urpose: To report the case of a patient treated successfully by the inverse Knapp procedure for persistent vertical diplopia, despite 2 orbital reconstruction surgeries following orbital trauma. Report: A 40-year-old patient was referred to us for a 10-months history of vertical diplopia which started after a road traffic accident. The initial CT scan had revealed right maxillary hemosinus, fracture of the orbital floor and muscle incarceration; for which he had undergone 2 orbital surgeries before referral. Ocular motility revealed a 30 Prism Diopters (PD) hypertropia and limited depression of the right eye. Lancaster test showed inferior rectus palsy of the right eye. Persistent diplopia despite 4 months of continuous patching of the left eye was the indication for surgery. The inverse Knapp procedure was done under general anaesthesia. Post operatively, the patient was free of diplopia without the use of prisms in primary gaze and in near vision. Conclusion: The inverse Knapp procedure is an uncommon operation in strabismus surgery which gives good results in inferior rectus palsy from orbital trauma.
{"title":"Surgical Treatment of a Large-Angle Post Traumatic Hypertropia by The Inverse Knapp Procedure: A Case Report","authors":"Dohvoma Viola","doi":"10.46889/joar.2024.5204","DOIUrl":"https://doi.org/10.46889/joar.2024.5204","url":null,"abstract":"urpose: To report the case of a patient treated successfully by the inverse Knapp procedure for persistent vertical diplopia, despite 2 orbital reconstruction surgeries following orbital trauma.\u0000\u0000Report: A 40-year-old patient was referred to us for a 10-months history of vertical diplopia which started after a road traffic accident. The initial CT scan had revealed right maxillary hemosinus, fracture of the orbital floor and muscle incarceration; for which he had undergone 2 orbital surgeries before referral. Ocular motility revealed a 30 Prism Diopters (PD) hypertropia and limited depression of the right eye. Lancaster test showed inferior rectus palsy of the right eye. Persistent diplopia despite 4 months of continuous patching of the left eye was the indication for surgery. The inverse Knapp procedure was done under general anaesthesia. Post operatively, the patient was free of diplopia without the use of prisms in primary gaze and in near vision.\u0000\u0000Conclusion: The inverse Knapp procedure is an uncommon operation in strabismus surgery which gives good results in inferior rectus palsy from orbital trauma.","PeriodicalId":348405,"journal":{"name":"Journal of Ophthalmology and Advance Research","volume":"51 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141334828","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}
Background: Glaucoma is one of the leading causes of blindness worldwide, with Intraocular Pressure (IOP) being the primary risk factor. However, some cases of glaucoma progress even with controlled IOP. This indicates that other risk factors also contribute to its pathogenesis. Our study aims to determine the correlation between Primary Open-Angle Glaucoma (POAG) and serum lipid levels. Material and Methods: This study was conducted in the Department of Ophthalmology at Government Medical College, Srinagar, including 50 subjects with POAG and 50 control subjects without glaucoma. All participants underwent a comprehensive ophthalmic examination. Fasting lipid profiles, including total cholesterol, Low-Density Lipoprotein (LDL), High-Density Lipoprotein (HDL) and triglycerides, were measured and compared between the two groups. Results: Significant differences were observed in the lipid profiles between the POAG and control groups. We found a P value of < 0.001 which indicates statistical significance. While HDL levels were higher in the control group, this difference was not statistically significant. Conclusion: Altered lipid profile parameters are independently associated with POAG. High levels of serum cholesterol, triglycerides and LDL significantly correlate with POAG.
