The incidence of visual impairment greatly increases with age. Diabetic retinopathy, senile cataracts, senile macular degeneration and glaucoma are the leading causes of blindness in elderly persons. Environmental modifications, such as levels of illumination and reduction of glare, can enhance an individual's ability to function in society. The nursing home population needs to pay attention to environmental factors as well as standardization of procedures for vision assessment. Much work is needed to develop programs to properly screen and treat the visual problems in elderly persons.
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References
1.
BennettC.A. (1977). The demographic variables of discomfort glare.Lighting Design and Application, 7, 22–24.
2.
BerkowitzM., HiattL.G., & de ToledoP. (1980). A study of reading limitations among institutionalized persons, U.S.A.New York: American Foundation for the Blind.
3.
BoyntonR. (1979). Human color vision.New York: Holt, Rinehart & Winston.
4.
BoyntonR.M., CorwinT.R., & SternheimC. (1970). Visibility losses produced by flash adaptation.Illuminating Engineering.65, 259.
5.
BurgA. (1966). Visual acuity as measured by dynamic and static tests.Journal of Applied Psychology, 50, 460–466.
6.
CooperB.A. (1985). A model for implementing color contrast in the environment of the elderly.The American Journal of Occupational Therapy, 39(4) 253–258.
7.
CullinanT.R., GouldE.S., SilverJ.H., and IrvineD. (1979). Visual disability and home lighting.Lancet, 642–644.
8.
Developments in aging, 1984. (1985). Report of the U.S. Senate Special Committee on Aging.
9.
DondersF.C. (1864). On the anomolies of accommodation and refraction of the eye. With a preliminary essay on physiological optics. London: New Sydenham Society, 188–204.
10.
American Academy of Ophthalmology (1987). Eye care for the American people.San Francisco.
11.
FayeE.E. (1984). Clinical low vision.Boston: Little, Brown & Co.
12.
FerrisF. (1983). Senile macular degeneration: Review of epidemiologic features.American Journal of Epidemiology, 118(2) 132–151.
13.
FolkJ. (1985). Aging macular degeneration: Clinical features of treatable disease.Ophthalmology, 92(5), 594–602.
14.
FrommeF., BucukS., and BoyntonR. (1981). Visibility of borders: Separate and combined effects of color differences, luminance contrasts and luminance levels.Journal of Optometric Society, 71, 145–150.
15.
HiattL.G. (1980). Care and design: Is poor light dimming the sight of nursing home patients?Nursing Homes, September/October, 32–41.
16.
HitchingsR. (1982). Glaucoma screening in the elderly.Current Medical Research and Opinions (England), 7(1), 23–27.
17.
HowesD. (1983). Knowledge of the ocular component to diabetes: A study of diabetic patients and their health care providers.Journal of Nursing Teaching, 2(2), 67–87.
18.
HughesP.C., and NeerR.M. (1981). Lighting for the elderly: A psychological approach to lighting.Human Factors, 23(1), 65–85.
19.
IttenJ. (1970). The elements of color.New York: Van Nostrand Reinhold.
20.
JoseR.T. (1983). Understanding low vision.New York: American Foundation for the Blind.
21.
KaarlelaR. (1978). A survey of the needs of two selected groups of old blind persons. Doctoral dissertation, University of Michigan.
22.
KahnH.A. (1977). The Framingham Eye Study I: Outline and major prevalence findings.American Journal of Epidemiology, 106, 17–41.
23.
KahnH.A., and MoreheadH.S. (1973). Statistics on blindness in model reporting area. 1969-1970. DHEW Publication No. 73-127. Washington, DC: U.S. Government Printing Office.
24.
KornsteinA.L., FeldsteinM., and SchneiderJ. (1957). The eye in old age IV: Ocular survey of over one thousand aged persons with special reference to normal and disturbed visual functions.American Journal of Ophthalmology, 44, 29–37.
25.
