Barriers to Low Vision Rehabilitation: The Montreal Barriers Study

Overbury, Olga; Wittich, Walter

doi:10.1167/iovs.11-8116

Cited by 73 publications

(88 citation statements)

References 23 publications

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“…Still, we concede that the estimated prevalence of 15/100 000 is likely to underestimate the true population. Previous work has shown failures to detect dual impairment in subpopulations, such as in younger individuals with multiple impairment 41 ; in addition, awareness and utilization of rehabilitation services for low vision, for example, has been shown to be less than ideal, with up to 54% referred clients choosing not to utilize them 42 …”

Section: Discussionmentioning

confidence: 99%

Sensory and demographic characteristics of deafblindness rehabilitation clients in Montréal, Canada

Wittich

Watanabe

Gagné

2012

Ophthalmic Physiologic Optic

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The age distribution in this sample of persons with dual sensory impairment indicates that service delivery planning will need to strongly consider the growing presence of older adults as the baby-boomers approach retirement age. The distribution of their visual and auditory limits indicates that the large majority of this client group has residual vision and hearing that can be maximized in the rehabilitation process in order to restore functional abilities and social participation. Future research in this area should identify the specific priorities in both rehabilitation and research in individuals affected with combined vision and hearing loss.

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Section: Discussionmentioning

confidence: 99%

Sensory and demographic characteristics of deafblindness rehabilitation clients in Montréal, Canada

Wittich

Watanabe

Gagné

2012

Ophthalmic Physiologic Optic

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“…43 Ironically, many health authorities and governments agencies have used the 6/18 VA cut-off point (usually in conjunction with a visual field threshold value) to decide who would be eligible for free vision rehabilitation services and who would not. 44,45 Another concern is that we defined the need for LVS based on presence of ''untreatable eye disease,'' which is problematic as the concept of ''untreatable eye disease'' evolves with time. For example, the wide use of anti-angiogenic agents (e.g., bevacizumab and ranibizumab) in urban settings has now transformed many cases of AMD and retinal vein occlusion into treatable lesions, although this treatment is not widely available in the least developed countries.…”

Section: Discussionmentioning

confidence: 99%

How Much Eye Care Services Do Asian Populations Need? Projection from the Singapore Epidemiology of Eye Disease (SEED) Study

Zheng

Cheng

Lamoureux

et al. 2013

Invest. Ophthalmol. Vis. Sci.

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1,3-5PURPOSE. We quantified and measured the needs for specific eye care services, including refractive services (RS), annual eye examination services (AES), cataract surgery services (CSS), and low vision services (LVS) in urban adult populations in Asia. METHODS.We conducted three population-based studies of Singapore-resident Chinese, Malays, and Indians aged ‡40 years to measure the proportion of people who needed specific eye care services. RESULTS.Our data included 3353 Chinese, 3280 Malays, and 3400 Indians (participation rate 73.6%). Overall, approximately 70% of the populations needed eye care services and more than 30% had more than one need. The age-standardized proportion of people who need RS, AES, CSS, and LVS were 65.3%, 22.4%, 12.5%, and 0.5%, respectively, in Chinese. These figures were 49.6%, 33.6%, 11.0%, and 0.7%, respectively, in Malays, and 55.6%, 40.0%, 13.4%, and 0.8%, respectively, in Indians. With demographic change, our projection showed that the number of adults needing eye care services in urban Asia will grow from 437 million in 2010 to 827 million in 2030. Diabetes was a major cause of AES and a significant predictor for CSS, whereas higher blood pressure was a predictor for AES.CONCLUSIONS. The needs for eye care services in an urban setting in Asia is high, particularly the needs for RS, AES, and CSS. The high prevalences of diabetes and hypertension are the driving factors underlying these needs. The burden of providing such eye care services highlights the need for new strategies for improvements in primary care and capacity building for eye care professionals other than ophthalmologists. (Invest Ophthalmol Vis Sci.

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“…Around the world, it is clear that despite the development of more holistic, patient‐centred low vision rehabilitation services, in many areas the extent of provision is not adequate and / or people are not being referred to services or choosing not to use them . For those working in the field it is difficult to comprehend why developments have not progressed more rapidly.…”

Section: The Development Of Services and Current Provisionmentioning

confidence: 99%

“…Around the world, it is clear that despite the development of more holistic, patientcentred low vision rehabilitation services, in many areas the extent of provision is not adequate 4,49 and / or people are not being referred to services 50,51 or choosing not to use them. [51][52][53] For those working in the field it is difficult to comprehend why developments have not progressed more rapidly. Factors responsible for this are many and complex, including inadequacies of funding (including refusal by medical insurance companies), difficulty with transport, rurality, distance to services, gender, language, low referral rates, poor knowledge about services, social stigma, race, diagnosis, living situation, lack of equipment and facilities, availability of trained staff and lack of evidence of the effectiveness of care.…”

Section: How Accessible Is Low Vision Care?mentioning

confidence: 99%

Models of low vision care: past, present and future

Ryan

2014

Clinical and Experimental Optometry

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Over the last 50 years, the concept of a low vision service has changed considerably. It has moved away from just the optometrist or optician dispensing magnifiers, to having a large team working across the health and social/ community care sectors, with voluntary organisations often playing an important role. This paper reviews how low vision rehabilitation services have evolved and what models of low vision care are currently available. It goes on to consider the effectiveness and accessibility of low vision care. Over the last 50 years, the focus of low vision care has moved from helping people with a visual impairment to read with magnifiers, to a holistic rehabilitation process involving a range of professionals.

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Barriers to Low Vision Rehabilitation: The Montreal Barriers Study

Abstract: It seems that even under ideal referral situations, there remain barriers to vision rehabilitation services that have not been specifically identified in the present study. Further research is necessary on the psychological and psychosocial contributors to this process.

Cited by 73 publications

References 23 publications

Sensory and demographic characteristics of deafblindness rehabilitation clients in Montréal, Canada

Sensory and demographic characteristics of deafblindness rehabilitation clients in Montréal, Canada

How Much Eye Care Services Do Asian Populations Need? Projection from the Singapore Epidemiology of Eye Disease (SEED) Study

Models of low vision care: past, present and future

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