{"title":"Correlation Between Primary Open Angle Glaucoma and Serum Lipids","authors":"Jasiya Bashir","doi":"10.46889/joar.2024.5203","DOIUrl":"https://doi.org/10.46889/joar.2024.5203","url":null,"abstract":"Background: Glaucoma is one of the leading causes of blindness worldwide, with Intraocular Pressure (IOP) being the primary risk factor. However, some cases of glaucoma progress even with controlled IOP. This indicates that other risk factors also contribute to its pathogenesis. Our study aims to determine the correlation between Primary Open-Angle Glaucoma (POAG) and serum lipid levels.\u0000\u0000Material and Methods: This study was conducted in the Department of Ophthalmology at Government Medical College, Srinagar, including 50 subjects with POAG and 50 control subjects without glaucoma. All participants underwent a comprehensive ophthalmic examination. Fasting lipid profiles, including total cholesterol, Low-Density Lipoprotein (LDL), High-Density Lipoprotein (HDL) and triglycerides, were measured and compared between the two groups.\u0000\u0000Results: Significant differences were observed in the lipid profiles between the POAG and control groups. We found a P value of < 0.001 which indicates statistical significance. While HDL levels were higher in the control group, this difference was not statistically significant.\u0000\u0000Conclusion: Altered lipid profile parameters are independently associated with POAG. High levels of serum cholesterol, triglycerides and LDL significantly correlate with POAG.","PeriodicalId":348405,"journal":{"name":"Journal of Ophthalmology and Advance Research","volume":"119 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141362700","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}
The severity of orbital cellulitis is the risk of blindness and cerebro-meningeal complications that can be life-threatening. The objective of our study was to report the clinical, paraclinical, therapeutic and progressive aspects of orbital cellulitis. This was a retrospective, descriptive study over 5-year, from 1st January 2017 to December 31st 2021, in the ophthalmology department of Aristide le Dantec University Hospital. We glued 102 patients. The incidence was 32.8 cases per year. The average age was 23 years, the age group from 0 to 15 years was the most representative (49%). The most frequent reason for consultation was eyelid swelling (87%). There was a predominance of preseptal cellulitis (64%). An ORL etiology was found in 21.5% of cases. Orbital-cerebral CT was performed in 57 patients. It made this possible to classify cellulite and identify sinusitis in 21.6% of cases. All patients received antibiotics and corticosteroid therapy were combined 48 hours after the start of treatment in 41 patients. The evolution was favorable in 73.5% of cases. Ten patients (9.8%) presented a complication. We aim for 3 cases of blindness. Death occurred in a patient who presented a bilateral orbital cellulitis complicated by cavernous sinus thrombophlebitis. The prognosis depends on the delay in treatment, the stage of the disease and the existence of comorbidity factors.
{"title":"Diagnosis and Management of Orbital Cellulitis in a Reference Center in Senegal","authors":"Ndiaye Jmm","doi":"10.46889/joar.2024.5108","DOIUrl":"https://doi.org/10.46889/joar.2024.5108","url":null,"abstract":"The severity of orbital cellulitis is the risk of blindness and cerebro-meningeal complications that can be life-threatening. The objective of our study was to report the clinical, paraclinical, therapeutic and progressive aspects of orbital cellulitis. This was a retrospective, descriptive study over 5-year, from 1st January 2017 to December 31st 2021, in the ophthalmology department of Aristide le Dantec University Hospital. We glued 102 patients. The incidence was 32.8 cases per year. The average age was 23 years, the age group from 0 to 15 years was the most representative (49%). The most frequent reason for consultation was eyelid swelling (87%). There was a predominance of preseptal cellulitis (64%). An ORL etiology was found in 21.5% of cases. Orbital-cerebral CT was performed in 57 patients. It made this possible to classify cellulite and identify sinusitis in 21.6% of cases. All patients received antibiotics and corticosteroid therapy were combined 48 hours after the start of treatment in 41 patients. The evolution was favorable in 73.5% of cases. Ten patients (9.8%) presented a complication. We aim for 3 cases of blindness. Death occurred in a patient who presented a bilateral orbital cellulitis complicated by cavernous sinus thrombophlebitis. The prognosis depends on the delay in treatment, the stage of the disease and the existence of comorbidity factors.","PeriodicalId":348405,"journal":{"name":"Journal of Ophthalmology and Advance Research","volume":"30 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140352681","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}
