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4. Falls

Author

Sturnieks, Daina L., primary, Tiedemann, Anne, additional, Keay, Lisa, additional, Brown, Julie, additional, and Cooray, Nipuna, additional

Published
2024
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13. 'Whatever the GP says, is what I'll do'—A qualitative study of patient perspectives in accessing primary eye care for type 2 diabetes.

Author

Huang‐Lung, Jessie, Rai, Akshay, Duong, Annita, Balakrishnan, Apirami, Khan, Abdullah, Husudo, Jeremy, Gyawali, Rajendra, Nazarian, Joseph, Ford, Belinda, Rhee, Joel, Jalbert, Isabelle, and Keay, Lisa

Subjects
MEDICAL personnel, ACCESS to primary care, TYPE 2 diabetes, HEALTH services accessibility, INTEGRATED health care delivery
Abstract

Introduction: To investigate the perspectives of people accessing a general medical practitioner (GP)‐optometry model of collaborative care that was established to increase access to diabetes eye care. Methods: Qualitative study of patient barriers and facilitators to accessing primary diabetes eye care located in a metropolitan area in Australia. One‐on‐one interviews were recorded, transcribed and thematically analysed using a determinant framework on patient‐centred access to health care. Results: Twenty‐four people with type 2 diabetes, including 15 males and 9 females, who accessed the service between September 2021 and June 2022 agreed to participate. Mean (SD) age of the participants was 52 (12) years and 50% had been diagnosed with diabetes for <2 years. Facilitators to accessing diabetes eye care included a referral from a GP or GP nurse, fee‐free consultations, availability of after‐hours appointments and short waiting times. Barriers to access included perceived out‐of‐pocket costs, competing responsibilities and lack of awareness of diabetic retinopathy screening recommendations. Conclusion: Considering diabetic retinopathy may present asymptomatically, primary health practitioners (optometrists and GPs) are well positioned to raise patient awareness of the importance of routine eye examinations. In Australia, access to routine screening could be facilitated by fee‐free eye checks and personalised text message reminders implemented at a health system level. [ABSTRACT FROM AUTHOR]

Published
2025
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14. Grand Challenges in global eye health: a global prioritisation process using Delphi method

