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Risk of bilateral visual impairment in individuals with amblyopia: the Rotterdam study

  • Redmer van Leeuwen
  • , Marinus J C Eijkemans
  • , Johannes R Vingerling
  • , Albert Hofman
  • , Paulus T V M de Jong
  • , Huib J Simonsz

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: The excess risk of bilateral visual impairment (BVI; bilateral visual acuity <0.5) among individuals with amblyopia is an argument for screening for amblyopia, but data are scarce.

METHODS: The risk was estimated by determining the incidence of BVI in the Rotterdam Study, a population-based cohort of subjects aged 55 years or over (n = 5220), including 192 individuals with amblyopia (3.7%). Using a multistate lifetable, the lifetime risk and excess period spent with BVI were determined.

RESULTS: The relative risk of BVI for amblyopes was 2.6 (95% confidence interval 1.4-4.5). For individuals with amblyopia, the lifetime risk of BVI was 18%, whereas they lived on average 7.2 years with BVI. For non-amblyopic individuals, these figures were 10% and 6.7 years, respectively.

CONCLUSION: Amblyopia nearly doubles the lifetime risk of BVI and affected individuals spent an extra six months with BVI. This study provides data for future cost-effectiveness analyses.

Original languageEnglish
Pages (from-to)1450-1
Number of pages2
JournalBritish Journal of Ophthalmology
Volume91
Issue number11
DOIs
Publication statusPublished - Nov 2007

Keywords

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Amblyopia
  • Epidemiologic Methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Netherlands
  • Time Factors
  • Vision, Low
  • Visual Acuity
  • Journal Article

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