Objective: To correlate clinical outcomes in postoperative pain managed with opioid medications after orbital fracture repairs. Methods: A prospective observational study of all patients who underwent orbital fracture repairs and postoperative pain managed with hydrocodone-acetaminophen, oxycodone-acetaminophen or tramadol for three days was performed. Collected data included numerical pain rating scores, type of fractures, patient satisfaction, side effects and non-medicinal interventions. International Pain Outcomes (IPO) questionnaire was completed at postoperative week one visit. Results: Twenty-nine patients who underwent orbital fracture repairs and completed the IPO questionnaire reported having taken an average of 74.8 +/- 36.6 Morphine Milligram Equivalent (MME) in the first week after the surgery from 102.5 +/- 10.0 MME of total opioids prescribed (Table 1). The amount of opioids used was not related to patient satisfaction or pain relief (p>0.05). Smoking status showed a moderate correlation and linear association with total MME taken by patients (spearman correlation coefficient 0.34, p=0.051). Although patients reported 69.4 +/- 24.9% overall pain relief and 9 out of 10 (median, IQR 5-10) scores in satisfaction with the pain regimen, 27.8% of patients reported needing more pain medication. This group reported higher levels of anxiety and lower satisfaction scores (p<0.001). They reported having taken more opioids than those who did not report the need for additional pain medications (p=0.07). Conclusion: Postoperative pain is managed with less than the prescribed amount of opioids after orbital fracture repairs in most patients. Anxious patients who had more opioids than average in the postoperative period expressed low satisfaction.
{"title":"Evaluation of Postoperative Pain and Satisfaction After Orbital Fracture Repair","authors":"Hui Bae Harold Lee","doi":"10.46889/joar.2024.5107","DOIUrl":"https://doi.org/10.46889/joar.2024.5107","url":null,"abstract":"Objective: To correlate clinical outcomes in postoperative pain managed with opioid medications after orbital fracture repairs.\u0000\u0000Methods: A prospective observational study of all patients who underwent orbital fracture repairs and postoperative pain managed with hydrocodone-acetaminophen, oxycodone-acetaminophen or tramadol for three days was performed. Collected data included numerical pain rating scores, type of fractures, patient satisfaction, side effects and non-medicinal interventions. International Pain Outcomes (IPO) questionnaire was completed at postoperative week one visit.\u0000\u0000Results: Twenty-nine patients who underwent orbital fracture repairs and completed the IPO questionnaire reported having taken an average of 74.8 +/- 36.6 Morphine Milligram Equivalent (MME) in the first week after the surgery from 102.5 +/- 10.0 MME of total opioids prescribed (Table 1). The amount of opioids used was not related to patient satisfaction or pain relief (p>0.05). Smoking status showed a moderate correlation and linear association with total MME taken by patients (spearman correlation coefficient 0.34, p=0.051). Although patients reported 69.4 +/- 24.9% overall pain relief and 9 out of 10 (median, IQR 5-10) scores in satisfaction with the pain regimen, 27.8% of patients reported needing more pain medication. This group reported higher levels of anxiety and lower satisfaction scores (p<0.001). They reported having taken more opioids than those who did not report the need for additional pain medications (p=0.07).\u0000\u0000Conclusion: Postoperative pain is managed with less than the prescribed amount of opioids after orbital fracture repairs in most patients. Anxious patients who had more opioids than average in the postoperative period expressed low satisfaction.","PeriodicalId":348405,"journal":{"name":"Journal of Ophthalmology and Advance Research","volume":"11 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140361285","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}
Introduction: Onchocerciasis is the second leading cause of infectious blindness. This condition is serious because of its ocular complications. The sickness is caused through a Nematode specifique of I man Ochocerca Volvulus the transmission se made through a vecteur the Simulie (Mouches blacks circulant autours of the waters at current fast). We have 5 Syndroms: Cutane, Nodulaire, Oculaire, Lymphatique and Neurologique. These complications eyes him at valu the name of cecite of riviere through OMS in 1972. Our objective was to determine the epidemiological profile of onchocerciasis in the Sambwa health area. Materials and method: We conducted a prospective cross-sectional descriptive study over a period of 5 months (01/01 to 01/05/2023). We included patients whose skin biopsy was positive for onchocerciasis, aged 10 to 90 years old and having lived more than 10 years in Sambwa. The significance threshold was 0.05%. Excel, Word and IBM SPSS 23 software were used for data entry and analysis. One hundred people were examined, 38 of whom were retained. Results: The frequency of onchocerciasis was 38%, men predominated (57.9%, sex ratio 1.4). The average age was 64.37±11.63 years. Farmers represented 68.4%. Most patients had a stay in Sambwa of 10 to 29 years (42.2%). Ocular syndromes represented 57.6% of cases, of which bilateral cataract (31.6%) predominated, there was an association between age and ocular syndromes (p=0.00011). Blindness represented 31.6% of cases in the right eye while in the left eye mild impairment represented 26.3% of cases. Tonometry between 15.9 and 20.6 mmHg was 81.6% on the right and 76.3% on the left. In most cases the fundus was inaccessible (26.3% on the right and 21.1% on the left). In 47.4% of cases there was a refractive error. Conclusion: Considering our results, onchocerciasis is a relatively common condition, the Sambwa health area is a Hypoendemic area.
