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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.