Prevalence of trachomatous trichiasis in <scp>Australia</scp>: the <scp>National Eye Health Survey</scp>

Dirani, Mohamed; Keel, Stuart; Foreman, Joshua; Wijngaarden, Peter van; Taylor, Hugh R.

doi:10.1111/ceo.13003

Cited by 4 publications

(6 citation statements)

References 11 publications

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“…The review identified 42 articles that reported on the incidence and prevalence of various eye diseases amongst the Indigenous population, including keratitis, visual impairment, vision loss, cataract, glaucoma, choroidal nevi, eye trauma, trachoma and diabetic retinopathy [ 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 ] ( Table 2 ). Irrespective of the study design, these studies collectively demonstrated that the prevalence of vision impairment and eye diseases in Aboriginal and Torres Strait Islanders (respectfully referred to as Indigenous Australians) is consistently higher compared to non-Indigenous Australians.…”

Section: Resultsmentioning

confidence: 99%

Considerations for Training and Workforce Development to Enhance Rural and Remote Ophthalmology Practise in Australia: A Scoping Review

Obamiro

Jessup

Allen

et al. 2022

IJERPH

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Australia has one of the lowest per capita numbers of ophthalmologists among OECD countries, and they predominantly practise in metropolitan centres of the country. Increasing the size and distribution of the ophthalmology workforce is of critical importance. The objective of this review was to investigate the context of rural ophthalmology training and practise in Australia and how they relate to future ophthalmology workforce development. This scoping review was informed by Arksey and O’Malley’s framework and the methodology described by Coloqhuon et al. The search yielded 428 articles, of which 261 were screened for eligibility. Following the screening, a total of 75 articles were included in the study. Themes identified relating to rural ophthalmology training and practise included: Indigenous eye health; access and utilisation of ophthalmology-related services; service delivery models for ophthalmic care; ophthalmology workforce demographics; and ophthalmology workforce education and training for rural and remote practise. With an anticipated undersupply and maldistribution of ophthalmologists in the coming decade, efforts to improve training must focus on how to build a sizeable, fit-for-purpose workforce to address eye health needs across Australia. More research focusing on ophthalmology workforce distribution is needed to help identify evidence-based solutions for workforce maldistribution. Several strategies to better prepare the future ophthalmology workforce for rural practise were identified, including incorporating telehealth into ophthalmology training settings; collaborating with other health workers, especially optometrists and specialist nurses in eyecare delivery; and exposing trainees to more patients of Indigenous background.

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Section: Resultsmentioning

confidence: 99%

Considerations for Training and Workforce Development to Enhance Rural and Remote Ophthalmology Practise in Australia: A Scoping Review

Obamiro

Jessup

Allen

et al. 2022

IJERPH

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“…Since a 2005 service expansion, collaboratively with remote community staff, specialist ophthalmic outreach services have expanded from 24 annual clinics to more than 40 (Table 2) 19,24 ; increasing capacity to review over 1600 remote patients each year (Table 1). A review 5‐years after service expansion outlined that only 20% of remote patients presented to clinics with ophthalmic complaints (the majority for “check‐up” only), 25 with more recent research from the Indigenous Eye Health Unit (IEHU) showing further improvement since 26 —suggesting an improvement in the baseline of eye morbidity in Central Australia since service expansion. Despite the capacity to review many more patients remotely, actual attendance remains substantially lower (Table 1), and centralised reviews located where remote populations are shifting, and where 4 to 6 times as many patients can be seen for a similar total expense, may become a more feasible solution.…”

Section: Resultsmentioning

confidence: 99%

Updating the model of eye care for Aboriginal populations in remote Central Australia

Mitchell

Hassall

Henderson

2020

Clinical Exper Ophthalmology

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Eye disease is the third‐highest contributor towards health inequality for Aboriginal Australians. Understanding how the Central Australian ophthalmology service addresses complexities of remote eye care is crucial in understanding how expansion can meet current and future needs. The present study analyses findings from the MEDLINE database and Governmental reports, and descriptive information from stakeholders in Central Australia and the Australian Department of Health. We describe the current Central Australian ophthalmology model at three levels; (a) the healthcare service level (specialized primary care, local/outreach optometry and ophthalmology services, and intensive extended surgical weeks), (b) the community level (local community staff, clinics and initiatives, and eye “champions” and mutual support), and (c) the healthcare system level (federal and state government, and private funding). We conclude that building full‐time specialist availability, and system‐wide approaches to increase patient utilisation, will facilitate overcoming barriers of remoteness, and create enduring improvements in Central Australian eye care and health‐inequality.