{"title":"Epidemio-Clinical Profile of Onchocerciasis in Sambwa in the Democratic Republic of Congo","authors":"Lukinga Witanene Jean Paul","doi":"10.46889/joar.2024.5106","DOIUrl":"https://doi.org/10.46889/joar.2024.5106","url":null,"abstract":"Introduction: Onchocerciasis is the second leading cause of infectious blindness. This condition is serious because of its ocular complications. The sickness is caused through a Nematode specifique of I man Ochocerca Volvulus the transmission se made through a vecteur the Simulie (Mouches blacks circulant autours of the waters at current fast). We have 5 Syndroms: Cutane, Nodulaire, Oculaire, Lymphatique and Neurologique. These complications eyes him at valu the name of cecite of riviere through OMS in 1972. Our objective was to determine the epidemiological profile of onchocerciasis in the Sambwa health area.\u0000\u0000Materials and method: We conducted a prospective cross-sectional descriptive study over a period of 5 months (01/01 to 01/05/2023). We included patients whose skin biopsy was positive for onchocerciasis, aged 10 to 90 years old and having lived more than 10 years in Sambwa. The significance threshold was 0.05%. Excel, Word and IBM SPSS 23 software were used for data entry and analysis. One hundred people were examined, 38 of whom were retained.\u0000\u0000Results: The frequency of onchocerciasis was 38%, men predominated (57.9%, sex ratio 1.4). The average age was 64.37±11.63 years. Farmers represented 68.4%. Most patients had a stay in Sambwa of 10 to 29 years (42.2%). Ocular syndromes represented 57.6% of cases, of which bilateral cataract (31.6%) predominated, there was an association between age and ocular syndromes (p=0.00011). Blindness represented 31.6% of cases in the right eye while in the left eye mild impairment represented 26.3% of cases. Tonometry between 15.9 and 20.6 mmHg was 81.6% on the right and 76.3% on the left. In most cases the fundus was inaccessible (26.3% on the right and 21.1% on the left). In 47.4% of cases there was a refractive error.\u0000\u0000Conclusion: Considering our results, onchocerciasis is a relatively common condition, the Sambwa health area is a Hypoendemic area.","PeriodicalId":348405,"journal":{"name":"Journal of Ophthalmology and Advance Research","volume":" 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140209908","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}
Purpose: Glaucoma is a leading cause of blindness in the western world with an estimate to increase the disease’s prevalence. Ophthalmologists can handle the disease with medication, but the implication of nutrition is still neglected due to lack of data. With this review we try to elucidate the relationship between nutritional components and glaucoma disease. Methods: We compiled relevant articles from 1990 until March 2021. From a total of 1334 articles that matched the keywords, we finally included 92 researches. Results: Literature data were reviewed extensively for studies concerning glaucoma patient’s nutritional habits, that also investigated nutrients with antioxidant properties such as vitamins, other components like omega-fatty acids or medicinal plants, lifestyle habits like smoking, physical activity or coffee consumption and body mass index range. Conclusion: It is important to outline to patients that they should follow a diet rich in colorful fruits, vegetables, olive oil and fatty fish. These foods are sources of Vitamins A, C, E, D and minerals. Also smoking cessation, moderate caffeine consumption, frequent physical activity like walking and maintenance of normal BMI should be encouraged. However, further clinical researches are needed for definite conclusions on the implication of diet and medicinal plants in glaucoma.
