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A Standardized Obstacle Course for Assessment of Visual Function in Ultra Low Vision and Artificial Vision
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Visual impairment as a predictor for deterioration in functioning: the Leiden 85-plus Study.

Erj Verbeek1, Y M Drewes2,2, J Gussekloo1,3

  • 1Department of Internal Medicine, section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.

BMC Geriatrics
|May 6, 2022
PubMed
Summary
This summary is machine-generated.

Visual impairment in older adults predicts faster decline in physical function and increased mortality risk. Early intervention may improve independence and well-being in advanced age.

Keywords:
Cohort studyFunctioningMortalityOlder adultsPredictionQuality of lifeVisual impairment

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Area of Science:

  • Gerontology
  • Ophthalmology
  • Public Health

Background:

  • Visual impairment is a common condition among the elderly population.
  • Understanding its impact on functioning and survival is crucial for aging well.

Purpose of the Study:

  • To examine the predictive value of visual impairment on functioning, quality of life, and mortality in individuals aged 85 years and older.

Main Methods:

  • The Leiden 85-plus Study included 548 participants aged 85.
  • Visual acuity was categorized into no, moderate, and severe impairment.
  • Functioning, quality of life, and mortality were assessed over a 5-year period.

Main Results:

  • Visual impairment was associated with lower scores in physical, cognitive, psychological, and social functioning, as well as quality of life at baseline.
  • Moderate and severe visual impairment predicted accelerated deterioration in daily living activities.
  • Severe visual impairment was linked to a significantly increased mortality risk (1.83 times higher).

Conclusions:

  • Visual impairment is a significant predictor of functional decline and increased mortality risk in very old adults.
  • Proactive strategies for preventing and treating visual impairment are essential for promoting independence, well-being, and successful aging.