• Online Features  This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (5)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Aging/ Geriatrics  • Glaucoma  • Alert me on articles by topic  Social Bookmarking   What's this?

The Salisbury Eye Evaluation Project

Pradeep Y. Ramulu, MD, PhD; Sheila K. West, PhD; Beatriz Munoz, MS; Henry D. Jampel, MD, MS; David S. Friedman, MD, MPH, PhD

Arch Ophthalmol. 2009;127(1):82-87.

Objective  To determine if, and at what point, glaucoma affects spoken reading speed.

Methods  Data were collected from the Salisbury Eye Evaluation, a population-based evaluation of visual function and disability in the elderly population. Nonscrolling text was displayed on a screen and the rate words were read aloud was measured. Subjects reading slower than 90 words/min were defined as having impairment. Glaucoma status was determined using optic disc appearance and visual field testing.

Results  One thousand one hundred fifty-four subjects completed evaluations of spoken reading speed and glaucoma status. Univariate analysis demonstrated reading impairment in 16.0% of subjects without glaucoma, 21.1% of subjects with unilateral glaucoma (P = .25), and 28.4% of subjects with bilateral glaucoma (P = .006). Multivariable regression demonstrated nonsignificant increases in the odds of reading impairment for subjects with unilateral (odds ratio, [OR], 1.13; P = .69) and bilateral glaucoma (OR, 1.25; P = .43), though subjects with bilateral glaucoma in the highest quartile of better-eye visual field loss read slower (β = –32 words/min; P = .01) and were more often reading impaired than controls without glaucoma (OR, 3.8; P = .04). Race, cognitive ability, education, and visual acuity were important predictors of reading impairment.

Conclusions  High rates of spoken reading impairment were found throughout this elderly sample. Glaucoma was associated with slower reading and increased reading impairment with advanced bilateral field loss.

Author Affiliations: Wilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland.

CiteULike    Connotea    Delicious    Digg    Facebook    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

A clinical method to assess the effect of visual loss on the ability to perform activities of daily living
Wei et al.
Br J Ophthalmol 2012;0:bjophthalmol-2011-300093v-bjophthalmol-2011-300093.
ABSTRACT | FULL TEXT  

Use of Patient-Reported Outcomes in Medical Product Development: A Report from the 2009 NEI/FDA Clinical Trial Endpoints Symposium
Varma et al.
IOVS 2010;51:6095-6103.
FULL TEXT  

Importance of Visual Acuity and Contrast Sensitivity in Patients With Glaucoma
Richman et al.
Arch Ophthalmol 2010;128:1576-1582.
ABSTRACT | FULL TEXT  

Emotional Prosody Perception and Production in Dementia of the Alzheimer's Type
Horley et al.
JSLHR 2010;53:1132-1146.
ABSTRACT | FULL TEXT