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  • 1
    Online Resource
    Online Resource
    Vitreomacular interface abnormalities in the Ghanaian African
    Springer Science and Business Media LLC ; 2023
    In:  Eye
    Details
    In: Eye, Springer Science and Business Media LLC
    Abstract: Describe vitreomacular interface abnormalities (VMIA) using spectral-domain optical coherence tomography (SD-OCT), and correlations with age-related macular degeneration (AMD) grade in Ghanaian Africans. Subjects/Methods Prospective, cross-sectional study of adults aged ≥50 years recruited in Ghana AMD Study. Participant demographics, medical histories, ophthalmic examination, digital colour fundus photography (CFP) were obtained. High-resolution five-line raster OCT, Macular Cube 512 × 128 scans, and additional line scans in areas of clinical abnormality, were acquired. SD-OCT VMI features classified by International Vitreomacular Traction Study Group system and relationships to AMD grade were evaluated. Outcomes: VMIA prevalence, posterior vitreous detachment (PVD), vitreomacular adhesions (VMA), vitreomacular traction (VMT), epiretinal membranes (ERM), correlations with AMD grade. Results The full Ghana AMD cohort included 718 participants; 624 participants (1248 eyes) aged ≥50 years (range = 50–101, mean = 68.8), 68.9% female were included in this analysis. CFP with OCT scans were available for 776 eyes (397 participants); 707 (91.1%) had gradable CFP and OCT scans for both AMD and VMI grading forming the dataset for this report. PVD was absent in 504 (71.3%); partial and complete PVD occurred in 16.7% and 12.0% respectively. PVD did not increase with age ( p  = 0.720). VMIA without traction and macular holes were observed in 12.2% of eyes; 87.8% had no abnormalities. VMIA was not significantly correlated with AMD grade ( p  = 0.819). Conclusions This provides the first assessment of VMIA in Ghanaian Africans. VMIA are common in Africans; PVD may be less common than in Caucasians. There was no significant association of AMD grade with VMIA.
    Type of Medium: Online Resource
    ISSN: 0950-222X , 1476-5454
    URL: Article
    DOI: 10.1038/s41433-023-02737-z
    RVK:
    XA 42635
    RVK:
    XA 10000
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2080338-2
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  • 2
    Online Resource
    Online Resource
    Characterization of West African Crystalline Macular Dystrophy in the Ghanaian Population
    Elsevier BV ; 2022
    In:  Ophthalmology Retina Vol. 6, No. 8 ( 2022-08), p. 723-731
    Details
    In: Ophthalmology Retina, Elsevier BV, Vol. 6, No. 8 ( 2022-08), p. 723-731
    Type of Medium: Online Resource
    ISSN: 2468-6530
    URL: Article
    DOI: 10.1016/j.oret.2022.03.006
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2022
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  • 3
    Online Resource
    Online Resource
    Influences on technology use and interpretation among young people living with type 1 diabetes
    Wiley ; 2023
    In:  Lifestyle Medicine Vol. 4, No. 1 ( 2023-01)
    Details
    In: Lifestyle Medicine, Wiley, Vol. 4, No. 1 ( 2023-01)
    Abstract: To characterise continuous glucose monitor and flash glucose monitor use and related issues (both positive and negative) in the population of children and young people living with type 1 diabetes in the Southern Health and Social Care Trust (SHSCT), Northern Ireland. Methods Four focus groups were conducted in the SHSCT with people with type 1 diabetes and their families, to assess opinions of diabetes technology. In addition, questionnaires were distributed to diabetes specialist nurses (DSNs), young people and their families about use and access to diabetes technology. Results Questionnaires were completed by 68 children, young people (0–18 years) and their parents/guardians. Nearly all (98.5%) had access to their own diabetes related data, and 70.6% used diabetes data systems, for example, Libreview. Most of those using these systems found them beneficial and easy for daily use and clinical review. Most DSNs (83.9%) agreed that the systems were easy to use, and 82.3% were confident in interpreting the data accurately. DSNs felt virtual review was beneficial in over half of young people with 62.9% advising changes to diabetes management based on the data. Focus groups participants deemed diabetes technology a ‘ gamechanger ’ and ‘lifechanging’ . Some drawbacks included ‘disruptive’ alarms, self‐confidence issues, visible diabetes technology and problems in school. Conclusions Most young people, their families and healthcare professionals reported they were confident in interpreting diabetes data and technology was easy to use. Diabetes technology could improve access to care through virtual clinics, improve clinical outcomes and enhance quality of life.
