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Background: The role of optometrists in paediatric visual assessment must compliment the role of other eye-care practitioners at all levels of care. This study was undertaken to determine if optometrists in Ghana screen, diagnose and manage paediatric ocular conditions (for example, strabismus, amblyopia), and further assessed if optometrists in Ghana have the requisite paediatric instrumentation in their practices., Methods: This was a cross-sectional descriptive survey involving optometrists in both public and private eye-care sectors in Ghana. A paediatric visual assessment questionnaire was sent to all registered optometrists in Ghana. The contents of the questionnaire evaluated areas of vision assessment, refraction, and previous diagnosis and management, which were matched with practice characteristics such as location, type of practice and type of employment. Chi-squared statistic was used to test associations between variables., Results: Responses were obtained from 140 optometrists out of the 326 registered optometrists, representing a response rate of 46 per cent. Overall, less than half of respondents (64 which represents 46 per cent) assessed themselves as practising full-scope paediatric eye care. These self-assessment views were more common among optometrists at the regional level (111: 79.3 per cent), followed by the district (20: 14.3 per cent) and sub-district levels (nine: 6.4 per cent) (χ 2 = 4.774, p < 0.05), but was not influenced by type of employment, type of practice and level of training (p > 0.05). In addition, the study revealed that many respondents were more likely to assess pre-schoolers' visual acuity (VA) (121: 96.0 per cent), do refraction (109: 88.6 per cent) and perform binocular vision (BV) assessment (93: 76.9 per cent) compared to the toddlers' VA (72: 55.4 per cent), refraction (57: 46 per cent) and BV assessment (68: 56.2 per cent)., Conclusion: Full-scope paediatric eye care services among optometrists in Ghana is limited., (© 2019 Optometry Australia.)

Despite internationally recognized guidelines, amblyopia management varies among eye care professionals worldwide. Hence, we sought to investigate the practice patterns of amblyopia management and the factors associated with the decision to treat amblyopia among optometrists in Ghana. A cross-sectional survey was conducted among registered optometrists in Ghana from January 2020 to October 2020. Data collection was done through the administration of online questionnaires via e-mail (google form). The structured questionnaires included demographic information, mode, and scope of practice, diagnostic criteria, examination procedures, treatment modalities, and prognosis. A p value of less than 0.05 was deemed statistically significant. The mean (±SD) age of all the 168 respondents was 32.6 (±6.1) years (range: 24–50 years). The majority of the optometrists (64.9%) treated amblyopia in their practice; with the most prevalent being refractive amblyopia (68.2%), followed by strabismic amblyopia (27.1%), then form-deprivation amblyopia (4.7%). Most (76.1%) amblyopic patients presented with symptomatic squinting. The most common ocular and medical history was anisometropia (90.0%), and the most common diagnostic procedures were patient history, visual acuity, and refraction. Optical correction (88.3%) was mainly prescribed for amblyopia treatment, followed by patching (58.5%). Nearly half of the respondent (45.0%) reported good prognosis after amblyopia treatment. After statistical adjustment, female optometrists were significantly associated with decreased odds of treating amblyopia (AOR = 0.36, p =.004). Refractive amblyopia is the main type of amblyopia managed by optometrists in Ghana. Hence, optical correction is the primary treatment regime. Current amblyopia management practice among optometrists adhere to recommended guidelines and our findings demonstrate uniformity in the standard of care. [ABSTRACT FROM AUTHOR]

Background: Information on the visual health of school children can assist in developing strategies to reduce preventable causes of visual impairment (VI) and maintain good vision. Aim: This study aimed to determine the magnitude and causes of VI amongst basic school children aged 6–16 years in the Bono Region of Ghana. Setting: The study site included five basic schools in 12 administrative districts of the Bono Region of Ghana. Methods: A multistage random sampling technique was used to enrol 645 participants from five selected public schools. Results: Overall, 1.4% of the sample had some form of VI that was worse than mild or no VI, and ocular conditions were present amongst 45.1% of the participants. Uncorrected refractive error (URE) was found amongst 9.8% of the study participants (n = 63) and was an important cause of VI. Other ocular conditions detected in the sample included allergic conjunctivitis (n = 174), cataract (n = 2) and keratoconus (n = 2). Overall, 632 (98.0%) participants recorded a visual acuity (VA) of 20/20 – 20/60, 11 (1.7%) participants had a VA of < 20/60 – 20/200, 1 (0.15%) participant had a VA of < 20/200 – 10/200 and 1 (0.15%) participant had a VA of < 10/200. Conclusion: The presence of ocular conditions was high amongst the study participants (45.1%). However, the prevalence of VI was found to be low (1.4%) with URE being the most common cause. This study supports the need to intensify awareness of ocular conditions and/or VI in basic schools through regular vision health screening and education. [ABSTRACT FROM AUTHOR]