Ono Takashi, Iwasaki Takuya, Sakisaka Toshihiro, Mori Yosai, Nejima Ryohei, Miyai Takashi, Miyata Kazunori
Miyata Eye Hospital, 6-3, Kuraharacho, Miyakonojo, 885-0051, Miyazaki, Japan.
Department of Ophthalmology, the University of Tokyo, Tokyo, Japan.
Graefes Arch Clin Exp Ophthalmol. 2025 Aug 28. doi: 10.1007/s00417-025-06947-x.
The centenarian population is increasing with an increase in global life expectancy. However, data on visual status and ocular diseases in this age group remain limited. We aimed to assess visual acuity and ocular comorbidities in patients aged ≥ 100 years.
This retrospective cross-sectional study included patients aged ≥ 100 years who visited Miyata Eye Hospital between January 2016 and December 2024. Data on best-corrected visual acuity (BCVA), intraocular pressure, and ocular comorbidities were extracted from medical records. Multivariate linear regression was performed to analyse the associations between BCVA and ocular diseases.
This study included 50 eyes of 25 patients. The mean age was 100.8 ± 1.0 years, and 80.0% of the eyes belonged to women. The mean BCVA was 1.01 ± 0.93 logarithm of the minimum angle of resolution. The most common ocular conditions were dry eye (54%), glaucoma (46%), cataract (40%), and macular degeneration (40%). Multivariate analysis revealed that cataract (p = 0.019) and uveitis (p = 0.003) were significantly linked to poor visual acuity.
Cataracts and uveitis were the most significant factors contributing to visual impairment in centenarian patients. Thus, an improved understanding of the ocular health status is crucial for maintaining visual function and quality of life in this unique population.
随着全球预期寿命的增加，百岁老人的数量也在上升。然而，关于这个年龄组的视力状况和眼部疾病的数据仍然有限。我们旨在评估年龄≥100岁患者的视力和眼部合并症。
这项回顾性横断面研究纳入了2016年1月至2024年12月期间就诊于宫田眼科医院的年龄≥100岁的患者。从病历中提取最佳矫正视力（BCVA）、眼压和眼部合并症的数据。进行多变量线性回归分析以探讨BCVA与眼部疾病之间的关联。
本研究纳入了25例患者的50只眼。平均年龄为100.8±1.0岁，80.0%的眼睛属于女性。平均BCVA为1.01±0.93最小分辨角对数。最常见的眼部疾病是干眼症（54%）、青光眼（46%）、白内障（40%）和黄斑变性（40%）。多变量分析显示，白内障（p = 0.019）和葡萄膜炎（p = 0.003）与视力差显著相关。
白内障和葡萄膜炎是导致百岁老人视力损害的最重要因素。因此，更好地了解眼部健康状况对于维持这个特殊人群的视觉功能和生活质量至关重要。
