Self‐reported vision and health of indigenous Australians

Goujon, Nicolas; Brown, Cherylee M.; Xie, Jing; Arnold, Anna Lena; Dunn, Ross A.; Keeffe, Jill; Taylor, Hugh R.

doi:10.1111/j.1442-9071.2010.02306.x

Cited by 7 publications

(10 citation statements)

References 16 publications

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“…The NIEHS found that 54% of those with self-reported DR had no clinical evidence of DR on examination, and of those found to have DR, 60% did not report a previous history of this. 36 The DRUID found similar results for DM diagnosis in an urban setting, with 28% of participants with a diagnosis of DM newly diagnosed in the study. 19 Variations have also been identified in non-Indigenous studies, with rates of undiagnosed DM in non-Indigenous Australians living in rural areas similar to those seen in Indigenous studies.…”

Section: Discussionsupporting

confidence: 65%

“…Significant inconsistencies have been reported when comparing self‐reported rates and actual rates of health problems in Indigenous communities. The NIEHS found that 54% of those with self‐reported DR had no clinical evidence of DR on examination, and of those found to have DR, 60% did not report a previous history of this . The DRUID found similar results for DM diagnosis in an urban setting, with 28% of participants with a diagnosis of DM newly diagnosed in the study .…”

Section: Discussionmentioning

confidence: 65%

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Review of the prevalence of diabetic retinopathy in Indigenous Australians

Kaidonis

Mills

Landers

et al. 2014

Clinical Exper Ophthalmology

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The purpose of this review was to compare the prevalence of diabetic retinopathy (DR) between Indigenous and non-Indigenous Australians with Diabetes Mellitus (DM) using all available reported data, in order to help direct further research to those most susceptible to severe outcomes. All published studies describing prevalence of DR in a defined study population within Australia published between 1985 and 2013 were identified. Potentially relevant studies were reviewed and the following published data was extracted: study design, sample size with self-reported DM, indigenous status, mean age and range, gender, mean duration of DM, prevalence and severity of DR, and method used to grade DR. Six Indigenous studies (2865 persons with DM) and 5 non-Indigenous studies (9801 persons with DM) reporting DR prevalence satisfied inclusion criteria. Estimated prevalence of any DR among Indigenous Australians with DM was 23.4% compared with 28.9% for non-Indigenous Australians (χ 2

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Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 65%

Review of the prevalence of diabetic retinopathy in Indigenous Australians

Kaidonis

Mills

Landers

et al. 2014

Clinical Exper Ophthalmology

View full text Add to dashboard Cite

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“…In addition to this, we found that living in Inner Regional, Remote and Very Remote Coastal areas also decreased the odds of reporting a problem. These results could be reflective of the lower rates of refractive error previously reported in remote areas for Indigenous adults, 9 but further studies maybe needed to help tease out and explain these findings.…”

Section: Discussionmentioning

confidence: 77%

“…For adults, a questionnaire was used to collect data on demographics (gender, age and language spoken at home), general health, history of eye health, vision‐related QoL and health service utilization 9 …”

Section: Methodsmentioning

confidence: 99%

Near‐vision impairment and unresolved vision problems in Indigenous Australian adults

Arnold

Goujon

Busija

et al. 2012

Clinical Exper Ophthalmology

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Background: To describe near‐vision impairment, self‐reported unresolved vision problems and barriers to having near‐vision correction in Indigenous Australians. Design: A nationwide population‐based study designed to determine the causes and prevalence of vision loss and utilization of eye care services. Participants: Indigenous Australians aged ≥40 years. Methods: Using a multistage random cluster sampling methodology, 30 geographical areas stratified by remoteness were selected to obtain a representation of Indigenous Australians. Visual acuity was conducted using a standard E chart. A questionnaire collected data on eye health, eye care service utilization and vision‐related quality of life. Main Outcome Measures: Near‐vision impairment defined as presenting binocular near visual acuity

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“…Although the patient's self-reported AMD history is unreliable, 38,51 an inquiry of patient history that includes known AMD risk factors will help to identify high-risk patients. Adults $ 55 years and having two or more of the AMD risk factors should be followed-up annually.…”

Section: Patient Historymentioning

confidence: 99%

Improving patient outcomes: role of the primary care optometrist in the early diagnosis and management of age-related macular degeneration

Лю¹,

Swanson²

2013

OPTO

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Not long ago, the management of age-related macular degeneration (AMD) was confined to rehabilitating whatever vision had not been damaged by the disease. The recent successes of the anti-vascular endothelial growth factor agents and the antioxidant clinical trials have revolutionized AMD treatment. For the first time, there is realistic hope that the progression of AMD can be slowed down or stopped and near normal vision can be preserved. Developments in new vision tests, imaging modalities, and genetic testing have greatly improved the chance of detecting the onset of AMD and choroidal neovascularization. However, because the current treatments still cannot revive degenerated retinal cells, the best patient outcome that can be achieved is early detection of the disease and application of the appropriate treatment before too much retinal damage has occurred. The opportunities and challenges offered by the new treatment options and disease detection methods have redefined the role of primary care optometrists in AMD management. This review of literature and practice guidelines demonstrates that, in addition to the traditional roles of refraction and visual rehabilitation, the unique position of optometrists as the first-line eye-care providers has allowed them to play an important role in the early detection of AMD, patient education, lifestyle-change counseling, disease monitoring and referral, and nutrition supplement counseling. The active participation of primary care optometrists in the shared care of AMD management is likely to result in great improvement in patient outcomes. Optometrists also need to improve their competence in these areas to meet the new challenges. Although primary care optometrists have always managed patients with AMD, their role in managing this sight-threatening disease has not been adequately documented. In light of the recent game-changing developments in AMD treatment, it is important to review what primary care optometrists are doing, what they can do, and what they should do to improve patient outcomes in the new era of AMD management. Keywords: detection, patient education, lifestyle-change counseling, disease monitoring, disease referral, nutrition supplement counseling Age-related macular degenerationAge-related macular degeneration (AMD) is an acquired degenerative disease of the macular area of the retina that, in its final stage, can cause severe visual impairment. AMD affects mainly older people and its prevalence increases with age. The prevalence of any AMD and late AMD (geographic atrophy [GA] or choroidal neovascularization [CNV]) in persons aged 40 years and older is between 5.2% and 14.3%, and between 0.3% and 2.6%, respectively, depending on race and ethnicity.1 AMD results in centrally located scotomas; reduced visual acuity, contrast sensitivity, color vision, and depth perception; and poor control of eye movements. AMD is one of the leading causes of severe visual impairment in Dovepress submit your manuscript | www.dovepress.com

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Self‐reported vision and health of indigenous Australians

Cited by 7 publications

References 16 publications

Review of the prevalence of diabetic retinopathy in Indigenous Australians

Review of the prevalence of diabetic retinopathy in Indigenous Australians

Near‐vision impairment and unresolved vision problems in Indigenous Australian adults

Improving patient outcomes: role of the primary care optometrist in the early diagnosis and management of age-related macular degeneration

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