Pub Date : 2023-01-20DOI: 10.15406/aovs.2023.13.00430
L. Balyen
Diabetes mellitus (DM), a group of metabolic diseases characterized by hyperglycemia, is a major public health problem worldwide. In recent years, the incidence and prevalence of DM has been increasing as a global epidemic. Diabetic retinopathy (DR) is the most common complication of DM and remains the major cause of preventable blindness among working-age people in most developed countries and it has a significant socioeconomic impact and source of morbidity. DR, which has long been recognized as a microvascular disease, has been demonstrated by laboratory and clinical evidence that inflammation and retinal neurodegeneration may also contribute to diabetic retinal damage in the early stages of DR. New diagnostic and treatment modalities in DR management is promising. Further elucidation of the underlying molecular mechanisms may provide new medical approaches for the development of novel therapeutic modalities. Nowadays, novel diagnostic devices such as ultrawide field fundus fluorescein angiography, optic coherence tomography angiography and adaptive optics retinal imaging have improved the detection of DR earlier, faster and more accurately. Subthreshold micropulse laser and other laser photocoagulation applications may be an alternative to conventional retinal photocoagulation with lower complications for DR treatment. In recent years, artificial intelligence, machine learning, and deep learning based diagnosis and treatment applications are developing. In addition, in recent years, unmanned automated-based diagnostic and treatment methods and newly developed intravitreal drugs and implants can offer more diagnostic and treatment options with promising results. This review provides an overview of novel diagnostic and treatment approaches for preventing the progression of diabetic retinopathy.
{"title":"New approaches in the detection and management of diabetic retinopathy in the near future","authors":"L. Balyen","doi":"10.15406/aovs.2023.13.00430","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00430","url":null,"abstract":"Diabetes mellitus (DM), a group of metabolic diseases characterized by hyperglycemia, is a major public health problem worldwide. In recent years, the incidence and prevalence of DM has been increasing as a global epidemic. Diabetic retinopathy (DR) is the most common complication of DM and remains the major cause of preventable blindness among working-age people in most developed countries and it has a significant socioeconomic impact and source of morbidity. DR, which has long been recognized as a microvascular disease, has been demonstrated by laboratory and clinical evidence that inflammation and retinal neurodegeneration may also contribute to diabetic retinal damage in the early stages of DR. New diagnostic and treatment modalities in DR management is promising. Further elucidation of the underlying molecular mechanisms may provide new medical approaches for the development of novel therapeutic modalities. Nowadays, novel diagnostic devices such as ultrawide field fundus fluorescein angiography, optic coherence tomography angiography and adaptive optics retinal imaging have improved the detection of DR earlier, faster and more accurately. Subthreshold micropulse laser and other laser photocoagulation applications may be an alternative to conventional retinal photocoagulation with lower complications for DR treatment. In recent years, artificial intelligence, machine learning, and deep learning based diagnosis and treatment applications are developing. In addition, in recent years, unmanned automated-based diagnostic and treatment methods and newly developed intravitreal drugs and implants can offer more diagnostic and treatment options with promising results. This review provides an overview of novel diagnostic and treatment approaches for preventing the progression of diabetic retinopathy.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"40 311 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116346872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-20DOI: 10.15406/aovs.2023.13.00431
L. Martelli
Craniopharyngioma is a rare embryonic malformation tumor in the sellar and parasellar area of low histological grade. Local recurrence is frequent, being of great importance the use of the preoperative visual field as a clinical predictive indicator; and its postoperative outcome. The objective of this report is to recognize a recurrence in the event of small changes in visual acuity or campimetric alterations in patients with a history of this tumor. Clinical case: A 10-year-old girl presents to the clinic with a history of craniopharyngioma operated on a year earlier, with both atrophic optic nerves and decreased visual acuity. Complementary studies and urgent referral to the pediatric neurosurgeon were carried out, who detected intracranial hypertension secondary to recurrence of the craniopharyngioma, leading to its surgical removal. Conclusion: It is important to highlight the requesting of a visual field both for the detection of possible recurrences and for the follow-up of the craniopharyngioma, considering its high recurrence rate.