Author

Aghaji, Ada, Adewole, Adeyemi T, Csutak, Adrienne, Salam, Ahmad Shah, Paduca, Ala, Bron, Alain M, Denniston, Alastair K, Lazo Legua, Alberto, Halim, Aldiana, Tefera, Alemayehu Woldeyes, Mwangi, Alice, Jenkins, Alicia J, Davis, Amanda, Meddeb-Ouertani, Amel, Wali, Amina H, Palis, Ana G, Bastos de Carvalho, Ana, Joshi, Anagha, Kreis, Andreas J, Mueller, Andreas, Bastawrous, Andrew, Cooper, Andrew, Smith, Andrew F, Grzybowski, Andrzej, Arvind, Anitha, Karanu, Anne M, Orlina, Anne O, Burnett, Anthea, Yashadhana, Aryati, Abeydeera, Asela P, Abdurakhmanova, Aselia, Mohamed, Ashik, Bacchav, Ashish, Bernhisel, Ashlie, Webson, Aubrey Walton, Azuara-Blanco, Augusto, Hossain, Ava, Ilhan, Bayazit, Assumpta Lucienne, Bella, Tousignant, Benoit, Shamanna, Bindiganavale R, Wiafe, Boateng, Mueller, Brigitte, Caglar, Cagatay, Mpyet, Caleb, Abraham, Carl H, Cheung, Carol Y, Thiel, Cassandra L, Jan, Catherine L, Emedike, Chike, Chuluunkhuu, Chimgee, Chinyere, Chinomso, Henein, Christin, Gilbert, Clare E, Bascaran, Covadonga, Nitulescu, Cristina Elena, Patel, Daksha, Bachani, Damodar, Kiage, Daniel, Etya'ale, Daniel, Dahdal, David, Woo Lawson, Dawn, Godin, Denise, Nkanga, Dennis G, Ondeyo, Dennis M, O'Brien, Donna, Mutie, Dorothy M, Alalawi, Ebtisam S K, Mayorga, Eduardo, Bin Hashim, Effendy, Ashrafi, Elham, Kishiki, Elizabeth Andrew, Kurian, Elizabeth, D'Esposito, Fabrizio, Masila, Faith, Pena, Fernando Yaacov, Büsch, Fortunat, Topouzis, Fotis, Bandello, Francesco, Oyediji, Funmilayo J, Thumann, Gabriele, Ezz Elarab, Gamal, Kitema, Gatera Fiston, Schlenther, Gerhard, Fefoame, Gertrude Oforiwa, Cochrane, Gillian M, Laganovska, Guna, Awan, Haroon R, Ansari, Harris M, Philippin, Heiko, Burn, Helen, Dimaras, Helen, Filipe, Helena P, Monye, Henrietta I, Kandel, Himal, Randrianarisoa, Hoby Lalaina, Jones, Iain, Murdoch, Ian E, Fabian, Ido Didi, Khan, Imran A, Sharma, Indra P, Elbeih, Islam, Mactaggart, Islay, Pastor, J Carlos, Keunen, Jan E E, Ohuma, Jane A, Pithuwa Nirwoth, Jason, Hammou, Jaouad, Vianna, Jayme R, Biao, Jean-eudes, Burr, Jennifer M, Keenan, Jeremy D, Blijkers, Jess, Black, Joanna M, Barbosa Breda, Joao, Furtado, Joao M, Buchan, John C, Lawrenson, John G, Kempen, John H, Ehrlich, Joshua R, Stern, Judith, Zhang, Justine H, Keskinbora, Kadircan H, Knoll, Karin M, Blanchet, Karl, Schmid, Katrina L, Ono, Koichi, Ogundimu, Kolawole, Balo, Komi, Somda, Kussome Paulin, Yeboah, Kwame, Amissah-Arthur, Kwesi N, Nasehi, Leone, Øverland, Lene, Vijaya, Lingam, Keay, Lisa, Hamm, Lisa M, Mowatt, Lizette, Harrison-Williams, Lloyd C M, Silva, Lucia, Bilotto, Luigi, Mörchen, Manfred, Rabiu, Mansur, Zondervan, Marcia, Chagunda, Margarida, Sandinha, Maria Teresa, Yee Melgar, Mariano, Salas Vargas, Marisela, Daniell, Mark D, Katibeh, Marzieh, Broom, Matt, Collins, Megan E, Alp, Mehmet Numan, Kwarteng, Michael A, Belkin, Michael, Gichangi, Michael, Sylvanowicz, Michelle, Wu, Min, Cano, Miriam R, Shalaby, Mohammad, Duggal, Mona, Khairallah, Moncef, Batur, Muhammed, Bikbov, Mukharram M, Ramappa, Muralidhar, Pamarathi, Nagaraju, Khachatryan, Naira, Muhammad, Nasiru, Kennedy, Neil, Murray, Neil, Beare, Nicholas A V, Astbury, Nick, Carnt, Nicole A, St Rose, Nigel A, Barker, Nigel H, Pehere, Niranjan K, Uche, Nkechinyere J, Lois, Noemi, Awe, Oluwaseun O, Mujica, Oscar J, Okolo, Oteri E, Rani, Padmaja Kumari, Ruamviboonsuk, Paisan, Ndiaye, Papa Amadou, Dhakhwa, Parami, Rozsival, Pavel, Mbulawa, Pearl K, Keane, Pearse A, Jones, Pete R, Holland, Peter, Nukella, Phanindra Babu, Burgess, Philip I, O'Dwyer, Pinar Aydin, Piyasena, Prabhath, Bastola, Pradeep, Morjaria, Priya, Nasimee, Qais, Rambacal, Raizza A T, Das, Rajdeep, Khandekar, Rajiv B, Azad, Rajvardhan, Bashshur, Ramona, Sousa, Raúl A R C, Oenga, Rebecca, Gurung, Reeta, Geneau, Robert, Jacobs, Robert J, Finger, Robert P, Guymer, Robyn H, Sevciuc, Rodica, Khanna, Rohit C, George, Ronnie, Graham, Ronnie, Kawasaki, Ryo, Ho, S May, Mishra, Sailesh Kumar, Buttan, Sandeep, Block, Sandra S, Talero, Sandra, Yoon, Sangchul, Joseph, Sanil, Safi, Sare, Dodson, Sarity, Munoz, Sergio R, Bakayoko, Seydou, Mohammadi, Seyed Farzad, Muez, Shabir Ahmad, Pardhan, Shahina, Hopkins, Shelley, Sheu, Shwu-Jiuan, Coulibaly, Sidi Mohamed, Schellini, Silvana A, Arunga, Simon, Bush, Simon R, Sivaprasad, Sobha, Salomao, Solange R, Marmamula, Srinivas, Onwubiko, Stella N, Misra, Stuti L, Kuyyadiyil, Subeesh, Kulkarni, Sucheta, khanal, Sudarshan, Yasmin, Sumrana, Pavljasevic, Suzana Nikolic, Gilbert, Suzanne S, Braithwaite, Tasanee, Ghidirimschi, Tatiana, Ravilla, Thulasiraj, Fricke, Timothy R, Cogliati, Tiziana, Kassa, Tsehaynesh, Peto, Tunde, Dibb, Ute, Lansingh, Van C, Hu, Victor H, Sheffield, Victoria M, Mathenge, Wanjiku, Dean, William H, Nolan, Winifred, Hiratsuka, Yoshimune, Mahsood, Yousaf Jamal, Sapkota, Yuddha, Ramke, Jacqueline, Evans, Jennifer R, Habtamu, Esmael, Mwangi, Nyawira, Silva, Juan Carlos, Swenor, Bonnielin K, Congdon, Nathan, Faal, Hannah B, Foster, Allen, Friedman, David S, Gichuhi, Stephen, Jonas, Jost B, Khaw, Peng T, Kyari, Fatima, Murthy, Gudlavalleti V S, Wang, Ningli, Wong, Tien Y, Wormald, Richard, Yusufu, Mayinuer, Taylor, Hugh, Resnikoff, Serge, West, Sheila K, and Burton, Matthew J

