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BioMed Research International
Volume 2013, Article ID 183502, 5 pages
Research Article

Spectacle Coverage and Spectacles Use among Elderly Population in Residential Care in the South Indian State of Andhra Pradesh

1Allen Foster Community Eye Health Research Centre, International Centre for Advancement of Rural Eye care, L V Prasad Eye Institute, L V Prasad Marg, Banjara Hills, Hyderabad 500 034, India
2Bausch & Lomb School of Optometry, L V Prasad Eye Institute, Hyderabad 500 034, India
3Dana Center for Preventive Ophthalmology, Wilmer Eye Institute at Johns Hopkins University, Baltimore, MD 21287, USA
4School of Optometry & Vision Science, University of New South Wales, Sydney 2033, Australia
5Community Health & Nutrition Office, Area Hospital, Kandukur, Prakasam District, Andhra Pradesh 523105, India

Received 7 April 2013; Revised 4 June 2013; Accepted 10 June 2013

Academic Editor: Alberto Raggi

Copyright © 2013 Srinivas Marmamula et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. There is limited research conducted on uncorrected refractive errors, presbyopia, and spectacles use among the elderly population in residential care in developing countries such as India. We conducted a cross-sectional study among elderly in residential care to assess the spectacle coverage and spectacles usage in the south Indian state of Andhra Pradesh. Methods. All 524 residents in the 26 “homes for aged” institutions in the district were enumerated. Eye examination was performed that included visual acuity (VA) assessment for distant and near vision. A questionnaire was used to collect information on spectacles use. Results. 494/524 individuals were examined, 78% were women, and 72% had no education. The mean age of participants was 70 years. The spectacle coverage for refractive errors was 35.1% and 23.9% for presbyopia. The prevalence of current use and past use of spectacles was 38.5% (95% CI: 34.2–42.8; ) and 17.2% (95% CI: 13.9–42.8), respectively. Conclusions. There is low spectacle coverage for both refractive errors and presbyopia among elderly individuals in residential care in the south Indian state of Andhra Pradesh. Appropriate service delivery systems should be developed to reach out this vulnerable group of seniors on a priority basis.