• About
  • Subscribe
  • Advertise
  • Contact
Wednesday, June 25, 2025
Newsletter
SUBSCRIBE
  • Latest News
  • All Sections
    • Ophthalmic insights
      • Policy & regulation
      • Company updates & acquisitions
      • Research
      • Clinical trials
      • Workforce
      • Product approvals
      • Conferences
      • Opinion
      • Indigenous eye health
      • Retail
    • Eye disease
      • Dry eye
      • Myopia
      • Cataract
      • Glaucoma
      • Macular disease – AMD
      • Diabetic eye disease
      • Inherited retinal disease
      • Corneal disease
      • Presbyopia
      • Eye infections
    • Ophthalmic Careers
      • New appointments
      • Industry profiles
      • Graduates
    • Ophthalmic organisations
      • Regulators
      • Optometry networks
      • Private ophthalmology clinics
      • Associations
      • Patient support bodies
      • Eye research institutions
      • Optometry schools
      • Optical Dispensing trainers
      • Medical schools
      • RANZCO
  • Features
    • Report
    • Soapbox
  • Ophthalmic education
    • CPD – Optometry
    • Optical Dispensing
    • Orthoptics Australia
    • Practice management
  • Products
    • Ophthalmic Treatments
      • Ophthalmic lenses
      • Lens treatments
      • Myopia interventions
      • Light-based therapy
      • Minimally invasive glaucoma surgery (MIGS)
      • Gene therapy
      • Laser treatments
      • Supplements
      • Eyewear & frames
      • Behavioural optometry/vision training
      • Contact lenses
      • Anti-VEGF
      • Intraocular lenses (IOLs)
      • Pharmaceuticals & consumables
    • Ophthalmic equipment & diagnostics
      • Biometry – axial length
      • Perimetry & visual fields
      • OCT
      • Phoropter
      • Autorefractor
      • Tonometry
      • Topography
      • Multimodal imaging
      • Retinal imaging
      • Anterior segment imaging
      • Software & data management
      • Microscopes
      • Slit lamps
      • Lens edging
      • Stands, chairs and tables
      • Ultrasound
      • Dry eye diagnostics
      • Low vision aids
  • Research
  • Classifieds
No Results
View All Results
  • Latest News
  • All Sections
    • Ophthalmic insights
      • Policy & regulation
      • Company updates & acquisitions
      • Research
      • Clinical trials
      • Workforce
      • Product approvals
      • Conferences
      • Opinion
      • Indigenous eye health
      • Retail
    • Eye disease
      • Dry eye
      • Myopia
      • Cataract
      • Glaucoma
      • Macular disease – AMD
      • Diabetic eye disease
      • Inherited retinal disease
      • Corneal disease
      • Presbyopia
      • Eye infections
    • Ophthalmic Careers
      • New appointments
      • Industry profiles
      • Graduates
    • Ophthalmic organisations
      • Regulators
      • Optometry networks
      • Private ophthalmology clinics
      • Associations
      • Patient support bodies
      • Eye research institutions
      • Optometry schools
      • Optical Dispensing trainers
      • Medical schools
      • RANZCO
  • Features
    • Report
    • Soapbox
  • Ophthalmic education
    • CPD – Optometry
    • Optical Dispensing
    • Orthoptics Australia
    • Practice management
  • Products
    • Ophthalmic Treatments
      • Ophthalmic lenses
      • Lens treatments
      • Myopia interventions
      • Light-based therapy
      • Minimally invasive glaucoma surgery (MIGS)
      • Gene therapy
      • Laser treatments
      • Supplements
      • Eyewear & frames
      • Behavioural optometry/vision training
      • Contact lenses
      • Anti-VEGF
      • Intraocular lenses (IOLs)
      • Pharmaceuticals & consumables
    • Ophthalmic equipment & diagnostics
      • Biometry – axial length
      • Perimetry & visual fields
      • OCT
      • Phoropter
      • Autorefractor
      • Tonometry
      • Topography
      • Multimodal imaging
      • Retinal imaging
      • Anterior segment imaging
      • Software & data management
      • Microscopes
      • Slit lamps
      • Lens edging
      • Stands, chairs and tables
      • Ultrasound
      • Dry eye diagnostics
      • Low vision aids
  • Research
  • Classifieds
No Results
View All Results
Home Report

Can we close the gap by 2020?

by Staff Writer
April 7, 2020
in Report, Soapbox
Reading Time: 4 mins read
A A
Professor Hugh Taylor says further efforts are still needed to improve the screening and treatment of diabetic retinopathy.

