Care of Older Adults: Role of Primary Care Physicians in the Treatment of Cataracts and Macular Degeneration
Identifieur interne : 001297 ( Istex/Corpus ); précédent : 001296; suivant : 001298Care of Older Adults: Role of Primary Care Physicians in the Treatment of Cataracts and Macular Degeneration
Auteurs : Kyle V. Marra ; Sushant Wagley ; Mark C. Kuperwaser ; Rafael Campo ; Jorge G. ArroyoSource :
- Journal of the American Geriatrics Society [ 0002-8614 ] ; 2016-02.
Abstract
This article aims to facilitate optimal management of cataracts and age‐related macular degeneration (AMD) by providing information on indications, risk factors, referral guidelines, and treatments and to describe techniques to maximize quality of life (QOL) for people with irreversible vision loss. A review of PubMed and other online databases was performed for peer‐reviewed English‐language articles from 1980 through August 2012 on visual impairment in elderly adults. Search terms included vision loss, visual impairment, blind, low vision, QOL combined with age‐related, elderly, and aging. Articles were selected that discussed vision loss in elderly adults, effects of vision impairment on QOL, and care strategies to manage vision loss in older adults. The ability of primary care physicians (PCPs) to identify early signs of cataracts and AMD in individuals at risk of vision loss is critical to early diagnosis and management of these common age‐related eye diseases. PCPs can help preserve vision by issuing aptly timed referrals and encouraging behavioral modifications that reduce risk factors. With knowledge of referral guidelines for soliciting low‐vision rehabilitation services, visual aids, and community support resources, PCPs can considerably increase the QOL of individuals with uncorrectable vision loss. By offering appropriately timed referrals, promoting behavioral modifications, and allocating low‐vision care resources, PCPs may play a critical role in preserving visual health and enhancing the QOL for the elderly population.
Url:
DOI: 10.1111/jgs.13927
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ISTEX:B0D52A0FD77E588635BDEDF8DC65ECCE04CDAA99Le document en format XML
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A review of PubMed and other online databases was performed for peer‐reviewed English‐language articles from 1980 through August 2012 on visual impairment in elderly adults. Search terms included vision loss, visual impairment, blind, low vision, QOL combined with age‐related, elderly, and aging. Articles were selected that discussed vision loss in elderly adults, effects of vision impairment on QOL, and care strategies to manage vision loss in older adults. The ability of primary care physicians (PCPs) to identify early signs of cataracts and AMD in individuals at risk of vision loss is critical to early diagnosis and management of these common age‐related eye diseases. PCPs can help preserve vision by issuing aptly timed referrals and encouraging behavioral modifications that reduce risk factors. With knowledge of referral guidelines for soliciting low‐vision rehabilitation services, visual aids, and community support resources, PCPs can considerably increase the QOL of individuals with uncorrectable vision loss. By offering appropriately timed referrals, promoting behavioral modifications, and allocating low‐vision care resources, PCPs may play a critical role in preserving visual health and enhancing the QOL for the elderly population.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>cataract</json:string><json:string>ophthalmol</json:string><json:string>pcp</json:string><json:string>macular</json:string><json:string>vision loss</json:string><json:string>macular degeneration</json:string><json:string>ophthalmologist</json:string><json:string>arch ophthalmol</json:string><json:string>acuity</json:string><json:string>visual change</json:string><json:string>degeneration</json:string><json:string>guideline</json:string><json:string>older adult</json:string><json:string>ophthalmology</json:string><json:string>opacity</json:string><json:string>magnifier</json:string><json:string>risk factor</json:string><json:string>cataract 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Marra BS</name><affiliations><json:string>Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts</json:string><json:string>School of Medicine, University of California at San Diego, La Jolla, California</json:string><json:string>Department of Ophthalmology, Harvard Medical School, Massachusetts, Boston</json:string></affiliations></json:item><json:item><name>Sushant Wagley