Screening for macular disorders: the optometrist's perspective
Ann E Elsner, Brett J King School of Optometry, Indiana University, Bloomington, IN, USA Abstract: Macular screening services can take many forms, offering a variety of roles for optometrists. The need for screening has been demonstrated in industrialized and developing nations alike. Populations o...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2015-03-01
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| Series: | Clinical Optometry |
| Online Access: | http://www.dovepress.com/screening-for-macular-disorders-the-optometrist39s-perspective-peer-reviewed-article-OPTO |
| _version_ | 1818059177512140800 |
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| author | Elsner AE King BJ |
| author_facet | Elsner AE King BJ |
| author_sort | Elsner AE |
| collection | DOAJ |
| description | Ann E Elsner, Brett J King School of Optometry, Indiana University, Bloomington, IN, USA Abstract: Macular screening services can take many forms, offering a variety of roles for optometrists. The need for screening has been demonstrated in industrialized and developing nations alike. Populations of particular interest for macular screening services include individuals at high risk for diabetes, not just diagnosed diabetics, since a significant proportion of those with diabetes do not realize it. Individuals who know they have diabetes are frequently not examined at the recommended intervals. Related populations include patients with a high likelihood of retinal vascular disease and high blood pressure. A second population is older individuals, who are at risk for age-related macular degeneration and degenerative myopia, key causes of vision loss depending upon geographic location and ethnicity. Images showing the complexity of lesions from diabetic retinopathy, age-related macular degeneration, and degenerative myopia illustrate the challenges of screening and classification. A third population to be screened is the large pediatric one. While many children are at risk for developing myopia, which could lead to high myopia, the risk of myopia and retinal damage is far more common in individuals who had low birth weight or premature birth. A variety of types of screening instrumentation are discussed in terms of practicality of use and cost. The technical challenges in populations with dark eyes, small pupils, and poor anterior-segment media are discussed. We discuss the wealth of screening strategies, from permanent sites with trained staff and expert graders to planned campaigns that target specific populations. Successful screening systems include instrumentation that is used within its limits, feedback and supervision during screening and grading, and clear pathways for referral for a complete examination or treatment. Keywords: vision screening, diabetic retinopathy, diabetic macular edema, age-related macular degeneration, degenerative myopia, pediatric vision screening |
| first_indexed | 2024-12-10T13:12:23Z |
| format | Article |
| id | doaj.art-d411d1804abc41c993ade45bb4496c8c |
| institution | Directory Open Access Journal |
| issn | 1179-2752 |
| language | English |
| last_indexed | 2024-12-10T13:12:23Z |
| publishDate | 2015-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Optometry |
| spelling | doaj.art-d411d1804abc41c993ade45bb4496c8c2022-12-22T01:47:38ZengDove Medical PressClinical Optometry1179-27522015-03-012015default153820904Screening for macular disorders: the optometrist's perspectiveElsner AEKing BJAnn E Elsner, Brett J King School of Optometry, Indiana University, Bloomington, IN, USA Abstract: Macular screening services can take many forms, offering a variety of roles for optometrists. The need for screening has been demonstrated in industrialized and developing nations alike. Populations of particular interest for macular screening services include individuals at high risk for diabetes, not just diagnosed diabetics, since a significant proportion of those with diabetes do not realize it. Individuals who know they have diabetes are frequently not examined at the recommended intervals. Related populations include patients with a high likelihood of retinal vascular disease and high blood pressure. A second population is older individuals, who are at risk for age-related macular degeneration and degenerative myopia, key causes of vision loss depending upon geographic location and ethnicity. Images showing the complexity of lesions from diabetic retinopathy, age-related macular degeneration, and degenerative myopia illustrate the challenges of screening and classification. A third population to be screened is the large pediatric one. While many children are at risk for developing myopia, which could lead to high myopia, the risk of myopia and retinal damage is far more common in individuals who had low birth weight or premature birth. A variety of types of screening instrumentation are discussed in terms of practicality of use and cost. The technical challenges in populations with dark eyes, small pupils, and poor anterior-segment media are discussed. We discuss the wealth of screening strategies, from permanent sites with trained staff and expert graders to planned campaigns that target specific populations. Successful screening systems include instrumentation that is used within its limits, feedback and supervision during screening and grading, and clear pathways for referral for a complete examination or treatment. Keywords: vision screening, diabetic retinopathy, diabetic macular edema, age-related macular degeneration, degenerative myopia, pediatric vision screening http://www.dovepress.com/screening-for-macular-disorders-the-optometrist39s-perspective-peer-reviewed-article-OPTO |
| spellingShingle | Elsner AE King BJ Screening for macular disorders: the optometrist's perspective Clinical Optometry |
| title | Screening for macular disorders: the optometrist's perspective |
| title_full | Screening for macular disorders: the optometrist's perspective |
| title_fullStr | Screening for macular disorders: the optometrist's perspective |
| title_full_unstemmed | Screening for macular disorders: the optometrist's perspective |
| title_short | Screening for macular disorders: the optometrist's perspective |
| title_sort | screening for macular disorders the optometrist 39 s perspective |
| url | http://www.dovepress.com/screening-for-macular-disorders-the-optometrist39s-perspective-peer-reviewed-article-OPTO |
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