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Article ; Online: Manhattan Vision Screening and Follow-up Study (NYC-SIGHT): Vision and refractive error results.

Diamond, Daniel F / Kresch, Yocheved S / Gorroochurn, Prakash / Park, Lisa / Horowitz, Jason D / Wang, Qing / Maruri, Stefania C / Henriquez, Desiree R / Harizman, Noga / Carrion, Jailine / Liebmann, Jeffrey M / Cioffi, George A / Hark, Lisa A

Clinical & experimental optometry

2024 , Page(s) 1–8

Abstract: Clinical relevance: Optometrists can play a key role in providing access to eye care in underserved populations by organising community-based eye health screenings that include optometric exams to detect vision impairment and uncorrected refractive ... ...

Abstract	Clinical relevance: Optometrists can play a key role in providing access to eye care in underserved populations by organising community-based eye health screenings that include optometric exams to detect vision impairment and uncorrected refractive error. Background: Community-based eye health screenings and optometric exams were conducted in the NYC-SIGHT Study. Methods: A sub-analysis of vision impairment and refractive error results within a 5-year prospective, cluster-randomised clinical trial. Eligible individuals (age ≥40 years) were recruited from 10 affordable housing developments in Upper Manhattan. Developments were randomised into usual care (received glasses prescription only) and intervention (free glasses) groups. Participants with 6/12 visual acuity or worse, intraocular pressure 23-29 mmHg, or an unreadable fundus image were scheduled with the study optometrist for refraction and a non-dilated exam. Visual improvement data were obtained by comparing the presenting acuity at screening compared to the best corrected acuity after refraction by the optometrist. Chi-square, two-sample t-tests, and a stepwise multivariate logistic regression model were used to determined factors associated with improvable visual impairment. Results: Seven hundred and eight participants completed screening, 308 received an optometric exam. Those with improvable vision impairment ( Conclusion: This innovative, targeted community-based study included an optometrist who detected high rates of refractive error and improvable vision impairment in an underserved population living in New York City.
Language	English
Publishing date	2024-03-07
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	10.1080/08164622.2024.2322523
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Article ; Online: Manhattan Vision Screening and Follow-Up Study (NYC-SIGHT): optometric exam improves access and utilization of eye care services.

Diamond, Daniel F / Hirji, Sitara / Xing, Samantha X / Gorroochurn, Prakash / Horowitz, Jason D / Wang, Qing / Park, Lisa / Harizman, Noga / Maruri, Stefania C / Henriquez, Desiree R / Liebmann, Jeffrey M / Cioffi, George A / Hark, Lisa A

Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie

2024 Volume 262, Issue 5, Page(s) 1619–1631

Abstract: Purpose: To describe the benefits of optometric evaluation for detection of vision-affecting conditions in the context of community-based eye health screenings and identify factors associated with having a recent dilated eye exam.: Methods: Enrolled ... ...

Abstract	Purpose: To describe the benefits of optometric evaluation for detection of vision-affecting conditions in the context of community-based eye health screenings and identify factors associated with having a recent dilated eye exam. Methods: Enrolled participants were age 40 and older, living independently in affordable housing developments in New York City. Eye health screening failure and criteria for seeing the on-site study optometrist were defined as visual acuity 20/40 or worse in either eye, intraocular pressure 23-29 mmHg, or an unreadable fundus image. The optometrist conducted a manifest refraction using loose lenses and used a portable slit lamp and ophthalmoscope to perform a non-dilated anterior and posterior segment ocular health evaluation. Demographics, social determinants of health, eye health screening results, and rates of suspected ophthalmic conditions were recorded. To determine factors associated with having a recent dilated eye exam, which was the main outcome for this statistical analysis, a stepwise multivariate logistic regression was performed. Results: A total of 708 participants were screened, 308 attended the optometric exam; mean age 70.7 ± 11.7 [standard deviation (SD)] years. Among this subgroup, 70.1% identified as female, 54.9% self-identified as African American, 39% as Hispanic/Latino, and 26.6% Dominican ethnicity; 78.2% (241/308) had not undergone a dilated eye exam within the last year, 71.4% reported they did not have an eye care provider. Stepwise multivariate logistic regression analysis indicated that participants who self-reported having cataracts (odds ratio (OR) 2.15; 95% confidence interval (CI) 1.03-4.47; p = 0.041), self-reported having glaucoma/glaucoma suspect (OR 5.60; 95% CI 2.02-15.43; p = 0.001), or spoke Spanish as their primary language (OR 3.25; 95% CI 1.48-7.11; p = 0.003) had higher odds of having a recent dilated eye exam. Conclusions: This community-based screening initiative demonstrated the effectiveness of optometric exams in detecting vision-affecting conditions and identified factors associated with having a recent dilated eye exam. Optometrists play a vital role in increasing access to eye care for high-risk, underserved populations. Trial registration: ClinicalTrials.gov (NCT04271709).
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Middle Aged ; Cataract ; Follow-Up Studies ; Glaucoma ; Ocular Hypertension ; Vision Disorders ; Vision Screening
Language	English
Publishing date	2024-01-08
Publishing country	Germany
Document type	Clinical Study ; Journal Article
ZDB-ID	8435-9
ISSN	1435-702X ; 0721-832X
ISSN (online)	1435-702X
ISSN	0721-832X
DOI	10.1007/s00417-023-06344-2
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Article ; Online: Association of Psychosocial Factors with Activation Among Patients with Glaucoma.

