ScholarDeck

Cross-sectionalnpj aging · 2026

Discordance between measured and perceived vision in older adults: the need for objective screening despite health consciousness.

Xueer Tu, Xun Wang, Lanqin Zhao … Haotian Lin

OphthalmologyCross-sectional

Self-reported symptoms poorly detect objective vision impairment in older adults.

Discordance between measured and perceived vision in older adults: the need for objective screening despite health consciousness.

Xueer Tu … Haotian Lin

npj aging · 2026

Background

Perceived visual problems in older adults do not always align with measured vision, potentially delaying diagnosis and timely intervention.

Methods

Within this cohort, the prevalences of OVI and SVD were 42.8% and 44.6%, respectively (53.1% and 47.9% at the participant level).

n = 829 health-conscious adults

Results

self-reported symptoms correctly flagged only about half of true vision impairment cases

47.2%

OVI eyes without SVD

38.5%

Non-OVI eyes with SVD

More results

Associated factors were examined at the eye level using generalized linear mixed-effects models.

Discordance was substantial: 47.2% of OVI eyes did not report SVD, whereas 38.5% of non-OVI eyes reported SVD.

More results

Higher income and lower Self-Rating Anxiety Scale (SAS) scores were associated with OVI without SVD, while lower income and higher SAS scores were linked to non-OVI with SVD; unilateral OVI was also associated with OVI without SVD.

“

Conclusion

These findings indicate that SVD incompletely reflects OVI and underscore the need for routine objective vision screening in older populations, irrespective of perceived symptoms.

Post

Discordance between measured and perceived vision in older adults: the need for objective screening despite health consciousness.

Self-reported symptoms poorly detect objective vision impairment in older adults.

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