Many eye conditions, such as glaucoma and macular degeneration, do not have noticeable symptoms in their early stages, although if detected or treated early, are preventable. Regular eye examinations are an effective measure for identifying common eye problems and can prevent avoidable blindness and vision loss.
General practice plays a crucial role in reducing avoidable blindness and vision loss and its associated burden of disease, including identifying those people at higher risk of eye disease. While eye disease can occur at any age, risk factors include:
- Being 40 years of age and older
- Smoking
- Having hypertension
- Having diabetes
- A family history of eye disease.
First Nations people and those from culturally and linguistically diverse communities may also face additional barriers in accessing tailored and appropriate support for their eye health.
Eye health project background
To reduce the prevalence of avoidable blindness and vision loss and improve eye screening and detection of eye conditions/disease for at risk groups, the Victorian Department of Health funded Murray PHN to partner with Eastern Melbourne PHN to lead the development and implementation of a quality and systems improvement pilot project. The project was completed in December 2023, in partnership with Vision 2020 Australia, Gippsland PHN, North Western Melbourne PHN and Western Victoria PHN. Forty-eight general practices, including 10 from the Murray PHN region, undertook activities to support ongoing identification and appropriate referral of patients. Practices were supported with an orientation package, that included resources, training and quality improvement coaching. Download the final project evaluation report here. You can also view a summary of the key project outcomes.
Online training modules and webinars
Vision 2020 Australia, the peak body for eye health and vision care, has a range of online professional development, including self-paced modules and live webinars. Some of these resources are RACGP approved CPD activities and are freely available to all Victorian healthcare professionals. Download a training flyer and register for Vision 2020 Australia’s training platform.
Quality improvement activities
Some of the quality improvement ideas that were tested and implemented by practices during the project included:
- Creation of an optometry referral template for importing into a practice’s clinical information system, with versions available for Medical Director and Best Practice (To upload the template to your clinical software, right-click on the relevant link and save a copy of the file on your desktop. From your clinical software, upload the template saved on your desktop)
- Update the practice’s clinical information system address book with local optometry service provider details (listings available via the National Health Service Directory)
- Update the practice’s new patient intake form to include the question, “When was your last eye check?”
- Include eye health screening as part of all health assessment and GPMP templates
- Using clinical software or data extraction tools to identify patients with risk factors for eye disease and setting a reminder to ask them, “When was your last eye check?”
Resources
- Murray PHN’s quality improvement consultants have developed a Focus on eye health document
- Vision 2020 Australia collateral for display in waiting rooms and for patients
- KeepSight is a national eye check recall and reminder system for people with diabetes, led by Diabetes Australia. Healthcare providers can access the free digital platform to register patient details
- Good Vision for Life is an information hub that includes a search function to find a local optometrist, plus information about healthy eyes
- Patients who are blind or have vision loss can be referred to Vision Australia for support
- Glaucoma Australia provides free education and support to people living with glaucoma and produces resources to promote early detection
- Victorian Eyecare Service allows eligible Victorians to receive subsidised glasses, contact lenses and visual aids
- Victorian Aboriginal Spectacles Subsidy Scheme provides $10 glasses for all Aboriginal and Torres Strait Islander people living in Victoria
- NSW Spectacles Program provides glasses and vision aids to eligible recipients.