Morse, Alan R / Hark, Lisa A / Gorroochurn, Prakash / Rojas, Rebecca / Seiple, William H / Shukla, Aakriti G / Wang, Yujia / Maruri, Stefania C / Henriquez, Desiree R / Harizman, Noga / Wang, Qing / Liebmann, Jeffrey M / Cioffi, George A

Ophthalmology. Glaucoma

2024

Abstract: Objective: To investigate the association of psychosocial factors with health self-management behaviors and beliefs among patients with primary open-angle glaucoma (POAG).: Design: Prospective cross-sectional cohort study.: Participants: Patients ( ...

Abstract	Objective: To investigate the association of psychosocial factors with health self-management behaviors and beliefs among patients with primary open-angle glaucoma (POAG). Design: Prospective cross-sectional cohort study. Participants: Patients (n = 202) with mild, moderate, or advanced bilateral POAG. Methods: Patients (N = 1164) were identified from electronic medical records at a single academic medical center. Letters soliciting participation were mailed to 591 randomly selected potential participants. Psychometric measures and a social determinants of health questionnaire were administered by phone to 202 study participants. Main outcome measures: The National Eye Institute Visual Function Questionnaire-8 (NEI-VFQ), the Multidimensional Health Locus of Control (MHLC), the Perceived Medical Condition Self-Management Scale-4, the Patient Health Questionnaire-9 (PHQ), the Patient Activation Measure-13 (PAM), a health literacy question, and a social determinants of health questionnaire. Results: For each increase in level of POAG severity, there was a decrease in mean NEI-VFQ score (P < 0.001). For each unit increase in NEI-VFQ item 1, self-rated vision, mean PAM score increased (R Conclusions: We identified modifiable behavioral factors that could increase patients' self-perceived ability and confidence to manage their own eye care. Locus of control (MHLC), level of depression (PHQ), and self-rated functional vision (NEI-VFQ) were each associated with patient behaviors, attitudes, and beliefs needed for health self-management (activation, assessed by the PAM) and may be important determinants of adherence behaviors. Targeting change in patients' care beliefs and behaviors may improve activation and treatment outcomes. Financial disclosure(s): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.
Language	English
Publishing date	2024-02-04
Publishing country	United States
Document type	Journal Article
ISSN	2589-4196
ISSN (online)	2589-4196
DOI	10.1016/j.ogla.2024.01.008
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Article ; Online: Manhattan Vision Screening and Follow-up Study (NYC-SIGHT): a nested cross-sectional assessment of falls risk within a cluster randomised trial.

Hark, Lisa A / Wang, Yujia / Gorroochurn, Prakash / Simon, Phyllis R / Maruri, Stefania C / Henriquez, Desiree R / Diamond, Daniel F / Horowitz, Jason D / Park, Lisa / Wang, Qing / Auran, James D / Carrion, Jailine / Friedman, David S / Liebmann, Jeffrey L / Cioffi, George A / Harizman, Noga

The British journal of ophthalmology

2024

Abstract: Background: To investigate the feasibility of using the Stopping Elderly Accidents, Deaths and Injuries (STEADI) Falls Risk Tool Kit during community-based eye health screenings to assess falls risk of participants enrolled in the Manhattan Vision ... ...

