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We read with interest the extended report by Hassell et al1 about the adverse effect of quality of life in mild visual impairment (<6/12) and worse. Their demonstration of the impact of age-related macular degeneration on quality-of-life indices is an important illustration of the difficulties experienced by visually impaired people.
We have reported a similar experience in West Glamorgan (Wales, UK).2 Our study was comprised of 66 patients registered as blind/partially sighted (59.1% because of age-related macular degeneration). The demographic characteristics mirrored this study (mean age 81.33 (SD 9.87) years; 69.7% female). We used an alternative index …