Professor Hugh Taylor says further efforts are still needed to improve the screening and treatment of diabetic retinopathy.

Share on FacebookShare on Twitter

In 2008, Aboriginal and Torres Strait Islander adults had 6x more blindness than other Australians. The leading cause was unoperated cataract followed by uncorrected refractive error, diabetic retinopathy and trachoma. One third had never had an eye exam.

This led to the development of the Roadmap to Close the Gap for Vision, launched in 2012. The roadmap recognised the pathway of care, or the patient’s journey, was complex – like a leaky pipe. If only one or two leaks were fixed, the water would still drip from other parts of the network.

It also set out a long-term plan to provide well-coordinated regional care and local support for Indigenous people that was appropriately resourced to meet population-based needs.

Since 2012, Indigenous eyecare has significantly improved with strong support from the Aboriginal Community Controlled Health sector, eyecare stakeholders and successive governments as set out in the roadmap’s 2019 Annual Update.

Last year’s report on Indigenous Eye Health Measures by the Australian Institute of Health and Welfare (AIHW) shows the number of outreach eye examinations for Indigenous Australians had tripled, the rate of eye exams for those with diabetes and the number of cataract operations had both more than doubled, and trachoma rates were falling. 

This is the result of numerous changes in the eyecare system; organised regional networks, changes in Medicare item numbers, enhanced screening for diabetic retinopathy and a lot of work that has been done on trachoma.

However, more needs to be done, especially when it comes to eyecare for those with diabetes.

The rate of diabetes in Indigenous Australians has increased from about one tenth that of non-Indigenous Australians in the 1970s to now be 4x or 5x higher. Everyone with diabetes is at risk of blindness, with up to 98% preventable with regular exams and timely treatment.

Every Indigenous person with diabetes needs to have an eye exam each year. They may have a normal exam or they may need referral for retinopathy. However, those with diabetes are also at increased risk of cataract and refractive change, so referral pathways need to be developed for these issues as well.

For these reasons, people with diabetes form a key target group for Indigenous eye services. They account for 75% of the Indigenous adults who need an eye exam each year, and the subsequent referral pathways for refraction and cataract surgery can be used by all whether they have diabetes or not.

However, AIHW reports that only 42% of Indigenous Australians with diabetes actually had their required eye exam – well below the rate for non-Indigenous Australians. This is despite the new MBS Item 12325 for non-mydriatic retinal photography and the inclusion of a retinal exam in the Health Adult exam MBS 715. The Commonwealth has now provided non-mydriatic retinal cameras to more than 150 Aboriginal Medical Centres.

To promote the need for annual screening exams, a range of health promotion materials has been developed with community input and are available on the Indigenous Eye Health Unit’s website. Similarly, a range of more technical materials to help clinic staff are also available, including a free online course on grading diabetic retinopathy.

It’s clear regional stakeholder networks require additional funding for optometry and ophthalmology outreach services, and local case-management to meet the region’s population-based needs. This would enable all those needing examination or referral to be properly managed. Further, people requiring treatment for retinopathy, whether by laser or intravitreal injections, should have ready access to bulk-billing or public hospital services without long waits.

The Strong eyes, strong communities report by Vision 2020 Australia and its members has set out the requirement for additional government funding.

Although in 2019 the Council of Australian Governments Health Council set the elimination of Indigenous avoidable blindness by 2025 as a high priority – also included in the Long Term National Health Plan – we are still waiting for additional funding committments.

Despite the strides being made, further efforts are still needed to improve the screening and treatment of diabetic retinopathy and help close the gap for vision. We all have a role to play in this.

ABOUT THE AUTHOR

Name: Melbourne Laureate Professor Hugh Taylor AC
Qualifications: MD, BS, LLD(Hons), DO, BMedSci, FAAHMS, FRANZCO
Workplace: Indigenous Eye Health Unit, Melbourne School of Population and Global Health, University of Melbourne
Position; Harold Mitchell Chair of Indigenous Eye Health
Location: Melbourne
Years in profession: 49

Related Posts

Optometrist Michael Young’s daughter, a fourth-year optometry student at QUT, undergoing a visual field test on the VF2000 NEO. Image: Michael Young.

