Year: 2024
Type: article
Abstract: Objective: To evaluate the design of spectacle lenses and daily spectacle use in presbyopes over 60 years of age with and without age-related macular degeneration (AMD). Methods: A cross-sectional study was designed, and a web questionnaire was distributed to the two ophthalmological centers' database of presbyopic outpatients over 60 years of age with and without AMD. The questionnaire included monofocal, bifocal, or multifocal spectacle use data and asked whether the subjects used their spectacles all day or only for reading. A multivariate logistic regression analysis was performed to test whether full or part-day spectacle use and use of multifocal or bifocals were associated with the odds of AMD, controlled by age, gender, and cataract surgery. Results: The sample included 780 subjects, of whom 379 (48.6%) had AMD; 61.3% were women. Glasses were used only for near vision by 60.9% of the individuals, while 26.0% used either bifocals or multifocals as full-time wearers. Increasing age (Odds ratio [OR]: 1.04, 95% CI 1.02 to 1.06, p<0.001), undergoing cataract surgery (OR: 3.10, 95%CI 2.07 to 4.65, p<0.001) and wearing glasses all day (OR: 1.94, 95%CI 1.29 to 2.91, p=0.001) were associated with the presence of AMD. Conclusions: We found an association between the presence of AMD and full-time spectacle wear. Further prospective controlled studies are necessary to study the link between spectacle use and AMD development.
Institution: Universidad de Buenos Aires
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7042288741
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