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Adult Vision Screenings in Omaha, Nebraska

Wetzel, Chad*; Madden, Scott; Rai, Sushma; Ikhena, John*; Lyden, Elizabeth; Byrnes, Kathryn§; Lander, Lina

doi: 10.1097/OPX.0b013e31829b9d99
Original Articles

Purpose The purpose of this study was to examine the association between risk factors and failing vision screening tests to better identify populations at high risk for age-related eye diseases and vision impairments.

Methods A retrospective review of 839 vision screening forms from an ongoing vision screening program in Omaha, Nebraska, was conducted. Univariate and multivariate logistic regression analyses were used.

Results Sex, age, ethnicity, and persistent pain were independently associated with failing the visual field test in multivariate analysis. Persistent pain and glaucoma diagnosis were independently associated with failing the visual acuity test.

Conclusions Female sex, age older than 65, African American or Hispanic ethnicity, glaucoma diagnosis, and persistent eye pain were significant risk factors for failing a vision screening test. Vision screenings should focus on targeting populations that exhibit these risk factors.






College of Public Health (CW, EL, LL), College of Medicine (SM), and Department of Ophthalmology and Visual Sciences, University of Nebraska Medical Center, Omaha, Nebraska (SR); College of Medicine, Duke University, Durham, North Carolina (JI); and Prevent Blindness America, Chicago, Illinois (KB).

Lina Lander College of Public Health Department of Epidemiology University of Nebraska Medical Center 984395 Nebraska Medical Center Omaha, NE 68198-4395 e-mail:

© 2013 American Academy of Optometry