Strengthening health systems to manage diabetic eye disease: Integrated care for diabetes and eye health


An estimate the prevalence and causes of blindness and visual impairment, cataract surgical coverage (CSC), visual outcome of cataract surgery, and barriers to uptake cataract surgery in Timor-Leste. Also see: http://dx.doi.org/10.2147/OPTH.S146901

A nationwide rapid assessment of avoidable blindness survey was undertaken in the Maldives among people aged 50 years or more to assess the prevalence and causes of blindness and visual impairment, cataract surgical coverage, cataract surgery outcome, and barriers to up‑take of cataract surgical services.

The low vision clinic located in the Salmaniya medical complex (The government tertiary care hospital and the main referral hospital for Bahrain), Bahrain is equipped with most of the set-up required (with the support of IAPB) for functioning as a tertiary low vision care unit. The clinic has one examination room allocated for the low vision evaluation in the ophthalmology unit of the hospital, which includes other specialties such as glaucoma, retina and cornea etc. The clinic is run by two trained optometrists Mr. Hassan Almadhoob and Ms. Hawra Abunaseeb and is functional 2 days a week (average number of patients per week: 610) since June 2017. The training to provide low vision rehabilitation services was undertaken in Jordan in January 2017 and at L V Prasad Eye Institute, India in July 2017.

Vision is important in the development and performance of a child1, however 18 million children between the ages 0 and 14 years, globally, are vision impaired from all causes or eye diseases2. Detecting ocular disorders in children is important because ocular disorders can result in serious health problems. Many studies have indicated the need for appropriate vision screening and its correction in children3-5. Visual acuity screening is widely used to identify children with reduced vision. Such screening programs for undetected correctable visual acuity deficits will inevitably identify some children with reduced vision due to causes other than refractive error, for example, cataract or amblyopia (a condition that could become permanent if not identified and treated early)5. For early detection and treatment of eye conditions, vision screening should routinely be done at school entry, midway through school and at completion of primary school6. Visual acuity screening programs vary with regard to the person carrying out the testing, for example teachers; nurses; the defined threshold for failure; and the setting.

BHVI conducted a survey and assessment on low vison service. The survey was about practitioners’ awareness of low vision, barriers to services and barriers to access using multiple choice questions and open-ended questions to evaluate the hospitals’ LV capacity, human resourcing, equipment availability, barriers to providing LV services and barriers to patients accessing LV services. Four county level optometrists and four ophthalmologists participated in the survey.
