Visual impairment in elderly patients receiving long-term hemodialysis

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Ernest ChiuSarbjit Vanita Jassal

Abstract

Visual impairments are associated with low quality of life, impairment of daily activities, and accidental falls. As dialysis patients are increasingly older and more disabled, we sought to assess visual impairments within an elderly dialysis population. Based on data from the general population, we hypothesized that more than 30% of dialysis patients 65 years or older would have visual impairment manifested by loss of visual acuity, depth perception, or contrast sensitivity. Single-center cross-sectional study. Patients established on hemodialysis therapy, age older than 65 years. The proportion of elderly hemodialysis patients with impairments in visual acuity, contrast sensitivity, and depth perception. Lighthouse Near Visual Acuity Test, Lea Screener contrast sensitivity test (Goodlite, MA, USA), Titmus Stereotest, Folstein Mini-Mental Status Examination. 152 of 159 patients (95.6%) had visual acuity levels less than age-expected values. Under North American (American Medical Association, edition 4) guidelines for disability compensation, 62 patients (39.0%) fulfilled criteria for legal blindness. Sixty patients (37.0%) had poor contrast sensitivity and 48 (30.6%) failed the Housefly component of the Titmus Stereotest. Fail...Continue Reading

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Citations

Oct 8, 2013·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Dominik W PodbielskiSamuel N Markowitz
Sep 22, 2009·Clinics in Geriatric Medicine·Sarbjit Vanita Jassal
Dec 30, 2015·Clinical Journal of the American Society of Nephrology : CJASN·Osasuyi U IyasereAndrew Davenport
Feb 2, 2010·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·S Vanita Jassal, Diane Watson
Oct 26, 2012·Seminars in Dialysis·Janine Farragher, Sarbjit Vanita Jassal
Sep 16, 2015·Health Communication·Tracie Harrison, Allison Lazard
Oct 25, 2016·Kidney International·Edwina A BrownAlan S Kliger
Aug 17, 2011·Nephron. Clinical Practice·Edwina A Brown, Lina Johansson
Sep 1, 2011·Nature Reviews. Nephrology·Edwina A Brown, Lina Johansson
Dec 8, 2009·Clinical Journal of the American Society of Nephrology : CJASN·Sarbjit V Jassal, Diane Watson
Jan 10, 2018·Seminars in Dialysis·Jennifer St Clair Russell, L Ebony Boulware
Sep 6, 2020·Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals·Danielle Marie MuscatAngela C Webster

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