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Ocular frailty: A concept analysis
Lidong Huang1, Aiai Chen1, Qi Zhang1
1Ningbo Eye Hospital, Ningbo, No. 599, Beimingcheng Road, Yinzhou District, Ningbo, Zhejiang 315040, China.
Survey of Ophthalmology
|January 30, 2026
Summary
Ocular frailty, a decline in visual system function, increases vulnerability in older adults. Understanding its attributes, causes, and consequences aids in risk assessment and research for the aging population.
Area of Science:
- Gerontology
- Ophthalmology
- Public Health
Background:
- Ocular frailty lacks clear definition regarding clinical aspects, causes, and impacts.
- A well-defined concept is crucial for advancing research in aging populations.
Purpose of the Study:
- To delineate the concept of ocular frailty.
- To provide an operationalizable framework for research.
Main Methods:
- Systematic literature review of 15 articles.
- Concept analysis using Rodgers' evolutionary method.
Main Results:
- Ocular frailty attributes include hypofunction, reduced resilience, links to systemic frailty, potential reversibility, and multidimensionality.
- Antecedents comprise sociodemographic factors and comorbidities.
- Consequences involve increased adverse outcomes, depression, low autonomy, and social isolation.
Conclusions:
- Ocular frailty is an age-related decline in visual function, increasing vulnerability.
- This analysis clarifies ocular frailty's attributes, antecedents, and consequences.
- Provides a framework for clinical risk stratification and geriatric research.
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