REGIONAL IV OPHTHALMOLOGY MEETING

IN CONJUNCTION WITH CME5

Primary Eye Care :

Screening of High Risk
Population
Dr. HERA DWI NOVITA, Sp.M(K)

Departemen Ilmu Kesehatan Mata

RSSA/FKUB
Divisi Oftalmologi Komunitas.

DOLAN MALANG - Discovering Advances in Ophthalmology Learning and Networking

Malang, November 10 - 11th 2023
 REGIONAL IV OPHTHALMOLOGY MEETING
IN CONJUNCTION WITH CME5

Outline
• Definition of screening
• Screening of high-risk Population :
• Neonatal Period
• Children & Adolescent
• Older Adults
• People with Diabetes
• Priority Screening intervention in the field of eye care.

DOLAN MALANG - Discovering Advances In Ophthalmology Learning And Networking

Malang, November 10 - 11th 2023
• Identifying unrecognized disease or
risk factors for disease by applying tests
on a large scale to a population that does
not have clinical symptoms

•  further test are needed to confirm the

diagnosis

Purpose
–Prevention of serious outcomes of
existing disease (secondary
prevention)
–Prevention of the development of
disease (primary prevention)
How to develop screening of high-risk
population ?
 REGIONAL IV OPHTHALMOLOGY MEETING
IN CONJUNCTION WITH CME5

Screening of High-Risk Population

• Some eye condition can be asymptomatic in early stages 

if not diagnosed and treated in time  permanent
consequences  recommended screening strategies at
critical stages throughout the life course and among high risk
population group

DOLAN MALANG - Discovering Advances In Ophthalmology Learning And Networking

Malang, November 10 - 11th 2023
Integrated Eye Care at all service delivery levels
 REGIONAL IV OPHTHALMOLOGY MEETING
IN CONJUNCTION WITH CME5

Neonatal Period
• External Examination of the
Congenital eye
Congenital Cataract • Red reflex Test for all infants
at birth
Congenital
• Prompt & appropriate
Glaucoma interventions  surgery
Pediatric Retinoblastoma • High-quality neonatal care
Eye Retinopathy of  integrated prevention
condition Prematurity strategies for ROP,
systematic screening among
(ROP) preterm infants & newborn
of low birth weight  timely
referral for treatment
DOLAN MALANG - Discovering Advances In Ophthalmology Learning And Networking
Malang, November 10 - 11th 2023
 REGIONAL IV OPHTHALMOLOGY MEETING
IN CONJUNCTION WITH CME5

Children & Adolescents

Education
Children Vision screening  pre-school age,
Refractive inclusion of vision screening in
Error  school health services and initiative,
particularly timely provision of correction,
Myopia management of amblyopia, external
Adolescents eye examination, cooperation
Education between ministries of health and of
education

DOLAN MALANG - Discovering Advances In Ophthalmology Learning And Networking

Malang, November 10 - 11th 2023
 REGIONAL IV OPHTHALMOLOGY MEETING
IN CONJUNCTION WITH CME5

Older Adults

General population screening of

Older visual acuity is not considered to
80% of
groups be cost effective in most setting 
distance-vision but for older adults is an easy and
impairment and accessible manner  assessment
blindness, 2/3 by health care providers (GP, health
of near vision workers at community level) 
impairment  WHO recommend that older
>=50 y.o people >=60  assessment of
visual acuity & timely provision of
comprehensive eye care
DOLAN MALANG - Discovering Advances In Ophthalmology Learning And Networking
Malang, November 10 - 11th 2023
 REGIONAL IV OPHTHALMOLOGY MEETING
IN CONJUNCTION WITH CME5

People With Diabetes

Vision impairment is avoidable
through the management and
Lifestyle Diabetic retinopathy  control of key risk factors,
early detection & timely
changes leading cause of treatment
preventable vision Systematic retinal screening to
impairment and detect vision threatening
Increase in blindness, estimated stages
the number increase 180,6 million Screening  ophthalmoscopy
of people in 2030 by trained eye care personel
(ophthalmologist,
with optometrist), retinal imaging --
diabetes > local interpretation or
telemedicine, AI
DOLAN MALANG - Discovering Advances In Ophthalmology Learning And Networking
Malang, November 10 - 11th 2023
 REGIONAL IV OPHTHALMOLOGY MEETING
IN CONJUNCTION WITH CME5

Priority Screening Intervention in The Field of Eye Care

Provide an overview of the Objective  to

recommended screening ensure the timely
strategies at critical stages detection of eye
throughout the life course and condition and vision
among high-risk population impairment in those
groups most at risk

DOLAN MALANG - Discovering Advances In Ophthalmology Learning And Networking

Malang, November 10 - 11th 2023
 REGIONAL IV OPHTHALMOLOGY MEETING
IN CONJUNCTION WITH CME5

Priority Screening Intervention in The Field of Eye Care

NEWBORN

PRE-SCHOOL

SCHOOL

DOLAN MALANG - Discovering Advances In Ophthalmology Learning And Networking

OLDER Malang, November 10 - 11th 2023
 REGIONAL IV OPHTHALMOLOGY MEETING
IN CONJUNCTION WITH CME5

Priority Screening Intervention in The Field of Eye Care

PRETERM/LOW-
BIRTH-WEIGHT

DIABETES
DOLAN MALANG - Discovering Advances In Ophthalmology Learning And Networking
Malang, November 10 - 11th 2023
 REGIONAL IV OPHTHALMOLOGY MEETING
IN CONJUNCTION WITH CME5

Clinical Examination for Diagnosis

DOLAN MALANG - Discovering Advances In Ophthalmology Learning And Networking

Malang, November 10 - 11th 2023
 REGIONAL IV OPHTHALMOLOGY MEETING
IN CONJUNCTION WITH CME5

Clinical Examination for Diagnosis

DOLAN MALANG - Discovering Advances In Ophthalmology Learning And Networking

Malang, November 10 - 11th 2023
 REGIONAL IV OPHTHALMOLOGY MEETING
IN CONJUNCTION WITH CME5

TAKE HOME MASSAGE

• Screening strategies at
critical stages throughout
the life-course and among
high risk population
• Integrated in health system
• Multisectoral
• Including promotive, preventive,
curative & rehabilitative

DOLAN MALANG - Discovering Advances In Ophthalmology Learning And Networking

Malang, November 10 - 11th 2023
 REGIONAL IV OPHTHALMOLOGY MEETING
IN CONJUNCTION WITH CME5

DOLAN MALANG - Discovering Advances In Ophthalmology Learning And Networking

Malang, November 10 - 11th 2023