{"title":"Recurrent craniopharyngioma","authors":"L. Martelli","doi":"10.15406/aovs.2023.13.00431","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00431","url":null,"abstract":"Craniopharyngioma is a rare embryonic malformation tumor in the sellar and parasellar area of low histological grade. Local recurrence is frequent, being of great importance the use of the preoperative visual field as a clinical predictive indicator; and its postoperative outcome. The objective of this report is to recognize a recurrence in the event of small changes in visual acuity or campimetric alterations in patients with a history of this tumor. Clinical case: A 10-year-old girl presents to the clinic with a history of craniopharyngioma operated on a year earlier, with both atrophic optic nerves and decreased visual acuity. Complementary studies and urgent referral to the pediatric neurosurgeon were carried out, who detected intracranial hypertension secondary to recurrence of the craniopharyngioma, leading to its surgical removal. Conclusion: It is important to highlight the requesting of a visual field both for the detection of possible recurrences and for the follow-up of the craniopharyngioma, considering its high recurrence rate.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"334 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122990891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-09DOI: 10.15406/aovs.2023.13.00428
P. Garg, Apala Priyadarshi, Swarastra P Singh, Parul Sinha
Pregnancy is often associated with ocular changes which may be more commonly transient but occasionally permanent. The ocular effects of pregnancy may be physiological or pathological or may be modifications of pre-existing conditions. The ophthalmological manifestations occurring during pregnancy may be pre-existing before pregnancy or may be aggravated or induced by pregnancy itself. Irrespective of the visual health status of the pregnant women, regular perinatal eye examination should be scheduled in order to assure continuous surveillance of healthy eyes. Careful surveillance for appropriate and timely diagnosis is imperative for understanding management. The aim of this review is to elaborate the physiological and pathological changes occurring in the eye during pregnancy and the needful management.
{"title":"Pregnancy induced ocular changes","authors":"P. Garg, Apala Priyadarshi, Swarastra P Singh, Parul Sinha","doi":"10.15406/aovs.2023.13.00428","DOIUrl":"https://doi.org/10.15406/aovs.2023.13.00428","url":null,"abstract":"Pregnancy is often associated with ocular changes which may be more commonly transient but occasionally permanent. The ocular effects of pregnancy may be physiological or pathological or may be modifications of pre-existing conditions. The ophthalmological manifestations occurring during pregnancy may be pre-existing before pregnancy or may be aggravated or induced by pregnancy itself. Irrespective of the visual health status of the pregnant women, regular perinatal eye examination should be scheduled in order to assure continuous surveillance of healthy eyes. Careful surveillance for appropriate and timely diagnosis is imperative for understanding management. The aim of this review is to elaborate the physiological and pathological changes occurring in the eye during pregnancy and the needful management.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122423932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-28DOI: 10.15406/aovs.2022.12.00427
Perez Mauricio, Gabarro Jose, Schmidt Anita
{"title":"Refraction and the dissatisfied patient","authors":"Perez Mauricio, Gabarro Jose, Schmidt Anita","doi":"10.15406/aovs.2022.12.00427","DOIUrl":"https://doi.org/10.15406/aovs.2022.12.00427","url":null,"abstract":"","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133978930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-09DOI: 10.15406/aovs.2022.12.00426
Dubay Sareta K, Dwarika Dorian, Bhola Ronnie
Complex and refractory glaucoma cases, non-responsive to maximal management, require surgical intervention. The Ahmed Valve, a Glaucoma Drainage Device, is widely used in these scenarios. It may be implanted into the anterior chamber, ciliary sulcus and pars plana. However, there is no general consensus in the literature on which location is best when corneal protection is considered. This paper aimed to review all these studies, including ours, to determine which may be best, while still not compromising on valve efficacy in intraocular pressure reduction.
