Correctable visual impairment among people with diabetes in Hong Kong

Mavis M Y Fung, Keng Hung Maurice Yap, Karen K Y Cheng

Research output: Journal article publicationJournal articleAcademic researchpeer-review

11 Citations (Scopus)

Abstract

Background: The prevalence of visual impairment is known to be higher in a diabetic population than in a non-diabetic population. How much of this visual impairment may be attributed to uncorrected refractive error is unclear. This study examined the prevalence of visual impairment in a Hong Kong diabetic population to determine the proportion of the visual impairment that could be corrected with prescription spectacles.Methods: Patients with type 2 diabetes mellitus (T2DM) were recruited as subjects for this study. All subjects underwent a standardised diabetic retinopathy screening that included measurement of presenting distant vision, biomicroscopic examination of the anterior eye and a retinal examination. For those subjects whose visual acuity was worse than 6/9.5, autorefraction was performed. In this study, we classified visual impairment into three categories: no visual impairment (visual acuity in the better eye better than or equal to 6/18), mild visual impairment (visual acuity in the better eye between 6/18 and 6/60) and severe visual impairment (visual acuity in the better eye less than or equal to 6/60).Results: For the 2,301 subjects who participated in this study, the mean age at examination was 61.4 ± 10.5-years (range, 23 to 92-years). Regarding visual acuity, 11.3 per cent (259/2,301) of subjects had visual impairment with 10.6 per cent being mild (244/2,301) and 0.7 per cent severe (15/2,301). After correction with a prescription determined by autorefraction, the prevalence of visual impairment dropped to 4.0 per cent (91/2,301). Nearly 70 per cent (168/259) of visual impairment was correctable by prescription spectacles and 21.6 per cent (56/259) of subjects were likely to benefit from cataract surgery.Conclusion: For our sample of diabetic patients, nearly 70 per cent of the visual impairment could be remedied by a spectacle correction. In the care of the diabetic eye, eye-care providers should not focus solely on diabetic retinopathy. The quality of life in people with T2DM can be improved simply by eliminating uncorrected refractive errors. Clinical and Experimental Optometry
Original languageEnglish
Pages (from-to)453-457
Number of pages5
JournalClinical and Experimental Optometry
Volume93
Issue number6
DOIs
Publication statusPublished - 1 Nov 2010

Keywords

  • Cataract
  • Diabetic mellitus
  • Hong Kong
  • Refractive errors
  • Visual impairment

ASJC Scopus subject areas

  • Ophthalmology
  • Optometry

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