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Objective 28-1

Dilated Eye Examinations

Increase the proportion of persons who have a dilated eye examination every two years.

Many eye diseases and disorders have no symptoms or early warning signs. Dilated eye exams should be performed at appropriate intervals to detect changes in the retina or optic nerve or both. Eye care professionals can view the back of the eye for subtle changes and, if necessary, initiate treatment at the right time.

Data Source

Baseline: 55 percent of persons aged 18 years and older had a dilated eye examination within the past 2 years in 2002 (age adjusted to the year 2000 standard population).

Target: 58 percent of persons 18 years and over.

Target setting method: Better than the best.

Data source: National Health Interview Survey (NHIS), National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC).

Operational definition: This is a valuable tool that allows individuals to set measurable Healthy Vision objectives for their own communities.

Adults 18 years and over

Percentage of People

 

55%

Race and ethnicity

American Indian or Alaska Native only

54%

Asian or Pacific Islander only

DNA

Asian only

50%

Native Hawaiian or Other Pacific Islander only

DSU

Black or African American only

54%

White only

56%

2 or more races

54%

American Indian or Alaska Native; White

47%

Black or African American; White

57%

Hispanic or Latino

45%

Non Hispanic or Latino

56%

Black or African American only, not Hisp/Latino

54%

White only, not Hispanic or Latino

57%

Gender

Female

58%

Male

52%

Education level (persons 25 years and over)

Under 12 years

44%

12 years

55%

13 years and over

62%

Diabetes status (annual examination)

Persons with diabetes

55%

Persons without diabetes

37%

Legend:
DNA = Data have not been analyzed.
DNC = Data for specific population are not collected.
DSU = Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

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Organizational Resources

If your organization has materials and/or programs to support this objective, contact Linda Huss lmh@nei.nih.gov.

 

American Academy of Ophthalmology
655 Beach Street
San Francisco, California 94109-1336
Tel: (415) 561-8500
Fax: (415) 561-8533
http://www.aao.org
Contact: Georgia Alward, (415) 447-0258, eyemd@aao.org

The American Academy of Ophthalmology is the largest international membership association of Eye M.D.s. EyeM.D.s are ophthalmologists, medical doctors or doctors of osteopathy who provide comprehensive eye care, including medical, surgical and optical care. More than 90 percent of practicing U.S. Eye M.D.s are Academy members, and the Academy has more than 7,000 international members. Academy members are committed to responding compassionately to their patients' individual needs and to advancing the highest standards of eye care.

Resources:

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American Optometric Association
1505 Prince Street, Suite 300
Alexandria, VA 22314
Tel: (703) 739-9200
Toll Free: 1-800-365-2219 X 4284
http://www.aoa.org
Contact: John C. Whitener, OD, MPH, JCWhitener-OD@aoa.org

The American Optometric Association (AOA) seeks to advance the availability and accessibility of quality eye, vision, and related health care; to represent the profession of optometry; to enhance and promote the independent and ethical decision-making of its members; and to assist doctors of optometry in practicing successfully in accordance with the highest standards of patient care. The Association supports year-round programming to educate Americans about their vision and eye health and encourages people to take steps to preserve and protect their vision. AOA represents over 33,000 doctors of optometry trained in the diagnosis and treatment of eye disease, including dilated eye examinations.

Resources

  • Dilation: Opening Your Eyes to Better Health

Sample patient education brochures are available at no cost by calling 1-888-396-EYES (3937) or see the AOA home page for more information at http://www.aoa.org.

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EyeCare America
655 Beach Street
San Francisco, CA 94109-1336
Tel: (415) 561-8500
Fax: (415) 561-8567
http://www.eyecareamerica.org
Contact: Betty Lucas, (451) 447-0381, blucas@aao.org

Founded in 1980, EyeCare America, the public service foundation of the American Academy of Ophthalmology, is committed to the preservation of sight, accomplishing its mission through public service and education.

EyeCare America's public service program provides access to eye care for the medically underserved and for those at increased risk for eye disease through its corps of 7,500 volunteer ophthalmologists dedicated to serving their communities. More than 90 percent of the care made available through EyeCare America is provided at no out-of-pocket cost to the patients. Public service includes programs for seniors, glaucoma, diabetes and children, and is the largest program of its kind in American medicine.

Since its inception, EyeCare America's public service program has processed more than 644,000 calls, provided services to 347,000 people and treated more than 180,000 cases of eye disease.

EyeCare America offers multiple eye care programs for which individuals may qualify. Callers will be automatically screened to determine the program that provides the best appropriate eye care service.

Call to see if you, a family member or a friend may be eligible to receive a referral, 800-272-EYES (3937). EyeCare America Helplines operate 24 hours, 7 days a week, 365 days a year.

Seniors who have not seen an ophthalmologist in three or more years may be able to receive a referral for eye care at no out-of-pocket expense for up to one year. Callers who have not had an eye exam in the past 12 months and are at increased risk for glaucoma may be eligible to receive a referral.

