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Using Retinal Imaging to Study Dementia
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Breaking down barriers to accessing dementia-friendly eyecare.

Marianne Piano1,2,3, Bao Nguyen1, Jeanette Conrick4

  • 1Department of Optometry and Vision Sciences, School of Health Sciences, The University of Melbourne, Melbourne, Australia.

Journal of Alzheimer'S Disease : JAD
|November 30, 2025
PubMed
Summary

People with dementia face barriers to eye care. Improving eye tests and training optometrists on dementia-friendly practices can prevent sight loss and support independence.

Keywords:
Alzheimer's diseaseallied health personnelcaregiversdementiahealth inequitieshealth services for the agedophthalmic solutionsoptometry

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Area of Science:

  • Ophthalmology
  • Neurology
  • Gerontology

Background:

  • Individuals with Alzheimer's disease and related dementias encounter significant barriers to accessing primary eye care.
  • These barriers increase the risk of preventable vision loss, impacting overall well-being and independence.
  • Negative past experiences with eye tests are a notable barrier for this population.

Purpose of the Study:

  • To identify improvements for eye test experiences for people with dementia.
  • To explore strategies for self-managing eye problems at home.
  • To understand how optometrists adapt their practices for patients with dementia.

Main Methods:

  • Conducted semi-structured interviews with people living with dementia, family carers, and optometrists.
  • Employed framework analysis to synthesize findings into an integrated perspective.
  • Ensured guidance from people with dementia and their carers throughout the research process.

Main Results:

  • Good eyesight is highly valued by individuals with dementia.
  • Dementia impacts eye test experiences and adherence to eye care advice differently among individuals.
  • Key themes included adapting eye tests, enhancing the eye test experience, and identifying unmet training needs for dementia-friendly eyecare.

Conclusions:

  • Dementia-specific education and training are crucial for optometrists to provide effective, dementia-friendly eyecare.
  • Encouraging proactive disclosure of dementia diagnosis before appointments can facilitate necessary accommodations.
  • Addressing these factors can dismantle barriers and improve access to essential eye care services for people with dementia.