Diabetic eye disease among adults in Fiji with self‐reported diabetes

Brian, Garry; Fischer-Harder, Konstanze; Sikivou, Biu; Qoqonokana, Mundi Qalo; Szetu, John; Ramke, Jacqueline

doi:10.1111/j.1442-9071.2010.02361.x

Cited by 20 publications

(17 citation statements)

References 5 publications

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“…The rationale for use of HbA1c as a population screening tool for diabetes and the threshold chosen for diagnosis have been discussed elsewhere 12–14 . So too have the sample prevalence of diabetes (44.8%), 13 and the diabetic eye disease among the 222 participants with self‐reported diabetes 7 …”

Section: Discussionmentioning

confidence: 99%

“…So, if prompt diagnosis of recent onset diabetes is to justify effort and resources and confer benefit, then good glycaemia control and complication management must result. However, the evidence from the FEHS2009 is that, overall, the glycaemia control and diabetes eye disease management of those with known diabetes are poor 7 . Therefore, unless post‐diagnosis care is also strengthened in Fiji, the efficacy of early diabetes diagnosis, for the majority, remains doubtful.…”

Section: Discussionmentioning

confidence: 99%

“… 10,11 It is taught in postgraduate diabetes eye‐care courses for South Pacific island nation nurse and medical eye health practitioners, and is rapidly becoming the regional standard. To permit direct comparison, this is the same system used for the FEHS2009 description of diabetic eye disease among Fiji adults surveyed with self‐reported diabetes 7 …”

Section: Methodsmentioning

confidence: 99%

“…Given that duration of diabetes and adequacy of glycaemia control are associated with the development and progression of diabetic eye disease, late diagnosis, as may be expected when foot sepsis is often the precipitating event, and poor management of diabetes have implications for eye health in Fiji 6,7 …”

Section: Introductionmentioning

confidence: 99%

“…The Fiji Eye Health Survey 2009 (FEHS2009) was a population‐based survey of the prevalence, causes and impact of vision impairment and blindness among adults aged ≥40 years in Fiji (population 240 700 in this age group, being 50.0% female, 51.5% indigenous Fijian, 42.6% Indian, 5.8% other ethnicity and 50.6% rural dwellers). From this survey, an account of the prevalence and severity of diabetic eye disease among participants with self‐reported diabetes has recently been published 7 . However, no investigation of the burden of diabetic eye disease among those with diabetes yet to be diagnosed by local health services has been reported for Fiji or any other developing country in the region.…”

Section: Introductionmentioning

confidence: 99%

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Diabetic eye disease among adults in Fiji with previously undiagnosed diabetes

Brian

Sikivou

Fischer-Harder

et al. 2011

Clinical &Amp; Experimental Ophthalmology

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Diabetic eye disease among adults in Fiji with previously undiagnosed diabetes

Brian

Sikivou

Fischer-Harder

et al. 2011

Clinical &Amp; Experimental Ophthalmology

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Prevalence and Causes of Visual Loss Among the Indigenous Peoples of the World

et al. 2018

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IMPORTANCEStudies have documented a higher disease burden in indigenous compared with nonindigenous populations, but no global data on the epidemiology of visual loss in indigenous peoples are available. A systematic review of literature on visual loss in the world's indigenous populations could identify major gaps and inform interventions to reduce their burden of visual loss.OBJECTIVE To conduct a systematic review on the prevalence and causes of visual loss among the world's indigenous populations.EVIDENCE REVIEW A search of databases and alternative sources identified literature on the prevalence and causes of visual loss (visual impairment and blindness) and eye diseases in indigenous populations. Studies from January 1, 1990, through August 1, 2017, that included clinical eye examinations of indigenous participants and, where possible, compared findings with those of nonindigenous populations were included. Methodologic quality of studies was evaluated to reveal gaps in the literature.FINDINGS Limited data were available worldwide. A total of 85 articles described 64 unique studies from 24 countries that examined 79 598 unique indigenous participants. Nineteen studies reported comparator data on 42 085 nonindigenous individuals. The prevalence of visual loss was reported in 13 countries, with visual impairment ranging from 0.6% in indigenous Australian children to 48.5% in native Tibetans 50 years or older. Uncorrected refractive error was the main cause of visual impairment (21.0%-65.1%) in 5 of 6 studies that measured presenting visual acuity. Cataract was the main cause of visual impairment in all 6 studies measuring best-corrected acuity (25.4%-72.2%). Cataract was the leading cause of blindness in 13 studies (32.0%-79.2%), followed by uncorrected refractive error in 2 studies (33.0% and 35.8%).CONCLUSIONS AND RELEVANCE Most countries with indigenous peoples do not have data on the burden of visual loss in these populations. Although existing studies vary in methodologic quality and reliability, they suggest that most visual loss in indigenous populations is avoidable. Improvements in quality and frequency of research into the eye health of indigenous communities appear to be required, and coordinated eye care programs should be implemented to specifically target the indigenous peoples of the world.

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