{"title":"Is There an Implication of Nutrition and Lifestyle Habits in Glaucoma Disease? A Systematic Review","authors":"M. Moschos","doi":"10.46889/joar.2024.5105","DOIUrl":"https://doi.org/10.46889/joar.2024.5105","url":null,"abstract":"Purpose: Glaucoma is a leading cause of blindness in the western world with an estimate to increase the disease’s prevalence. Ophthalmologists can handle the disease with medication, but the implication of nutrition is still neglected due to lack of data. With this review we try to elucidate the relationship between nutritional components and glaucoma disease.\u0000\u0000Methods: We compiled relevant articles from 1990 until March 2021. From a total of 1334 articles that matched the keywords, we finally included 92 researches.\u0000\u0000Results: Literature data were reviewed extensively for studies concerning glaucoma patient’s nutritional habits, that also investigated nutrients with antioxidant properties such as vitamins, other components like omega-fatty acids or medicinal plants, lifestyle habits like smoking, physical activity or coffee consumption and body mass index range.\u0000\u0000Conclusion: It is important to outline to patients that they should follow a diet rich in colorful fruits, vegetables, olive oil and fatty fish. These foods are sources of Vitamins A, C, E, D and minerals. Also smoking cessation, moderate caffeine consumption, frequent physical activity like walking and maintenance of normal BMI should be encouraged. However, further clinical researches are needed for definite conclusions on the implication of diet and medicinal plants in glaucoma.","PeriodicalId":348405,"journal":{"name":"Journal of Ophthalmology and Advance Research","volume":" 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140210053","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}
Objective: Dry eye is associated with reduced QoL and with the relevant social and economic costs. We evaluated the prevalence of dry eye signs and symptoms in a group of patients who underwent vitreoretinal surgery for epiretinal membrane removal for at least 6 months. Method: Fourty-one consecutive patients were enrolled. Ocular surface symptoms were evaluated using a structured form and a Visual Analogue Scale (VAS). Blink completeness, Break-Up Time (BUT), fluorescein and lissamine green staining and thickness of the lower tear meniscus were also assessed. Lissamine green staining was used to evaluate the mucocutaneous junction. Results: Symptoms were present up to 1 year from surgery in 80% of population. Foreign body and burning sensations were reported by 14 (34.1%) and 11 (26.8%) patients. Blinking was incomplete in 36.8% of patients; eyelid mucocutaneous junction was abnormal in 68.3% of patients. Mild or moderate eyelid injection were reported by 29 (70.7%) and 12 (21.3%) patients; moderate and peri-keratic hyperemia were reported by 22 (53.7%) and 15 (36.6%) patients. Only 26.2% of patients showed a normal BUT (>10 s). Corneal sensitivity was absent in 4 patients (9.8%) and strongly decreased in 2 patients (7.3%). The lower tear meniscus was <0.2 mm in 21 patients (51.2%). Fluorescein staining of the cornea was positive in 56% of patients. Conclusion: Patients who underwent vitreoretinal surgery showed, in the long-term, signs and symptoms of ocular surface dysfunction (dry eye) with a frequency that is more than double the expected frequency of the disease.