{"title":"Corneal integrity in ahmed valve implantation: pars plana vs ciliary sulcus vs anterior chamber","authors":"Dubay Sareta K, Dwarika Dorian, Bhola Ronnie","doi":"10.15406/aovs.2022.12.00426","DOIUrl":"https://doi.org/10.15406/aovs.2022.12.00426","url":null,"abstract":"Complex and refractory glaucoma cases, non-responsive to maximal management, require surgical intervention. The Ahmed Valve, a Glaucoma Drainage Device, is widely used in these scenarios. It may be implanted into the anterior chamber, ciliary sulcus and pars plana. However, there is no general consensus in the literature on which location is best when corneal protection is considered. This paper aimed to review all these studies, including ours, to determine which may be best, while still not compromising on valve efficacy in intraocular pressure reduction.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"224 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122673407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-16DOI: 10.15406/aovs.2022.12.00425
A. Silvina, Soledad Varas, Roque Valerio
{"title":"Krukenberg spindle and its implications","authors":"A. Silvina, Soledad Varas, Roque Valerio","doi":"10.15406/aovs.2022.12.00425","DOIUrl":"https://doi.org/10.15406/aovs.2022.12.00425","url":null,"abstract":"","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128505129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-03DOI: 10.15406/aovs.2022.12.00422
B. Turgut, Selahattin Semih Aydogan
Objective: To investigate the compatibility between optical coherence tomography (OCT) and fundus fluorescein angiography (FFA) in the detection of macular edema (ME) excluding subretinal fluid (SRF) involving the fovea. Materials and methods: In this retrospective study in the Ophthalmology Department at our university hospital, interpretation of OCT and FFA images was performed for 200 eyes that underwent simultaneous FFA and OCT to rule out ME. The cases having SRF were excluded from the study. Results: Of 200 eyes, 193 eyes (96.5%) had the finding of ME confirmed by both techniques. There were 2 eyes (1%) for which FFA revealed ME involving fovea with hyperfluorescence in the macula while OCT demonstrated no intraretinal edema or subretinal fluid in the macula. For 5 eyes in the study (2.5%), OCT revealed intraretinal edema in the fovea, while these were not detected by FFA. Conclusion: This study suggests that FFA and OCT are highly sensitive techniques for the detection of ME and they correlate with each other. The little discrepancy between OCT and FFA for determining ME may be due to intracellular or extracellular edema and fast or slower development of retinal edema.
{"title":"The compatibility between optical coherence tomography and fundus fluorescein angiography in the detection of macular edema involving the fovea","authors":"B. Turgut, Selahattin Semih Aydogan","doi":"10.15406/aovs.2022.12.00422","DOIUrl":"https://doi.org/10.15406/aovs.2022.12.00422","url":null,"abstract":"Objective: To investigate the compatibility between optical coherence tomography (OCT) and fundus fluorescein angiography (FFA) in the detection of macular edema (ME) excluding subretinal fluid (SRF) involving the fovea. Materials and methods: In this retrospective study in the Ophthalmology Department at our university hospital, interpretation of OCT and FFA images was performed for 200 eyes that underwent simultaneous FFA and OCT to rule out ME. The cases having SRF were excluded from the study. Results: Of 200 eyes, 193 eyes (96.5%) had the finding of ME confirmed by both techniques. There were 2 eyes (1%) for which FFA revealed ME involving fovea with hyperfluorescence in the macula while OCT demonstrated no intraretinal edema or subretinal fluid in the macula. For 5 eyes in the study (2.5%), OCT revealed intraretinal edema in the fovea, while these were not detected by FFA. Conclusion: This study suggests that FFA and OCT are highly sensitive techniques for the detection of ME and they correlate with each other. The little discrepancy between OCT and FFA for determining ME may be due to intracellular or extracellular edema and fast or slower development of retinal edema.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127247251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-22DOI: 10.15406/aovs.2022.12.00421
Lianne Dilú, Fidel Vázquez
{"title":"An approach to music therapy and its impact on the management of schizophrenia","authors":"Lianne Dilú, Fidel Vázquez","doi":"10.15406/aovs.2022.12.00421","DOIUrl":"https://doi.org/10.15406/aovs.2022.12.00421","url":null,"abstract":"","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129303225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-21DOI: 10.15406/aovs.2022.12.00420
