Adeyemi O, Bekibele C O
Department of Ophthalmology, College of Medicine, University of Ibadan. Ibadan, Nigeria.
Afr J Biomed Res. 2020 Jul;23(SE1):75-79.
Presbyopia is an age-related condition that results from the gradual decline in accommodation leading to inability to focus at near distances. This study sought to determine the prevalence, correction coverage, unmet need and impact on the quality of life of presbyopia among Bodija market traders in Ibadan, Nigeria. A cross sectional study was conducted on 314 participants aged 35 years and older selected by a non-probability sampling method. Their near vision was tested and corrected to the nearest diopter. Presbyopia was defined as being able to read the N8 optotype at a distance of 40 cm after correction with plus lens of at least one diopter. The prevalence of presbyopia was 46.8% (95% CI: 41.20, 52.5). The prevalence was significantly higher in those aged 50 years or more (95% CI: 2.98, 7.77), in females (95% CI: 1.45, 3.64) and in individuals with no formal education (95%CI: 3.32, 10.91). The presbyopia correction coverage was 29.9% and unmet need was = 70.1%. The major barriers reported as reasons for not obtaining near vision spectacles were lack of money and spectacles not being a priority. Presbyopes reported more difficulty with near work (p<0.001). The prevalence of presbyopia in Bodija market is relatively low compared to other reports with major risk factors being increasing age, female gender and no formal education. Presbyopia correction coverage is low with high unmet need it is important to create awareness and provide affordable and accessible near vision spectacles for those in need.
老花眼是一种与年龄相关的状况,它是由调节能力逐渐下降导致无法聚焦近距离物体引起的。本研究旨在确定尼日利亚伊巴丹博迪贾市场交易者中老花眼的患病率、矫正覆盖率、未满足的需求以及对生活质量的影响。采用非概率抽样方法对314名35岁及以上的参与者进行了横断面研究。测试他们的近视力并矫正到最接近的屈光度。老花眼的定义是在用至少1屈光度的正透镜矫正后,能够在40厘米的距离阅读N8视标。老花眼的患病率为46.8%(95%置信区间:41.20,52.5)。50岁及以上人群(95%置信区间:2.98,7.77)、女性(95%置信区间:1.45,3.64)和未接受过正规教育的个体(95%置信区间:3.32,10.91)的患病率显著更高。老花眼矫正覆盖率为29.9%,未满足的需求为70.1%。报告的未获得近视力眼镜的主要障碍是缺钱和眼镜不是优先事项。老花眼患者报告在近距离工作方面有更多困难(p<0.001)。与其他报告相比,博迪贾市场老花眼的患病率相对较低,主要危险因素是年龄增长、女性和未接受过正规教育。老花眼矫正覆盖率低,未满足的需求高,为有需要的人提高认识并提供负担得起且可获得的近视力眼镜很重要。