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Associations between self-rated vision score, vision tests, and self-reported visual function in the Salisbury Eye

Mahmood El-Gasim1, Beatriz Munoz, Sheila K West

  • 1Johns Hopkins University School of Medicine, Baltimore, Maryland.

Investigative Ophthalmology & Visual Science
|July 2, 2013
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Summary

Self-rated vision status in older adults is influenced by objective vision tests and daily visual function. Better visual acuity and near vision function significantly improve how individuals rate their own vision.

Keywords:
elderlyself-rated visionvision testsvisual function

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Area of Science:

  • Ophthalmology
  • Gerontology
  • Public Health

Background:

  • Self-rated vision status is a key indicator of quality of life in older adults.
  • Understanding the factors influencing self-rated vision is crucial for targeted interventions.
  • Previous research has explored various determinants, but a comprehensive analysis linking objective measures and functional status is needed.

Purpose of the Study:

  • To identify the key determinants of self-rated vision status in an elderly population.
  • To examine the associations between objective vision tests, self-reported visual function, and demographic/health characteristics with self-rated vision.
  • To provide insights for eye care professionals to enhance patient-reported vision outcomes.

Main Methods:

  • A longitudinal, population-based cohort study of 2467 individuals aged 65-84 years.
  • Assessment of visual acuity, contrast sensitivity, stereoacuity, and visual fields.
  • Administration of the Activities of Daily Vision Scale (ADVS) questionnaire and self-rated vision scoring (0-10).
  • Multivariate logistic regression models were used to analyze associations.

Main Results:

  • Improved visual acuity, contrast sensitivity, stereoacuity, and visual fields were significantly associated with higher self-rated vision.
  • A 2-line increase in visual acuity increased the odds of reporting better vision status (OR, 1.49).
  • Improvements in near vision and far vision subscales of the ADVS were linked to better self-rated vision, with near vision being most impactful (OR, 1.38).

Conclusions:

  • Self-rated vision status is a complex measure influenced by multiple factors.
  • Objective visual function (visual acuity, contrast sensitivity) and subjective visual function (near vision) are critical determinants in older adults.
  • These findings can guide eye care providers in optimizing patient-centered vision care and improving self-perceived visual status.