{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T09:42:11Z","timestamp":1792230131312,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:00:00Z","timestamp":1792195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:00:00Z","timestamp":1792195200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010816","name":"Stiftelsen f\u00f6r Synskadade i f.d. Malm\u00f6hus l\u00e4n","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010816","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010817","name":"Stiftelsen Kronprinsessan Margaretas Arbetsn\u00e4mnd f\u00f6r Synskadade","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010817","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To describe the Swedish Quality Registry for Rehabilitation in Visual Impairment (SKRS) and present rehabilitation measures and underlying diagnoses of visual impairment and blindness in adults in Sweden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study includes data from the SKRS collected between January 2016 and December 2025 for patients aged \u226520\u2009years who received rehabilitation services from low vision centres in Sweden. The degree and underlying causes of visual impairment, as well as rehabilitation interventions, were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In 2025, SKRS recorded 12\u2009622 registrations for 11\u2009810 unique patients, with women accounting for 62%. The median waiting time from referral to first visit was 37\u2009days. Most patients had a moderate visual impairment. In 2025, age\u2010related macular degeneration (AMD) represented the most common diagnosis (50.2%), followed by glaucoma (18.3%), blindness of unspecified cause\/visual impairment (5.9%), retinal diseases (5%), diabetic retinopathy (2.8%) and optic nerve diseases (2.2%). The most frequently registered procedure codes were in the group of assistive technology with 30.3%, followed by investigative procedures with 26.1% and follow\u2010up with 19.9%. The proportion of International Classification of Functioning, Disability and Health based instruments had increased significantly; from 0.04% in 2016 to 72.5% in 2025. The proportion of individual rehabilitation plans had risen by 18.6% since the start of the COVID\u201019 pandemic\u2014from 53.2% in 2020 to 71.8% in 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SKRS provides representative data on rehabilitation measures and associated diagnoses among adults with visual impairments in Sweden. The data confirm that AMD and glaucoma are the most common causes and highlight inequalities in access to visual rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aos.70258","type":"journal-article","created":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T09:04:46Z","timestamp":1792227886000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Epidemiology of visual impairment and rehabilitation measures in adults\u2014Data from the Swedish Quality Registry for Rehabilitation in Visual Impairment"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7316-4976","authenticated-orcid":false,"given":"Ulrika","family":"Kjellstr\u00f6m","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Department of Clinical Sciences Lund Lund University  Lund Sweden"},{"name":"Department of Ophthalmology Sk\u00e5ne University Hospital  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Tornqvist","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Department of Clinical Sciences Lund Lund University  Lund Sweden"},{"name":"Department of Ophthalmology Sk\u00e5ne University Hospital  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1593-4220","authenticated-orcid":false,"given":"Katarina","family":"Baudin","sequence":"additional","affiliation":[{"name":"Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malin","family":"Regardt","sequence":"additional","affiliation":[{"name":"Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society Karolinska Institutet  Stockholm Sweden"},{"name":"Women's Health and Health Professional Theme, Medical Unit Allied Health Professionals Karolinska University Hospital  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5249-7758","authenticated-orcid":false,"given":"Marion","family":"Schroeder","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Department of Clinical Sciences Lund Lund University  Lund Sweden"},{"name":"Department of Ophthalmology Sk\u00e5ne University Hospital  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,17]]},"reference":[{"issue":"100","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"71","DOI":"10.56920\/cehj.342","article-title":"World blindness and visual impairment: