Sight loss charity urges people to go for regular eye check-ups

Two Edinburgh women are backing a national campaign by charity RNIB Scotland, which has expressed concern that the covid crisis may lead to a rise in preventable sight loss if people neglect eye-treatment or regular check-ups.

During National Eye Health Week this week [September 20-26th], it will remind people that going for regular eye examinations remains as important as ever.

The Edinburgh-based charity’s director James Adams said: “A lot has happened over the past 18 months with the covid pandemic. But we must not neglect other health matters such as our vision because of this.

“Eye examinations are free in Scotland and can not only detect early signs of sight problems, possibly in time to arrest or reverse damage, but also sometimes pick up the symptoms of other conditions, such as high blood pressure and diabetes. It is entirely safe to visit your local optometrist.”

Julie Mosgrove, vice-chair of Optometry Scotland, said: “We have been communicating regularly with our members to share the latest Scottish Government guidance throughout the pandemic in relation to personal protective equipment (PPE) and social distancing measures.

“We would stress the importance of attending regular eye examinations as this is a vital health check that can detect a number of conditions and prevent avoidable sight loss.”

[LINK to short video of Hazel – https://vimeo.com/606607762/abc91c907b]

Edinburgh resident Hazel Kelly from Corstorphine has described how an eye examination prevented her own sight condition getting worse.

“In my case, after a routine check-up by my optician, they picked up on something and referred me to my local eye hospital, where I was diagnosed with the beginning of two rare corneal conditions,” Hazel said. “This referral from my optician ensured I got early treatment which prevented me from actually going blind.  And while I still have issues, if these conditions hadn’t been picked up earlier then the outcomes for me could have been far, far worse.”

Kirin Saeed  also from Edinburgh, backed Hazel’s message from her own experience of sight loss. “I believe eye tests are incredibly important,” she emphasised, “because they’re free and you can make sure that the precious gift that we all have, which is eye-sight, is kept safe and secure.”

LINK to short video of Kirin – https://vimeo.com/606608270/790e09c9c6 

According to the recent ‘State of the UK’s Eye Health 2021‘ report there were 4.3 million fewer eye tests across the UK in 2020, a 23 per cent drop compared to the last 12 months.

RNIB provides high quality information about all aspects of eye health,  and a wide range of support to people experiencing problems with their sight, from emotional reassurance and counselling, to practical help with new technology and welfare benefits.

* Contact RNIB’s Sight Loss Advice Service on 0303 123 9999 or visit rnib.org.uk/eyehealth.

Children across the UK are missing eye tests, charity warns

Those in low-income countries most at risk of sight loss

New findings released today reveal the impact of the pandemic on children’s eyesight in Scotland and Britain.

Seven in 10 adults in Britain are not aware that children should have an eye test at 4-5 years of age, as recommended by the NHS. In Scotland, two in three (66 per cent) of adults are unaware of this.

With children going back to school and spending more time on digital devices than ever before, the international eye care charity, Orbis is urging parents to book eye tests for their children as soon as possible.

The YouGov poll of 2,025 adults across Britain, 373 of them parents with children under 18 years of age, was commissioned by Orbis UK – the international eye health charity. Over half (54%) of parents in Britain admit they have not attempted to book an appointment for their children since the pandemic, while almost a quarter of parents (24%) are not sure if their child’s eyesight has got worse in this time.

The poll marks the two-year anniversary of its See My Future UK Aid Match appeal which works to fight avoidable blindness amongst children in Nepal.

While the findings reveal a need for action on eye health in Great Britain, the situation is especially stark for those living in parts of the world where there is little access to eye healthcare.

Globally 1.1 billion people experience vision loss and 90% of it is avoidable. Most of these people live in low-to-middle income countries such as Nepal, where avoidable vision loss means children are dropping out of school – either because their own eye health is poor, or to care for a blind or visually impaired family member.

The Orbis REACH (Refractive Error Among Children) initiative, partially funded by the UK government through UK Aid Match, works in the remote areas of Parsa and Siraha in Southeast Nepal.

Eye health workers screen and treat children with vision loss, enabling them to continue to attend school and look forward to a brighter future.

Children like 12-year-old Sneha* who struggled to read the blackboard and resorted to copying her friends’ notes so she could keep up in class. Orbis supported her with a screening including an eye test and glasses. She can now see properly and hopes to become a bank manager when she is older.

Larry Benjamin, Orbis medical volunteer and retired Consultant Ophthalmologist says: “The pandemic has been a challenge for all of us and it’s understandable parents have avoided health visits. But with so many children in Britain not seeing an optician, it is important that parents try to book eye tests for their children where possible.

