Havstam Johansson Lena, Zetterberg Madeleine, Falk Erhag Hanna
Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Goteborg, Sweden.
Department of Ophthalmology, Sahlgrenska University Hospital, Mondale, Sweden.
Acta Ophthalmol. 2025 Jun;103(4):469-478. doi: 10.1111/aos.17440. Epub 2025 Jan 28.
To explore the potential correlation between subjective and measured visual function, as well as to analyse the influence of eye disease, socioeconomic factors and emotional dimensions.
Semi-structured interviews, physical examinations and functional tests (n = 1203). Demographics covered sex, marital status, education, household economy, smoking and alcohol. Participants (born in 1944) rated their visual function (n = 533); those misjudging (n = 48) were studied. Group A (n = 18) had low presenting visual acuity (PVA) but reported good vision; Group B (n = 30) had normal PVA but reported low vision. Control group (n = 485) matched subjective and measured visual function. Ophthalmic examination tested visual acuity (VA), visual field and contrast sensitivity (CS). Psychometric tests: NEO-FFI, sense of coherence (SOC) and Montgomery-Åsberg Depression Rating Scale (MADRS).
chi-square, t-tests, Mann-Whitney U test and logistic regression.
Of the population, 91% made correct assumptions about their vision. The 9% who made incorrect assumptions about their vision ability (combining groups A + B) were more likely to live alone (p = 0.02) and had lower household incomes compared to the control group (p = 0.04). Additionally, the exhibited significantly lower PVA and BCVA, a higher prevalence of visual field defects (p = 0.02) and lower CS, mean 1.63 (p = 0.005). Group A (3.4%) were women (p = 0.002) with the personality of extraversion, mean 40.0 (p = 0.01). Group B (5.6%) had more self-reported eye diseases (p = 0.01), lower CS (p = 0.01), lower educational level (p = 0.03) and border significantly lower SOC (p = 0.06).
The perception of visual function is shaped by awareness of an eye disease but is additionally influenced by sex, socioeconomic factors and emotional parameters.
探讨主观视觉功能与测量视觉功能之间的潜在相关性，并分析眼病、社会经济因素和情感维度的影响。
采用半结构化访谈、体格检查和功能测试（n = 1203）。人口统计学信息包括性别、婚姻状况、教育程度、家庭经济、吸烟和饮酒情况。参与者（出生于1944年）对自己的视觉功能进行评分（n = 533）；对判断错误的参与者（n = 48）进行研究。A组（n = 18）初始视力（PVA）低但自述视力良好；B组（n = 30）PVA正常但自述视力差。对照组（n = 485）主观视觉功能与测量视觉功能相符。眼科检查包括测试视力（VA）、视野和对比敏感度（CS）。心理测量测试：NEO-FFI人格量表、连贯感（SOC）和蒙哥马利-艾森伯格抑郁评定量表（MADRS）。
卡方检验、t检验、曼-惠特尼U检验和逻辑回归分析。
在研究人群中，91%的人对自己的视力做出了正确判断。对自己视力能力做出错误判断的9%的人（A组和B组合并）更有可能独居（p = 0.02），与对照组相比家庭收入较低（p = 0.04）。此外，他们的PVA和最佳矫正视力（BCVA）显著更低，视野缺损患病率更高（p = 0.02），CS更低，平均值为1.63（p = 0.005）。A组（3.4%）为女性（p = 0.002），具有外向型人格，平均值为40.0（p = 0.01）。B组（5.6%）自述患有更多眼病（p = 0.01），CS更低（p = 0.01），教育水平更低（p = 0.03），连贯感（SOC）显著更低（p = 0.06）。
视觉功能的认知受眼病意识的影响，但还受到性别、社会经济因素和情感参数的影响。