{"title":"Dry Eye-Like Ocular Surface Dysfunction in Post-Vitreoretinal Surgery Eyes","authors":"Stefano Barabino","doi":"10.46889/joar.2024.5104","DOIUrl":"https://doi.org/10.46889/joar.2024.5104","url":null,"abstract":"Objective: Dry eye is associated with reduced QoL and with the relevant social and economic costs. We evaluated the prevalence of dry eye signs and symptoms in a group of patients who underwent vitreoretinal surgery for epiretinal membrane removal for at least 6 months.\u0000\u0000Method: Fourty-one consecutive patients were enrolled. Ocular surface symptoms were evaluated using a structured form and a Visual Analogue Scale (VAS). Blink completeness, Break-Up Time (BUT), fluorescein and lissamine green staining and thickness of the lower tear meniscus were also assessed. Lissamine green staining was used to evaluate the mucocutaneous junction.\u0000\u0000Results: Symptoms were present up to 1 year from surgery in 80% of population. Foreign body and burning sensations were reported by 14 (34.1%) and 11 (26.8%) patients. Blinking was incomplete in 36.8% of patients; eyelid mucocutaneous junction was abnormal in 68.3% of patients. Mild or moderate eyelid injection were reported by 29 (70.7%) and 12 (21.3%) patients; moderate and peri-keratic hyperemia were reported by 22 (53.7%) and 15 (36.6%) patients. Only 26.2% of patients showed a normal BUT (>10 s). Corneal sensitivity was absent in 4 patients (9.8%) and strongly decreased in 2 patients (7.3%). The lower tear meniscus was <0.2 mm in 21 patients (51.2%). Fluorescein staining of the cornea was positive in 56% of patients.\u0000\u0000Conclusion: Patients who underwent vitreoretinal surgery showed, in the long-term, signs and symptoms of ocular surface dysfunction (dry eye) with a frequency that is more than double the expected frequency of the disease.","PeriodicalId":348405,"journal":{"name":"Journal of Ophthalmology and Advance Research","volume":" 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140210060","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}
Purpose: This study aims to quantify the relationship between economic disadvantage and access to eye care in the state of Florida by synthesizing multiple metrics of care. The access metrics presented can help policymakers target interventions to areas most in need and monitor progress towards improving access. Material and Methods: Data from the Center for Medicaid and Medicare Services were analyzed with the Distressed Community Index (DCI), a metric developed by Economic Innovation Group which stratifies zip codes into 5 levels of economic well-being. An association between DCI and eye providers per capita was assessed using a Kruskal-Wallis test. Included are the 920 Florida zip codes included in the Economic Innovation Group’s Distressed Community Index (DCI). The Economic Innovation Group states all zip codes in the United States with populations greater than 500 are included in the DCI data set. Results: In Florida, 42.6% of zip codes have neither an ophthalmologist nor an optometrist. Number of providers per capita significantly differs by DCI category (p<.001) with areas of lowest deprivation having an average of 0.23 ± 0.37 providers per thousand residents and areas of highest deprivation having 0.09 ± 0.19 providers per thousand. DCI quintiles of highest deprivation were significantly more likely to not have an eye provider (p<.001) with 30.5% of zip codes in the lowest deprivation quintile having no providers vs. 62.2% in that of the highest deprivation quintile. Discussion: Findings indicate that economically disadvantaged zip codes have significantly less access to eye care compared to their more affluent counterparts. Given that Florida has the highest current prevalence and projected per capita prevalence of visual impairment, investigation and efforts to maximize access to ophthalmological care is paramount.