Published
2022
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19. The Lancet Global Health Commission on Global Eye Health: vision beyond 2020

Author

Burton, Matthew J, Ramke, Jacqueline, Marques, Ana Patricia, Bourne, Rupert R A, Congdon, Nathan, Jones, Iain, Ah Tong, Brandon A M, Arunga, Simon, Bachani, Damodar, Bascaran, Covadonga, Bastawrous, Andrew, Blanchet, Karl, Braithwaite, Tasanee, Buchan, John C, Cairns, John, Cama, Anasaini, Chagunda, Margarida, Chuluunkhuu, Chimgee, Cooper, Andrew, Crofts-Lawrence, Jessica, Dean, William H, Denniston, Alastair K, Ehrlich, Joshua R, Emerson, Paul M, Evans, Jennifer R, Frick, Kevin D, Friedman, David S, Furtado, João M, Gichangi, Michael M, Gichuhi, Stephen, Gilbert, Suzanne S, Gurung, Reeta, Habtamu, Esmael, Holland, Peter, Jonas, Jost B, Keane, Pearse A, Keay, Lisa, Khanna, Rohit C, Khaw, Peng Tee, Kuper, Hannah, Kyari, Fatima, Lansingh, Van C, Mactaggart, Islay, Mafwiri, Milka M, Mathenge, Wanjiku, McCormick, Ian, Morjaria, Priya, Mowatt, Lizette, Muirhead, Debbie, Murthy, Gudlavalleti V S, Mwangi, Nyawira, Patel, Daksha B, Peto, Tunde, Qureshi, Babar M, Salomão, Solange R, Sarah, Virginia, Shilio, Bernadetha R, Solomon, Anthony W, Swenor, Bonnielin K, Taylor, Hugh R, Wang, Ningli, Webson, Aubrey, West, Sheila K, Wong, Tien Yin, Wormald, Richard, Yasmin, Sumrana, Yusufu, Mayinuer, Silva, Juan Carlos, Resnikoff, Serge, Ravilla, Thulasiraj, Gilbert, Clare E, Foster, Allen, and Faal, Hannah B

