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  1. Article: A Review of Ambient Air Pollution as a Risk Factor for Posterior Segment Ocular Diseases.

    Markeviciute, Agne / Huang-Lung, Jessie / Zemaitiene, Reda / Grzybowski, Andrzej

    Journal of clinical medicine

    2023  Volume 12, Issue 11

    Abstract: Purpose: To review the most recent evidence on the association of ambient air pollution with posterior segment ocular diseases.: Methods: A search of the most recently published medical literature was performed in PubMed and Google Scholar on 10 ... ...

    Abstract Purpose: To review the most recent evidence on the association of ambient air pollution with posterior segment ocular diseases.
    Methods: A search of the most recently published medical literature was performed in PubMed and Google Scholar on 10 December 2022. Articles published between 2018 and December 2022 were included in this rapid review. Studies that evaluated the association between ambient air pollutants (nitrogen dioxide (NO
    Results: Nineteen research articles met the inclusion criteria. Significant associations were found between PM
    Conclusions: There is increasing evidence that toxic air pollutants have an impact on posterior segment ocular diseases, hence determining it as a potential modifiable risk factor for visual impairment.
    Language English
    Publishing date 2023-06-04
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12113842
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A Systematic Review of Glaucoma Diagnosis in Prevalence Studies and Quality of Reporting.

    Al-Timimi, Zayn / Huang-Lung, Jessie / Keay, Lisa / Healey, Paul / Yang, Eleanor / Dunn, Hamish

    Journal of glaucoma

    2023  Volume 32, Issue 10, Page(s) 874–884

    Abstract: Prcis: This systematic review has revealed that variable definitions of glaucoma continue to be used in prevalence studies, despite the introduction of the International Society of Geographic and Epidemiologic Ophthalmology (ISGEO) criteria.: Purpose!# ...

    Abstract Prcis: This systematic review has revealed that variable definitions of glaucoma continue to be used in prevalence studies, despite the introduction of the International Society of Geographic and Epidemiologic Ophthalmology (ISGEO) criteria.
    Purpose: To systematically review diagnostic criteria and examinations performed in glaucoma prevalence studies over time and determine the quality of reporting. Accurate estimates of glaucoma prevalence are crucial to inform resource allocation. However, diagnosis of glaucoma comprises inherently subjective examinations and the cross-sectional nature of prevalence studies precludes monitoring for progression.
    Methods: A systematic review of PubMed, Embase, Web of Science, and Scopus was performed to examine diagnostic protocols used by glaucoma prevalence studies and evaluate uptake of the ISGEO criteria, introduced in 2002 to standardize glaucoma diagnosis in prevalence studies. Detection bias and compliance with the Strengthening Reporting of Observational Studies in Epidemiology (STROBE) guidelines were evaluated.
    Results: Ten thousand five hundred forty-four articles were identified. After deduplication, 5589 articles were screened, yielding 136 articles pertaining to 123 studies. An absence of data in many countries was identified. Ninety-two percent of studies stated diagnostic criteria, and 62% used the ISGEO criteria since their publication. Weaknesses of the ISGEO criteria were identified. Temporal variations in the performance of various examinations were observed, including heterogeneity in angle assessment. Mean STROBE compliance was 82% (range 59-100%); 72 articles had a low risk of detection bias, 4 had a high risk, and 60 had some concerns.
    Conclusion: Heterogeneous diagnostic definitions persist in glaucoma prevalence studies, despite introduction of the ISGEO criteria. Standardization of criteria remains imperative and the development of new criteria represent a valuable opportunity to achieve this goal. In addition, methods of determining diagnoses are poorly reported, suggesting a need for improvement in study conduct and reporting. Accordingly, we propose the Reporting of quality Of GlaUcoma Epidemiological Studies (ROGUES) Checklist. We have also identified a need for further prevalence studies in regions with limited data and to update Australian angle closure glaucoma prevalence. Design and reporting of future studies can be informed by this review's insights into diagnostic protocols previously used.
    MeSH term(s) Humans ; Cross-Sectional Studies ; Intraocular Pressure ; Australia ; Glaucoma/diagnosis ; Glaucoma/epidemiology ; Glaucoma, Angle-Closure ; Prevalence
    Language English
    Publishing date 2023-06-27
    Publishing country United States
    Document type Systematic Review ; Journal Article
    ZDB-ID 913494-3
    ISSN 1536-481X ; 1057-0829
    ISSN (online) 1536-481X
    ISSN 1057-0829
    DOI 10.1097/IJG.0000000000002248
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3795: Show issues Location:
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  3. Article ; Online: Feasibility of providing collaborative glaucoma care from a community optometry perspective: a mixed-methods assessment.

