title: Prevalence of diagnosed ocular disease in veterans with serious mental illness.
abstract: 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).
  
  
  
  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).
  
  
  
  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).
  
  
  
  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.
authors: Department of Ophthalmology and Visual Sciences, University of Maryland School of Medicine, 419 W. Redwood Street, Suite 470, Baltimore, MD 21201, USA. Electronic address: osaeedi@som.umaryland.edu.
authors: Osamah
authors: O
authors: Saeedi
authors: Department of Internal Medicine, Indiana University School of Medicine, 340 W 10th St #6200, Indianapolis, IN 46202, USA.
authors: Hasan
authors: H
authors: Ashraf
authors: Malouf Eye Center, 4400 Telfair Blvd, Camp Springs, MD 20746, USA.
authors: Marc
authors: M
authors: Malouf
authors: VA Capitol Healthcare Network (VISN 5) Mental Illness Research, Education, and Clinical Center (MIRECC), 10 N Greene Street, Baltimore, MD 21201, USA; Department of Psychiatry, Division of Psychiatric Services Research, University of Maryland School of Medicine, 110 South Paca St., 4th Floor, Baltimore, MD 21201, USA.
authors: Eric P
authors: EP
authors: Slade
authors: VA Capitol Healthcare Network (VISN 5) Mental Illness Research, Education, and Clinical Center (MIRECC), 10 N Greene Street, Baltimore, MD 21201, USA; Department of Psychiatry, Division of Psychiatric Services Research, University of Maryland School of Medicine, 110 South Paca St., 4th Floor, Baltimore, MD 21201, USA.
authors: Deborah R
authors: DR
authors: Medoff
authors: Department of Psychiatry, Division of Psychiatric Services Research, University of Maryland School of Medicine, 110 South Paca St., 4th Floor, Baltimore, MD 21201, USA.
authors: Lan
authors: L
authors: Li
authors: VA Capitol Healthcare Network (VISN 5) Mental Illness Research, Education, and Clinical Center (MIRECC), 10 N Greene Street, Baltimore, MD 21201, USA; Department of Psychiatry, Division of Psychiatric Services Research, University of Maryland School of Medicine, 110 South Paca St., 4th Floor, Baltimore, MD 21201, USA.
authors: Julie
authors: J
authors: Kreyenbuhl
mesh_terms: D000328:Adult; D000368:Aged; D001714:Bipolar Disorder / Q000453:epidemiology*; D002386:Cataract / Q000453:epidemiology*; D015897:Comorbidity; D004219:District of Columbia / Q000453:epidemiology; D015352:Dry Eye Syndromes / Q000453:epidemiology*; D005260:Female; D005901:Glaucoma / Q000453:epidemiology*; D006801:Humans; D008297:Male; D008396:Maryland / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D011618:Psychotic Disorders / Q000453:epidemiology*; D012559:Schizophrenia / Q000453:epidemiology*; D014728:Veterans / Q000706:statistics & numerical data*; D014768:Virginia / Q000453:epidemiology; D014903:West Virginia / Q000453:epidemiology
keywords: Cataract; Epidemiology; Glaucoma; Ocular disease; Severe mental illness; Veteran