Abstract
The global prevalence of blindness and vision impairment due to uncorrected refractive error amplifies the need for the delivery of refractive services. Effective strategies need to be employed in order to ensure that they leave an impression on the landscape of refractive error blindness and vision impairment. The approaches must be systematic and evidence-based. Recent studies which plot the refractive error challenges impress upon practitioners across the eye health gamut the need to effect change immediately in an effective, sustainable and equitable manner.
The approaches employed to reduce the burden of blindness and vision impairment due to uncorrected refractive error can be categorised as public sector, NGO-driven, social entrepreneurship, private sector and public-private partnership. Contextual variations demand careful planning, implementation, evaluation and remediation of approaches used to achieve accessible refractive service delivery.
This chapter focuses on the different models of refractive service delivery used across the globe. It explores the strengths and weaknesses of each model and key factors for their success and challenges.
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Bennet I. Optometric practice management. Burlington: Butterworth-Heinemann; 2003.
Bourne RR, et al. Causes of vision loss worldwide, 1990—2010: a systematic analysis. Lancet Glob Health. 2013;1(6):e339–49.
Brien Holden Vision Institute. Academic vision centre handed over in Malawi. 2015. Available at: http://www.brienholdenvision.org/media-centre/latest-news/803-academic-vision-centre-handed-over-in-malawi.html. Accessed 10 Dec 2015.
Brien Holden Vision Institute. Vision centre development. 2015. Available at: http://www.brienholdenvision.org/global-eye-care/vision-centre-development.html. Accessed 10 De 2015.
Businessdictionary.com. Social enterprise. Business Dictionary. 2015. p. 1–7. Available at: http://www.businessdictionary.com/definition/social-enterprise.html. Accessed 8 Dec 2015.
Chen S. Smartphone and tablet apps in eye care. Mivision. 2014;(88):59–3. Available at: http://www.gpce.com.au/RXAU/RXAU_GPCE_V2/documents/2014/SmartphoneAppsineyecare.pdf?v=635321744137370106.
Dandona R, et al. Refractive error in children in a rural population in India. Invest Ophthalmol Vis Sci. 2002;43(3):615–22.
Dias L, Correction of Myopia Evaluation Trial Group, et al. The relationship between self-esteem of myopic children and ocular and demographic characteristics. Optom Vis Sci. 2002;79(11):688–96.
Dirani M, et al. Outdoor activity and myopia in Singapore teenage children. Br J Ophthalmol. 2009;93(8):997–1000.
Dusek W, et al. A survey of visual function in an Austrian population of school-age children with reading and writing difficulties. BMC Ophthal. 2010;10(16):1–10.
Essilor. Using mobile solutions to access all areas. See change. 2015. Available at: http://www.essilorseechange.com/using-mobile-solutions-to-access-all-areas/. Accessed 14 Dec 2015.
Frick KD, et al. The global burden of potential productivity loss from uncorrected presbyopia. Ophthalmology. 2015. Available at: http://www.ncbi.nlm.nih.gov/pubmed/26190438. Accessed 18 Jul 2015.
George J, et al. Apparatus and processes for preventing or delaying one or more symptoms of presbyopia. United States Patent. US 7252662 B2. 2007. http://www.google.com/patents/US7252662.
Gillani R. The eye health programme in Dera Ghazi Khan district, Pakistan. Commun Eye Health Int Cent Eye Health. 2005;18(54):94. Available at: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1705678&tool=pmcentrez&rendertype=abstract. Accessed 9 Dec 2015.
Goh PP, et al. Refractive error and visual impairment in school-age children in Gombak District, Malaysia. Ophthalmology. 2005;112(4):678–85.
Gong JF, et al. Relevant factors of estrogen changes of myopia in adolescent females. Chin Med J. 2015;128:659–63.
He M, et al. Refractive error and visual impairment in school children in rural southern China. Ophthalmology. 2007;114(2):374–82.
Holden B, et al. Myopia, an underrated global challenge to vision: where the current data takes us on myopia control. Eye. 2014;28(2):142–6.
