The findings of the National Eye Health Survey are encouraging, but also identify areas for improvement
This article by Foreman and colleagues in this issue of the MJA1 explores how well people with diabetes are adhering to the 2008 recommendations by the National Health and Medical Research Council (NHMRC)2 about regular eye examinations. Their report analyses data for a recent population-based sample, the National Eye Health Survey (NEHS),3 which included sizable samples of both Indigenous and non-Indigenous Australians. The authors found a moderate level of non-compliance with the NHMRC recommendations, particularly among Indigenous people, and they argue that a carefully integrated and accessible diabetic retinopathy screening service for Indigenous Australians is needed.
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- 1. Foreman J, Keel S, Xie J, et al. Adherence to diabetic eye examination guidelines in Australia: the National Eye Health Survey. Med J Aust 2017; 206: 402-406.
- 2. Australian Diabetes Society for the Department of Health and Ageing. Guidelines for the management of diabetic retinopathy. Canberra: National Health and Medical Research Council, 2008. https://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/di15.pdf (accessed Mar 2017).
- 3. Foreman J, Keel S, Xie J, et al. The National Eye Health Survey 2016: full report of the first national survey to determine the prevalence and major causes of vision impairment and blindness in Australia. Melbourne: Centre for Eye Research Australia and Vision 2020 Australia, 2016. http://www.vision2020australia.org.au/uploads/resource/250/National-Eye-Health-Survey_Full-Report_FINAL.pdf (accessed Mar 2017).
- 4. Attebo K, Mitchell P, Smith W. Visual acuity and the causes of visual loss in Australia: the Blue Mountains Eye Study. Ophthalmology 1996; 103: 357-364.
- 5. Taylor HR, Livingston PM, Stanislavsky YL, McCarty CA. Vision impairment in Australia: distance visual acuity, near vision and visual field findings of the Melbourne Visual Impairment Project. Am J Ophthalmol 1997; 123: 328-337.
- 6. Australian Government, Department of Health. Medicare Benefits Schedule — listing of photography with non-mydriatic retinal cameras [website]. http://www.health.gov.au/internet/budget/publishing.nsf/Content/budget2016-factsheet07.htm (accessed Mar 2017).
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