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“…The 85 included articles described 64 unique studies that examined a total of 79 598 unique indigenous participants in 24 countries during the past 28 years (Table 1). Considering that indigenous populations inhabit approximately 90 countries, this indicates that the burden of visual loss and eye disease in most indigenous peoples around the world has not been adequately investigated.…”

Section: Resultsmentioning

confidence: 99%

“…127 Through improved education, eye health promotion, and service availability across indigenous communities in Australia, the Close the Gap for Vision program has reduced the excess rate of blindness in the indigenous population from 6 times 56 to 3 times 63 higher than the rate for the nonindigenous population in 6 years and almost eliminated blinding trachoma. 62 The Onchocerciasis Elimination Program for the Americas eliminated onchocerciasis transmission in 11 of the pre-vious 13 endemic disease foci in Latin America through repeated mass drug administration. 128 Targeted mass drug administration programs in the indigenous Yanomami of Venezuela have dramatically reduced disease transmission and incidence rates of onchocerciasis.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Causes of Visual Loss Among the Indigenous Peoples of the World

et al. 2018

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IMPORTANCEStudies have documented a higher disease burden in indigenous compared with nonindigenous populations, but no global data on the epidemiology of visual loss in indigenous peoples are available. A systematic review of literature on visual loss in the world's indigenous populations could identify major gaps and inform interventions to reduce their burden of visual loss.OBJECTIVE To conduct a systematic review on the prevalence and causes of visual loss among the world's indigenous populations.EVIDENCE REVIEW A search of databases and alternative sources identified literature on the prevalence and causes of visual loss (visual impairment and blindness) and eye diseases in indigenous populations. Studies from January 1, 1990, through August 1, 2017, that included clinical eye examinations of indigenous participants and, where possible, compared findings with those of nonindigenous populations were included. Methodologic quality of studies was evaluated to reveal gaps in the literature.FINDINGS Limited data were available worldwide. A total of 85 articles described 64 unique studies from 24 countries that examined 79 598 unique indigenous participants. Nineteen studies reported comparator data on 42 085 nonindigenous individuals. The prevalence of visual loss was reported in 13 countries, with visual impairment ranging from 0.6% in indigenous Australian children to 48.5% in native Tibetans 50 years or older. Uncorrected refractive error was the main cause of visual impairment (21.0%-65.1%) in 5 of 6 studies that measured presenting visual acuity. Cataract was the main cause of visual impairment in all 6 studies measuring best-corrected acuity (25.4%-72.2%). Cataract was the leading cause of blindness in 13 studies (32.0%-79.2%), followed by uncorrected refractive error in 2 studies (33.0% and 35.8%).CONCLUSIONS AND RELEVANCE Most countries with indigenous peoples do not have data on the burden of visual loss in these populations. Although existing studies vary in methodologic quality and reliability, they suggest that most visual loss in indigenous populations is avoidable. Improvements in quality and frequency of research into the eye health of indigenous communities appear to be required, and coordinated eye care programs should be implemented to specifically target the indigenous peoples of the world.

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Prevalence of trachomatous trichiasis in Australia: the National Eye Health Survey

Abstract: Our data are in line with ongoing national trachoma surveillance reports that suggest the prevalence of late sequences of trachoma appear to be decreasing in Australia.

Cited by 4 publications

References 11 publications

Considerations for Training and Workforce Development to Enhance Rural and Remote Ophthalmology Practise in Australia: A Scoping Review

Considerations for Training and Workforce Development to Enhance Rural and Remote Ophthalmology Practise in Australia: A Scoping Review

Updating the model of eye care for Aboriginal populations in remote Central Australia

Prevalence and Causes of Visual Loss Among the Indigenous Peoples of the World

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