Holden BA, et al. Challenges of providing spectacles in the developing world. Commun Eye Health J. 2000;13(33):9–10.
Holden BA. Uncorrected refractive error: the major and most easily avoidable cause of vision loss. Commun Eye Health Int Cent Eye Health. 2007;20(63):37–9. Available at: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2040245&tool=pmcentrez&rendertype=abstract.
Holden BA, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology. 2016;123(5):1036–42.
Huon T. Experiences with optical centres in West Africa. Commun Eye Health J. 2007;20(63):53.
International Finance Corporation. IFC support to health public-private partnerships. 2010. Available at: http://www.ifc.org/wps/wcm/connect/b10f4080498391e2865cd6336b93d75f/IFC_Support2Health_WEB.pdf?MOD=AJPERES&CACHEID=b10f4080498391e2865cd6336b93d75f.
Jones LA, et al. Parental history of myopia, sports and outdoor activities, and future myopia. Invest Ophthalmol Vis Sci. 2007;48(8):3524–32.
Klein AP, et al. Support for polygenic influences on ocular refractive error. Invest Ophthalmol Vis Sci. 2005;46(2):442–6.
Kumaran SE, et al. Refractive error and vision-related quality of life in Southern Indian children. Optom Vis Sci. 2015;92(3):272–8.
Light for the World. Ophthalmology in development cooperation. Vision Dev. 2010;(2);14. Available at: National Intervention on Uncorrected Refractive Errors (NIURE) project in Uganda.
Ma X, et al. Effect of providing free glasses on children’s educational outcomes in China: cluster randomized controlled trial. BMJ. 2014;349:g5740. https://doi.org/10.1136/bmj.g5740.
Marmamula S, et al. Rapid assessment methods in eye care: an overview. Indian J Ophthalmol. 2012;60:416–22.
Mashige KP, Naidoo KS. Optometric practices and practitioners in KwaZu- lu-Natal, South Africa. Afr Vision Eye Health. 2010;69(2):77–85.
Maul E, et al. Refractive error study in children: results from La Florida, Chile. Am J Ophthalmol. 2000;129(4):445–54.
McBrien NA, et al. A longitudinal investigation of adult-onset and adult-progression of myopia in an occupational group. Refractive and biometric findings. Invest Ophthalmol Vis Sci. 1997;38(20):321–33.
Metlapally R, et al. Genetic association of insulin-like growth factor-1 polymorphisms with high-grade myopia in an international family cohort. Invest Ophthalmol Vis Sci. 2010;51(9):4476–9.
Mutti DO, et al. Parental myopia, near work, school achievement, and children’s refractive error. Invest Ophthalmol Vis Sci. 2002;43(12):3633–40.
Murthy GV, et al. Refractive error in children in an urban population in New Delhi. Invest Ophthalmol Vis Sci. 2002;43(3):623–31.
Naidoo KS, et al. Scaling up the delivery of refractive error services within a district health system: the KwaZulu-Natal, South Africa experience. BMC Health Serv Res. 2013;13:361. Available at: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3852626&tool=pmcentrez&rendertype=abstract. Accessed 3 Aug 2015.
Naidoo KS, et al. Global visual impairment due to uncorrected refractive error: 1990–2010. Optom Vis Sci. 2016;93(3):227–34.
Naidoo KS, Jaggernath J. Uncorrected refractive errors. Indian J Ophthalmol. 2012;60(5):432–7.
Naidoo KS, Raghunandan A, Mashige KP, Govender P, Holden BA, Pokharel GP, Ellwein LB. Refractive error and visual impairment in African children in South Africa. Invest Ophthalmol Vis Sci. 2003;44(9):3764–70.
Negrel AD, et al. Refractive error study in children: sampling and measurement methods for a multi-country survey. Am J Ophthalmol. 2000;129(4):421–6.
Patel I, et al. Change in function and spectacle-use 2 months after providing presbyopic spectacles in rural Tanzania. Br J Ophthalmol. 2010;94(6):685–9.
