A series of 431 vision screening records of seniors 55 years of age an
d older were analysed. Patients were examined by the UCLA Mobile Eye C
linic at two senior centers in the Los Angeles area, between the years
1982 and 1990. Sixty-eight percent of patients were females and 32% w
ere males. The mean (+/- S.D.) age was 69 (+/- 7.5) years. Common diag
noses were refractive errors (65.2%) and impaired visual acuity (37.0%
). The prevalences of refractive errors were: hyperopia, 24.8%; myopia
, 10.4%; presbyopia, 54.1%; and astigmatism, 31.8%. In most patients (
94.0%), impaired visual acuity was corrected by spectacles. The preval
ence of cataract was 29.5% and age-specific prevalences of cataract in
creased with age. The prevalences of other eye disorders were as follo
ws: glaucoma, 6.3%; diabetic retinopathy, 1.2%; and macular degenerati
on, 5.1%. This study highlights the degree of ophthalmic disorders ide
ntified by vision screenings in the elderly population in senior cente
rs; our results are consistent with previously reported studies of eye
diseases in the elderly.