Abstract	Background: To investigate the feasibility of using the Stopping Elderly Accidents, Deaths and Injuries (STEADI) Falls Risk Tool Kit during community-based eye health screenings to assess falls risk of participants enrolled in the Manhattan Vision Screening and Follow-Up Study (NYC-SIGHT). Methods: Cross-sectional analysis of data from a 5-year prospective, cluster-randomised clinical trial conducted in affordable housing developments in New York City in adults age 40 years and older. Prescreening questions determined whether participants were at risk of falling. STEADI tests classified participants at low, moderate or high risk of falling. Multivariate logistic regression determined odds of falls risk of all enrolled participants. Results: 708 participants completed the eye health screening; 351 (49.6%) performed STEADI tests; mean age: 71.0 years (SD±11.3); 72.1% female; 53.6% Black, non-Hispanic, 37.6% Hispanic/Latino. Level of falls risk: 32 (9.1%) low, 188 (53.6%) moderate and 131 (37.3%) high. Individuals age >80 (OR 5.921, 95% CI (2.383 to 14.708), p=0.000), had blurry vision (OR 1.978, 95% CI (1.186 to 3.300), p=0.009), high blood pressure (OR 2.131, 95% CI (1.252 to 3.628), p=0.005), arthritis (OR 2.29876, 95% CI (1.362 to 3.875), p=0.002) or foot problems (OR 5.239, 95% CI (2.947 to 9.314), p=0.000) had significantly higher odds of falling, emergency department visits or hospitalisation due to falling. Conclusion: This study detected a significant amount of falls risk in an underserved population. The STEADI Falls Risk screening questions were easy for eye care providers to ask, were highly predictive of falls risk and may be adequate for referral to occupational health and/or physical therapy.
Language	English
Publishing date	2024-04-12
Publishing country	England
Document type	Journal Article
ZDB-ID	80078-8
ISSN	1468-2079 ; 0007-1161
ISSN (online)	1468-2079
ISSN	0007-1161
DOI	10.1136/bjo-2022-323052
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Article ; Online: Manhattan Vision Screening and Follow-Up Study (NYC-SIGHT): Subanalysis of Referral to Ophthalmology.

Hark, Lisa A / Lin, Weijie Violet / Hirji, Sitara / Gorroochurn, Prakash / Horowitz, Jason D / Diamond, Daniel F / Park, Lisa / Wang, Qing / Auran, James D / Maruri, Stefania C / Henriquez, Desiree R / Sharma, Tarun / Valenzuela, Ives / Liebmann, Jeffrey M / Cioffi, George A / Friedman, David S / Harizman, Noga

Current eye research

2024 Volume 49, Issue 2, Page(s) 197–206

Abstract: Purpose: The Manhattan Vision Screening and Follow-up Study aims to provide access to eye care for underserved populations, detect native rates of ocular pathology, and refer participants with eye disease to ophthalmology. This subanalysis describes the ...

Abstract	Purpose: The Manhattan Vision Screening and Follow-up Study aims to provide access to eye care for underserved populations, detect native rates of ocular pathology, and refer participants with eye disease to ophthalmology. This subanalysis describes the reasons for referral to ophthalmology and identifies risk factors associated with being referred. Methods: Enrolled participants were aged ≥40 years, living independently in public housing developments and able to provide consent for eye health screenings. Those with habitual visual acuity 20/40 or worse, intraocular pressure (IOP) 23-29 mmHg, or an unreadable fundus image failed and were scheduled with the on-site optometrist. The optometric exam determined whether further referral to ophthalmology for a clinic exam was warranted. Those with an abnormal image or IOP ≥30 mmHg were referred directly to ophthalmology. Main outcome was factors associated with referral to ophthalmology. Results: A total of 708 individuals completed the eye health screening over 15 months. A total of 468 participants were referred to ophthalmology (250 had an abnormal image and 218 were referred by the optometrist). Those referred were predominantly older adults (mean age 70.0 ± 11.4 years), female (66.7%), African American (55.1%) and Hispanic (39.5%). Seventy percent of participants had not had a recent eye exam. Stepwise multivariate logistic regression analysis showed that participants with pre-existing glaucoma (OR 3.14, 95% CI 1.62 to 6.08, Conclusion: This targeted community-based study in Upper Manhattan provided access to eye care and detected a significant amount of ocular pathology requiring referral to ophthalmology in this high-risk population.
MeSH term(s)	Humans ; Female ; Aged ; Middle Aged ; Aged, 80 and over ; Vision Screening ; Ophthalmology/methods ; Follow-Up Studies ; Glaucoma/diagnosis ; Intraocular Pressure ; Referral and Consultation
Language	English
Publishing date	2024-01-18
Publishing country	England
Document type	Journal Article
ZDB-ID	82079-9
ISSN	1460-2202 ; 0271-3683
ISSN (online)	1460-2202
ISSN	0271-3683
DOI	10.1080/02713683.2023.2269614
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Article ; Online: Manhattan Vision Screening and Follow-Up Study: (NYC-SIGHT)Tele-Retinal Image Findings and Importance of Photography.

