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How effective is the new community-based Welsh low vision service?

Court, Helen Jane, Ryan, Barbara, Bunce, C. and Margrain, Thomas Hengist ORCID: 2011. How effective is the new community-based Welsh low vision service? British Journal of Ophthalmology 95 (2) , pp. 178-184. 10.1136/bjo.2010.179606

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Aims: To determine if there was a significant difference between user-centred and clinical outcomes in people with low vision who attended a new community-based low vision service (CLVS) or the hospital-based low vision service (HBLV). Methods: A prospective controlled before and after study. Participants were recruited from the CLVS (n=343; 96 male, 247 female; median age 82 years) and from the HLVS (n=145; 55 male, 90 female; median age 80 years). The primary outcome measure was change (baseline to 3 months) in visual disability as evaluated by the seven-item National Eye Institute-Visual Function Questionnaire (NEI-VFQ). Secondary outcome measures included: use of low vision aids, satisfaction with the service provided and change in near visual acuity before and after the provision of low vision aids. Results: There were no significant differences in user-centred and clinical outcome measures between the CLVS and HLVS. Self-reported visual disability was significantly reduced after low vision service intervention for participants in both groups by 0.46 and 0.57 logits in the HLVS and CLVS, respectively. Conclusion: This study provides strong evidence that CLVS and HLVS are effective methods of service provision in Wales.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Optometry and Vision Sciences
Subjects: R Medicine > RE Ophthalmology
Publisher: BMJ Publishing Group
ISSN: 0007-1161
Last Modified: 21 Oct 2022 09:29

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