AB</name><affiliations><json:string>Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts</json:string><json:string>Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts</json:string><json:string>College of Human Medicine, Michigan State University, Michigan, East Lansing</json:string></affiliations></json:item><json:item><name>Mark C. Kuperwaser MD</name><affiliations><json:string>Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts</json:string><json:string>Department of Ophthalmology, Harvard Medical School, Massachusetts, Boston</json:string></affiliations></json:item><json:item><name>Rafael Campo MD, DLitt</name><affiliations><json:string>Beth Israel Deaconess Medical Center, Harvard Medical School, Massachusetts, Boston</json:string></affiliations></json:item><json:item><name>Jorge G. Arroyo MD, MPH</name><affiliations><json:string>Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts</json:string><json:string>Department of Ophthalmology, Harvard Medical School, Massachusetts, Boston</json:string><json:string>E-mail: jarroyo@bidmc.harvard.edu</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>age‐related macular degeneration</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>cataracts</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>primary care</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>elderly</value></json:item></subject><articleId><json:string>JGS13927</json:string></articleId><arkIstex>ark:/67375/WNG-8RLBSQCV-7</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>This article aims to facilitate optimal management of cataracts and age‐related macular degeneration (AMD) by providing information on indications, risk factors, referral guidelines, and treatments and to describe techniques to maximize quality of life (QOL) for people with irreversible vision loss. A review of PubMed and other online databases was performed for peer‐reviewed English‐language articles from 1980 through August 2012 on visual impairment in elderly adults. Search terms included vision loss, visual impairment, blind, low vision, QOL combined with age‐related, elderly, and aging. Articles were selected that discussed vision loss in elderly adults, effects of vision impairment on QOL, and care strategies to manage vision loss in older adults. The ability of primary care physicians (PCPs) to identify early signs of cataracts and AMD in individuals at risk of vision loss is critical to early diagnosis and management of these common age‐related eye diseases. PCPs can help preserve vision by issuing aptly timed referrals and encouraging behavioral modifications that reduce risk factors. With knowledge of referral guidelines for soliciting low‐vision rehabilitation services, visual aids, and community support resources, PCPs can considerably increase the QOL of individuals with uncorrectable vision loss. By offering appropriately timed referrals, promoting behavioral modifications, and allocating low‐vision care resources, PCPs may play a critical role in preserving visual health and enhancing the QOL for the elderly population.</abstract><qualityIndicators><score>9.652</score><pdfWordCount>7085</pdfWordCount><pdfCharCount>47843</pdfCharCount><pdfVersion>1.6</pdfVersion><pdfPageCount>9</pdfPageCount><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><pdfWordsPerPage>787</pdfWordsPerPage><pdfText>true</pdfText><refBibsNative>true</refBibsNative><abstractWordCount>221</abstractWordCount><abstractCharCount>1560</abstractCharCount><keywordCount>4</keywordCount></qualityIndicators><title>Care of Older Adults: Role of Primary Care Physicians in the Treatment of Cataracts and Macular Degeneration</title><genre><json:string>article</json:string></genre><host><title>Journal of the American Geriatrics Society</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1532-5415</json:string></doi><issn><json:string>0002-8614</json:string></issn><eissn><json:string>1532-5415</json:string></eissn><publisherId><json:string>JGS</json:string></publisherId><volume>64</volume><issue>2</issue><pages><first>369</first><last>377</last><total>9</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Clinical Management of the Geriatric Patients</value></json:item><json:item><value>Clinical Management of the Geriatric Patients</value></json:item></subject></host><ark><json:string>ark:/67375/WNG-8RLBSQCV-7</json:string></ark><categories><wos><json:string>1 - social science</json:string><json:string>2 - gerontology</json:string><json:string>1 - science</json:string><json:string>2 - geriatrics & gerontology</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - geriatrics</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Geriatrics