Horowitz, Jason D / Adeghate, Jennifer O / Karani, Rabia / Henriquez, Desiree R / Gorroochurn, Prakash / Sharma, Tarun / Park, Lisa / Wang, Qing / Diamond, Daniel F / Harizman, Noga / Auran, James D / Maruri, Stefania C / Liebmann, Jeffrey M / Cioffi, George A / Hark, Lisa A

Telemedicine journal and e-health : the official journal of the American Telemedicine Association

2023 Volume 30, Issue 3, Page(s) 664–676

Abstract: Purpose: ...

Abstract	Purpose:
MeSH term(s)	Humans ; Female ; Adult ; Middle Aged ; Aged ; Vision Screening ; Follow-Up Studies ; Prospective Studies ; Glaucoma/diagnosis ; Telemedicine/methods ; Photography ; Mass Screening/methods
Language	English
Publishing date	2023-09-01
Publishing country	United States
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	2035659-6
ISSN	1556-3669 ; 1530-5627
ISSN (online)	1556-3669
ISSN	1530-5627
DOI	10.1089/tmj.2023.0134
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Article ; Online: Manhattan Vision Screening and Follow-up Study (NYC-SIGHT): Baseline Results and Costs of a Cluster-Randomized Trial.

American journal of ophthalmology

2023 Volume 251, Page(s) 12–23

Abstract: Purpose: To describe the 15-month baseline results and costs of the Manhattan Vision Screening and Follow-up Study, which aims to investigate whether innovative community-based eye health screening can improve early detection and management of glaucoma ... ...

Abstract	Purpose: To describe the 15-month baseline results and costs of the Manhattan Vision Screening and Follow-up Study, which aims to investigate whether innovative community-based eye health screening can improve early detection and management of glaucoma and other eye diseases among high-risk populations. Design: Five-year prospective, cluster-randomized controlled trial. Methods: Individuals aged 40+ years were recruited from public housing buildings in New York City for an eye health screening (visual acuity (VA) with correction, intraocular pressure measurements (IOP), and fundus photography). Participants with VA 20/40 or worse, IOP 23-29 mm Hg, or an unreadable fundus image failed the screening and were scheduled for an optometric examination at the same location; those with an abnormal image were referred to ophthalmology. A cost analysis was conducted alongside the study. Results: A total of 708 participants were screened; mean age 68.6±11.9 years, female (65.1%), African American (51.8%) and Hispanic (42%). 78.4% (n = 555) failed the eye health screening; 35% (n= 250) had an abnormal image and were also referred to ophthalmology. 308 participants attended the optometric exam; 218 were referred to ophthalmology. Overall, 66.1% were referred to ophthalmology. The cost per participant to deliver the eye health screening and optometric examination was $180.88. The cost per case of eye disease detected was $273.64. Conclusions: This innovative study in public housing developments targeted high-risk populations, provided access to eye-care, and improved early detection of ocular diseases in New York City. The study has identified strategies to overcoming barriers to eye care to reduce eye health disparities.
MeSH term(s)	Humans ; Female ; Middle Aged ; Aged ; Aged, 80 and over ; Vision Screening ; Intraocular Pressure ; Follow-Up Studies ; Prospective Studies ; Glaucoma/diagnosis
Language	English
Publishing date	2023-01-21
Publishing country	United States
Document type	Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
ZDB-ID	80030-2
ISSN	1879-1891 ; 0002-9394
ISSN (online)	1879-1891
ISSN	0002-9394
DOI	10.1016/j.ajo.2023.01.019
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Article ; Online: Manhattan Vision Screening and Follow-up Study in Vulnerable Populations (NYC-SIGHT): Design and Methodology.