despite many successes, the problem is growing","volume":"30","author":"Ackland P.","year":"2017","journal-title":"Community Eye Health"},{"issue":"4","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"1942","DOI":"10.1177\/11206721221091367","article-title":"Low\u2010vision rehabilitation in Italy: cross\u2010sectional data from the device and aids registry (D.A.Re)","volume":"32","author":"Bartolomei F.","year":"2022","journal-title":"European Journal of Ophthalmology"},{"issue":"6","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1034\/j.1600-0420.2002.800608.x","article-title":"A longitudinal study of visual acuity and visual rehabilitation needs in an urban Swedish population followed from the ages of 70 to 97\u2009years of age","volume":"80","author":"Bergman B.","year":"2002","journal-title":"Acta Ophthalmologica Scandinavica"},{"issue":"6","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1111\/j.1600-0420.1997.tb00630.x","article-title":"Visual impairment in Swedish children. III. Diagnoses","volume":"75","author":"Blohm\u00e9 J.","year":"1997","journal-title":"Acta Ophthalmologica Scandinavica"},{"issue":"1","key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.ophtha.2003.05.010","article-title":"Prevalence and causes of visual impairment and blindness among 9980 Scandinavian adults: the Copenhagen City eye study","volume":"111","author":"Buch H.","year":"2004","journal-title":"Ophthalmology"},{"issue":"1","key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1001\/jamaophthalmol.2017.4655","article-title":"Estimates of incidence and prevalence of visual impairment, low vision, and blindness in the United States","volume":"136","author":"Chan T.","year":"2018","journal-title":"JAMA Ophthalmol"},{"issue":"1","key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1080\/09286586.2025.2483697","article-title":"Trends in adult visual impairment certification in Northern Ireland: a 10\u2010year analysis","volume":"33","author":"Cushley L.N.","year":"2026","journal-title":"Ophthalmic Epidemiology"},{"key":"e_1_2_9_9_1","volume-title":"Upplevd s\u00e4kerhet i dagliga aktiviteter \u2010 sj\u00e4lvskattning f\u00f6r personer med \u00e5ldersf\u00f6r\u00e4ndringar i gula fl\u00e4cken","author":"Dahlin Ivanoff S.","year":"2021"},{"issue":"8","key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1136\/bjo.2010.194712","article-title":"Prevalence and causes of registered blindness in the largest federal state of Germany","volume":"95","author":"Finger R.P.","year":"2011","journal-title":"The British Journal of Ophthalmology"},{"issue":"2","key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"e144","DOI":"10.1016\/S2214-109X(20)30489-7","article-title":"Causes of blindness and vision impairment in 2020 and trends over 30\u2009years, and prevalence of avoidable blindness in relation to VISION 2020: the right to sight: an analysis for the global burden of disease study","volume":"9","author":"GBD 2019 Blindness and Vision Impairment Collaborators","year":"2021","journal-title":"Lancet Global Health"},{"issue":"1","key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1080\/09286586.2024.2374934","article-title":"Prevalence of vision loss in high\u2010income countries and in eastern and Central Europe in 2020: magnitude and temporal trends","volume":"33","author":"GBD 2019 Blindness and Vision Impairment Collaborators","year":"2026","journal-title":"Ophthalmic Epidemiology"},{"issue":"1","key":"e_1_2_9_13_1","doi-asserted-by":"crossref","DOI":"10.1177\/14604582221075561","article-title":"Application and implementation of telehealth services designed for the elderly population during the COVID\u201019 pandemic: a systematic review","volume":"28","author":"Haimi M.","year":"2022","journal-title":"Health Informatics Journal"},{"key":"e_1_2_9_14_1","unstructured":"H\u00e4lso\u2010 och sjukv\u00e5rdslag. (2017)https:\/\/www.riksdagen.se\/sv\/dokument\u2010och\u2010lagar\/dokument\/svensk\u2010forfattningssamling\/halso\u2010och\u2010sjukvardslag\u2010201730_sfs\u20102017\u201030\/#K8(accessed April 19 2026)."