Prevalence of diagnosed ocular disease in veterans with serious mental illness

Osamah Saeedi, Hasan Ashraf, Marc Malouf, Eric Slade, Deborah R. Medoff, Lan Li, Julie Kreyenbuhl

Research output: Contribution to journalArticle

Abstract

Objective To compare the prevalence of diagnosed ocular disease and eye disease treatment between Veteran's Administration (VA) patients with and without serious mental illness (SMI). Methods Retrospective comparison of diagnosed ocular disease and treatment prevalence among patients with and without diagnosed SMI in fiscal year 2011 in the VA Capitol Health Care System (VISN 5). Results We identified 6462 VA patients with SMI and 137,933 without SMI. The prevalence of diagnosed ocular disease was 22.7% in SMI patients and 35.4% in non-SMI patients (P<.001). Those with SMI had a higher prevalence of glaucoma (10.2% vs. 7.1%, P<.0001), cataract (12.6% vs. 9.2%, P<.0001) and dry eye (4.0% vs. 2.7%, P<.0001). Less than half (34.3%) of SMI subjects had been seen in ophthalmology or optometry vs. 23.0% of controls (P<.0001). Conclusion VA patients with SMI have a greater prevalence of diagnosed ocular disease, particularly cataract, glaucoma and dry eye. While SMI patients utilize eye care services at a higher rate than the general VA population, the majority of subjects with SMI do not get recommended annual eye examinations. More consistent annual ocular screening among VA patients with SMI may be indicated.

Original languageEnglish (US)
Pages (from-to)1-5
Number of pages5
JournalGeneral Hospital Psychiatry
Volume43
DOIs
StatePublished - Nov 1 2016
Externally publishedYes

Fingerprint

United States Department of Veterans Affairs
Eye Diseases
Veterans
Mentally Ill Persons
Glaucoma
Cataract
Optometry
Ophthalmology
Delivery of Health Care
Therapeutics
Population

Keywords

  • Cataract
  • Epidemiology
  • Glaucoma
  • Ocular disease
  • Severe mental illness
  • Veteran

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Prevalence of diagnosed ocular disease in veterans with serious mental illness. / Saeedi, Osamah; Ashraf, Hasan; Malouf, Marc; Slade, Eric; Medoff, Deborah R.; Li, Lan; Kreyenbuhl, Julie.

In: General Hospital Psychiatry, Vol. 43, 01.11.2016, p. 1-5.

Research output: Contribution to journalArticle

Saeedi, Osamah ; Ashraf, Hasan ; Malouf, Marc ; Slade, Eric ; Medoff, Deborah R. ; Li, Lan ; Kreyenbuhl, Julie. / Prevalence of diagnosed ocular disease in veterans with serious mental illness. In: General Hospital Psychiatry. 2016 ; Vol. 43. pp. 1-5.
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abstract = "Objective To compare the prevalence of diagnosed ocular disease and eye disease treatment between Veteran's Administration (VA) patients with and without serious mental illness (SMI). Methods Retrospective comparison of diagnosed ocular disease and treatment prevalence among patients with and without diagnosed SMI in fiscal year 2011 in the VA Capitol Health Care System (VISN 5). Results We identified 6462 VA patients with SMI and 137,933 without SMI. The prevalence of diagnosed ocular disease was 22.7{\%} in SMI patients and 35.4{\%} in non-SMI patients (P<.001). Those with SMI had a higher prevalence of glaucoma (10.2{\%} vs. 7.1{\%}, P<.0001), cataract (12.6{\%} vs. 9.2{\%}, P<.0001) and dry eye (4.0{\%} vs. 2.7{\%}, P<.0001). Less than half (34.3{\%}) of SMI subjects had been seen in ophthalmology or optometry vs. 23.0{\%} of controls (P<.0001). Conclusion VA patients with SMI have a greater prevalence of diagnosed ocular disease, particularly cataract, glaucoma and dry eye. While SMI patients utilize eye care services at a higher rate than the general VA population, the majority of subjects with SMI do not get recommended annual eye examinations. More consistent annual ocular screening among VA patients with SMI may be indicated.",
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N2 - Objective To compare the prevalence of diagnosed ocular disease and eye disease treatment between Veteran's Administration (VA) patients with and without serious mental illness (SMI). Methods Retrospective comparison of diagnosed ocular disease and treatment prevalence among patients with and without diagnosed SMI in fiscal year 2011 in the VA Capitol Health Care System (VISN 5). Results We identified 6462 VA patients with SMI and 137,933 without SMI. The prevalence of diagnosed ocular disease was 22.7% in SMI patients and 35.4% in non-SMI patients (P<.001). Those with SMI had a higher prevalence of glaucoma (10.2% vs. 7.1%, P<.0001), cataract (12.6% vs. 9.2%, P<.0001) and dry eye (4.0% vs. 2.7%, P<.0001). Less than half (34.3%) of SMI subjects had been seen in ophthalmology or optometry vs. 23.0% of controls (P<.0001). Conclusion VA patients with SMI have a greater prevalence of diagnosed ocular disease, particularly cataract, glaucoma and dry eye. While SMI patients utilize eye care services at a higher rate than the general VA population, the majority of subjects with SMI do not get recommended annual eye examinations. More consistent annual ocular screening among VA patients with SMI may be indicated.

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