“And for children living in parts of the world with little or no access to eye care, the challenges brought about by the pandemic are particularly worrying. Globally, children and adults have missed routine eye exams, and people are avoiding visits to eye health centers as they fear contracting the virus. It’s vital that Orbis reaches as many people as possible to ensure more children and families can hope for a better future.”

Rebecca Cronin, Chief Executive of Orbis UK, says: “Like NHS and high street eye-care teams, our eye health partners around the world have risen to the challenges brought about by the pandemic, delivering eye care in remote parts of the world and adhering to local guidelines to ensure patient safety.”

“But millions of people, especially children, are not getting the timely treatment they need. In many areas of the world where Orbis works, undiagnosed sight loss can have devastating consequences, plunging families into poverty.

“Even before the pandemic, the need for specialist eye doctors was already outpacing the numbers of trained experts in ophthalmic care. With 50% of people in Britain expressing concern about this, it’s clear the work of Orbis is more vital than ever and your support critical to the fight against avoidable blindness”.

The See My Future Appeal in 2019 raised almost £1.4 million pounds for the REACH project, this included over £650,000 of match funding from the UK Government. The funds have enabled over 71,639 children to have eye screenings, reached 213 schools and delivered treatments and training for eye health workers so they can identify vision issues.

With schools closed for much of 2020 the project adapted, working with local female community health volunteers to deliver house to house screenings. As a result, 1,000 more children, who do not normally attend school and would otherwise not be screened, had their eyes tested for the first time.

Orbis is now calling on its supporters to help raise money so it can help more people who are at risk of avoidable blindness. 

To find out more about Orbis and how to donate, visit www.orbis.org

Your sight could be lost if you don’t attend eye-screenings, charity warns diabetics

As the covid crisis hopefully eases, concerns are being focused on the impact of lockdown on other health conditions. With health centres forced to postpone routine screenings last year, there are fears some conditions may have worsened in the absence of early diagnosis and treatment.

During Diabetes Week this week [June 14-20th], the national sight loss charity RNIB Scotland is emphasising it is more important than ever that people with diabetes attend their regular check-up appointments, now that these have resumed.

RNIB director James Adams said: “Diabetic retinopathy, a complication of diabetes, can affect the small blood vessels at the back of the eye and is a major cause of sight loss among working-age adults. But damage to vision can be arrested if detected early enough.

“While it’s possible that diabetes won’t cause any changes to your sight, the most effective thing you can do to prevent this is to go to your retinal screening appointments and eye examinations, where safety measures are in place.”

The message is also being emphasised by NHS Scotland. Dr Mike Gavin, clinical lead for the national Scottish Diabetic Eye Screening Programme said: “We are working hard to see patients for screening, after the service was temporarily paused during the first lockdown in 2020. Patients should always attend screening whenever they are invited to prevent avoidable loss of sight.”

Each year, 5,500 patients with diabetes in Scotland need to undergo further imaging or see an NHS eye specialist for the first time due to worsening in their retinopathy.

There are 3.5 million people in the UK who have been diagnosed diabetes, and an estimated 500,000 people living with undiagnosed diabetes. Within 20 years of diagnosis, nearly all people with type 1 diabetes and almost two-thirds of people with type 2 diabetes will have developed some form of diabetic retinopathy. People with diabetes are also at increased risk of glaucoma and cataracts.

People from a South Asian or African-Caribbean background are two to four times more likely to get type 2 diabetes. They tend to develop it at a younger age which means they live with the condition for longer.

The risk of complications increases with the length of time people have the condition. It is not known why this is the case, but it is likely to be a mixture of genetics, lifestyle, and environmental factors.

RNIB Scotland is on the steering committee of a five-year study that is following 1,100 retinopathy patients from across Scotland.

The LENS (Lowering Events in Non-proliferative retinopathy in Scotland) trial is testing whether a cholesterol-lowering medicine, fenofibrate, can slow the progression of retinopathy.

LENS is being co-ordinated by the Universities of Oxford and Glasgow in partnership with Aberdeen, Dundee and Edinburgh, and with NHS Scotland’s Retinal Screening Service. More information about the trial is available at: www.ctsu.ox.ac.uk/lens.

* If you’re worried about your vision, contact RNIB’s Sight Loss Advice Service on 0303 123 9999 or visit www.rnib.org.uk/eyehealth

For more information on the NHS Scotland eye-screening service, visit  https://www.nhsinform.scot/illnesses-and-conditions/diabetes/diabetic-retinopathy.

