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Community ophthalmology pilot study

B C Little1, G W Aylward, R Gregson

  • 1Moorfields Eye Hospital, London, UK.

Eye (London, England)
|January 1, 1993
PubMed
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This pilot study found high rates of treatable eye disease in elderly and housebound individuals. Outreach clinics effectively provided essential eye care services to these underserved populations.

Area of Science:

  • Ophthalmology
  • Public Health
  • Geriatrics

Background:

  • Elderly and housebound populations often face barriers accessing specialized healthcare.
  • Undiagnosed eye disease can significantly impact quality of life and independence in older adults.

Purpose of the Study:

  • To screen elderly and housebound individuals for eye disease.
  • To assess the feasibility of providing eye care through general practitioner (GP) outreach clinics.
  • To determine the prevalence of treatable eye conditions in this demographic.

Main Methods:

  • A pilot study screened a sample of over-75s and housebound individuals in three London inner-city general practices.
  • Examinations were conducted at specialist outreach clinics or via domiciliary visits for housebound patients.

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  • General practitioner (GP) referrals with eye problems were also included.

    • Main Results:

    • High prevalence rates of treatable eye disease were identified in elderly and housebound participants.
    • The study saw 126 over-75s, 62 housebound individuals, and 35 GP referrals over a 3-month period.
    • Findings were compared with existing epidemiological surveys on eye disease prevalence.

    Conclusions:

    • Outreach clinics are a feasible model for delivering eye care to elderly and housebound populations.
    • There is a significant need for targeted health care provision for these community sectors.
    • Early detection and treatment of eye disease can improve outcomes for older adults.