Vision screening in older people is of unproved benefit

Visual impairment is common among older people, is often unreported, and has several adverse associations including falls, reduced quality of life, and reduced functional ability. Since 1990 British primary healthcare teams have to offer an annual assessment to all patients aged 75 and over, including an assessment of vision. Smeeth and Iliffe (p 660) report a systematic review of the effectiveness of this screening. No improvement in vision was seen as a result of screening, although a small beneficial effect cannot be excluded.    


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Relevant Article

Effectiveness of screening older people for impaired vision in community setting: systematic review of evidence from randomised controlled trials
Liam Smeeth and Steve Iliffe
BMJ 1998 316: 660-663. [Abstract] [Full Text] [PDF]




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