and Gerontology</json:string></scopus><inist><json:string>1 - sciences appliquees, technologies et medecines</json:string><json:string>2 - sciences biologiques et medicales</json:string><json:string>3 - sciences medicales</json:string></inist></categories><publicationDate>2016</publicationDate><copyrightDate>2016</copyrightDate><doi><json:string>10.1111/jgs.13927</json:string></doi><id>B0D52A0FD77E588635BDEDF8DC65ECCE04CDAA99</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-8RLBSQCV-7/fulltext.pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-8RLBSQCV-7/bundle.zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/ark:/67375/WNG-8RLBSQCV-7/fulltext.tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Care of Older Adults: Role of Primary Care Physicians in the Treatment of Cataracts and Macular Degeneration</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher ref="https://scientific-publisher.data.istex.fr/ark:/67375/H02-QW5Q88H5-V">Wiley Publishing Ltd</publisher><availability><licence>© 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society</licence></availability><date type="published" when="2016-02"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Care of Older Adults: Role of Primary Care Physicians in the Treatment of Cataracts and Macular Degeneration</title><author xml:id="author-0000"><persName><forename type="first">Kyle V.</forename><surname>Marra</surname><roleName type="degree">BS</roleName></persName><affiliation>
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<region>Massachusetts</region></address></affiliation></author><idno type="istex">B0D52A0FD77E588635BDEDF8DC65ECCE04CDAA99</idno><idno type="ark">ark:/67375/WNG-8RLBSQCV-7</idno><idno type="DOI">10.1111/jgs.13927</idno><idno type="unit">JGS13927</idno><idno type="toTypesetVersion">file:JGS.JGS13927.pdf</idno></analytic><monogr><title level="j" type="main">Journal of the American Geriatrics Society</title><title level="j" type="alt">JOURNAL OF THE AMERICAN GERIATRICS SOCIETY</title><idno type="pISSN">0002-8614</idno><idno type="eISSN">1532-5415</idno><idno type="book-DOI">10.1111/(ISSN)1532-5415</idno><idno type="book-part-DOI">10.1111/jgs.2016.64.issue-2</idno><idno type="product">JGS</idno><imprint><biblScope unit="vol">64</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="369">369</biblScope><biblScope unit="page" to="377">377</biblScope><biblScope unit="page-count">9</biblScope><date type="published" when="2016-02"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><encodingDesc><schemaRef type="ODD" url="https://xml-schema.delivery.istex.fr/tei-istex.odd"></schemaRef><appInfo><application ident="pub2tei" version="1.0.10" when="2019-12-20"><label>pub2TEI-ISTEX</label><desc>A set of style sheets for converting XML documents encoded in various scientific publisher formats into a common TEI format.
<ref target="http://www.tei-c.org/">We use TEI</ref></desc></application></appInfo></encodingDesc><profileDesc><abstract style="main" xml:id="jgs13927-abs-0001"><p>This article aims to facilitate optimal management of cataracts and age‐related macular degeneration (<hi rend="fc">AMD</hi>) by providing information on indications, risk factors, referral guidelines, and treatments and to describe techniques to maximize quality of life (<hi rend="fc">QOL</hi>) for people with irreversible vision loss. A review of PubMed and other online databases was performed for peer‐reviewed English‐language articles from 1980 through August 2012 on visual impairment in elderly adults. Search terms included vision loss, visual impairment, blind, low vision, <hi rend="fc">QOL</hi> combined with age‐related, elderly, and aging. Articles were selected that discussed vision loss in elderly adults, effects of vision impairment on <hi rend="fc">QOL</hi>, and care strategies to manage vision loss in older adults. The ability of primary care physicians (<hi rend="fc">PCP</hi>s) to identify early signs of cataracts and <hi rend="fc">AMD</hi> in individuals at risk of vision loss is critical to early diagnosis and management of these common age‐related eye diseases. <hi rend="fc">PCP</hi>s can help preserve vision by issuing aptly timed referrals and encouraging behavioral modifications that reduce risk factors. With knowledge of referral guidelines for soliciting low‐vision rehabilitation services, visual aids, and community support resources, <hi rend="fc">PCP</hi>s can considerably increase the <hi rend="fc">QOL</hi> of individuals with uncorrectable vision loss. By offering appropriately timed referrals, promoting behavioral modifications, and allocating low‐vision care resources, <hi rend="fc">PCP</hi>s may play a critical role in preserving visual health and enhancing the <hi rend="fc">QOL</hi> for the elderly population.