Presbyopia and age-related Macular degeneration : A survey on spectacle lens design

Abel Szeps; Juan Manuel Suarez; Valeria Bordese; Matías Acerbi; Roberto Albertazzi; Guillermo Iribarren; José Luna Pinto; Carla  Lanca; Rafael  Iribarren; Mario Saravia

doi:10.70313/2718.7446.v17.n04.368

Autores

Abel Szeps Hospital Posadas. Buenos Aires. Argentina. + Ophthalmology. Buenos Aires. Argentina
Juan Manuel Suarez Suarez Optical Lab. Buenos Aires. Argentina.
Valeria Bordese Valeria Bordese Espacio Óptico. Córdoba Argentina.
Matías Acerbi Foucault Optical Center. Buenos Aires. Argentina.
Roberto Albertazzi Quilmes Ophthalmological Center. Buenos Aires. Argentina.
Guillermo Iribarren Drs. Iribarren Eye Consultants, Buenos Aires, Argentina
José Luna Pinto Ver Foundation. Buenos Aires. Argentina.
Carla Lanca Escola Superior de Tecnologia da Saúde de Lisboa (ESTeSL), Instituto Politécnico de Lisboa, Lisboa, Portugal
Rafael Iribarren Retina Foundation. Buenos Aires. Argentina.
Mario Saravia Retina Foundation

DOI:

https://doi.org/10.70313/2718.7446.v17.n04.368

Palavras-chave:

Presbiopia, DMRI, lentes multifocais, lentes bifocais

Resumo

Objetivo: Avaliar o design de lentes oftálmicas e o uso diário de óculos em presbitas acima de 60 anos com e sem degeneração macular relacionada à idade (DMRI).
Métodos: Foi desenhado um estudo transversal e um questionário web foi distribuído a uma base de dados de dois centros oftalmológicos de pacientes ambulatoriais presbiópicos com mais de 60 anos de idade com e sem DMRI. O questionário incluiu dados sobre o uso de óculos monofocais, bifocais ou multifocais e perguntou se os sujeitos usavam óculos o dia todo ou apenas para leitura. Foi realizada análise de regressão logística multivariada para verificar se o uso de óculos durante todo ou parte do dia e o uso de óculos multifocais ou bifocais estavam associados à probabilidade de sofrer de DMRI, levando em consideração idade, sexo e cirurgia de catarata.
Resultados: A amostra incluiu 780 indivíduos, dos quais 379 (48,6%) apresentavam DMRI; 61,3% eram mulheres. 60,9% dos indivíduos usavam óculos apenas para visão de perto, enquanto 26,0% usavam óculos bifocais ou multifocais em tempo integral. Aumento da idade (Odds ratio [OR]: 1,04; IC 95%: 1,02 a 1,06; p<0,001), cirurgia de catarata (OR: 3,10; IC 95%: 2,07 a 4,65; p<0,001) e uso de óculos ao longo do dia (OR: 1,94; IC 95%: 1,29 a 2,91; p=0,001) estiveram associados à presença de DMRI.
Conclusões: Encontramos associação entre a presença de DMRI e o uso de óculos em tempo integral. Mais estudos prospectivos controlados são necessários para estudar a relação entre o uso de óculos e o desenvolvimento da DMRI.

Biografias Autor

Abel Szeps, Hospital Posadas. Buenos Aires. Argentina. + Ophthalmology. Buenos Aires. Argentina

+ Ophthalmology. Buenos Aires. Argentina

Carla Lanca, Escola Superior de Tecnologia da Saúde de Lisboa (ESTeSL), Instituto Politécnico de Lisboa, Lisboa, Portugal

Comprehensive Health Research Center (CHRC), Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Lisboa, Portugal

Rafael Iribarren, Retina Foundation. Buenos Aires. Argentina.

Drs. Iribarren Eye Consultants, Buenos Aires, Argentina.

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