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Related Experiment Videos

Community screening for eye disease by laypersons: the Hoffberger program.

Harry A Quigley1, Chan Kee Park, Patricia A Tracey

  • 1Glaucoma Service and the Dana Center for Preventive Ophthalmology and the Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. hquigley@jhmi.edu

American Journal of Ophthalmology
|February 28, 2002
PubMed
Summary

Community eye screenings in Baltimore identified many needing follow-up care, but few attended definitive exams. Barriers like transportation and appointment issues hindered effective eye disease management.

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Area of Science:

  • Ophthalmology
  • Public Health
  • Community Health

Background:

  • Community-based eye screening programs aim to detect vision-impairing conditions early.
  • Effective follow-up care is crucial for successful disease management after initial screening.

Purpose of the Study:

  • To evaluate the outcomes of a community-based eye screening initiative in Baltimore.
  • To identify barriers to accessing definitive eye examinations after screening.

Main Methods:

  • A retrospective, cross-sectional study analyzed data from 5352 individuals screened at community sites.
  • Screening included risk factor questionnaires, visual acuity, and visual field testing.
  • Follow-up appointment adherence and reasons for non-attendance were assessed via telephone interviews.

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Main Results:

  • Of 1331 individuals who scheduled definitive exams, only 41% attended.
  • Key barriers included lack of appointment (26%), forgetting (20%), and transportation issues (9%).
  • Of 17 individuals identified with glaucoma, 4 had prior diagnoses but were not in active care.

Conclusions:

  • Community eye screening efforts showed modest effectiveness in connecting individuals to definitive care.
  • Significant challenges exist in patient follow-through for recommended eye examinations.
  • Addressing logistical and patient-related barriers is essential for improving eye health outcomes.