</p></abstract><textClass><keywords><term xml:id="jgs13927-kwd-0001">age‐related macular degeneration</term><term xml:id="jgs13927-kwd-0002">cataracts</term><term xml:id="jgs13927-kwd-0003">primary care</term><term xml:id="jgs13927-kwd-0004">elderly</term></keywords><keywords rend="articleCategory"><term>Clinical Management of the Geriatric Patients</term></keywords><keywords rend="tocHeading1"><term>Clinical Management of the Geriatric Patients</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc><revisionDesc><change when="2019-12-20" who="#istex" xml:id="pub2tei">formatting</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-8RLBSQCV-7/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="jgs13927" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1532-5415</doi><issn type="print">0002-8614</issn><issn type="electronic">1532-5415</issn><idGroup><id type="product" value="JGS"></id></idGroup><titleGroup><title sort="JOURNAL OF THE AMERICAN GERIATRICS SOCIETY" type="main">Journal of the American Geriatrics Society</title><title type="short">J Am Geriatr Soc</title></titleGroup></publicationMeta><publicationMeta level="part" position="20"><doi origin="wiley">10.1111/jgs.2016.64.issue-2</doi><copyright ownership="joint">© 2016 American Geriatrics Society and Wiley Periodicals, Inc.</copyright><numberingGroup><numbering number="64" type="journalVolume">64</numbering><numbering type="journalIssue">2</numbering></numberingGroup><coverDate startDate="2016-02">February 2016</coverDate></publicationMeta><publicationMeta level="unit" position="220" status="forIssue" type="article"><doi>10.1111/jgs.13927</doi><idGroup><id type="unit" value="JGS13927"></id></idGroup><countGroup><count number="9" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Clinical Management of the Geriatric Patients</title><title type="tocHeading1">Clinical Management of the Geriatric Patients</title></titleGroup><copyright ownership="thirdParty">© 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society</copyright><eventGroup><event agent="SPS" date="2015-11-20" type="xmlCreated"></event><event type="publishedOnlineEarlyUnpaginated" date="2016-01-30"></event><event type="firstOnline" date="2016-01-30"></event><event type="publishedOnlineFinalForm" date="2016-02-18"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:5.0.6 mode:FullText" date="2017-02-09"></event></eventGroup><numberingGroup><numbering type="pageFirst">369</numbering><numbering type="pageLast">377</numbering></numberingGroup><correspondenceTo>Address correspondence to Jorge G. Arroyo, Retina Service, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, CC‐5, Boston, MA 02215. E‐mail: <email>jarroyo@bidmc.harvard.edu</email></correspondenceTo><selfCitationGroup><citation type="self" xml:id="jgs13927-cit-1001"><journalTitle>J Am Geriatr Soc</journalTitle> <vol>64</vol>:<pageFirst>369</pageFirst>–<pageLast>377</pageLast>, <pubYear year="2016">2016</pubYear>.</citation></selfCitationGroup><attributeValueGroup><attributeValue attribute="type" element="note" value="equal"></attributeValue></attributeValueGroup><linkGroup><link type="toTypesetVersion" href="file:JGS.JGS13927.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Care of Older Adults: Role of Primary Care Physicians in the Treatment of Cataracts and Macular Degeneration</title><title type="shortAuthors">Marra et al.</title></titleGroup><creators><creator affiliationRef="#jgs13927-aff-0001 #jgs13927-aff-0002 #jgs13927-aff-0003" creatorRole="author" xml:id="jgs13927-cr-0001"><personName><givenNames>Kyle V.</givenNames> <familyName>Marra</familyName> <degrees>BS</degrees></personName></creator><creator affiliationRef="#jgs13927-aff-0001 #jgs13927-aff-0003 #jgs13927-aff-0004" creatorRole="author" xml:id="jgs13927-cr-0002"><personName><givenNames>Sushant</givenNames> <familyName>Wagley</familyName> <degrees>AB</degrees></personName></creator><creator affiliationRef="#jgs13927-aff-0001 #jgs13927-aff-0003" creatorRole="author" xml:id="jgs13927-cr-0003"><personName><givenNames>Mark C.</givenNames> <familyName>Kuperwaser</familyName> <degrees>MD</degrees></personName></creator><creator affiliationRef="#jgs13927-aff-0001" creatorRole="author" xml:id="jgs13927-cr-0004"><personName><givenNames>Rafael</givenNames> <familyName>Campo</familyName> <degrees>MD, DLitt</degrees></personName></creator><creator affiliationRef="#jgs13927-aff-0001 #jgs13927-aff-0003" corresponding="yes" creatorRole="author" xml:id="jgs13927-cr-0005"><personName><givenNames>Jorge G.