is eyecare improving for people with id? data from vision screening of special olympics athletes...
TRANSCRIPT
Is Eyecare Improving for People with ID?Is Eyecare Improving for People with ID? Data from vision screening of Special Olympics athletesData from vision screening of Special Olympics athletes
J. Margaret Woodhouse, Gordon Ilett, Caroline HurstJ. Margaret Woodhouse, Gordon Ilett, Caroline Hurst Special Olympics Lions Clubs International Opening Eyes GBSpecial Olympics Lions Clubs International Opening Eyes GB
BackgroundBackground
Compared to the general population, people with intellectual disability:
• Are less likely to access regular eye tests• Are more likely to need to wear glasses• Are more likely to have eye conditions that are left untreated
Aims of Opening Eyes• Offer vision screening for athletes• Provide new glasses when they are needed• Refer for appropriate medical treatment• Raise awareness of the need for eye care• Train optometrists in the skills to see people with ID
Cardiff 2001 Glasgow 2004 Leicester 2009
Opening Eyes has been present at THREEUK Summer Games
HypothesisHypothesis
If Opening Eyes is successful in raising awareness of the need for eye care for people with ID, then:
• Athletes should be having more regular eye tests
• More athletes should already have glasses
• Fewer athletes should need new specs
• Fewer athletes should have treatable eye conditions
• Habitual visual acuities should be better, because of spec wear and treatment of eye conditions
Cardiff 2001
Glasgow 2005
Leicester 2009
Number of athletes screened
505 796 799
Age 9-69, mean 27.3 years
8-70, mean 28.1 years
8-77, mean 28 years
Cardiff 2001
Glasgow 2005
Leicester 2009
stats
Last eye examination (percentages)
< 1 year 27.5 31.9 28.7
Χ2=85.2p<0.001
Sig.
1-3 years 23.3 16.4 27.0
> 3 years
15.2 15.2 12.9
Never 15.2 5.3 6.2
Don’t know
18.8 31.2 25.3
Hypothesis is upheld, but ‘Don’t knows’ form a large proportion
Hypothesis - Athletes should be having more regular eye tests
Glasgow 2005 Leicester 2009
OE before No OE OE before No OE
Last eye examination (percentages)(excluding don’t knows)
< 1 year 37.0 48.6 32.0 41.31-3 years 29.6 22.5 38.7 34.9> 3 years 27.8 20.6 26.3 12.8Never 5.6 8.3 3.1 11.0
Cardiff 2001
Glasgow 2005
Leicester 2009
stats
Percentage who already have glasses
53.6 55.6 53.8Χ2=0.41p=0.82
NSPercentage using glasses for VA
31.6 27.3
Hypothesis – More athletes should already have glasses
Hypothesis – not upheld
Cardiff 2001
Glasgow 2005
Leicester 2009
Athletes without current glasses, given Rx
19.8 17.4 15.9
Is it the case that all athletes who should have glasses already have them?
There are still athletes who need glasses
Cardiff 2001
Glasgow 2005
Leicester 2009
stats
Athletes issued first or new Rx 12.7 22.3 21.0
Χ2=20.0p<0.001
Sig.
Hypothesis – Fewer athletes should need new glasses
Hypothesis – not upheld
Cardiff 2001
Glasgow 2005
Leicester 2009
stats
Lens opacities
7.5 3.2 2.6Χ2=54.2p<0.001
sig.Cataract 4.9 3.8 1.7
Tropia (squint, strabismus)
Distance 23.0 25.1 19.4Χ2=6.87p=0.032
Sig.
Near 33.9 25.8 21.3Χ2=19.5p<0.001
Sig.
Hypothesis – Fewer athletes should have treatable eye conditions
Hypothesis – upheld
Cardiff 2001
Glasgow 2005
Leicester 2009
stats
Habitual VA 0.3 (6/12) or poorer
38.7 22.7 24.3Χ2=34.3p<0.001
Sig.
Habitual VA poorer than 6/18 (WHO)
14.8 11.3 9.0Χ2=9.95P=0.007
Sig.
Hypothesis - Habitual visual acuities should be better, because of spec wear and treatment
Hypothesis – upheld
Summary
• There are signs that overall, eye care for people with intellectual disability is improving
• MUCH more needs to be done
• We look forward to the day when all people with ID receive quality eye care within their own community