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Chapter 42 - Ocular Disorders

from Section III - Care of the Elderly by Organ System

Published online by Cambridge University Press:  30 June 2022

By
Allison V. Coombs  and
Elias Reichel
Edited by
Jan Busby-Whitehead ,
Samuel C. Durso ,
Christine Arenson ,
Rebecca Elon ,
Mary H. Palmer  and
William Reichel
Jan Busby-Whitehead
Affiliation:
University of North Carolina, Chapel Hill
Samuel C. Durso
Affiliation:
The Johns Hopkins University, Maryland
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Rebecca Elon
Affiliation:
The Johns Hopkins University School of Medicine
Mary H. Palmer
Affiliation:
University of North Carolina, Chapel Hill
William Reichel
Affiliation:
Georgetown University Medical Center
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Summary

Decreased vision in the aged population poses significant morbidity and decreases quality of life. At least one third of the American population over age 65 has significant vision compromise due to ophthalmic disease. Decreased vision limits independence and poses significant economic and societal burdens. Ophthalmic disease in the elderly poses significant challenges to patients and providers due to the vast and diverse spectrum of ophthalmic conditions, and therefore requires specialized care by optometrists and ophthalmologists.

Ophthalmic diseases are seen at a higher frequency in aged patients and include structural changes, malignancies, and infections of the eyelids and orbit. In addition, diseases such as cataracts, age-related macular degeneration (ARMD), glaucoma, and ischemic optic neuropathy are seen at a significantly higher incidence in elderly patients and can result in severe vision loss. Routine ophthalmic care is required to identify, manage, and treat such diseases in order to prevent sequelae, optimize independence, and preserve vision. Medical therapies, surgical intervention, low-vision aids, and social support systems can be utilized to aid in treatment.

Keywords

ophthalmologyage-relatedvisioncataractmacular degenerationglaucomaoptic neuropathyeyeophthalmic diseaseelderlyblindlow vision
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 524 - 535
Publisher: Cambridge University Press
Print publication year: 2022