</givenNames> <familyName>Arroyo</familyName> <degrees>MD, MPH</degrees></personName></creator></creators><affiliationGroup><affiliation type="organization" xml:id="jgs13927-aff-0001"> <orgDiv>Beth Israel Deaconess Medical Center</orgDiv> <orgName>Harvard Medical School</orgName> <address><city>Boston</city> <countryPart>Massachusetts</countryPart></address></affiliation><affiliation type="organization" xml:id="jgs13927-aff-0002"><orgDiv>School of Medicine</orgDiv> <orgName>University of California at San Diego</orgName> <address><city>La Jolla</city> <countryPart>California</countryPart></address></affiliation><affiliation type="organization" xml:id="jgs13927-aff-0003"><orgDiv>Department of Ophthalmology</orgDiv> <orgName>Harvard Medical School</orgName> <address><city>Boston</city> <countryPart>Massachusetts</countryPart></address></affiliation><affiliation type="organization" xml:id="jgs13927-aff-0004"><orgDiv>College of Human Medicine</orgDiv> <orgName>Michigan State University</orgName> <address><city>East Lansing</city> <countryPart>Michigan</countryPart></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="jgs13927-kwd-0001">age‐related macular degeneration</keyword><keyword xml:id="jgs13927-kwd-0002">cataracts</keyword><keyword xml:id="jgs13927-kwd-0003">primary care</keyword><keyword xml:id="jgs13927-kwd-0004">elderly</keyword></keywordGroup><supportingInformation><supportingInfoItem><mediaResource alt="supporting" mimeType="application/msword" href="urn-x:wiley:00028614:media:jgs13927:jgs13927-sup-0001-AppendixS1"></mediaResource><caption><p><b>Appendix S1.</b> Web Links for Individuals and Families.</p></caption></supportingInfoItem><supportingInfoItem><mediaResource alt="supporting" mimeType="application/msword" href="urn-x:wiley:00028614:media:jgs13927:jgs13927-sup-0002-AppendixS2"></mediaResource><caption><p><b>Appendix S2.</b> Web Links for Patients and Families.</p></caption></supportingInfoItem></supportingInformation><abstractGroup><abstract type="main" xml:id="jgs13927-abs-0001"><p>This article aims to facilitate optimal management of cataracts and age‐related macular degeneration (<fc>AMD</fc>) by providing information on indications, risk factors, referral guidelines, and treatments and to describe techniques to maximize quality of life (<fc>QOL</fc>) for people with irreversible vision loss. A review of PubMed and other online databases was performed for peer‐reviewed English‐language articles from 1980 through August 2012 on visual impairment in elderly adults. Search terms included vision loss, visual impairment, blind, low vision, <fc>QOL</fc> combined with age‐related, elderly, and aging. Articles were selected that discussed vision loss in elderly adults, effects of vision impairment on <fc>QOL</fc>, and care strategies to manage vision loss in older adults. The ability of primary care physicians (<fc>PCP</fc>s) to identify early signs of cataracts and <fc>AMD</fc> in individuals at risk of vision loss is critical to early diagnosis and management of these common age‐related eye diseases. <fc>PCP</fc>s can help preserve vision by issuing aptly timed referrals and encouraging behavioral modifications that reduce risk factors. With knowledge of referral guidelines for soliciting low‐vision rehabilitation services, visual aids, and community support resources, <fc>PCP</fc>s can considerably increase the <fc>QOL</fc> of individuals with uncorrectable vision loss. By offering appropriately timed referrals, promoting behavioral modifications, and allocating low‐vision care resources, <fc>PCP</fc>s may play a critical role in preserving visual health and enhancing the <fc>QOL</fc> for the elderly population.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Care of Older Adults: Role of Primary Care Physicians in the Treatment of Cataracts and Macular Degeneration</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Care of Older Adults: Role of Primary Care Physicians in the Treatment of Cataracts and Macular Degeneration</title></titleInfo><name type="personal"><namePart type="given">Kyle V.</namePart><namePart type="family">Marra</namePart><namePart type="termsOfAddress">BS</namePart><affiliation>Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts</affiliation><affiliation>School of Medicine, University of California at San Diego, La Jolla, California</affiliation><affiliation>Department of Ophthalmology, Harvard Medical School, Massachusetts, Boston</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Sushant</namePart><namePart type="family">Wagley</namePart><namePart type="termsOfAddress">AB</namePart><affiliation>Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts</affiliation><affiliation>Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts</affiliation><affiliation>College of Human Medicine, Michigan State University, Michigan, East Lansing</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Mark C.