    Maurin, Roxanne / Deltetto, Irene / Keay, Lisa / Huang-Lung, Jessie / Taylor, Colman

    Clinical & experimental optometry

    2023  Volume 106, Issue 2, Page(s) 171–177

    Abstract: Clinical relevance: Despite evidence showing that optometry-led collaborative glaucoma care can be delivered at reduced cost compared to ophthalmology-based care without compromising patient outcomes, such models of care are not widely practiced in ... ...

    Abstract Clinical relevance: Despite evidence showing that optometry-led collaborative glaucoma care can be delivered at reduced cost compared to ophthalmology-based care without compromising patient outcomes, such models of care are not widely practiced in Australia. Ensuring glaucoma patients have equitable access to effective and cost-effective care is a matter of public health importance.
    Background: This study examined the feasibility and business case assessment for providing glaucoma care from a community optometry perspective.
    Methods: Nine optometrists were interviewed in a semi-structured format, focusing on the economic feasibility, barriers, and benefits of collaborative glaucoma care. The Consolidated Framework for Intervention Research was used for thematic data analysis. Costs and revenues associated with providing glaucoma care were sourced from the literature and interviews. A business case model assessing the profitability of glaucoma care in optometric practice was developed.
    Results: Thematic analysis revealed concerns over financial viability such that current Medicare Benefits Schedule fees are not sufficient to justify the cost of running a community optometry glaucoma clinic. All participants received a supplementary source of revenue. This finding was confirmed by the business case assessment. Inter-professional trust was perceived to be a key barrier to initiation of collaborative care however was able to be overcome quickly upon commencement of a collaborative care relationship. Optometrists perceived that collaborative care was beneficial to all involved, including patients, ophthalmologists, optometrists, and health payers. There was a perception of a growing divide between clinical and retail optometry, which was thought by most participants to be appropriate.
    Conclusion: This study is the first to explore the feasibility and business case for community-based optometrists to provide collaborative glaucoma care in Australia. Our findings show that current public funding is insufficient to justify the business case to private optometry practice, despite being perceived by optometrists as beneficial to all involved.
    MeSH term(s) Aged ; Humans ; Optometry ; Feasibility Studies ; National Health Programs ; Optometrists ; Glaucoma
    Language English
    Publishing date 2023-03-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639275-1
    ISSN 1444-0938 ; 0816-4622
    ISSN (online) 1444-0938
    ISSN 0816-4622
    DOI 10.1080/08164622.2023.2175602
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    Zs.B 3168: Show issues Location:
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  4. Article ; Online: Healthcare costs following falls and cataract surgery in older adults using Australian linked health data from 2012-2019.

    Huang-Lung, Jessie / Chun Ho, Kam / Lung, Thomas / Palagyi, Anna / McCluskey, Peter / White, Andrew Jr / Boufous, Soufiane / Keay, Lisa

    Public health research & practice

    2023  

    Abstract: Objectives: To investigate publicly funded healthcare costs according to faller status and the periods pre- and post-cataract surgeries, and identify factors associated with higher monthly costs in older people with bilateral cataract.: Methods: This ...

