{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T16:02:38Z","timestamp":1788364958916,"version":"build-2803163510"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,4,27]],"date-time":"2015-04-27T00:00:00Z","timestamp":1430092800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2015,8]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>To assess the proportion of A<\/jats:styled-content>ustralian I<\/jats:styled-content>ndigenous adults who require eye care services (separately among those with and without diabetes) and determine implications for eye care service planning.<\/jats:p><\/jats:sec>Design<\/jats:title>The N<\/jats:styled-content>ational I<\/jats:styled-content>ndigenous E<\/jats:styled-content>ye H<\/jats:styled-content>ealth S<\/jats:styled-content>urvey (NIEHS<\/jats:styled-content>) was a population\u2010based study of 30 randomly selected geographical areas.<\/jats:p><\/jats:sec>Participants<\/jats:title>The NIEHS<\/jats:styled-content> included 1189 I<\/jats:styled-content>ndigenous adults aged 40\u201380 years.<\/jats:p><\/jats:sec>Methods<\/jats:title>A standardized eye examination was performed.<\/jats:p><\/jats:sec>Main Outcome Measure<\/jats:title>The number requiring eye care services by diabetes status.<\/jats:p><\/jats:sec>Results<\/jats:title>Those with diabetes were older (median 53 years) than those without diabetes (median age 50 years), P<\/jats:italic>\u2009<\u20090.001. The total estimated population\u2010based need for annual eye care in the NIEHS<\/jats:styled-content> population was 52% (n<\/jats:italic>\u2009=\u2009615), and of those 72% were people with diabetes. Among those with diabetes, 29% required further primary referral for diabetic retinopathy, 12% for cataract, 1% for trachomatous trichiasis and 5% for uncorrected distance refractive error. Among those without diabetes 13% required further primary referral for cataract, 0% for trachomatous trichiasis and 5% for uncorrected distance refractive error.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>This study has shown that among I<\/jats:styled-content>ndigenous adults, those with diabetes form 72% of those requiring an eye examination in any year. A key strategy to close the gap for vision for A<\/jats:styled-content>ustralia's I<\/jats:styled-content>ndigenous population is to ensure those with diabetes undergo annual eye screening, have clearly defined care pathways and receive timely treatment. Establishing care pathways for those who have diabetes would also improve access to eye care services for others in the community.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ceo.12499","type":"journal-article","created":{"date-parts":[[2015,2,2]],"date-time":"2015-02-02T02:07:16Z","timestamp":1422842836000},"page":"540-543","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of diabetes on eye care service needs: the N<\/scp>ational I<\/scp>ndigenous E<\/scp>ye H<\/scp>ealth S<\/scp>urvey"],"prefix":"10.1111","volume":"43","author":[{"given":"Robyn J","family":"Tapp","sequence":"first","affiliation":[{"name":"Indigenous Eye Health Unit Melbourne School of Population and Global Health The University of Melbourne Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea I","family":"Boudville","sequence":"additional","affiliation":[{"name":"Indigenous Eye Health Unit Melbourne School of Population and Global Health The University of Melbourne Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marian","family":"Abouzeid","sequence":"additional","affiliation":[{"name":"Indigenous Eye Health Unit Melbourne School of Population and Global Health The University of Melbourne Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell D","family":"Anjou","sequence":"additional","affiliation":[{"name":"Indigenous Eye Health Unit Melbourne School of Population and Global Health The University of Melbourne Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugh R","family":"Taylor","sequence":"additional","affiliation":[{"name":"Indigenous Eye Health Unit Melbourne School of Population and Global Health The University of Melbourne Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,4,27]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2012.02852.x"},{"key":"e_1_2_5_3_1","unstructured":"HR Taylor MD Anjou AI Boudville RJ McNeil 2012 Indigenous Eye Health Unit School of Population and Global Health University of Melbourne Melbourne"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2010.tb03529.x"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2012.12.030"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2006.01275.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(03)00475-5"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2004.09.083"},{"key":"e_1_2_5_9_1","unstructured":"National Health and Medical Research Council.Guidelines for the Management of Diabetic Retinopathy 2008. 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