</namePart><namePart type="family">Kuperwaser</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts</affiliation><affiliation>Department of Ophthalmology, Harvard Medical School, Massachusetts, Boston</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Rafael</namePart><namePart type="family">Campo</namePart><namePart type="termsOfAddress">MD, DLitt</namePart><affiliation>Beth Israel Deaconess Medical Center, Harvard Medical School, Massachusetts, Boston</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jorge G.</namePart><namePart type="family">Arroyo</namePart><namePart type="termsOfAddress">MD, MPH</namePart><affiliation>Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts</affiliation><affiliation>Department of Ophthalmology, Harvard Medical School, Massachusetts, Boston</affiliation><affiliation>E-mail: jarroyo@bidmc.harvard.edu</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2016-02</dateIssued><dateCreated encoding="w3cdtf">2015-11-20</dateCreated><edition>J Am Geriatr Soc 64:369–377, 2016.</edition><copyrightDate encoding="w3cdtf">2016</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>This article aims to facilitate optimal management of cataracts and age‐related macular degeneration (AMD) by providing information on indications, risk factors, referral guidelines, and treatments and to describe techniques to maximize quality of life (QOL) for people with irreversible vision loss. A review of PubMed and other online databases was performed for peer‐reviewed English‐language articles from 1980 through August 2012 on visual impairment in elderly adults. Search terms included vision loss, visual impairment, blind, low vision, QOL combined with age‐related, elderly, and aging. Articles were selected that discussed vision loss in elderly adults, effects of vision impairment on QOL, and care strategies to manage vision loss in older adults. The ability of primary care physicians (PCPs) to identify early signs of cataracts and AMD in individuals at risk of vision loss is critical to early diagnosis and management of these common age‐related eye diseases. PCPs can help preserve vision by issuing aptly timed referrals and encouraging behavioral modifications that reduce risk factors. With knowledge of referral guidelines for soliciting low‐vision rehabilitation services, visual aids, and community support resources, PCPs can considerably increase the QOL of individuals with uncorrectable vision loss. By offering appropriately timed referrals, promoting behavioral modifications, and allocating low‐vision care resources, PCPs may play a critical role in preserving visual health and enhancing the QOL for the elderly population.</abstract><note type="additional physical form">Appendix S1. Web Links for Individuals and Families.Appendix S2. Web Links for Patients and Families.</note><subject><genre>keywords</genre><topic>age‐related macular degeneration</topic><topic>cataracts</topic><topic>primary care</topic><topic>elderly</topic></subject><relatedItem type="host"><titleInfo><title>Journal of the American Geriatrics Society</title></titleInfo><titleInfo type="abbreviated"><title>J Am Geriatr Soc</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Clinical Management of the Geriatric Patients</topic><topic>Clinical Management of the Geriatric Patients</topic></subject><identifier type="ISSN">0002-8614</identifier><identifier type="eISSN">1532-5415</identifier><identifier type="DOI">10.1111/(ISSN)1532-5415</identifier><identifier type="PublisherID">JGS</identifier><part><date>2016</date><detail type="volume"><caption>vol.</caption><number>64</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>369</start><end>377</end><total>9</total></extent></part></relatedItem><relatedItem type="references" displayLabel="jgs13927-cit-0001"><titleInfo><title>Prevalence of age‐related macular degeneration in the United States</title></titleInfo><name type="personal"><namePart type="given">DS</namePart><namePart type="family">Friedman</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">BJ</namePart><namePart type="family">O'Colemain</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">B</namePart><namePart type="family">Muñoz</namePart><role><roleTerm type="text">author</roleTerm></role></name><genre>journal-article</genre><note type="citation/reference">Friedman DS, O'Colemain BJ, Muñoz B et al. 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