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References

Pizzarello, L. The dimensions of the problem of eye disease among the elderly. Ophthalmol. 1987; 94(9):1191–1195.Google Scholar
Salvi, SM, Akhtar, S, Currie, Z. Ageing changes in the eye. Postgrad Med J. 2006; 82(971):581–587.Google Scholar
www.aao.org/eye-disease-statistics.Google Scholar
www.cdc.gov/visionhealth/basic_information/vision_loss.htm.Google Scholar
www.aao.org/preferred-practice-pattern/comprehensive-adult-medical-eye-evaluation-2015.Google Scholar
Sakol, PJ, Mannor, G, Massaro, BM. Congenital and acquired blepharoptosis. Curr Opin Ophthalmol. 1999; 10:335–339.Google Scholar
Chambe, J, Laib, S, Hubbard, J, Erhardt, C, Ruppert, E, Schroder, C, Malan, A, Bourcier, T, Bourgin, P. Floppy eyelid syndrome is associated with obstructive sleep apnoea: A prospective study on 127 patients. J Sleep Res. 2012 (Jun.); 21(3):308–315. doi: 10.1111/j.1365-2869.2011.00968.x.CrossRefGoogle ScholarPubMed
Deprez, M, Uffer, S. Clinicopathological features of eyelid skin tumors: A retrospective study of 5504 cases and review of literature. Am J Dermatopathol. 2009; 31(3):256–262.CrossRefGoogle ScholarPubMed
Deprez, M, Uffer, S. Clinicopathological features of eyelid skin tumors: A retrospective study of 5504 cases and review of literature. Am J Dermatopathol. 2009 (May); 31(3):256–262. doi: 10.1097/DAD.0b013e3181961861. PMID: 19384066.Google Scholar
Adenis, JP, Sabatier, A, Robert, PY. Tumors of the eyelids in the elderly. J Fr Ophtalmol. 2006 (Jun.); 29(6):687–693. doi: 10.1016/s0181-5512(06)76834-6. PMID: 16885901.Google Scholar
Cook, BE Jr, Bartley, GB. Treatment options and future prospects for the management of eyelid malignancies: An evidence-based update. Ophthalmol. 2001; 108:2088–2098.CrossRefGoogle ScholarPubMed
Harvey, DT, Taylor, RS, Itani, KM, Loewinger, RJ. Mohs micrographic surgery of the eyelid: An overview of anatomy, pathophysiology, and reconstruction options. Dermatol Surg. 2013; 39:673–697.Google Scholar
Shields, JA, Demirci, H, Marr, BP, Eagle, RC Jr, Shields, CL. Sebaceous carcinoma of the eyelids: Personal experience with 60 cases. Ophthalmol. 2004 (Dec.); 111(12):2151–2157. doi: 10.1016/j.ophtha.2004.07.031. PMID: 15582067.CrossRefGoogle ScholarPubMed
Lemp, MA, Nichols, KK. Blepharitis in the United States 2009: A survey-based perspective on prevalence and treatment. Ocular Surface. 2009; 7(Suppl. 2):S1–14.CrossRefGoogle ScholarPubMed
The epidemiology of dry eye disease: Report of the Epidemiology Subcommittee of the International Dry Eye WorkShop (2007). Ocul Surf. 2007; 5(2):93–107.Google Scholar
Krachmer, JH. Cornea, 3rd edition. New York: Elsevier, 2013.Google Scholar
Young, RC, Hodge, DO, Liesegang, TJ, et al. Incidence, recurrence and outcomes of herpes simplex eye disease in Olmsted County, Minnesota 1976–2007: The effect of oral antiviral prophylaxis. Arch Ophthalmol. 2010; 128(9):1178–1183.Google Scholar
https://eyewiki.org/Herpes_Zoster_Ophthalmicus.Google Scholar
Albou-Ganem, C. Presbyopia and refractive surgery. J Fr Ophthalmol. 2019; 42(7):790–798. doi: 10.1016/j.jfo.2018.08.009.Google Scholar
www.who.int/blindness/causes/priority/en/index1.html.Google Scholar
Golozar, A, Chen, Y, Lindsley, K, et al. Identification and description of reliable evidence for 2016 American Academy of Ophthalmology preferred practice pattern guidelines for cataract in the adult eye. JAMA Ophthalmol. 2018; 136(5):514–523. doi: 10.1001/jamaophthalmol.2018.0786.Google Scholar
Kessel, L, Andresen, J, Erngaard, D, Flesner, P, Tendal, B, Hjortdal, J. Indication for cataract surgery: Do we have evidence of who will benefit from surgery? A systematic review and meta-analysis. Acta Ophthalmol. 2016; 94(1):10–20. doi: 10.1111/aos.12758.Google Scholar
Hashemian, H, Mirshahi, R, Khodaparast, M, Jabbarvand, M. Post-cataract surgery endophthalmitis. J Curr Ophthalmol. 2016; 28(3):101–105. doi: 10.1016/j.joco.2016.05.02.CrossRefGoogle ScholarPubMed
Relhan, N, Forster, RK, Flynn, HW Jr. Endophthalmitis: Then and now. Am J Ophthalmol. 2018; 187:xx–xxvii. doi: 10.1016/j.ajo.2017.11.021.Google Scholar
Schacknow, P, Samples, J. The Glaucoma Book: A Practical, Evidence-Based Approach to Patient Care. New York: Springer, 2010, pp. 399–420.Google Scholar
Denniston, A, Murray, P. Oxford Handbook of Ophthalmology. Oxford: Oxford University Press, 2006, pp. 276–277.Google Scholar
van Overdam, KA, Bettink-Remeijer, MW, Klaver, CC, Mulder, PG, Moll, AC, van Meurs, JC. Symptoms and findings predictive for the development of new retinal breaks. Arch Ophthalmol. 2005; 123(4):479–484. doi: 10.1001/archopht.123.4.479.Google Scholar
Boyd, K, Vemulakonda, GA. Floaters and flashes. American Academy of Ophthalmology. EyeSmart® Eye health. www.aao.org/eye-health/diseases/floaters-flashes-list.Google Scholar
American Academy of Ophthalmology. Retinal detachment. www.aao.org/image/retinal-detachment-4.Google Scholar