    Abstract Objectives: To investigate publicly funded healthcare costs according to faller status and the periods pre- and post-cataract surgeries, and identify factors associated with higher monthly costs in older people with bilateral cataract.
    Methods: This prospective cohort study included community-dwelling older people aged 65 and over (between 2012 and 2019); at baseline participants had bilateral cataract and were waiting for cataract surgery in New South Wales (NSW) public hospitals. Participants were followed for 24 months. The study used self-reported and linked data (Medicare Benefits Schedule, Pharmaceutical Benefits Scheme, NSW Admitted Patient and Emergency Department Data Collections) to identify falls, cataract surgeries and healthcare costs incurred by the Australian and NSW Governments, all costs were inflated to 2018-19 Australian dollars (AUD). Median monthly healthcare costs were calculated for faller status (non-faller, non-medically treated faller, medically treated faller) and surgery periods (pre-surgery, post-first surgery, post-second surgery). Costs in the 30 days following a medically treated fall were estimated. A generalised linear model was used to investigate predictors of healthcare costs.
    Results: During the median follow-up period of 24 months, 274 participants suffered 448 falls, with 95 falls requiring medical treatment. For medically treated falls, the mean cost in the 30 days after treatment was A$3779 (95% confidence interval $2485, $5074). Higher monthly healthcare costs were associated with a higher number of medications, being of the male sex, having one or more medically treated falls and having bilateral cataract surgery. After excluding the cost of cataract surgery, there were no significant differences in healthcare costs between the pre-cataract surgery, post-first eye cataract surgery and post-second eye cataract surgery periods.
    Conclusions: To our knowledge, this is the first study investigating publicly funded costs related to falls and cataract surgery in older people with bilateral cataract. This information enhances our understanding of healthcare costs in this group. The patterns in costs associated with falls can guide future government healthcare expenditure on falls treatment and prevention, including timely cataract surgery.
    Language English
    Publishing date 2023-11-14
    Publishing country Australia
    Document type Journal Article
    ISSN 2204-2091
    ISSN (online) 2204-2091
    DOI 10.17061/phrp33342311
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Population-Based Projection of Vision-Related Disability in Australia 2020 - 2060: Prevalence, Causes, Associated Factors and Demand for Orientation and Mobility Services.

    Chang, Kuo-Yi Jade / Rogers, Kris / Lung, Thomas / Shih, Sophy / Huang-Lung, Jessie / Keay, Lisa

    Ophthalmic epidemiology

    2021  Volume 28, Issue 6, Page(s) 516–525

    Abstract: Purpose: To project the prevalence, causes, associated factors of vision-related disability and demand for orientation and mobility (O&M) services in Australia from 2020 to 2060.: Methods: The age-specific prevalence and main causes of vision-related ...

    Abstract Purpose: To project the prevalence, causes, associated factors of vision-related disability and demand for orientation and mobility (O&M) services in Australia from 2020 to 2060.
    Methods: The age-specific prevalence and main causes of vision-related disability were estimated based on primary data of 74,862 participants in 2015 Survey of Disability, Ageing and Carers. Logistic regression analyses were performed to identify associated factors for the outcome variables including vision-related disability, cataract, macular degeneration and glaucoma. Future prevalence of vision-related disability and demand for O&M services were forecasted using the population projections by the Australian Bureau of Statistics through 2060.
    Results: The main causes of vision-related disability are non-specific sight loss, cataracts, macular degeneration and glaucoma. Health-related associations for vision-related disability are older age, having a history of stroke, having diabetes, depression, heart disease and hearing impairment. The number of Australians with vision-related disability (283,650, 1.10%) and demand for O&M services (123,317, 0.48%) in 2020 will increase to 559,161 (1.38%) and 237,694 (0.59%) respectively in 2060.
    Conclusions: The number of people with vision-related disability and in need of O&M services in Australia will grow exponentially over the coming decades. General health promotion and specific strategies of early detection and timely treatments of the major eye diseases may ameliorate the trend in vision-related disability.
    MeSH term(s) Australia/epidemiology ; Blindness/complications ; Cataract/epidemiology ; Humans ; Population Forecast ; Prevalence ; Vision Disorders/epidemiology ; Vision Disorders/etiology
    Language English
    Publishing date 2021-01-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 1213070-9
    ISSN 1744-5086 ; 0928-6586
    ISSN (online) 1744-5086
    ISSN 0928-6586
    DOI 10.1080/09286586.2021.1875009
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4138: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: The true cost of hidden waiting times for cataract surgery in Australia.

    Huang-Lung, Jessie / Angell, Blake / Palagyi, Anna / Taylor, Hugh R / White, Andrew / McCluskey, Peter / Keay, Lisa

    Public health research & practice

    2022  Volume 32, Issue 3

    Abstract: Cataract surgery is a safe, effective and common elective procedure in Australia but access is inequitable. True waiting times for cataract care are undisclosed or inconsistently reported by governments. Estimates of true waiting times range from 4 to 30 ...