Published
2021
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20. Strengthening Indigenous eye care in Australia and New Zealand through a Leaders in Indigenous Optometry Education Network

Author

Bentley, Sharon A., Anstice, Nicola S., Armitage, James A., Booth, Jason, Dakin, Steven C., Fitzpatrick, Garry, Herse, Peter, Keay, Lisa, and Mckendrick, Allison M.

Subjects
Care and treatment, Study and teaching, Methods, Health aspects, Optometry -- Study and teaching, Medical education -- Methods, Eye -- Care and treatment, Torres Strait Islanders -- Health aspects, Aboriginal Australians -- Health aspects, Australian aborigines -- Health aspects
Abstract

The leaders of optometry schools in Australia and New Zealand/Aotearoa aim to establish a Leaders in Indigenous Optometry Education Network (LIOEN) dedicated to strengthening Indigenous eye care through better educating [...]

Published
2021
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22. Glaucoma severity at first presentation to an ophthalmologist and risk factors for late presentation in rural Australia: the S1P study

Author

Al-Timimi, Zayn, primary, Campbell, Alexis, additional, Keay, Lisa, additional, Popovic, Gordana, additional, Mulligan, Neale, additional, Thompson, Colin, additional, Game, Justin, additional, Hopley, Charles, additional, Rossiter-Thornton, Michael, additional, Nguyen, Ethan, additional, and Dunn, Hamish, additional

Published
2024
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27. Clinical indicators for diabetic eyecare delivered by optometrists in Australia: a Delphi study.

Author

Gyawali, Rajendra, Toomey, Melinda, Stapleton, Fiona, Ho, Kam Chun, Keay, Lisa, Pye, David C, Katalinic, Paula, Liew, Gerald, Hsing, Yan Inez, Ramke, Jacqueline, Gentle, Alex, Webber, Ann L, Schmid, Katrina L, Bentley, Sharon, Hibbert, Peter, Wiles, Louise, and Jalbert, Isabelle

Subjects
TYPE 2 diabetes, PEOPLE with diabetes, OPTICAL coherence tomography, OPTOMETRISTS, DIABETIC retinopathy, TEENAGE pregnancy
Abstract

Valid and updated clinical indicators can serve as important tools in assessing and improving eyecare delivery. Indicators for diabetic eyecare in Australia were previously developed from guidelines published before 2013 and then used to assess the appropriateness of care delivery through a nationwide patient record card audit (the iCareTrack study). To reflect emerging evidence and contemporary practice, this study aimed to update clinical indicators for optometric care for people with type 2 diabetes in Australia. Forty-five candidate indicators, including existing iCareTrack and new indicators derived from nine high-quality evidence-based guidelines, were generated. A two-round modified Delphi process where expert panel members rated the impact, acceptability, and feasibility of the indicators on a 9-point scale and voted for inclusion or exclusion of the candidate indicators was used. Consensus on inclusion was reached when the median scores for impact, acceptability, and feasibility were ≥7 and >75% of experts voted for inclusion. Thirty-two clinical indicators with high acceptability, impact and feasibility ratings (all median scores: 9) were developed. The final indicators were related to history taking (n = 12), physical examination (n = 8), recall period (n = 5), referral (n = 5), and patient education/communication (n = 2). Most (14 of 15) iCareTrack indicators were retained either in the original format or with modifications. New indicators included documenting the type of diabetes, serum lipid level, pregnancy, systemic medications, nephropathy, Indigenous status, general practitioner details, pupil examination, intraocular pressure, optical coherence tomography, diabetic retinopathy grading, recall period for high-risk diabetic patients without retinopathy, referral of high-risk proliferative retinopathy, communication with the general practitioner, and patient education. A set of 32 updated diabetic eyecare clinical indicators was developed based on contemporary evidence and expert consensus. These updated indicators inform the development of programs to assess and enhance the eyecare delivery for people with diabetes in Australia. [ABSTRACT FROM AUTHOR]

