye Hospital, Puducherry, India.

Department of Cataract, Pediatric Ophthalmology and Strabismus Services, Aravind Eye Hospital, Puducherry, India.

出版信息

Saudi J Ophthalmol. 2023 Mar 9;37(1):32-37. doi: 10.4103/sjopt.sjopt_253_21. eCollection 2023 Jan-Mar.

Abstract

PURPOSE

The purpose of the study was to analyze the demographics, visual acuity (VA), etiologies, recommended low vision assistive products (LVAP), and the acceptance rates of LVAP in various age groups.

METHODS

This was a long-term retrospective review of all the patients presenting to the low vision clinic of our tertiary eye care hospital from January 2011 to December 2016. Data obtained included age, gender, VA, visual fields, ocular pathology causing the low vision, and types of LVAP advised. The primary outcome was to analyze the type of LVAP prescribed in different age groups, and the secondary outcome was the acceptance rate of LVAP.

RESULTS

We analyzed the results of 8309 patients, out of which 2844 (34%. 2) were <15 years of age, 2425 (29.5%) were between 16-40 years, and 3013 (36.3%) were above 40 years. A total of 5522 (66.4%) had best-corrected visual acuity (BCVA) ranging from 6/18-3/60, and 2796 (33.6%) had BCVA from 3/60-No PL. Approximately 38% improved with LVAPs. The most common etiology was retinitis pigmentosa in 1545 (18.6%) patients, followed by congenital nystagmus in 1482 (17.8%), and the least was albinism 383 (4.6%). Maximum prescribed and accepted LVAP were hand and stand magnifiers among 1017 (44.3%) and 512 (52.6%) patients, respectively.

CONCLUSION

Products that are easy to use, require lesser adaptability, are cheap, and require lower maintenance have maximum acceptance rates. We suggest that great emphasis should be laid on training, education, and guidance for low vision rehabilitation centers.

摘要

目的

本研究旨在分析不同年龄组患者的人口统计学特征、视力(VA)、病因、推荐的低视力辅助产品(LVAP)以及LVAP的接受率。

方法

这是一项对2011年1月至2016年12月在我们三级眼科护理医院低视力门诊就诊的所有患者进行的长期回顾性研究。获得的数据包括年龄、性别、视力、视野、导致低视力的眼部病理情况以及建议的LVAP类型。主要结果是分析不同年龄组开具的LVAP类型,次要结果是LVAP的接受率。

结果

我们分析了8309例患者的结果,其中2844例(34.2%)年龄小于15岁,2425例(29.5%)年龄在16 - 40岁之间,3013例(36.3%)年龄在40岁以上。共有5522例(66.4%)患者的最佳矫正视力(BCVA)在6/18 - 3/60之间,2796例(33.6%)患者的BCVA在3/60 -无光感之间。约38%的患者使用LVAP后视力得到改善。最常见的病因是1545例(18.6%)患者的视网膜色素变性,其次是1482例(17.8%)患者的先天性眼球震颤,最少见的是383例(4.6%)患者的白化病。最大处方量和接受量的LVAP分别是手持放大镜和台式放大镜,使用患者分别为1017例(44.3%)和512例(52.6%)。

结论

易于使用、适应性要求较低、价格便宜且维护要求较低的产品接受率最高。我们建议低视力康复中心应高度重视培训、教育和指导。

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本文引用的文献

1
The Lancet Global Health Commission on Global Eye Health: vision beyond 2020.《柳叶刀》全球眼健康委员会:2020年之后的愿景。
Lancet Glob Health. 2021 Apr;9(4):e489-e551. doi: 10.1016/S2214-109X(20)30488-5. Epub 2021 Feb 16.
7
Retinitis Pigmentosa: Progress and Perspective.色素性视网膜炎:进展与展望。
Asia Pac J Ophthalmol (Phila). 2016 Jul-Aug;5(4):265-71. doi: 10.1097/APO.0000000000000227.

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