    Abstract Cataract surgery is a safe, effective and common elective procedure in Australia but access is inequitable. True waiting times for cataract care are undisclosed or inconsistently reported by governments. Estimates of true waiting times range from 4 to 30 months and have been extended during the coronavirus disease 2019 (COVID-19) pandemic. Comparative analysis revealed that reducing waiting periods from 12 to 3 months would result in estimated public health system cost savings of $6.6 million by preventing 50 679 falls. Investment in public cataract services to address current unmet needs would prevent avoidable vision impairment and associated negative consequences.
    MeSH term(s) Australia/epidemiology ; COVID-19/epidemiology ; Cataract/epidemiology ; Cataract Extraction ; Humans ; Waiting Lists
    Language English
    Publishing date 2022-10-12
    Publishing country Australia
    Document type Journal Article
    ISSN 2204-2091
    ISSN (online) 2204-2091
    DOI 10.17061/phrp31342116
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The incidence of falls after first and second eye cataract surgery: a longitudinal cohort study.

    Keay, Lisa / Ho, Kam Chun / Rogers, Kris / McCluskey, Peter / White, Andrew Jr / Morlet, Nigel / Ng, Jonathon Q / Lamoureux, Ecosse / Pesudovs, Konrad / Stapleton, Fiona J / Boufous, Soufiane / Huang-Lung, Jessie / Palagyi, Anna

    The Medical journal of Australia

    2022  Volume 217, Issue 2, Page(s) 94–99

    Abstract: Objective: To compare fall incidence, and visual acuity and refractive status, before surgery and after first and second eye cataract surgery.: Design, setting: Prospective observational study in eight tertiary referral ophthalmology clinics in ... ...

    Abstract Objective: To compare fall incidence, and visual acuity and refractive status, before surgery and after first and second eye cataract surgery.
    Design, setting: Prospective observational study in eight tertiary referral ophthalmology clinics in public hospitals in Sydney, Melbourne, and Perth.
    Participants: People aged 65 years or more referred for bilateral age-related cataract surgery during 2013-16, followed for maximum of 24 months after study entry or until six months after second eye surgery, whichever was shorter.
    Main outcome measures: Primary outcome: age- and sex-adjusted incidence of falls.
    Secondary outcomes: visual acuity and refractive error.
    Results: The mean age of the 409 included participants was 75.4 years (SD, 5.4 years); 220 were women (54%). Age- and sex-adjusted fall incidence prior to surgery was 1.17 (95% CI, 0.95-1.43) per year, 0.81 (95% CI, 0.63-1.04) per year after first eye surgery, and 0.41 (95% CI, 0.29-0.57) per year after second eye surgery. For the 118 participants who underwent second eye surgery and participated in all follow-up visits, age- and sex-adjusted incidence before (0.80 [95% CI, 0.55-1.15] falls per year) and after first eye surgery (0.81 [95% CI, 0.57-1.15] falls per year) was similar, but was lower after second eye surgery (0.32 [95% CI 0.21-0.50] falls per year). Mean habitual binocular visual acuity (logMAR) was 0.32 (SD, 0.21) before surgery, 0.15 (SD, 0.17) after first eye surgery, and 0.07 (SD, 0.15) after second eye surgery.
    Conclusions: First eye surgery substantially improves vision in older people with cataract, but second eye surgery is required to minimise fall incidence. Timely cataract surgery for both eyes not only optimises vision in older people with cataract, but also reduces their risk of injury from falls.
    MeSH term(s) Accidental Falls ; Aged ; Cataract/epidemiology ; Cataract Extraction/adverse effects ; Female ; Humans ; Incidence ; Longitudinal Studies ; Male
    Language English
    Publishing date 2022-06-15
    Publishing country Australia
    Document type Journal Article ; Observational Study
    ZDB-ID 186082-3
    ISSN 1326-5377 ; 0025-729X
    ISSN (online) 1326-5377
    ISSN 0025-729X
    DOI 10.5694/mja2.51611
    Database MEDical Literature Analysis and Retrieval System OnLINE

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