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Early detection and treatment of diabetic eye disease can prevent blindness, yet many persons with diabetes lack regular eye care. This study followed 569 people with diabetes participating in blindness prevention programs during 1984 through 1987; it was found that 35% of subjects received dilated eye examination before entering the programs, in comparison with 60% afterward. About 85% of participants referred for proliferative retinopathy treatment began such treatment, and, of these, 85% completed treatment. A lack of knowledge about the disease and limited finances were primary reasons for non-adherence. To improve the effectiveness of prevention programs, eye care providers and program staff must strive to eliminate these educational and financial barriers. [ABSTRACT FROM AUTHOR]

The article offers information on the Saint John Eye Hospital in east Jerusalem. It is stated to be a bridge for peace in a world at war. It serves as the main center for specialized eye care in the West Bank, Gaza, and east Jerusalem. The eye hospital started in 1882, and was then located in Ottoman Empire Jerusalem. It closed in 1914, during World War I, but reopened in 1919. It is said to be the only public hospital in the region specializing in ophthalmology. It is stated to place a high priority on training local doctors and nurses. Patients are predominantly Palestinians. The hospital operates a number of satellite clinics in areas where public services are not easily available. It works to eliminate the main causes of preventable blindness.