    Type of Medium: Online Resource
    ISSN: 2688-3740 , 2688-3740
    URL: Issue
    URL: Article
    DOI: 10.1002/lim2.v4.1
    DOI: 10.1002/lim2.73
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 3052803-3
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  • 4
    Online Resource
    Online Resource
    The Integration of Diabetic Eye Screening into Hemodialysis Units in Northern Ireland
    Ovid Technologies (Wolters Kluwer Health) ; 2022
    In:  Kidney360 Vol. 3, No. 9 ( 2022-9-29), p. 1542-1544
    Details
    In: Kidney360, Ovid Technologies (Wolters Kluwer Health), Vol. 3, No. 9 ( 2022-9-29), p. 1542-1544
    Abstract: Previous literature shows people with type 2 diabetes and CKD are more likely to have sight-threatening retinopathy. Our study shows that many people attending for dialysis often fail to attend their annual diabetic eye screening appointments. High levels of sight-threatening diabetic retinopathy were found in people on dialysis, showing the importance of screening in these clinics. Background Diabetes is rising globally and is the most common cause of both end-stage renal disease and blindness. People on hemodialysis have to attend several dialysis appointments per week, which can affect their attendance at diabetic eye screening. In addition, previous literature suggests patients on hemodialysis are more likely to have sight-threatening diabetic eye disease. This study aims to determine attendance at the Diabetic Eye Screening Program in Northern Ireland, diabetic retinopathy severity, and use of handheld retinal imaging in people with diabetes attending hemodialysis units in Northern Ireland. Methods All patients with diabetes attending hemodialysis clinics regionally were screened and graded by the Diabetic Eye Screening Program in Northern Ireland using a handheld and/or conventional nonmydriatic fundus camera. Results All eligible people ( N =149) were offered a Diabetic Eye Screening Program in Northern Ireland appointment, 132 attended, 34% of whom had not been seen in 〉 3 years and 15% of whom had never attended the Diabetic Eye Screening Program in Northern Ireland despite multiple previous appointments. Altogether, 13% required urgent referral to hospital eye services, which is significantly higher than the national average of 0.4%. Conclusions Those on hemodialysis are at high risk for sight-threatening diabetic retinopathy. Implementing the Diabetic Eye Screening Program in Northern Ireland in hemodialysis clinics enables timely diagnosis and referral.
    Type of Medium: Online Resource
    ISSN: 2641-7650
    URL: Article
    DOI: 10.34067/KID.0001802022
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2022
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  • 5
    Online Resource
    Online Resource
    Diabetic Retinopathy Screening Programme: Attendance, Barriers and Enablers amongst Young People with Diabetes Mellitus Aged 12–26 Years
    MDPI AG ; 2021
    In:  International Journal of Translational Medicine Vol. 1, No. 3 ( 2021-09-22), p. 154-162
    Details
    In: International Journal of Translational Medicine, MDPI AG, Vol. 1, No. 3 ( 2021-09-22), p. 154-162
    Abstract: The study aim is to investigate characteristics, barriers and enablers for attendance at the Diabetic Eye Screening Programme Northern Ireland (DESPNI) among people with diabetes aged 12–26 years. A mixed-methods approach with retrospective analysis and prospective, questionnaire-based data collection was completed. Data were analysed using ordinal logistic regression. A questionnaire collected information on barriers and enablers to attending DESPNI. Age, diabetes duration, attendance at diabetes clinic and lower HbA1c values were significantly associated with better attendance. Those aged 12–15 were more likely to attend screening than 16–26 years, odds ratio (OR) 4.01. Subjects diagnosed less than 5 years were more likely to attend than those with longer diabetes duration (OR = 2.52, p = 〈 0.001). Subjects who attended diabetes clinics were more likely to attend screening (OR = 1.89, p = 〈 0.001) and have a lower HbA1c (OR = 1.46, p = 〈 0.001). Questionnaires revealed major barriers to attendance which included inconvenient appointment times, lack of access and poor communication. While many subjects were aware of the impact of diabetes on the eye, many had little understanding of screening. This study provides pivotal information on potential barriers and enablers for young people attending eye screening. We suggest modest changes such as convenient appointment times, clearer communication and one-stop clinics could improve attendance.
    Type of Medium: Online Resource
    ISSN: 2673-8937
    URL: Article
    DOI: 10.3390/ijtm1030011
    Language: English
    Publisher: MDPI AG
    Publication Date: 2021
    detail.hit.zdb_id: 3104818-3
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  • 6
    Online Resource
    Online Resource
    Navigating the Unseen City: Town Planners, Architects, Ophthalmic Professionals, and Charity Opinions on Navigating of the Built Environment with a Visual Impairment
    MDPI AG ; 2022
    In:  International Journal of Environmental Research and Public Health Vol. 19, No. 12 ( 2022-06-14), p. 7299-
    Details
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 19, No. 12 ( 2022-06-14), p. 7299-
    Abstract: People with a visual impairment often find navigating around towns and cities difficult. Streetscape features such as bollards, street cafés, and parked cars on pavements are some of the most common issues. in this paper semi-structured interviews were conducted with stakeholders including built environment professionals, visually impaired individuals, ophthalmic professionals, and sight loss charities. All stakeholders felt there were barriers and enablers to navigating streets with a visual impairment. Stakeholders agreed these can have an impact on the daily lives of those with a visual impairment. While built environment professionals knew of policies and guidance around accessibility for people with a visual impairment, there was a lack of professional knowledge about the spectrum of visual impairment. Despite this, stakeholders felt these small changes could have a positive impact, making accessible cities for all. A collaborative approach to streetscape design and further education could help create better environments for all.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    URL: Article
    DOI: 10.3390/ijerph19127299
    Language: English
    Publisher: MDPI AG
    Publication Date: 2022
    detail.hit.zdb_id: 2175195-X
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