Hark, Lisa A / Kresch, Yocheved S / De Moraes, Carlos Gustavo / Horowitz, Jason D / Park, Lisa / Auran, James D / Gorroochurn, Prakash / Stempel, Stella / Maruri, Stefania C / Stidham, Elizabeth M / Banks, Aisha Z / Saaddine, Jinan B / Lambert, Bianca C / Pizzi, Laura T / Sapru, Saloni / Price, Simani / Williams, Olajide A / Cioffi, George A / Liebmann, Jeffrey M

Journal of glaucoma

2021 Volume 30, Issue 5, Page(s) 388–394

Abstract: Prcis: The Manhattan Vision Screening and Follow-up Study in Vulnerable Populations is a 5-year prospective, cluster-randomized study to improve detection and management of glaucoma and other eye diseases in vulnerable populations living in affordable ... ...

Abstract	Prcis: The Manhattan Vision Screening and Follow-up Study in Vulnerable Populations is a 5-year prospective, cluster-randomized study to improve detection and management of glaucoma and other eye diseases in vulnerable populations living in affordable housing developments. Purpose: To describe the study design and methodology of the Manhattan Vision Screening and Follow-up Study in Vulnerable Populations, which aims to investigate whether community-based vision screenings can improve detection and management of glaucoma, vision impairment, cataract, and other eye diseases among vulnerable populations living in affordable housing developments in upper Manhattan. Materials and methods: This 5-year prospective, cluster-randomized, controlled trial consists of vision screening and referral for follow-up eye care among eligible residents aged 40 and older. Visual acuity, intraocular pressure (IOP), and fundus photography are measured. Participants with visual worse than 20/40, or IOP 23 to 29 mm Hg, or unreadable fundus images fail the screening and are scheduled with the on-site optometrist. Those with an abnormal image and/or IOP ≥30 mm Hg, are assigned as "fast-track" and referred to ophthalmology. Participants living in 7 developments randomized to the Enhanced Intervention Group who fail the screening and need vision correction receive complimentary eyeglasses. Those referred to ophthalmology receive enhanced support with patient navigators to assist with follow-up eye care. Participants living in 3 developments randomized to the Usual Care Group who fail the screening and need vision correction are given an eyeglasses prescription only and a list of optical shops. No enhanced support is given to the Usual Care Group. All participants referred to ophthalmology are assisted in making their initial eye exam appointment. Conclusion: This study targets vulnerable populations where they live to ensure improved access to and utilization of eye care services in those who are least likely to seek eye care.
MeSH term(s)	Adult ; Follow-Up Studies ; Humans ; Intraocular Pressure ; Middle Aged ; Prospective Studies ; Vision Screening ; Vulnerable Populations
Language	English
Publishing date	2021-01-06
Publishing country	United States
Document type	Journal Article ; Randomized Controlled Trial ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	913494-3
ISSN	1536-481X ; 1057-0829
ISSN (online)	1536-481X
ISSN	1057-0829
DOI	10.1097/IJG.0000000000001795
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Article ; Online: Manhattan Vision Screening and Follow-Up Study in Vulnerable Populations: 1-Month Feasibility Results.

Hark, Lisa A / Tan, Camille S / Kresch, Yocheved S / De Moraes, C Gustavo / Horowitz, Jason D / Park, Lisa / Auran, James D / Gorroochurn, Prakash / Stempel, Stella / Maruri, Stefania C / Besagar, Sonya / Saaddine, Jinan B / Lambert, Bianca C / Pizzi, Laura T / Sapru, Saloni / Price, Simani / Williams, Olajide A / Cioffi, George A / Liebmann, Jeffrey M

Current eye research

2021 Volume 46, Issue 10, Page(s) 1597–1604

Abstract: ... Purpose/ ... ...

Abstract	Purpose/Aim
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Community Health Services/organization & administration ; Feasibility Studies ; Female ; Follow-Up Studies ; Health Behavior ; Health Services Accessibility/organization & administration ; Humans ; Male ; Middle Aged ; New York City ; Patient Navigation/organization & administration ; Risk Factors ; Sickness Impact Profile ; Vision Disorders/diagnosis ; Vision Disorders/epidemiology ; Vision Screening/methods ; Vulnerable Populations
Language	English
Publishing date	2021-04-19
Publishing country	England
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	82079-9
ISSN	1460-2202 ; 0271-3683
ISSN (online)	1460-2202
ISSN	0271-3683
DOI	10.1080/02713683.2021.1905000
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