Perimetry remastered with VR device from BOC Instruments

by Staff Writer
June 24, 2025

A Californian-made virtual-reality visual field device has been on the wish list of many Australian optometry practice owners thanks to...

Dominique Jorgensen believes those willing to learn new skills are a major workplace asset, with adaptability the key to succeeding in any practice setting. Image: Dominique Jorgensen.

When the student becomes the teacher

by Staff Writer
June 23, 2025

MEMBER PROFILE: Name: Dominique Jorgensen Position: Optical dispensing instructor, University of Western Australia’s Department of Optometry and Vision Sciences Location:...

Dr William Blase assessing scans obtained on the Optos MonacoPro. Images: Image: California Eye Professionals & Optos.

Early insights into the new Optos MonacoPro

by Staff Writer
June 23, 2025

Optos’ latest system is so new that Insight took its search global to find an ophthalmologist who has installed the...

Join our newsletter

View our privacy policy, collection notice and terms and conditions to understand how we use your personal information.

Insight has been the leading industry publication in Australia for more than 40 years. This longevity is largely due to our ability to consistently deliver accurate and independent news relevant to all ophthalmic professionals and their supporting industry.

Subscribe to our newsletter

View our privacy policy, collection notice and terms and conditions to understand how we use your personal information.

About Insight

  • About
  • Advertise
  • Subscribe
  • Contact
  • Terms & Conditions
  • Privacy Collection Notice
  • Privacy Policy

Popular Topics

  • Business
  • Feature
  • Research
  • Technology
  • Therapies
  • Classifieds

© 2025 All Rights Reserved. All content published on this site is the property of Prime Creative Media. Unauthorised reproduction is prohibited

No Results
View All Results
NEWSLETTER
SUBSCRIBE
  • Latest News
  • All Sections
    • Ophthalmic insights
      • Policy & regulation
      • Company updates & acquisitions
      • Research
      • Clinical trials
      • Workforce
      • Product approvals
      • Conferences
      • Opinion
      • Indigenous eye health
      • Retail
    • Eye disease
      • Dry eye
      • Myopia
      • Cataract
      • Glaucoma
      • Macular disease – AMD
      • Diabetic eye disease
      • Inherited retinal disease
      • Corneal disease
      • Presbyopia
      • Eye infections
    • Ophthalmic Careers
      • New appointments
      • Industry profiles
      • Graduates
    • Ophthalmic organisations
      • Regulators
      • Optometry networks
      • Private ophthalmology clinics
      • Associations
      • Patient support bodies
      • Eye research institutions
      • Optometry schools
      • Optical Dispensing trainers
      • Medical schools
      • RANZCO
  • Features
    • Report
    • Soapbox
  • Ophthalmic education
    • CPD – Optometry
    • Optical Dispensing
    • Orthoptics Australia
    • Practice management
  • Products
    • Ophthalmic Treatments
      • Ophthalmic lenses
      • Lens treatments
      • Myopia interventions
      • Light-based therapy
      • Minimally invasive glaucoma surgery (MIGS)
      • Gene therapy
      • Laser treatments
      • Supplements
      • Eyewear & frames
      • Behavioural optometry/vision training
      • Contact lenses
      • Anti-VEGF
      • Intraocular lenses (IOLs)
      • Pharmaceuticals & consumables
    • Ophthalmic equipment & diagnostics
      • Biometry – axial length
      • Perimetry & visual fields
      • OCT
      • Phoropter
      • Autorefractor
      • Tonometry
      • Topography
      • Multimodal imaging
      • Retinal imaging
      • Anterior segment imaging
      • Software & data management
      • Microscopes
      • Slit lamps
      • Lens edging
      • Stands, chairs and tables
      • Ultrasound
      • Dry eye diagnostics
      • Low vision aids
  • Research
  • Classifieds
  • About Us
  • Advertise with Insight
  • Subscribe
  • Contact Insight

© 2025 All Rights Reserved. All content published on this site is the property of Prime Creative Media. Unauthorised reproduction is prohibited