Universität zu Köln

Fang, P. P., Schnetzer, A., Kupitz, D. G., Goebel, A. P., Kohnen, T., Reinhard, T., Lorenz, B., Hoerauf, H., Wagenfeld, L., Auffarth, G., Schaub, F., Thieme, H., von Livonius, B., Alten, F., Robering, A., Brandl, C., Ziemssen, F., Krummenauer, F., Holz, F. G. and Finger, R. P. (2017). Ophthalmological health care of the institutionalized elderly. The OVIS study. Ophthalmologe, 114 (9). S. 818 - 828. NEW YORK: SPRINGER. ISSN 1433-0423

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Abstract

Due to demographic change and societal transformation the number of elderly persons living in retirement homes is growing in Germany. Access to health care is more complicated in the setting of nursing homes. Different regional studies suggest unmet ophthalmological health care needs in institutionalized elderly people. This study assessed the current ophthalmological health care structure and supply status in nursing homes in Germany. This prospective, multicenter cross-sectional study was conducted by 14 study centers in Germany. Elderly people living in 32 nursing homes were included after approval by the local institutional review boards. A standardized examination was performed which included a detailed medical and ocular history, refraction, visual acuity testing, tonometry, biomicroscopy and dilated funduscopy. Unmet ophthalmological health care needs were documented and the data were analyzed descriptively and via logistic regression modelling. A total of 600 participants (434 women and 166 men) aged 50-104 years were examined of which 368 (61%) had ophthalmological conditions requiring treatment. The most prevalent findings were cataracts (315; 53%), disorders of the eyelids (127; 21%), dry eye disease (57; 10%) and posterior capsule opacification (43; 7%). In 63 (11%) of the participants glaucoma was suspected and 55 (9%) of the examined population had a known diagnosis of glaucoma, of whom one third was not on any or on insufficient anti-glaucomatous therapy. 236 (39%) showed signs of age-related macular degeneration (AMD). Only 52% of the examined cohort had been examined by an ophthalmologist within the last 5 years and 39% stated that they would currently not be able to consult an ophthalmologist. Reported barriers were mainly transport and lack of support. This study demonstrates considerable unmet ophthalmological health care needs of the institutionalized elderly in Germany. Novel and reformed models of specialist care provision have to be developed.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Fang, P. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schnetzer, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kupitz, D. G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Goebel, A. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kohnen, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Reinhard, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lorenz, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoerauf, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wagenfeld, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Auffarth, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schaub, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Thieme, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED von Livonius, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Alten, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Robering, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Brandl, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ziemssen, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Krummenauer, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Holz, F. G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Finger, R. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-219915
DOI:	10.1007/s00347-017-0557-0
Journal or Publication Title:	Ophthalmologe
Volume:	114
Number:	9
Page Range:	S. 818 - 828
Date:	2017
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0423
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language VISUAL IMPAIRMENT; NURSING-HOMES; PREVALENCE; POPULATION; BLINDNESS; BARRIERS; ACCESS; PEOPLE Multiple languages Ophthalmology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/21991