Abstract
BACKGROUND: Visual impairment is highly prevalent among the elderly and significantly affects independence, mobility, and quality of life. Non-pharmacological, low-cost interventions that can be implemented in community settings are of increasing interest. Bates therapy, consisting of structured eye relaxation and movement exercises, has been proposed as a complementary approach for improving visual function. AIM: To evaluate the effectiveness of Bates therapy on comprehensive visual outcomes among elderly residents of selected old age homes in Erode. METHODS: A quasi-experimental time-series design was adopted among 60 elderly participants aged ≥60 years residing in two selected old age homes. Comprehensive visual outcomes-visual acuity, visual field, contrast sensitivity, and overall visual function-were assessed using standardized tools before intervention and on days 7, 15, and 30 following Bates therapy. The intervention consisted of supervised Bates exercises for 30 min twice daily for 30 days. Statistical analysis was performed. RESULTS: Statistically significant improvements were observed in all visual outcomes by day 30. Mean visual acuity improved from 1.85 ± 0.55 to 3.60 ± 0.50 (P < 0.001), visual field from 3.70 ± 0.60 to 4.55 ± 0.45 (P < 0.001), contrast sensitivity from 1.20 ± 0.30 to 1.65 ± 0.25 (P < 0.001), and VFQ-25 score from 45.2 ± 10.5 to 72.8 ± 8.2 (P < 0.001). No significant associations were observed between baseline visual outcomes and demographic variables. CONCLUSION: Bates therapy improved comprehensive visual outcomes among elderly residents of old age homes and may serve as a simple, cost-effective adjunct in geriatric and community eye-care programs.