More than 300,000 Scottish adults have never had their eyes tested

  • More than 300,000 Scottish adults have never had their eyes tested
  • More than three quarters (78 per cent) of Scottish adults say their eye health is very important to them
  • Worryingly, a fifth (19 per cent) believe no diseases can be spotted during eye exams
  • Scottish adults are willing to pay more for the most advanced technology in their eye exams
  • Survey commissioned by Dunfermline-based retinal imaging tech experts, Optos

Thousands of adults (355,840[1]) in Scotland have never had their eyes tested by an optician – potentially putting their vision at risk.

The survey of Scottish adults was commissioned by retinal imaging technology experts, Optos. It revealed that more than three quarters (78 per cent) of people in Scotland considered their eye health as very important to them. In Edinburgh, this increased to more than 80 per cent while in Glasgow, this figure dropped to 74 per cent.

Despite caring about the health of their eyes, the pandemic had prevented two-fifths (40 per cent) from attending appointments. Half (50 per cent) of those surveyed said it was because they worried about how safe it was to attend, while 24 per cent said there were no appointments available and 15 per cent were shielding or self-isolating.

Gareth Steer, VP of European Sales at Optos said: “Over the past year, we’ve all been spending more time at home and in front of screens. From working at a laptop or sitting watching TV, there are increasing concerns around eye health and a rise in cases of eye strain.

“Sight loss prevention charity, Fight for Sight, recently found that more than a third[2] of people felt their eyesight had worsened since the start of the pandemic. 

“We want people across Scotland to know that opticians using advanced retinal imaging technology are able to carry out their appointments in a safe way and will be able to identify any potential problems early, reducing the risk of eye disease and protecting eyesight.”

Encouragingly, people in Scotland do see the value in having the best eye exam possible and value expert advice. More than two thirds (64 per cent) state that they want the reassurance that potential issues are found early.

Opticians were considered the number one authority on eye health. Almost three quarters (72 per cent) said that they always follow the advice of their optician, above GPs (57 per cent), nurses (40 per cent) and pharmacists (35 per cent).

Six in 10 (63 per cent) said they would pay more for an eye exam that uses more advanced imaging technology because their eye health is so important to them.

Despite this, more than half (54 per cent) do not realise signs of diabetes are visible in a retinal eye exam, 49 per cent do not realise certain cancers can be detected, while 19 per cent don’t believe any eye diseases can be found in a retinal eye exam at all.

Gareth Steer added: “Advanced imaging technology is proven to support opticians in spotting potential vision and life-altering issues early. This includes diabetes, certain cancers, high blood pressure and detached retinas.

“A big part of this is education. We need to be more aware of the importance of eye care and attending eye appointments, even if you don’t think you have any issues. Advanced retinal imaging technology means opticians can carry out a very detailed exam quickly and from a safe distance.

“At Optos, we’re doing all we can to help raise awareness around the benefits of regular eye care examinations. The survey clearly shows that eye health is very important to people across Scotland so it’s essential we all make our vision a priority and ensure we find problems and treat them early.”

Awareness week warns of ‘ticking time-bomb’ of preventable sight loss

Concerns are being raised that the coronavirus crisis may lead to a ‘ticking time-bomb’ of preventable sight loss if people neglect eye-treatment or regular check-ups.

A drive to emphasise the importance of maintaining eye-health and reassure the public it is safe to visit their local optometrist begins at the start of National Eye-Health Week today.

Eye examinations, which are NHS funded in Scotland, can not only detect early signs of sight problems, in time to arrest or reverse damage, but sometimes pick up the symptoms of other serious health conditions such as high blood pressure and diabetes to name just a few.

One woman visited an optometrist at an Emergency Eye Treatment Centre after experiencing blurred vision then sight loss in one eye, and was referred to hospital where she received potentially life-saving treatment for a brain aneurysm.

Another patient was referred to hospital after his optician investigated a shadow on his retina – he was found to have suffered a mini eye stroke, and by chance during his tests kidney cancer was also detected before it metastasised allowing him to be referred for vital treatment.

During National Eye-Health Week, Optometry Scotland and national sight loss charity RNIB Scotland are joining forces to boost the eye-health message.

David Quigley, chair of Optometry Scotland, said: “Community Optometrists and Opticians practices remain the first port of call for any eye problems and we want to reassure the public that a range of enhanced hygiene measures, including NHS-approved PPE, are in place across practices, enabling patients to seek effective care in a safe environment.

“If you have any concerns whatsoever about your eye health, or you’re due a routine eye examination, don’t delay in contacting your local optician.  We are open and ready to help.  It’s important not to turn up without an appointment so please make sure you call in advance.”

RNIB Scotland has produced a series of photographs of iconic Scottish landmarks distorted by the effects of common sight loss conditions.

“We want to illustrate the potential consequences of not maintaining good eye-health,” said its director James Adams. “Some people have expressed concern over attending optometrist or eye clinic appointments, or are worried about using public transport to get there. We’ve even heard some people say they don’t want to ‘bother’ optometrists during this crisis period.