Jeanie C Lucy
Purpose: Serpiginous choroiditis (SC) is a rare, bilateral, idiopathic inflammatory disorder that causes geographic destruction of the retina and choroid often in healthy middle-aged patients. Symptoms include blurred vision, central and paracentral scotomas. SC is part of a group termed white dot syndromes which involves inflammation of the retina and choroid with the appearance of white dots in the fundus. SC requires a thorough workup prior to treatment to rule out other inflammatory autoimmune or infectious etiologies. Early stages are challenging to diagnose. Treatment includes corticosteroids and immunosuppressive therapy. The exact cause of Serpiginous Choroiditis is not known, yet HLA-B7 is typically positive indicating an autoimmune response in these patients. Choroidal neovascularization and cystoid macula edema are side effects, so close monitoring is important. This case presents a holistic clinical picture of SC to aid in better clinical diagnosis and understanding of this condition for the primary care eye clinician. Results: Presentation of a young otherwise healthy 37-year-old male patient to our clinical service revealed a serpentine shaped retina presentation absent of anterior chamber or vitreous inflammation. Fundus photos, fluorescein angiography, and ocular coherence tomography revealed serpiginous choroiditis. Primary care workup to rule out systemic conditions was unremarkable. Initial treatment with monitoring included intravitreal triamcinolone 2 mg/0.05 mL OU with oral chlorambucil therapy immediately afterwards. Active lesions resolved over the next 3 weeks, yet visual acuity showed no improvement as the foveal was already involved. The goal of chlorambucil therapy for 3 months was to induce sustained remission. Conclusion: Prognosis of SC is less favorable when the macula is involved (macular SC). Upon clinical presentation of serpiginous choroiditis, it is important to establish etiology of non-infectious autoimmune disorders or infectious disorders before classification of idiopathic SC and aggressive treatment to address underlying systemic conditions.
目的:蛇形脉络膜炎(SC)是一种罕见的，双侧，特发性炎症性疾病，导致视网膜和脉络膜的地理破坏，通常发生在健康的中年患者。症状包括视力模糊，中央和中央旁暗斑。SC是一组称为白点综合征的一部分，涉及视网膜和脉络膜的炎症，眼底出现白点。SC需要在治疗前进行彻底的检查，以排除其他炎症性自身免疫或感染性病因。早期阶段很难诊断。治疗包括皮质类固醇和免疫抑制疗法。蛇形脉络膜炎的确切病因尚不清楚，但HLA-B7通常呈阳性，表明这些患者存在自身免疫反应。脉络膜新生血管和囊样黄斑水肿是副作用，因此密切监测是重要的。本病例提供了SC的整体临床图像，以帮助初级保健眼科临床医生更好地进行临床诊断和了解这种情况。结果:一位年轻健康的37岁男性患者在我们的临床服务中表现为蛇形视网膜，没有前房或玻璃体炎症。眼底照片、荧光素血管造影和眼相干断层扫描显示丝状脉络膜炎。排除系统性疾病的初级保健检查不显著。初始监测治疗包括玻璃体注射曲安奈德2 mg/0.05 mL OU，随后立即口服氯霉素治疗。活动性病变在接下来的3周内消退，但由于中央凹已经受累，视力没有改善。chlorambucil治疗3个月的目标是诱导持续缓解。结论:累及黄斑的SC预后较差。根据蛇形脉络膜炎的临床表现，在对特发性SC进行分类和积极治疗以解决潜在的全身疾病之前，确定非感染性自身免疫性疾病或感染性疾病的病因是很重要的。
{"title":"Diagnosis and management of serpiginous choroiditis","authors":"Jeanie C Lucy","doi":"10.15406/aovs.2022.12.00420","DOIUrl":"https://doi.org/10.15406/aovs.2022.12.00420","url":null,"abstract":"Purpose: Serpiginous choroiditis (SC) is a rare, bilateral, idiopathic inflammatory disorder that causes geographic destruction of the retina and choroid often in healthy middle-aged patients. Symptoms include blurred vision, central and paracentral scotomas. SC is part of a group termed white dot syndromes which involves inflammation of the retina and choroid with the appearance of white dots in the fundus. SC requires a thorough workup prior to treatment to rule out other inflammatory autoimmune or infectious etiologies. Early stages are challenging to diagnose. Treatment includes corticosteroids and immunosuppressive therapy. The exact cause of Serpiginous Choroiditis is not known, yet HLA-B7 is typically positive indicating an autoimmune response in these patients. Choroidal neovascularization and cystoid macula edema are side effects, so close monitoring is important. This case presents a holistic clinical picture of SC to aid in better clinical diagnosis and understanding of this condition for the primary care eye clinician. Results: Presentation of a young otherwise healthy 37-year-old male patient to our clinical service revealed a serpentine shaped retina presentation absent of anterior chamber or vitreous inflammation. Fundus photos, fluorescein angiography, and ocular coherence tomography revealed serpiginous choroiditis. Primary care workup to rule out systemic conditions was unremarkable. Initial treatment with monitoring included intravitreal triamcinolone 2 mg/0.05 mL OU with oral chlorambucil therapy immediately afterwards. Active lesions resolved over the next 3 weeks, yet visual acuity showed no improvement as the foveal was already involved. The goal of chlorambucil therapy for 3 months was to induce sustained remission. Conclusion: Prognosis of SC is less favorable when the macula is involved (macular SC). Upon clinical presentation of serpiginous choroiditis, it is important to establish etiology of non-infectious autoimmune disorders or infectious disorders before classification of idiopathic SC and aggressive treatment to address underlying systemic conditions.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126514563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-13DOI: 10.15406/aovs.2022.12.00419