Resources:

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The Glaucoma Foundation
116 John Street, Suite 1605
New York, NY 10038
Tel: (212) 285-0080
Toll Free: 1-800-GLAUCOMA (Hotline)
http://www.glaucoma-foundation.org

The Glaucoma Foundation is the nation's foremost non-profit organization promoting awareness and supporting research about glaucoma. Our toll-free hotline (1-800-GLAUCOMA) provides information to the general public and patients about comprehensive eye examinations. Our goal is two-fold: (A) to help individuals understand what is involved in a comprehensive eye examination and to stress the importance of dilated exams and (B) to provide individuals with referrals to both optometrists and ophthalmologists so that they can more easily access local eye care. The Glaucoma Foundation also facilitates screening programs in the workplace and in medically underserved communities.

Resources

  • Eye to Eye our quarterly newsletter, provides updates on medical news and research, treatment information and answers to commonly asked questions.
  • To receive literature, please call 1-800-GLAUCOMA (1-800-452-8266) or email The Foundation at info@glaucoma-foundation.org

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Lions Clubs International
300 W 22nd Street
Oak Brook, IL 60523-8842
Tel: (630) 571-5466
Fax: (630) 571-1692
http://www.lionsclubs.org
Contact: Deborah O'Malley, domalley@lionsclubs.org

Lions Clubs International has over 14,000 clubs in the United States (44,000 clubs worldwide) which provide community service and promote better international relations. As each community's needs and resources are unique, Lions club programs may vary across the nation; however, the major health programs Lions have established are sight conservation and work with the blind, diabetes awareness, and hearing and speech action and work with the deaf. Lions promote diabetes awareness and encourage comprehensive eye exams especially during November: National Diabetes Month. On an individual basis, Lions may provide assistance so that a person in need may obtain a comprehensive eye exam. Contact the international headquarters office for information regarding clubs within your area.

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Macular Degeneration Partnership (MDP)
8733 Beverly Boulevard, Suite 201
Los Angeles, CA 90048
Tel: (310) 423-6455
Toll Free: 1-888-430-9898
http://www.amd.org
Contact: Judith Delgado, judith.delgado@cshs.org

The Macular Degeneration Partnership is a nonprofit organization dedicated to providing accurate, timely and unbiased information on age-related macular degeneration (AMD). A definitive diagnosis of AMD is made during a dilated eye examination. MDP encourages individuals to schedule a yearly visit with their eye care professional. The MDP provides up-to-date information about risk factors, treatment, research and low vision resources.

Resources

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Maryland Society for Sight
1313 West Old Cold Spring Lane
Baltimore, MD 21209
Tel: (410) 243-2020
Contact: Sherry Roe, mdsocietyforsight@erols.com

The Maryland Society's mission is to prevent blindness and preserve sight for Marylanders. Each year the Society provides vision screenings for over 3,600 adults at churches, businesses, clubs and organizations and health fairs. As part of the screening a risk inventory is administered and people are counseled as to the importance of regular dilated eye examinations and how often they should be getting a dilated eye examination.

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Sight & Hearing Association
674 Transfer Road
St. Paul, MN 55114-1402
Tel: (651) 645-2546, ext. 12
http://www.sightandhearing.org
Contact: Julee Sylvester, jlps@sightandhearing.org

The Sight & Hearing Association (SHA) is a Minnesota-based nonprofit organization dedicated to preventing vision and hearing loss through screening, education and research. SHA coordinates public awareness campaigns and screening programs aimed at encouraging people to get their eyes examined regularly.

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Unite For Sight
31 Brookwood Drive
Newtown, CT 06470
(203) 426-4870
http://www.uniteforsight.org
Contact: Jennifer Staple, Founder, President & CEO, JStaple@uniteforsight.org

Unite For Sight is a 501©3 nonprofit organization that tackles eye and health care issues. With fifty chapters established at universities and medical schools, Unite For Sight has an international network of 1,000 students and professionals who work to build healthier communities through disease prevention, eye health promotion, and health education. Each chapter works with local community infrastructures to improve access to health programs, and our primary objective is to prevent blindness. Unite for Sight's programs include:

  • Free preliminary vision screenings for children and adults in soup kitchens, homeless shelters, schools and libraries
  • Enrollment in insurance and free health coverage programs (Children's Health Insurance Program, Academy of Ophthalmology's National Eye Care Projects, Academy of Optometry's VisionUSA, Sight For Students, Medicare, Medicaid, VA Insurance)
  • General health education programs to reduce health disparities, including HIV/AIDS and immunizations
  • Vision education programs: Presentations teach students and adults about eye anatomy and eye disease by examining the history of ophthalmology through unique perspectives such as the comparison of ancient and modern ophthalmologic procedures, art history seminars regarding eye disease in eminent artists, and the social history of eyeglasses
  • Internationally, Unite For Sight designs and implements eye camps and eye health education programs in developing countries, including India, Ghana, Kenya, Tanzania, Uganda, Cameroon, and Benin
  • Website Free Health Coverage Program Portal for the medically underserved

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VISTAKON, Division of Johnson & Johnson Vision Care, Inc.
7500 Centurion Parkway
Jacksonville, FL 32256
Telephone: (904) 443-1829
Toll Free: 1-800-876-6622
http://www.acuvue.com
Contact: Stan Yamane syamane@visus.jnj.com
VISTAKON, a division of Johnson & Johnson Vision Care, Inc., sponsors the ACUVUE Eye Health Program www.ecp.acuvue.com. This program supports the importance of eye exams through education. The program contains patient education materials that help increase awareness and value of an eye exam and the importance of patient compliance with contact lens wear schedules. Click on the link above to view all of the materials.




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