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Prevalence, Correlates, and Impact of Uncorrected Presbyopia in a Multiethnic Asian Population.

Publication ,  Journal Article
Kidd Man, RE; Fenwick, EK; Sabanayagam, C; Li, L-J; Gupta, P; Tham, Y-C; Wong, TY; Cheng, C-Y; Lamoureux, EL
Published in: Am J Ophthalmol
August 2016

PURPOSE: To examine the prevalence, correlates, and impact of uncorrected presbyopia on vision-specific functioning (VF) in a multiethnic Asian population. DESIGN: Population-based cross-sectional study. METHODS: We included 7890 presbyopic subjects (3909 female; age range, 40-86 years) of Malay, Indian, and Chinese ethnicities from the Singapore Epidemiology of Eye Disease study. Presbyopia was classified as corrected and uncorrected based on self-reported near correction use. VF was assessed with the VF-11 questionnaire validated using Rasch analysis. Multivariable logistic and linear regression models were used to investigate the associations of sociodemographic and clinical parameters with uncorrected presbyopia, and its impact on VF, respectively. As myopia may mitigate the impact of noncorrection, we performed a subgroup analysis on myopic subjects only (n = 2742). RESULTS: In total, 2678 of 7890 subjects (33.9%) had uncorrected presbyopia. In multivariable models, younger age, male sex, Malay and Indian ethnicities, presenting distance visual impairment (any eye), and lower education and income levels were associated with higher odds of uncorrected presbyopia (all P < .05). Compared with corrected presbyopia, noncorrection was associated with worse overall VF and reduced ability to perform individual near and distance vision-specific tasks even after adjusting for distance VA and other confounders (all P < .05). Results were very similar for myopic individuals. CONCLUSION: One-third of presbyopic Singaporean adults did not have near correction. Given its detrimental impact on both near and distance VF, public health strategies to increase uptake of presbyopic correction in younger individuals, male individuals, and those of Malay and Indian ethnicities are needed.

Duke Scholars

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Published In

Am J Ophthalmol

DOI

EISSN

1879-1891

Publication Date

August 2016

Volume

168

Start / End Page

191 / 200

Location

United States

Related Subject Headings

  • Visual Acuity
  • Singapore
  • Rural Population
  • Prevalence
  • Presbyopia
  • Ophthalmology & Optometry
  • Multivariate Analysis
  • Middle Aged
  • Male
  • Indonesia
 

Citation

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Kidd Man, R. E., Fenwick, E. K., Sabanayagam, C., Li, L.-J., Gupta, P., Tham, Y.-C., … Lamoureux, E. L. (2016). Prevalence, Correlates, and Impact of Uncorrected Presbyopia in a Multiethnic Asian Population. Am J Ophthalmol, 168, 191–200. https://doi.org/10.1016/j.ajo.2016.05.019
Kidd Man, Ryan Eyn, Eva Katie Fenwick, Charumathi Sabanayagam, Ling-Jun Li, Preeti Gupta, Yih-Chung Tham, Tien Yin Wong, Ching-Yu Cheng, and Ecosse Luc Lamoureux. “Prevalence, Correlates, and Impact of Uncorrected Presbyopia in a Multiethnic Asian Population.Am J Ophthalmol 168 (August 2016): 191–200. https://doi.org/10.1016/j.ajo.2016.05.019.
Kidd Man RE, Fenwick EK, Sabanayagam C, Li L-J, Gupta P, Tham Y-C, et al. Prevalence, Correlates, and Impact of Uncorrected Presbyopia in a Multiethnic Asian Population. Am J Ophthalmol. 2016 Aug;168:191–200.
Kidd Man, Ryan Eyn, et al. “Prevalence, Correlates, and Impact of Uncorrected Presbyopia in a Multiethnic Asian Population.Am J Ophthalmol, vol. 168, Aug. 2016, pp. 191–200. Pubmed, doi:10.1016/j.ajo.2016.05.019.
Kidd Man RE, Fenwick EK, Sabanayagam C, Li L-J, Gupta P, Tham Y-C, Wong TY, Cheng C-Y, Lamoureux EL. Prevalence, Correlates, and Impact of Uncorrected Presbyopia in a Multiethnic Asian Population. Am J Ophthalmol. 2016 Aug;168:191–200.
Journal cover image

Published In

Am J Ophthalmol

DOI

EISSN

1879-1891

Publication Date

August 2016

Volume

168

Start / End Page

191 / 200

Location

United States

Related Subject Headings

  • Visual Acuity
  • Singapore
  • Rural Population
  • Prevalence
  • Presbyopia
  • Ophthalmology & Optometry
  • Multivariate Analysis
  • Middle Aged
  • Male
  • Indonesia