Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Community screening for visual impairment in the elderly.

L Smeeth1, S Iliffe

  • 1London School of Hygiene and Tropical Medicine, Department of Epidemiology, Keppel Street, London, UK WC1E 7HT. Liam.smeeth@lshtm.ac.uk

The Cochrane Database of Systematic Reviews
|July 21, 2006
PubMed
Summary

Community screening for vision impairment in older adults does not improve vision outcomes. Studies found no evidence that mass screening leads to better vision in the elderly population.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Implementation fidelity of the Falls Management Exercise Programme: a mixed methods analysis using a conceptual framework for implementation fidelity.

Public health·2021
Same author

Rural and urban migration to Europe in relation to cardiovascular disease risk: does it matter where you migrate from?

Public health·2021
Same author

The Centre for Data and Knowledge Integration for Health (CIDACS): Linking Health and Social Data in Brazil.

International journal of population data science·2021
Same author

Inflammatory skin diseases and the risk of chronic kidney disease: population-based case-control and cohort analyses.

The British journal of dermatology·2021
Same author

Four childhood atopic dermatitis subtypes identified from trajectory and severity of disease and internally validated in a large UK birth cohort.

The British journal of dermatology·2021
Same author

Incidence of acute complications of herpes zoster among immunocompetent adults in England: a matched cohort study using routine health data.

The British journal of dermatology·2020

Area of Science:

  • Ophthalmology
  • Gerontology
  • Public Health

Background:

  • Multicomponent screening for older adults aims to be broad, but vision improvement is contingent on effective vision assessment.
  • The inclusion of vision screening within broader health assessments for the elderly requires evaluation of its impact on visual health.

Purpose of the Study:

  • To evaluate the impact of mass screening programs on the vision of older individuals.
  • Assessing whether identifying visual impairment through screening leads to tangible improvements in vision.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) identified through comprehensive database searches (CENTRAL, NRR, MEDLINE, EMBASE, PubMed) and investigator contact.
  • Included RCTs focused on visual or multicomponent screening for vision impairment in community-dwelling individuals aged 65 and older.

Related Experiment Videos

  • Data extraction and quality assessment were performed independently by two authors.

    • Main Results:

    • Five trials involving 3494 participants using self-reported visual impairment measures showed no significant difference in reported visual problems between intervention and control groups (RR 1.03, 95% CI 0.92 to 1.15).
    • A cluster RCT of 1807 individuals aged 75+ found no significant difference in visual acuity (RR 1.07, 95% CI 0.84 to 1.36) or visual function questionnaire scores between universal and targeted screening strategies.
    • Follow-up periods ranged from two to five years, with interventions including referral to eye services or provision of resource information.

    Conclusions:

    • Current evidence does not support community-based screening of asymptomatic older adults as a method for improving vision.
    • The effectiveness of vision screening as part of multicomponent assessments for the elderly remains unproven in terms of visual outcomes.