Pattern of Optometry Practice and Range of Services in India

Thite, Nilesh; Jaggernath, Jyoti; Chinanayi, Farai; Kunjeer, Gauri

doi:10.1097/opx.0000000000000587

Cited by 20 publications

(34 citation statements)

References 5 publications

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“…14 In-office training imposes time, travel and expense burdens on patients and clinicians, which may lead to low uptake of such training by patients, 15 poor compliance by patients and may affect whether binocular vision services are offered by eye-care practitioners. 16 The Convergence Insufficiency Treatment Trial (CITT) 2 compared four training regimens for the treatment of CI in children. These 12-week treatment regimens were: (i) in-office fusional vergence training plus home-based activities; (ii) home-based computer vergence training; (iii) office-based placebo therapy; and (iv) home-based pencil push-ups.…”

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confidence: 99%

“…CI may be treated; however, a major barrier to successful coverage is that in‐office treatments have better outcomes than home‐based treatments 2005. In‐office training imposes time, travel and expense burdens on patients and clinicians, which may lead to low uptake of such training by patients,2017 poor compliance by patients and may affect whether binocular vision services are offered by eye‐care practitioners 2015…”

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Treatment and compliance with virtual reality and anaglyph‐based training programs for convergence insufficiency

Boon

Asper

Chik

et al. 2020

Clinical and Experimental Optometry

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Background: Convergence insufficiency may be treated by visual exercises designed to increase convergence while maintaining single, clear, binocular vision. However, compliance with treatment is problematic, as patients often cease treatment when symptoms start to improve and before treatment is complete. The purpose of the present study was to assess the feasibility of using gamification of vision training to: (a) treat convergence insufficiency; and (b) improve compliance to treatment in comparison to a conventional treatment over a six-week treatment period. Methods: Two interventions, anaglyphs and a virtual reality game of Snakes, were evaluated for their effectiveness in treating adults with convergence insufficiency. The prescribed training regimen was 20 minutes, three times per week for six weeks. Vision was assessed before and after the treatment period. Participants also filled in the Core Elements of the Gaming Experience Questionnaire to gauge impact of game design on compliance. Results: Eighteen participants (mean age 20.8 AE 1.8 years) met the inclusion criteria for convergence insufficiency and nine participants were randomly assigned to each intervention. Repeated measures analysis of variance showed a significant effect of visit for near point of convergence (F 1,16 = 38.32, p < 0.0001), near positive fusional reserves break (F 1,16 = 21.94, p < 0.0001) and recovery (F 1,16 = 26.87, p < 0.0001), but not of intervention type. Total time played was significantly longer for the virtual reality Snake Game than the anaglyph intervention (p < 0.0001), which translated to mean compliance of 82 per cent and 51 per cent respectively. Conclusion: Gamification of vision training in a virtual reality environment is feasible and associated with increased compliance, hence may be a useful strategy to treat convergence insufficiency.

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confidence: 99%

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confidence: 99%

Treatment and compliance with virtual reality and anaglyph‐based training programs for convergence insufficiency

Boon

Asper

Chik

et al. 2020

Clinical and Experimental Optometry

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“…To the best of our knowledge, there are no studies that reported the changes in perception of optometry among the students pursuing the profession. A study by Thite et al 6 reported that the Indian optometrists were involved in a range of services at eye hospitals, optical outlets, and community outreach programs. These findings are similar to our results, however, the retrospective perception of optometry showed conflicting responses which indicate a lack of initial knowledge about optometry practice.…”

Section: Discussionmentioning

confidence: 99%

“…5 They practice in multiple settings such as hospital/clinic-based practice, academics, optical retail, research, administration, marketing, and independent private practice. 6 …”

Section: Introductionmentioning

confidence: 99%

Optometry students’ perspective on optometry in suburban Western India: A qualitative study

Venugopal

Lal

Shirodker

et al. 2021

Journal of Optometry

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Purpose Optometry has been an established profession in India for 60 years. Despite this, students who choose this course may have misconceptions and unrealistic expectations about the profession. The goal of this study is to understand the perceptions about optometry among optometry students, prior to and during their studies. Methods A snap-shot narrative qualitative study using a semi-structured open-ended questionnaire was designed to understand the perception of optometry. Optometry students and educators from three suburban colleges were invited to participate. Forty-one participants took part in 24 in-depth interviews and 5 focus groups; of those 32 were undergraduate optometry students and 9 were optometry educators. Interviews and focus groups were audio-recorded, transcribed, coded, and analyzed. Results Three major themes emerged: retrospective perception of optometry, current perception and strategies to improve awareness level. All the participants mentioned that there was a considerable lack of awareness about optometry in society. None of the students stated that they chose optometry as their first choice of professional education. Most students expressed that they were provided with ample exposure during the curriculum to understand the scope of optometry. Various strategies were recommended to improve the level of awareness of optometry. Conclusions The current study highlights the lack of awareness and knowledge of optometry among the students while enrolling in the course. Knowledge about the scope of optometry practice among optometry students improved after extensive education and clinical exposure. Improving the awareness level of the profession will improve the quality of students entering the profession.

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“…However, in actual clinical practice, only 10%-15% of French visually impaired patients are referred to a low vision professional, while it is estimated that 90% of patients could benefit from this support [11]. The underuse of low vision rehabilitation is echoed globally, as for example, in India, only 30% of eligible patients are referred for low vision rehabilitation [24]. Furthermore, practices are not standardized among low vision providers, both in France and world-wide [25][26][27][28][29].…”

Section: Introductionmentioning

confidence: 99%

Current Practice in Low Vision Rehabilitation of Age-related Macular Degeneration and Usefulness of Virtual Reality as a Rehabilitation Tool

Raphanel¹,

Shaughness²,

Seiple³

et al. 2018

J Aging Sci

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Purpose: This study surveys current low vision rehabilitation practice methodologies among French practitioners and it describes their opinions about the utility of using virtual reality as a tool for low vision rehabilitation training in patients with age-related macular degeneration.Methods: An online questionnaire was distributed between October 2017 and February 2018. 471 orthoptists (110 students and 361 graduates) responded to the survey. Questions concerned the orthoptist's educational and demographic background, extent of training in virtual reality as a reeducation tool, and mode of practice including frequency of patient visits, goals, and methods of rehabilitation training. Results:Out of 361 practicing orthoptists, 47.75% were low vision rehabilitation providers, and 52.25% were not. A provider's likelihood of using low vision rehabilitation immediately after graduating from university was positively correlated to his confidence in the training he had received. Most respondents were receptive to using virtual reality as a reeducation tool.Conclusions: Analysis of current low vision rehabilitation practice demonstrates no standardization of treatment protocols among providers. Although orthoptists overall acknowledge the benefits of virtual reality as a rehabilitation tool, orthoptist curriculum varies greatly across universities, which thus affects a provider's likelihood of offering low vision rehabilitation. Moreover, this lack of standardization is a problem worldwide, which suggests a need for better clinical guidelines in low vision rehabilitation practice.

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Pattern of Optometry Practice and Range of Services in India

Cited by 20 publications

References 5 publications

Treatment and compliance with virtual reality and anaglyph‐based training programs for convergence insufficiency

Treatment and compliance with virtual reality and anaglyph‐based training programs for convergence insufficiency

Optometry students’ perspective on optometry in suburban Western India: A qualitative study

Current Practice in Low Vision Rehabilitation of Age-related Macular Degeneration and Usefulness of Virtual Reality as a Rehabilitation Tool

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