Published
2024
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36. Clinical indicators for diabetic eyecare delivered by optometrists in Australia: a Delphi study

Author

Gyawali, Rajendra, primary, Toomey, Melinda, additional, Stapleton, Fiona, additional, Ho, Kam Chun, additional, Keay, Lisa, additional, Pye, David C, additional, Katalinic, Paula, additional, Liew, Gerald, additional, Hsing, Yan Inez, additional, Ramke, Jacqueline, additional, Gentle, Alex, additional, Webber, Ann L, additional, Schmid, Katrina L, additional, Bentley, Sharon, additional, Hibbert, Peter, additional, Wiles, Louise, additional, and Jalbert, Isabelle, additional

Published
2023
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37. Prevention of myopia, China

Author

Jan, Catherine, Li, Ling, Keay, Lisa, Stafford, Randall S., Congdon, Nathan, and Morgan, Ian

Subjects
Prevention, Myopia -- Prevention, Youth, Childhood vision disorders -- Prevention
Abstract

Myopia (or short-sightedness) is a global health and social problem. Researchers have estimated that in China, myopia caused a 244 billion United States dollars loss in productivity in 2015.1 China's [...]

Published
2020
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42. Healthcare costs following falls and cataract surgery in older adults using Australian linked health data from 2012-2019.

Author

Huang-Lung, Jessie, Kam Chun Ho, Lung, Thomas, Palagyi, Anna, McCluskey, Peter, White, Andrew J. R., Boufous, Soufiane, and Keay, Lisa

Subjects
MEDICAL care costs, ACCIDENTAL falls, CATARACT surgery, PUBLIC health, MEDICAL care
Abstract

Objectives: To investigate publicly funded healthcare costs according to faller status and the periods pre- and post-cataract surgeries, and identify factors associated with higher monthly costs in older people with bilateral cataract. Methods: This prospective cohort study included community-dwelling older people aged 65 and over (between 2012 and 2019); at baseline participants had bilateral cataract and were waiting for cataract surgery in New South Wales (NSW) public hospitals. Participants were followed for 24 months. The study used self-reported and linked data (Medicare Benefits Schedule, Pharmaceutical Benefits Scheme, NSW Admitted Patient and Emergency Department Data Collections) to identify falls, cataract surgeries and healthcare costs incurred by the Australian and NSW Governments, all costs were inflated to 2018-19 Australian dollars (AUD). Median monthly healthcare costs were calculated for faller status (non-faller, non-medically treated faller, medically treated faller) and surgery periods (pre-surgery, post-first surgery, post-second surgery). Costs in the 30 days following a medically treated fall were estimated. A generalised linear model was used to investigate predictors of healthcare costs. Results: During the median follow-up period of 24 months, 274 participants suffered 448 falls, with 95 falls requiring medical treatment. For medically treated falls, the mean cost in the 30 days after treatment was A$3779 (95% confidence interval $2485, $5074). Higher monthly healthcare costs were associated with a higher number of medications, being of the male sex, having one or more medically treated falls and having bilateral cataract surgery. After excluding the cost of cataract surgery, there were no significant differences in healthcare costs between the pre-cataract surgery, post-first eye cataract surgery and post-second eye cataract surgery periods. Conclusions: To our knowledge, this is the first study investigating publicly funded costs related to falls and cataract surgery in older people with bilateral cataract. This information enhances our understanding of healthcare costs in this group. The patterns in costs associated with falls can guide future government healthcare expenditure on falls treatment and prevention, including timely cataract surgery. [ABSTRACT FROM AUTHOR]

Published
2024
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43. The Australian Eye and Ear Health Survey (AEEHS): Study protocol for a population-based cross-sectional study.

