Grey Eyes
by Federico
Bartolomei
The sight prevention program
2005.
At the beginning of the last century, life expectations
were a little less than 50 years while today they have surpassed the threshold
of 75. In one century, there has therefore been a growth of average life
equivalent to a quarter of a century and data confirms that this average is
still increasing. Recent studies indicate that the number of people aged 65
years and older will
double between 1995 and 2030. Given this phenomenon, the Emilia Romagna
Region (22.2% of its population is over 65 years of age) is one of the most
involved areas in Italy.
This trend will have a strong influence on the
epidemiological distribution of eye pathologies with consequencial impact on
health infrastructures which will have to respond to the needs of this
population.
Even if the most frequent problem of older adults is hearing
impairment, the loss of vision is greater as the years go by and represents one
of the main causes of disability.
Among the causes of blindness in
industrialized countries today, infectious diseases have diminished, but the
so-called degenerative forms of blindness have significantly increased because
of aging and accidents.
Macular degeneration due to age, glaucoma, the loss
of transparency of dioptric means can cause severe consequences on the
activities of every day life because of the loss of ability to read, write or
move about independently.
Early intervention in these functional and
structural changes, prescription of adequate optical aids, and adequate
rehabilitative therapy are the basic steps which will reduce possible damages
due to a lack of prevention, and will preserve and optimize residual vision, a
determinant element to maintain an acceptable level in quality of
life.
However, the frequent conditions of poverty, solitude, abandonment,
depression and psychophysiological decline, often present in ageing, can
influence heavily the possibility of early diagnosis, of adequate therapy and
making sure that all precautions are taken to preserve sight.
In this
context, Grey Eyes, the sight prevention program of 2005, was introduced. It is
coordinated by the Institute for the Blind F. Cavazza, in collaboration with
ANCESCAO, within the framework of activities relating to Project C.I.F.R.A. and
funded by the Fondazione Cassa di Risparmio in Bologna.
The protocol
includes free examination for those registered with centres for older adults in
Bologna that are members of ANCESCAO. The contribution of the medical staff from
the department of surgery, resuscitation and transplant A. Valsava of the
University of Bologna and of the opticians members of the opticians' union Ascom
of Bologna was fundamental. Moreover, thanks to the precious contribution of two
important optical clinics in the area, Hoya Lens Spa and Essilor Italia Spa, it
was possible to provide people, when necessary, the replacement of glasses at a
fixed "social" price. The Istituto per Ottici Benigno Zaccagnini took care of
the training of opticians who were part of the campaign. The organizational and
coordination assistance was offered by Mr. Andrea Afragoli and Mrs. Raffaela
Casini respectively President and Vice President of the Opticians of Bologna.
819 persons were examined, the average age was 70 years, and in 491 cases it
was necessary to undergo full examination by an eye specialist. In these cases a
visual defect was examined that the person was not even aware of, or for which a
complete examination had been necessary for some time. The data relating to the
frequency of visits to an eye specialist was in fact surprisingly negative:
within the sample of people that underwent examination, only 40% stated that
they have annual eye exams while 14% of the group declared to have had a visit
to the eye specialist up to 10 years before.
Also interesting is the data
concerning glasses: from controls done on lens and frames owned by older adults,
in 21% of the cases they were inadequate glasses in terms of refracting value
and integrity of the structure with consequencial negative effects on the
quality of sight.
On one hand, results show the absolute necessity to
constantly promote initiatives of information and prevention for the population,
and on the other hand, to ensure the correctness of the initiative, whether it
is in terms of its goals or the tools used, most of all for the added-value in
terms of quality of life for older adults for whom concepts of health and
well-being coincide more and more.