Ophthalmic epidemiology · 2025
Detection of Eye Diseases and Referral Rates for In-Office Eye Care Across Three SIGHT Studies.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
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Hark Lisa A, Newman-Casey Paula Anne, Gorroochurn Prakash, Sapru Saloni, Torres Desiree R, Maruri Stefania C, Winter Suzanne, Price Simani, Girkin Christopher, Swain Thomas A, McGwin Gerald, Cioffi George A, Liebmann Jeffrey M, Horowitz Jason D, Rhodes Lindsay A, Owsley Cynthia
Аннотация
PURPOSE: To report eye disease detection referral rates for in-office eye care across the Screening and Intervention for Glaucoma and eye Health through Telemedicine (SIGHT) Studies conducted in Alabama (AL-SIGHT), Michigan (MI-SIGHT), and New York City (NYC-SIGHT).
METHODS: Individuals age ≥40 years who completed eye health screenings in federally qualified health centers, a free clinic, and affordable housing developments were included in the analysis. Visual acuity, intraocular pressure (IOP), and fundus photography were conducted across all sites and detection of eye diseases and referral rates are reported. Two-sample t-test and chi-square test (or Fisher's exact test) were used to compare continuous and categorical variables, respectively, between those referred and not referred.
RESULTS: Of the 838 participants screened in AL-SIGHT, 2970 in MI-SIGHT, and 708 in NYC-SIGHT, referral rates for in-office eye care were 47.3%, 42.8%, and 66.1% respectively. Detection rates of glaucoma and glaucoma suspect in AL-SIGHT were 18.6%, MI-SIGHT were 24%, and NYC-SIGHT were 26.7%. Among those referred there were significantly more participants who identified as Black race, had high school or less education, were single/divorced/separated/widowed, retired or unable to work/disabled, insured with Medicare, or reported having diabetes, hypertension, or glaucoma (p < 0.05).
CONCLUSION: The SIGHT Studies provide evidence that reaching underserved individuals at high-risk for eye diseases and providing telehealth-based eye health screenings in trusted community-based settings, led to high rates of eye disease detection and referral for in-office eye care.
METHODS: Individuals age ≥40 years who completed eye health screenings in federally qualified health centers, a free clinic, and affordable housing developments were included in the analysis. Visual acuity, intraocular pressure (IOP), and fundus photography were conducted across all sites and detection of eye diseases and referral rates are reported. Two-sample t-test and chi-square test (or Fisher's exact test) were used to compare continuous and categorical variables, respectively, between those referred and not referred.
RESULTS: Of the 838 participants screened in AL-SIGHT, 2970 in MI-SIGHT, and 708 in NYC-SIGHT, referral rates for in-office eye care were 47.3%, 42.8%, and 66.1% respectively. Detection rates of glaucoma and glaucoma suspect in AL-SIGHT were 18.6%, MI-SIGHT were 24%, and NYC-SIGHT were 26.7%. Among those referred there were significantly more participants who identified as Black race, had high school or less education, were single/divorced/separated/widowed, retired or unable to work/disabled, insured with Medicare, or reported having diabetes, hypertension, or glaucoma (p < 0.05).
CONCLUSION: The SIGHT Studies provide evidence that reaching underserved individuals at high-risk for eye diseases and providing telehealth-based eye health screenings in trusted community-based settings, led to high rates of eye disease detection and referral for in-office eye care.