Patel I, West SK. Presbyopia: prevalence, impact, and interventions. Commun Eye Health J. 2007;20(63):40–1.
Peet JA, et al. Heritability and familial aggregation of refractive error in the Old Order Amish. Invest Ophthalmol Vis Sci. 2007;48(9):4002–6.
Pokharel GP, et al. Refractive error study in children: results from Mechi Zone, Nepal. Am J Ophthalmol. 2000;129(4):436–44.
Rao GN. The Barrie Jones lecture – Eye care for the neglected population: challenges and solutions. Eye (Basingstoke). 2015;29(1):30–45. Available at: http://www.scopus.com/inward/record.url?eid=2-s2.0-84920556087&partnerID=40&md5=cf48b92010a4469fac7075fd1e2e15fd.
Resnikoff S, et al. Global magnitude of visual impairment caused by uncorrected refractive errors in 2004. Bull World Health Organ. 2008;86(1):63–70.
Russo A, Semeraro F, Romano MR, Mastropasqua R, Dell’Omo R, Costagliola C. Myopia onset and progression: can it be prevented? Int Ophthalmol. 2014;34(3):693–705.
Savur S. The perceptions regarding refractive errors and their psychosocial impact on youth in Dakshina Kannada. J Clin Diagn Res. 2011;5:746–8. Available at: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=emed10&AN=2011458173<1029.
Saw SM, et al. A cohort study of incident myopia in Singaporean children. Invest Ophthalmol Vis Sci. 2006;47(5):1839–44.
Shashidhar S, et al. Factors affecting scholastic performances of adolescents. Indian J Pediatr. 2009;76(5):495–9.
Shankar S, Evans MA, Bobier WR, et al. Hyperopia and emergent literacy of young children: pilot study. Optom Vis Sci. 2007;84(11):1031–8.
Shimizu N, et al. Refractive errors and factors associated with myopia in an adult Japanese population. Jpn J Ophthalmol. 2003;47(1):6–12.
Srinivasan A. Driving down the cost of high-quality care: lessons from the Aravind Eye Care System. Health Int. 2011;18–7.
Stevens GA, et al. Global prevalence of vision impairment and blindness: magnitude and temporal trends, 1990–2010. Ophthalmology. 2013;120(12):2377–84.
Wensor M, McCarty CA, Taylor HR. Prevalence and risk factors of myopia in Victoria, Australia. Arch Ophthalmol. 1999;117(5):658–63.
Westling L, et al. Craniofacial manifestations in the Marfan syndrome: palatal dimensions and a comparative cephalometric analysis. J Craniofac Genet Dev Biol. 1998;18(4):211–8.
Wojciechowski R, et al. Fine-mapping of candidate region in Amish and Ashkenazi families confirms linkage of refractive error to a QTL on 1p34-p35. Mol Vis. 2009;15:1398–406.
Wong TY, Foster PJ, Johnson GJ, Seah SK. Education, socioeconomic status, and ocular dimensions in Chinese adults: the Tanjong Pagar survey. Br J Ophthalmol. 2002;86(9):963–8.
World Health Organisation. Uncorrected refractive error, including presbyopia. Geneva; 2011.
www.4lenses.org. Toward an integrated social enterprise methodology. The Four Lenses Strategic Framework. 2010. Available at: http://www.4lenses.org/setypology/ise. Accessed 8 Dec 2015.
Zhang M, et al. Population density and refractive error among Chinese children. Invest Ophthalmol Vis Sci. 2010;51(10):4969–76.
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Compliance with ethical requirements: Kovin Naidoo, Prindha Govender and Jyothi Jaggernath declare that they have no conflict of interest.No human or animal studies were carried out by the authors for this chapter.
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Naidoo, K.S., Govender, P., Naidoo, J. (2019). Innovative Approaches in the Delivery of Eye Care: Refractive Errors (Including Presbyopia). In: Khanna, R., Rao, G., Marmamula, S. (eds) Innovative Approaches in the Delivery of Primary and Secondary Eye Care. Essentials in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-319-98014-0_11
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