Boyd, K, Maturi, RK. Retinal detachment. American Academy of Ophthalmology. EyeSmart® Eye health. www.aao.org/eye-health/diseases/retinal-detachment-list.Google Scholar
Klein, R, Klein, BE, Moss, SE, et al. The Wisconsin epidemiologic study of diabetic retinopathy II. Arch Ophthalmol. 1984; 102:520–526.Google Scholar
Early Treatment Diabetic Retinopathy Study Research Group. Fundus photographic risk factors for progression of diabetic retinopathy. ETDRS report number 12. Ophthalmol. 1991 (May); 98(5 Suppl.):823–833.Google Scholar
Turbert, D, Vemulakonda, GA. Diabetic eye disease. American Academy of Ophthalmology. EyeSmart® Eye health. www.aao.org/eyehealth/diseases/diabetic-eye-disease-list.Google Scholar
Lee, J, Kim, SW, Lee, SC, Kwon, OW, Kim, YD, Byeon, SH. Co-occurrence of acute retinal artery occlusion and acute ischemic stroke: Diffusion-weighted magnetic resonance imaging study. American Journal of Ophthalmology. 2014 (Jun. 1); 157(6):1231–1238.Google Scholar
Retinal and ophthalmic artery occlusions preferred practice pattern. American Academy of Ophthalmology. www.aaojournal.org/article/S0161-6420(19)32095-0/pdf.Google Scholar
Rehak, J, Rehak, M. Retinal vein occlusion: Pathogenesis, visual prognosis, and treatment modalities. Curr. Eye Res. 2008; 33(2):111–131. doi: 10.1080/02713680701851902.CrossRefGoogle ScholarPubMed
Wong, WL, Su, X, Li, X, Cheung, CM, Klein, R, Cheng, CY, Wong, TY. Global prevalence of age-related macular degeneration and disease burden projection for 2020 and 2040: A systemic review and meta-analysis. Lancet Glob Health. 2014; 2(2):e106–116. doi: 10.1016/S2214-109X(13)70145-1.Google Scholar
Yanoff, M, Duker, JS. Ophthalmology. New York: Elsevier Saunders, 2018.Google Scholar
Lim, LS, Mitchell, P, Seddon, JM, Holz, FG, Wong, TY. Age-related macular degeneration. Lancet. 2012; 379:1728–1738.CrossRefGoogle ScholarPubMed
Bresller, NM, Bressler, SB, Fine, SL. Neovascular (Exudative) Age-Related Macular Degeneration in Retina, Volume 2, 4th edition. New York: Elsevier, 2006.Google Scholar
Age-related eye disease study research group. Risk factors associated with age-related macular degeneration: A case-control study in the age-related eye disease study – Age-related eye disease study report number 3. Ophthal. 2000; 107 (12):2224–2232. doi: 10.1016/SO161-6420(00)00409-7.Google Scholar
Friedman, DS, Katz, J, Bressler, NM, Rahmani, B, Tielsch, JM. Racial differences in the prevalence of age-related macular degeneration: The Baltimore Eye Survey. Ophthal. 1999; 106(6):1049–1055. doi: 10.1016/SO161-6420(99)90267-01.CrossRefGoogle ScholarPubMed
Klein, RJ, Zeiss, C, Chew, EY, Tsai, JY, Sackler, RS, Haynes, C, Henning, AK, SanGiovanni, JP, Mane, SM, Mayne, ST, Bracken, MB, Ferris, FL, Ott, J, Barnstable, C, Hoh, J. Complement factor H polymorphism in age-related macular degeneration. Science. 2005; 308(5720):385–389.CrossRefGoogle ScholarPubMed
Jaffe, GJ, et al. Macular morphology and visual acuity in year five of the comparison of age-related macular degeneration treatments trials. Ophthalmol. 2019; 126(2):252–260. doi: 10.1016/j.ophtha.2018.08.035.Google Scholar
Wu, J, Sun, X. Complement system and age-related macular degeneration: Drugs and challenges. Drug Des Devel Ther. 2019; 13:2413–2425. doi: 10.2147/DDDT.S206355.Google Scholar
Santos-Bueso, E, Sáenz-Francés, F, Serrador-García, M, et al. Prevalence and clinical characteristics of Charles Bonnet syndrome in Madrid, Spain. Eur J Ophthalmol. 2014; 24(6):960–963. doi: 10.5301/ejo.5000483.Google Scholar
Kawasaki, A, Purvin, V. Giant cell arteritis: An updated review. Acta Ophthalmol. 2009; 87(1):13–32.Google Scholar
van der Geest, KSM, Sandovici, M, van Sleen, Y, et al. Review: What is the current evidence for disease subsets in giant cell arteritis? Arthritis Rheumatol. 2018; 70(9):1366–1376. doi: 10.1002/art.40520.CrossRefGoogle ScholarPubMed
Hunder, GG, Bloch, DA, Michel, BA, Stevens, MB, Arend, WP, et al. The American College of Rheumatology 1990 criteria for the classification of giant cell arteritis. Arthritis Rheum. 1990; 33:1122–1128.Google Scholar
Hattenhauer, MG, Leavitt, JA, Hodge, DO, Grill, R, Gray, DT. Incidence of nonarteritic anterior ischemic optic neuropathy. Am J Ophthalmol. 1997 (Jan.); 123(1):103–107.Google Scholar
Atkins, EJ, Bruce, BB, Newman, NJ, Biousse, V. Treatment of nonarteritic anterior ischemic optic neuropathy. Surv Ophthalmol. 2010 (Jan.–Feb.); 55(1):47–63.CrossRefGoogle ScholarPubMed
The Academy’s Initiative in Vision Rehabilitation. Low Vision – American Academy of Ophthalmology, American Academy of Ophthalmology, 2020, www.aao.org/low-vision-and-vision-rehab.Google Scholar
Low Vision Data and Statistics. National Eye Institute, US Department of Health and Human Services, July 17, 2019, www.nei.nih.gov/learn-about-eye-health/resources-for-health-educators/eye-health-data-and-statistics/low-vision-data-and-statistics.Google Scholar

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