LeslieW.J., and GreenbergD.A. (1974). A survey and proposal concerning vision care at the nursing home level.Journal of the American Optometric Association, 45, 461–466.
LiebowitzH.M., KruegerD.F., and MaunderL.R. (1980). The Framingham eye study monographs.Survey of Ophthalmology.25, May-June.
28.
McFarlandR.A., DomeyR.G., WarrenA.B., and WardD.C. (1960). Dark adaptation as function of age: I. A statistical analysis.Journal of Gerontology.15, 149–154.
29.
McWilliamsR.A. (1975). Ophthalmological results of a geriatric assessment survey.Transactions Ophthalmological Society of the United Kingdom, 75, 71–73.
30.
MillerD. (1979). Ophthalmology: The essentials.New York: John Wiley and Sons.
31.
MorseA.R., and FriedmanD.B. (1986). Vision rehabilitation and aging.Journal of Visual Impairment & Blindness, 80(6), 803–804.
32.
MorseA.R., O'ConnellW., JosephJ., and FinkelsteinH. (1987). Low vision assessment of nursing home patients. Presented at the American Society of Aging, Salt Lake.
33.
National Center for Health Statistics (1973). Limitations of activity due to chronic conditions, U.S. 1969. 10, 80.Washington, D.C.: U.S. Government Printing Office.
34.
National Center for Health Statistics (1978). Refractions status and mobility defects of persons 4-14 years, U.S. 1971-1972. DHEW Publication no. PHS 78-1654. Washington, DC: U.S. Government Printing Office.
35.
National Center for Health Statistics (1977). Nursing home residents utilization health status and care received: National nursing home survey.Vital Health Statistics Series, 13.
36.
NissenM.J., PokornyJ., and SmithU. (1979). Chromatic information processing.Journal of Experimental Psychology, 5, 406–419.
37.
PeaseP. (1977). Clinical implications of color vision research.Journal of American Optometric Association.50, 739.
38.
PegelsC.C. (1981). Health care and the elderly.Aspen: Rockville, MD.
39.
PittsD.G. (1982). Visual acuity as a function of age.Journal of the American Optometric Association.53(2), 117–124.
ReadingV.M. (1968). Disability glare and age.Vision Research.8, 207–214.
42.
RichardsO.W. (1966). Vision at levels of night road illumination: XII. Changes of acuity and contrast sensitivity with age.Journal of Optometry and Archives, American Academy of Optometry, 43, 313–319.
43.
SynderL.H., PyrekJ., and SmithK.C. (1976). Vision and mental function of the elderly.Gerontologist, 16(6), 491–495.
44.
TansleyB. (1976). A line, not a space, represents visual distinctness of borders formed by different colors.Science, 19, 954–957.
45.
TansleyB., and ValbergA. (1979). Chromatic border of distinctness: Not an index of hue or saturation differences.Journal of Optometric Society, 69, 113–118.
46.
ThomasJ. (1981). Second careers: Exploring vocational opportunities with visually impaired older people.New York: New York Infirmary Beekman Downtown Hospital/Center for Independent Living.
47.
VaughanD., and AsburyT. (1986). General ophthalmology. (11th ed.). Los Altos, California: Lange Medical Publications.
48.
WeymouthF.W. (1960). Effect of age on visual acuity. (HirschM.J., and WicksR. E., eds.), Vision of the Aging Patient.Philadelphia: Chilton, 37–62.
49.
WilsonW. (1986). Social aspects of blindness in old age. The eye and its disorders in the elderly. (CairdF.I., and WilliamsonJ., eds.). Bristol, Wright Publishers, 157–161.
50.
WolffE. (1960). Glare and age.Archives of Ophthalmology, 64, 502–514.
51.
WoodruffM.E., and PackG. (1980). A survey of the prevalence of vision defects and ocular anomolies in 43 Ontario residential and nursing homes.Canadian Journal of Public Health, 413–423.