{"title":"Geographical Variation in Ophthalmological Care Correlates to Economic Well-being in Florida","authors":"J. Jarstad","doi":"10.46889/joar.2024.5103","DOIUrl":"https://doi.org/10.46889/joar.2024.5103","url":null,"abstract":"Purpose: This study aims to quantify the relationship between economic disadvantage and access to eye care in the state of Florida by synthesizing multiple metrics of care. The access metrics presented can help policymakers target interventions to areas most in need and monitor progress towards improving access.\u0000\u0000Material and Methods: Data from the Center for Medicaid and Medicare Services were analyzed with the Distressed Community Index (DCI), a metric developed by Economic\u0000\u0000Innovation Group which stratifies zip codes into 5 levels of economic well-being. An association between DCI and eye providers per capita was assessed using a Kruskal-Wallis test. Included are the 920 Florida zip codes included in the Economic Innovation Group’s Distressed Community Index (DCI). The Economic Innovation Group states all zip codes in the United States with populations greater than 500 are included in the DCI data set.\u0000\u0000Results: In Florida, 42.6% of zip codes have neither an ophthalmologist nor an optometrist.\u0000\u0000Number of providers per capita significantly differs by DCI category (p<.001) with areas of lowest deprivation having an average of 0.23 ± 0.37 providers per thousand residents and areas of highest deprivation having 0.09 ± 0.19 providers per thousand. DCI quintiles of highest deprivation were significantly more likely to not have an eye provider (p<.001) with 30.5% of zip codes in the lowest deprivation quintile having no providers vs. 62.2% in that of the highest deprivation quintile.\u0000\u0000Discussion: Findings indicate that economically disadvantaged zip codes have significantly less access to eye care compared to their more affluent counterparts. Given that Florida has the highest current prevalence and projected per capita prevalence of visual impairment, investigation and efforts to maximize access to ophthalmological care is paramount.","PeriodicalId":348405,"journal":{"name":"Journal of Ophthalmology and Advance Research","volume":"52 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139773772","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}
Purpose: This study aims to quantify the relationship between economic disadvantage and access to eye care in the state of Florida by synthesizing multiple metrics of care. The access metrics presented can help policymakers target interventions to areas most in need and monitor progress towards improving access. Material and Methods: Data from the Center for Medicaid and Medicare Services were analyzed with the Distressed Community Index (DCI), a metric developed by Economic Innovation Group which stratifies zip codes into 5 levels of economic well-being. An association between DCI and eye providers per capita was assessed using a Kruskal-Wallis test. Included are the 920 Florida zip codes included in the Economic Innovation Group’s Distressed Community Index (DCI). The Economic Innovation Group states all zip codes in the United States with populations greater than 500 are included in the DCI data set. Results: In Florida, 42.6% of zip codes have neither an ophthalmologist nor an optometrist. Number of providers per capita significantly differs by DCI category (p<.001) with areas of lowest deprivation having an average of 0.23 ± 0.37 providers per thousand residents and areas of highest deprivation having 0.09 ± 0.19 providers per thousand. DCI quintiles of highest deprivation were significantly more likely to not have an eye provider (p<.001) with 30.5% of zip codes in the lowest deprivation quintile having no providers vs. 62.2% in that of the highest deprivation quintile. Discussion: Findings indicate that economically disadvantaged zip codes have significantly less access to eye care compared to their more affluent counterparts. Given that Florida has the highest current prevalence and projected per capita prevalence of visual impairment, investigation and efforts to maximize access to ophthalmological care is paramount.
{"title":"Geographical Variation in Ophthalmological Care Correlates to Economic Well-being in Florida","authors":"J. Jarstad","doi":"10.46889/joar.2024.5103","DOIUrl":"https://doi.org/10.46889/joar.2024.5103","url":null,"abstract":"Purpose: This study aims to quantify the relationship between economic disadvantage and access to eye care in the state of Florida by synthesizing multiple metrics of care. The access metrics presented can help policymakers target interventions to areas most in need and monitor progress towards improving access.\u0000\u0000Material and Methods: Data from the Center for Medicaid and Medicare Services were analyzed with the Distressed Community Index (DCI), a metric developed by Economic\u0000\u0000Innovation Group which stratifies zip codes into 5 levels of economic well-being. An association between DCI and eye providers per capita was assessed using a Kruskal-Wallis test. Included are the 920 Florida zip codes included in the Economic Innovation Group’s Distressed Community Index (DCI). The Economic Innovation Group states all zip codes in the United States with populations greater than 500 are included in the DCI data set.\u0000\u0000Results: In Florida, 42.6% of zip codes have neither an ophthalmologist nor an optometrist.