},{"issue":"1","key":"e_1_2_9_15_1","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1111\/j.1532-5415.1998.tb01014.x","article-title":"Visual impairment and falls in older adults: the Blue Mountains eye study","volume":"46","author":"Ivers R.Q.","year":"1998","journal-title":"Journal of the American Geriatrics Society"},{"issue":"5","key":"e_1_2_9_16_1","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1097\/OPX.0b013e31816bea29","article-title":"Use of eye care services and need for assistance in the visually impaired","volume":"85","author":"Laitinen A.","year":"2008","journal-title":"Optometry and Vision Science"},{"issue":"2","key":"e_1_2_9_17_1","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1177\/000841749005700207","article-title":"The Canadian occupational performance measure: an outcome measure for occupational therapy","volume":"57","author":"Law M.","year":"1990","journal-title":"Canadian Journal of Occupational Therapy"},{"issue":"2","key":"e_1_2_9_18_1","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1111\/opo.12606","article-title":"Rehabilitation needs and activity limitations of adults with a visual impairment entering a low vision rehabilitation service in England","volume":"39","author":"Macnaughton J.","year":"2019","journal-title":"Ophthalmic & Physiological Optics"},{"issue":"5","key":"e_1_2_9_19_1","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1080\/08164622.2023.2246490","article-title":"Near prescribing trends in two low vision rehabilitation clinics over a ten\u2010year period","volume":"107","author":"Matchinski T.L.","year":"2024","journal-title":"Clinical & Experimental Optometry"},{"key":"e_1_2_9_20_1","unstructured":"Nationella Kvalitetsregister. (2025)https:\/\/skr.se\/halsaochsjukvard\/nationelltsystemforkunskapsstyrning.7906.html(accessed February 8 2026)."},{"issue":"11","key":"e_1_2_9_21_1","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1097\/OPX.0000000000001953","article-title":"Longitudinal trends in case histories and rehabilitative device assessments at low vision examinations","volume":"99","author":"Nguyen J.D.","year":"2022","journal-title":"Optometry and Vision Science"},{"issue":"2","key":"e_1_2_9_22_1","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1136\/bjo.2007.125955","article-title":"Predicting the need for low vision rehabilitation services","volume":"92","author":"O'Connor P.M.","year":"2008","journal-title":"The British Journal of Ophthalmology"},{"issue":"7","key":"e_1_2_9_23_1","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1038\/s41433-020-0864-6","article-title":"Recent trends in vision impairment certifications in England and Wales","volume":"34","author":"Rahman F.","year":"2020","journal-title":"Eye"},{"key":"e_1_2_9_24_1","first-page":"278","article-title":"Lesef\u00e4higkeit und Hilfmittelsbedarf, Unterversorgung in einer Altenheimpopulation. [Reading ability and insufficient provision with reading aids in a population of nursing homes]","volume":"217","author":"Sadowski B.","year":"2000","journal-title":"Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"},{"key":"e_1_2_9_25_1","unstructured":"Statistiska centralbyr\u00e5n. (2026)https:\/\/www.scb.se(accessed April 17 2026)."},{"key":"e_1_2_9_26_1","unstructured":"Svenskt Kvalitetsregister f\u00f6r Rehabilitering vid Synneds\u00e4ttning. (2024)https:\/\/rcsyd.se\/skrs\/wp\u2010content\/uploads\/sites\/4\/2025\/10\/Arsrapport\u20102024.pdf(accessed February 8 2026)."},{"issue":"2","key":"e_1_2_9_27_1","doi-asserted-by":"crossref","first-page":"69","DOI":"10.3109\/11038129409106665","article-title":"Towards an ADL taxonomy for occupational therapists","volume":"1","author":"T\u00f6rnquist K.","year":"1994","journal-title":"Scandinavian Journal of Occupational Therapy"},{"key":"e_1_2_9_28_1","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.prrv.2020.06.009","article-title":"COVID\u201019 and telehealth, education, and research adaptations","volume":"35","author":"Wijesooriya N.R.","year":"2020","journal-title":"Paediatric Respiratory Reviews"},{"key":"e_1_2_9_29_1","volume-title":"International classification of functioning, disability and health: ICF","author":"World Health Organization","year":"2001"},{"key":"e_1_2_9_30_1","unstructured":"World Health Organization. (2023)Blindness and vision impairment.https:\/\/www.who.int(accessed February 8 2026)."}],"container-title":["Acta Ophthalmologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.70258","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aos.70258","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.70258","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T09:04:50Z","timestamp":1792227890000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aos.70258"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,17]]},"references-count":29,"alternative-id":["10.1111\/aos.70258"],"URL":"https:\/\/doi.org\/10.1111\/aos.70258","archive":["Portico"],"relation":{},"ISSN":["1755-375X","1755-3768"],"issn-type":[{"value":"1755-375X","type":"print"},{"value":"1755-3768","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,17]]},"assertion":[{"value":"2026-04-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"aos.70258"}}