Report finds nation’s EYE Q is missing the mark & putting millions at risk of avoidable sight loss

One in three of us will suffer sight loss in our lifetime, yet half of this could be avoided. Routine eye tests, to ensure early detection and treatment of eye conditions, and adopting healthy lifestyles are key to preventing unnecessary sight loss; however, the findings of a new report reveal many of us lack even the most basic ‘know-how’ when it comes to looking after our vision and eye health.

“Many of us lack even the most basic ‘know-how’ when it comes to looking after our vision and eye health”

The Eye Q report, commissioned by Eye Health UK and Thomas Pocklington Trust to mark National Eye Health Week (19–25 September), found just one in four of us rate routine eye tests as important for maintaining good eye health. Worryingly, the report also found more than 17.5million of us haven’t had an eye test in the last two years, as recommended; with men and minority ethnic groups most likely to skip this essential health check.

As well as fears about the cost of eye care, the misnomer that ‘if your eyes are fine you don’t need to have an eye test’ was a common reason not getting eyes checked.

The report also uncovered a shocking lack of awareness of ‘reg flag’ symptoms linked to sight-threatening eye conditions. Despite being symptoms of retinal detachment – a condition requiring urgent treatment to avoid permanent sight loss – only one in five of us (19%) would seek same-day medical attention if we suddenly saw lots of flashes and floaters in our vision, and fewer than half of us (48%) would take urgent action if we saw a shadow, veil or curtain over our vision.

When it comes to understanding how lifestyle can impact risk of sight loss, a meagre eight per cent of us link exercise and eye health despite evidence showing being physically active can slash the risk of visual impairment.

Eighty per cent of us are in the dark about the eye health benefits of eating a nutritionally-balanced diet; just four in 10 (38%) understand exposure to the sun’s UV can impact eye health, and, a paltry 13 per cent link smoking and sight loss, even though smoking is a direct cause of sight loss, including macular degeneration – the UK’s leading cause of blindness.

Awareness that the menopause can affect eye health was also woefully low, with just 13 per cent of peri- & menopausal women making a connection between the two, despite ‘the change’ triggering dry eye and blepharitis, and, increasing the risk of glaucoma and cataracts.

UV protection is vital to prevent poor eye health and future sight loss, however, one in five believe eyes only need protecting on sunny days, when in fact, eyes should be protected whenever the UV index rises to three or more,[5] even if the skies are cloudy, as 90 per cent of UV can transmit through the clouds.[6]

With increasing screen use more and more of us are suffering screen fatigue – headaches, sore or tired eyes and temporary blurring of our vision – because we don’t know how to be screen smart. Just one in seven of us follow the 20-20-20 rule [look away from your screen every 20 minutes and focus on something 20 feet away for 20 seconds]; only 28 per cent adjust room lighting and four in five don’t consciously blink.

Other misconceptions about factors that can have a negative impact on vision and eye health include:

  • 75% of us think it’s okay to shower in contact lenses. It’s not. Contacts should be removed before showering to prevent water-borne infection.
  • 72% of us are unaware of the dangers of using old mascara. Using mascara that’s been open for more than three or four months is a common cause of eye irritation and infection.
  • 65% of us think reading in dim light could damage our eyes. It won’t. It will simply highlight any existing imperfection.
  • 56% of us are unaware that rubbing our eyes could be harmful. However, excessive rubbing is linked to keratoconus – a condition that distorts your vision.

With little knowledge about how to care for our eyes and factors that can affect them it’s probably no surprise the report found 77 per cent us suffered poor eye health in the last 12 months, whilst more than half of us (52%) say our daily lives have been disrupted by the quality of our vision – affecting our ability to do, or enjoy, daily things like household chores, driving, reading or our hobbies.

The state of our eye health also affected our emotions and mental well-being. Fifty-five per cent of respondents say their vision affected their mental state – leaving them feeling frustrated (24%), anxious (16%) or stressed (13%). The affect of eye health on mental state was particularly prevalent amongst people living with sight loss[7], with 76 per cent saying their vision had affected their mental health.

Commenting on the report David Cartwright, optometrist and chair of Eye Health UK said: “With 60 per cent of us worrying about our long-term vision it’s time for us to wise up and learn how to look after our eyes.

“Making some simple changes to our lifestyle and having regular eye tests could give your eye health a boost and prevent future sight loss.”

Mike Bell, Head of Public Affairs and Campaigns at Thomas Pocklington Trust added: “The Eye Q report has revealed how little knowledge there is about the importance of eye health, including amongst people already living with some form of sight loss.

“Looking after your eyes is just as important as looking after the rest of your body. Regular eye health checks can help prevent or limit the damage done by many eye conditions. They can also help identify the signs of other health conditions like diabetes or high blood pressure. The message is clear, get regular eye health checks and never ignore changes in your vision.”

Visit the National Eye Health Week website (visionmatters.org.uk) to check your risk of future sight loss using on the online eye health calculator.

Lost in Transition?

Research shows people with vision impairment lack support to gain quality education and employment

A study just published by the Vision Impairment Centre for Teaching and Research (VICTAR) at the University of Birmingham and Thomas Pocklington Trust (TPT) shows one in five people with vision impairment did not gain quality employment despite earning qualifications in line with the general population.

The study tracked 80 participants from England over a period of 11 years (from age 14 to 25) to improve understanding on why this population is vulnerable to becoming long term NEET (not in education, employment or training).

Many of the young people spoke positively about their experiences in school and achieved average or above average GCSE qualifications. But then faced a range of barriers when entering Further Education, Higher Education and ultimately the employment market.

Rachel Hewett, Birmingham Fellow at the Vision Impairment Centre for Teaching and Research School of Education, University of Birmingham said: “The research identified key challenges once the young people transitioned into Further Education (FE). Many young people found adjustments were not put in place in time and they had a lack of access to specialist support.

“Careers guidance often focused on keeping the young person in education, with limited support for transitioning into employment. This led to some of the participants ‘churning’ in the system.”

Many barriers were observed once the participants moved into Higher Education, such as an inaccessible application process for UCAS and Disabled Students’ Allowance (DSA), and inaccessible virtual learning environments and a failure from institutions to make reasonable adjustments.

This led to some of the cohort withdrawing from their courses, repeating modules or entire academic years, or leaving with a degree classification which they feel did not reflect their ability.

Several of the participants wished to pursue apprenticeships but were unable to identify suitable opportunities or access specialist support to help them consider alternative options.

Tara Chattaway, Head of Education at TPT said: “It is evident that young people with vision impairment are not getting the support at transition periods in their lives. The lack of support, accessibility and inclusion can impact on the quality of education the young person receives and on then on their employment opportunities.

“We are calling on Government to bridge this gap and to ensure that the Skills and Post-16 Education Bill and their response to the impending SEND review truly supports the aspirations and learning needs of vision impaired students.”

At the end of the study 66% of the remaining participants were in some form of employment, 17% remained NEET, including seven young people who by the age of 25 had never experienced paid employment. Of particular concern is the lack of support available to help young people with vision impairment access employment once they become NEET, with several of the young people being actively discouraged by Jobcentre Plus staff to search for employment, in favour of long-term benefits.

The research did identify factors that drive positive outcomes for young people with vision impairment. They include:

  • Self-advocacy skills and a good understanding of their vision impairment and the adjustments they require.
  • A well developed and broad range of skills for accessing information.
  • Mobility and orientation skills, including skills for getting around in unfamiliar environments.

Tara added: “At TPT we understand the importance vision impaired students having the right access to materials, assistive technology and independence skills in order to thrive in education and to transition into employment. More must be done.”