Author

Kha, Richard, Macken, Oonagh, Mitchell, Paul, Liew, Gerald, Keay, Lisa, Waddell, Colina, Yang, Eleanor, Do, Vu, Fricke, Tim, Newall, John, and Gopinath, Bamini

Subjects
INDIGENOUS Australians, VISUAL acuity, VISUAL fields, VISION disorders, HEARING disorders, RESEARCH protocols, HEALTH surveys
Abstract

Introduction: Vision and hearing impairments are highly prevalent and have a significant impact on physical, psychological and social wellbeing. There is a need for accurate, contemporary national data on the prevalence, risk factors and impacts of vision and hearing loss in Australian adults. Objectives: The Australian Eye and Ear Health Survey (AEEHS) aims to determine the prevalence, risk factors and impacts of vision and hearing loss in both Aboriginal and Torres Strait Islander and non-Indigenous older adults. Methods and analysis: The AEEHS is a population-based cross-sectional survey which will include 5,000 participants (3250 non-Indigenous aged 50 years or older and 1750 Aboriginal and Torres Strait Islander people aged 40 years or older) from 30 sites covering urban and rural/regional geographic areas, selected using a multi-stage, random cluster sampling strategy. Questionnaires will be administered to collect data on socio-demographic, medical, ocular and ontological history. The testing battery includes assessment of blood pressure, blood sugar, anthropometry, visual acuity (presenting, unaided, pinhole and best-corrected), refraction, tonometry, slit lamp and dilated eye examination, ocular imaging including optical coherence tomography (OCT), OCT-angiography and retinal photography, and automated visual fields. Audiometry, tympanometry and video otoscopy will also be performed. The primary outcomes are age-standardised prevalence of cause-specific vision and hearing impairment. Secondary outcomes are prevalence of non-blinding eye diseases (including dry eye disease), patterns in health service utilisation, universal health coverage metrics, risk factors for vision and hearing impairment, and impact on quality of life. [ABSTRACT FROM AUTHOR]

Published
2024
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44. Updated population-level estimates of child restraint practices among children aged 0-12 years in Australia, 10 years after introduction of age-appropriate restraint use legislation.

Author

Brown, Julie, Albanese, Bianca, Ho, Catherine, Elkington, Jane, Koppel, Sjaan, Charlton, Judith L., Olivier, Jake, Keay, Lisa, and Bilston, Lynne E.

Subjects
CHILD restraint systems in automobiles -- Law & legislation, RESEARCH funding, LOGISTIC regression analysis, RESTRAINT of patients, DESCRIPTIVE statistics, ODDS ratio, AUTOMOBILE safety appliances, PHYSICIAN practice patterns, CLUSTER sampling, CONFIDENCE intervals
Published
2024
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46. Associations between vision impairment and vision-related interventions on crash risk and driving cessation: systematic review and meta-analysis

Author

Nguyen, Helen, primary, Di Tanna, Gian Luca, additional, Coxon, Kristy, additional, Brown, Julie, additional, Ren, Kerrie, additional, Ramke, Jacqueline, additional, Burton, Matthew J, additional, Gordon, Iris, additional, Zhang, Justine H, additional, Furtado, João, additional, Mdala, Shaffi, additional, Kitema, Gatera Fiston, additional, and Keay, Lisa, additional

Published
2023
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47. Diabetic Retinopathy Screening at the Point of Care (DR SPOC): detecting undiagnosed and vision-threatening retinopathy by integrating portable technologies within existing services

Author

Weerasinghe, Lakni Shahanika, primary, Dunn, Hamish Paul, additional, Fung, Adrian T, additional, Maberly, Glen, additional, Cheung, Ngai Wah, additional, Weerasinghe, Daminda P, additional, Liew, Gerald, additional, Do, Helen, additional, Hng, Tien-Ming, additional, Pryke, Alison, additional, Marks, Samuel I, additional, Nguyen, Helen, additional, Jayaballa, Rajini, additional, Gurung, Seema, additional, Ford, Belinda, additional, Bishay, Ramy H, additional, Girgis, Christian M, additional, Meyerowitz-Katz, Gideon, additional, Keay, Lisa, additional, and White, Andrew J, additional

Published
2023
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