“Every survey shows that sight is the sense people fear losing most. And yet we can be surprisingly complacent about our eyes. During National Eye Health Week, we want to remind everyone to take care one of the most precious things we have – our sight.”

During the awareness week optometrists will take part in question and answer sessions on RNIB’s Connect radio station, while Stuart McMillan MSP, chair of the Scottish Parliament’s cross party group on visual impairment, will table a parliamentary motion highlighting the message.

* PHOTOGRAPHS show Edinburgh Castle as seen by someone with age-related macular degeneration, and the Scottish Parliament as seen by someone with glaucoma.

Community optometrists to support eye care services

Help for those with sight-threatening conditions.

Patients with chronic eye conditions will be now be able to be assessed by community optometrists as part of a new plan supported by £3 million in funding.

Due to changes in hospital services because of COVID-19 – including health, safety and physical distancing measures – there has been limited capacity to see all patients with chronic and sight-threatening conditions.

Under the new plan, the skills of community optometrists will be utilised to support hospital eye services, ensuring more patients can be seen for their appointments. 

Community optometrists are qualified to undertake this care – and the new initiative will help patients as well as supporting the existing optometry workforce. 

The Programme for Government contains a commitment to accelerate the reform of NHS eye care services.

This includes funding to support an additional 50 optometrists to train as independent prescribing optometrists, who can safely treat more patients within the community.

Health Secretary Jeane Freeman said: “As we steadily re-mobilise, we are implementing new ways of working to enable our highly skilled workforce across the whole NHS to deliver care in a safe and timely manner.

“I’m pleased that as we continue to see positive results in dealing with the virus, hospital patients with eye conditions will now be able to be reviewed by community optometrists.

“Community optometrists have worked very hard during the pandemic to embrace new ways of working, and these clinicians will now also play a key role in this initiative.

“This plan utilises the capacity within community optometry – their expertise, staffing and readily equipped practices can support the NHS both during the COVID-19 pandemic recovery, and beyond.”

Director of Royal National Institute of Blind Scotland James Adams said: “We welcome any move that ensures people receive timely eye-care examinations and treatment.  It remains as crucial as ever that eye problems are diagnosed as quickly as possible so that people don’t lose sight unnecessarily.

“As with all our health sector staff, optometrists have worked incredibly hard to maintain their vital service in very challenging conditions. RNIB Scotland has worked closely with them to assure the public that it is safe, and important, to attend appointments.”

More detail on Health Board mobilisation plans can be read online.

Don’t ignore eye check-ups – they can save your sight!

Optometric practices (opticians) have now reopened in Scotland and a charity is urging people to resume treatment and eye examinations which may prevent later sight loss.

Eye examinations are free in Scotland and can spot the first signs of sight problems when impairment of vision can be arrested or even reversed.

James Adams, director of RNIB Scotland, said: “The coronavirus has eclipsed other concerns in the public consciousness lately, but we still have to be aware of maintaining our wider health, including our eyes. That’s why it’s very important we still go for regular eye examinations and continue treatment that can save sight.”

The charity is pointing to a recent survey by ophthalmic professionals that found that up to 50 per cent of people with acute or urgent eye conditions, including age-related macular degeneration, the most common cause of sight loss in Britain, had missed appointments during the peak of lockdown.

David Quigley, chair of professional body Optometry Scotland, said the emphasis was on ensuring a safe environment and experience for patients and staff. “So while appointments may be a little different as we closely follow Government guidelines, optometrists can now offer a wide spectrum of eyecare, including routine exams, which are crucial in maintaining eye health and reducing avoidable sight loss.

“The sector is also embracing technology to continue to offer remote services where appropriate, something we are keen to encourage as we move into a new reality of care. We encourage patients to phone their local optometrist in the first instance, who will assess whether they are best served remotely or in practice and will make an appointment as necessary.”

Home visits will be available for those who can’t attend a practice without assistance. This could be someone who is shielding, needs the support of carers, is unable to travel to a practice, or is temporarily injured. Most parts of a routine eye exam can be carried out and a broad spectrum of treatment can be administered too.

Optometry Scotland has produced a video [https://bit.ly/2AZ55VO] with RNIB Scotland explaining the special procedures in place for blind and partially sighted people when visiting their local optometrist practice.

* RNIB’s ‘Eye health during Coronavirus: What to do and what to expect’ leaflet is available here – https://www.rnib.org.uk/sites/default/files/eye-health-coronavirus-tips-2.pdf

For more information on what to do if you have concerns about your sight, call the RNIB Helpline on 0303 123 9999 or visit rnib.org.uk/eyehealth.