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Screening for Impaired Visual Acuity in Older Adults: US Preventive Services Task Force Recommendation Statement
, Carol M Mangione1, Michael J Barry2
1University of California, Los Angeles.
JAMA
|May 24, 2022
Summary
Vision impairment is a significant public health issue for older adults. Current evidence is insufficient to determine the benefits and harms of screening for visual acuity impairment in asymptomatic seniors.
Area of Science:
- Ophthalmology
- Public Health
- Preventive Medicine
Background:
- Impaired visual acuity affects millions of older adults, diminishing quality of life and increasing injury risks.
- Conditions range from visual acuity worse than 20/40 to blindness (20/200 or worse).
Purpose of the Study:
- To update recommendations on screening for impaired visual acuity in older adults.
- Evaluate the benefits and harms of screening in primary care settings.
Main Methods:
- Systematic review commissioned by the US Preventive Services Task Force (USPSTF).
- Focused on asymptomatic adults aged 65 and older without known vision problems.
Main Results:
- The USPSTF found insufficient evidence to assess the benefits and harms of screening.
- The balance of benefits and harms could not be determined due to a lack of research.
Conclusions:
- Current evidence is insufficient to recommend for or against screening for impaired visual acuity in asymptomatic older adults.
- Further research is needed to guide clinical practice and public health policy.
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