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Referral to low vision services by ophthalmologists
J E Keeffe1, J E Lovie-Kitchin, H R Taylor
1Department of Ophthalmology, University of Melbourne, Royal Victorian Eye and Ear Hospital.
Australian and New Zealand Journal of Ophthalmology
|August 1, 1996
Summary
Australian ophthalmologists refer most patients with low vision to services, but rehabilitation and peer support referrals are infrequent. Referral rates depend on perceived need and service availability, with moderate vision loss criteria linked to higher referrals.
Area of Science:
- Ophthalmology
- Public Health
- Rehabilitation Medicine
Background:
- Low vision rehabilitation services are crucial for individuals with visual impairment.
- Delays in referral to low vision services are a common barrier for patients.
- Understanding ophthalmologists' referral practices is key to improving patient access.
Purpose of the Study:
- To investigate the referral criteria used by Australian ophthalmologists for patients with low vision.
- To determine the frequency of referrals to low vision services, rehabilitation, and peer support groups.
- To explore ophthalmologists' perceptions of the quality and availability of low vision services.
Main Methods:
- A survey was distributed to a random sample of 200 Australian ophthalmologists.
- The survey assessed referral criteria, frequency of prescribing low vision devices (LVD), and referral patterns.
- Ophthalmologists' perceptions of low vision service availability and quality were investigated.
Main Results:
- 82% of ophthalmologists responded, with 11% of their patients having low vision.
- While LVD prescription was uncommon, 67% referred most low vision patients.
- Referrals to rehabilitation (29%) and peer support (18%) were less frequent; perceived service availability influenced referral rates.
Conclusions:
- Australian ophthalmologists generally refer patients to low vision services but underutilize rehabilitation and peer support referrals.
- Referral practices are influenced by the criteria used (moderate vs. severe vision loss) and perceived service availability.
- Earlier referral of patients with permanent visual loss to comprehensive low vision services is recommended.