Joel Bambamba, Ramos Antonio, S. Latorre, Isaura Brito, Anselmo Vilanculos, Kajal Shah, D. González
Introduction: In the last two decades an increasing number of African countries have established Optometry training to tackle the largely unmet eye health needs of the population. However not sufficient evidence exist on how the profession is integrated and contributing to national health systems. In Mozambique, the optometry program started under the Faculty of Health Sciences in the public Lúrio University in 2009. From 2012 to 2016, 23 graduates were employed by the National Health System (NHS). Objective: The aim of this research is to document the integration of Optometrists at the National Health System in Mozambique. Methods: This is a descriptive, quantitative and cross-sectional study. Questionnaires and structured interviews were administered to all participants. Results: The response rate was 100% and the Optometrists were found practicing in 10 of the 11 provinces of the country distributed among primary, secondary and tertiary health facilities, providing refraction and managing common ocular pathologies along with the Ophthalmic Technicians, resolving the majority of patient needs and needing to refer 28% of cases to other professionals. The lack of equipment was the main expressed barrier to the provision of effective eye care services. According to them, the optometry curriculum responds well (91%) to the competencies required at the workplace. Areas for improvement training and provision of services were identified and presented in the study Conclusion: Optometrists are providing effective services needing to work closely and in coordination with other professionals. This research revealed the need for equipment provision and continuing education.
{"title":"Integration of optometry at the national health system: the case of the first optometrists in Mozambique","authors":"Joel Bambamba, Ramos Antonio, S. Latorre, Isaura Brito, Anselmo Vilanculos, Kajal Shah, D. González","doi":"10.15406/aovs.2022.12.00419","DOIUrl":"https://doi.org/10.15406/aovs.2022.12.00419","url":null,"abstract":"Introduction: In the last two decades an increasing number of African countries have established Optometry training to tackle the largely unmet eye health needs of the population. However not sufficient evidence exist on how the profession is integrated and contributing to national health systems. In Mozambique, the optometry program started under the Faculty of Health Sciences in the public Lúrio University in 2009. From 2012 to 2016, 23 graduates were employed by the National Health System (NHS). Objective: The aim of this research is to document the integration of Optometrists at the National Health System in Mozambique. Methods: This is a descriptive, quantitative and cross-sectional study. Questionnaires and structured interviews were administered to all participants. Results: The response rate was 100% and the Optometrists were found practicing in 10 of the 11 provinces of the country distributed among primary, secondary and tertiary health facilities, providing refraction and managing common ocular pathologies along with the Ophthalmic Technicians, resolving the majority of patient needs and needing to refer 28% of cases to other professionals. The lack of equipment was the main expressed barrier to the provision of effective eye care services. According to them, the optometry curriculum responds well (91%) to the competencies required at the workplace. Areas for improvement training and provision of services were identified and presented in the study Conclusion: Optometrists are providing effective services needing to work closely and in coordination with other professionals. This research revealed the need for equipment provision and continuing education.","PeriodicalId":287670,"journal":{"name":"Advances in Ophthalmology & Visual System","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130932050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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