\u0000\u0000Number of providers per capita significantly differs by DCI category (p<.001) with areas of lowest deprivation having an average of 0.23 ± 0.37 providers per thousand residents and areas of highest deprivation having 0.09 ± 0.19 providers per thousand. DCI quintiles of highest deprivation were significantly more likely to not have an eye provider (p<.001) with 30.5% of zip codes in the lowest deprivation quintile having no providers vs. 62.2% in that of the highest deprivation quintile.\u0000\u0000Discussion: Findings indicate that economically disadvantaged zip codes have significantly less access to eye care compared to their more affluent counterparts. Given that Florida has the highest current prevalence and projected per capita prevalence of visual impairment, investigation and efforts to maximize access to ophthalmological care is paramount.","PeriodicalId":348405,"journal":{"name":"Journal of Ophthalmology and Advance Research","volume":"457 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139833461","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}
Purpose: This study was aimed to explore the eye health-seeking behaviors and its associated factors among adult population of Mangu Local Government Area (LGA) of Plateau State, Nigeria in order to promote individual determination for attaining better eye health-seeking behaviors. Methods: This study was a population-based descriptive cross-sectional survey of 802 adult population aged 18 years and above was conducted in Mangu L.G.A, Plateau State, Nigeria using a multi-stage cluster random sampling design. Sociodemographic and eye health-seeking behavior data were collected using self-administered questionnaires. Vision status was defined using World Health Organization categories of visual impairment based on presenting Visual Acuity (VA). Data collected were analyzed using IBM SPSS version 20.0. All p-values reported were two tailed and significance was defined as P<0.05. Results: Although a total of 960 respondents were enumerated for the study, 802 (83.5%) adults participated. There were more female 525 (65.5%) than males 277 (34.5%). The majority 585 (72.9%) of respondents who had eye problems sought care for the eye problem. One hundred and fifty-seven (36.0%) and 153 (35.1%) sought care at the General hospital and at the community health centre respectively. While 38 (8.7%) and 29 (6.7%) sought care from ophthalmologists and Optometrists respectively. Cost of services (34.4%), language barrier (13.0%), decides not to seek care (10.1%) and transportation (9.1%) were the major reasons for not seeking eye care. Conclusion: Although the majority of the respondents sought care for their eye problems, quite a large number of them sought care from non-eye care professionals. Cost of services, language barrier, transportation and services not available in the area were the major factors associated with eye health-seeking behaviour. Reduction in cost of services and health insurance coverage will mitigate these barriers substantially.
{"title":"Eye Health Seeking Behavior and Its Associated Factors among Adult Population in Mangu LGA, Plateau State, Nigeria","authors":"John E. Moyegbone","doi":"10.46889/joar.2024.5102","DOIUrl":"https://doi.org/10.46889/joar.2024.5102","url":null,"abstract":"Purpose: This study was aimed to explore the eye health-seeking behaviors and its associated factors among adult population of Mangu Local Government Area (LGA) of Plateau State, Nigeria in order to promote individual determination for attaining better eye health-seeking behaviors.\u0000\u0000Methods: This study was a population-based descriptive cross-sectional survey of 802 adult population aged 18 years and above was conducted in Mangu L.G.A, Plateau State, Nigeria using a multi-stage cluster random sampling design. Sociodemographic and eye health-seeking behavior data were collected using self-administered questionnaires. Vision status was defined using World Health Organization categories of visual impairment based on presenting Visual Acuity (VA). Data collected were analyzed using IBM SPSS version 20.0. All p-values reported were two tailed and significance was defined as P<0.05.\u0000\u0000Results: Although a total of 960 respondents were enumerated for the study, 802 (83.5%) adults participated. There were more female 525 (65.5%) than males 277 (34.5%). The majority 585 (72.9%) of respondents who had eye problems sought care for the eye problem. One hundred and fifty-seven (36.0%) and 153 (35.1%) sought care at the General hospital and at the community health centre respectively. While 38 (8.7%) and 29 (6.7%) sought care from ophthalmologists and Optometrists respectively. Cost of services (34.4%), language barrier (13.0%), decides not to seek care (10.1%) and transportation (9.1%) were the major reasons for not seeking eye care.\u0000\u0000Conclusion: Although the majority of the respondents sought care for their eye problems, quite a large number of them sought care from non-eye care professionals. Cost of services, language barrier, transportation and services not available in the area were the major factors associated with eye health-seeking behaviour. Reduction in cost of services and health insurance coverage will mitigate these barriers substantially.","PeriodicalId":348405,"journal":{"name":"Journal of Ophthalmology and Advance Research","volume":"5 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139591995","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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