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Providing quality eye care for children and low-resource communities in Vietnam

Published: 17.10.2023
Female surgeon doing cataract surgery
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In Vietnam, two million people live with vision impairment, according to the Vietnam National Institute of Ophthalmology (VNIO) in 2019. Many of these live in mountainous and remote areas and are unable to access eye care services to improve their eye health and vision. Cataracts, uncorrected refractive errors, and retinal diseases are among the leading causes of blindness and vision loss in the country.

Orbis in Vietnam

Orbis International, a global eye care nonprofit with established programs in Vietnam, has been a pioneer in the prevention and treatment of avoidable blindness and vision loss for over four decades. Orbis transforms lives by delivering the skills, resources, and knowledge needed to provide accessible quality eye care.

Saving sight in Lai Chau province

In early August 2023, Orbis collaborated with local partners in Lai Chau province to officially kick off a 15-month project named “Creating eye care demand by enhancing staff capacity and awareness raising among ethnic minority population in Lai Chau province, Vietnam”, with funding from the XOVA Vision Awards.

The province currently has only 26 trained eye doctors and nurses and most are located in one centralized area at the Provincial General Hospital and District Health Centers. At the community level, there are 106 health communes each manned by one health care worker, none of which have received any training on primary eye care. Moreover, awareness and understanding of the importance of eye health at the community level is very low.

“This project aims to strengthen eye care management capacity of the existing community health partners in Lai Chau province and to raise awareness about eye care among the ethnic minority population”, said Dr. Nguyen Thi Hue, Orbis’s Senior Program Manager.

Primary eye care training has been overlooked in the past few years due to lack of government resources. Under this project, Orbis will provide training on primary eye care for 220 community health workers in seven districts and one city of Lai Chau province. These trained health workers will then carry out outreach campaigns in their own communities to detect eye diseases for treatment or referral. As a part of the project, Orbis provides refraction equipment to the district health centers to support the vision screening and refraction examination work across the province. Communications materials and campaigns are also developed and organized to help raise community awareness on common eye issues and drive their behavior change for good practice to protect their eye health.

Nguyen Duc Phong, a community health worker who recently participated in an outreach campaign in Tam Duong district, Lai Chau province shared, “I had the opportunity to join a training course on primary eye care provided under the project, through which I acquired the knowledge needed to boost my confidence in performing vision screening and consultation for the community. The outreach campaign like this is a great occasion for local people to have their eyes checked and be educated on how to take care of their eyes.”.

The outreach campaigns are also aimed to screen cataract cases in the community. At least 400 cataract patients will receive free surgeries with the support from Orbis between October and December 2023. Ms. Chu is on the waiting list for the surgery. “I hope the surgery will help me see better so that I don’t become a burden for my family,” added Chu.

Photo Credits

Prevent Blindness is declaring February as Age-related Macular Degeneration (AMD) and Low Vision Month in an effort to provide education and various expert-approved resources to the public and professionals. This year’s AMD and Low Vision Month is generously supported by Gold Sponsor EyePoint, Inc.

According to Johns Hopkins Medicine, AMD is the most common cause of severe loss of eyesight among people 50 and older. And, about 4 million Americans live with low vision, which is defined as chronic visual impairment that cannot be corrected with glasses, contact lenses or medical treatments.

AMD affects the central part of the retina called the “macula.” When AMD damages the macula, the center part of a person’s vision may become blurred or wavy, and a blind spot may develop. Early detection and treatment of AMD is key to helping to prevent significant vision loss.

Two types of AMD include:

  • Dry- The most common form of AMD, dry AMD, is caused by the appearance of small yellow deposits called drusen, which form under the retina. These are accumulated waste products of the retina, which can grow and stop the flow of nutrients to the retina. This may cause the retinal cells in the macula that process light to die, causing vision to become blurred. This form of the disease usually worsens slowly. An advanced form of dry AMD is called geographic atrophy.
  • Wet- Wet AMD generally causes more rapid and more serious vision loss. In this form of the disease, tiny new blood vessels grow under and into the retina. These blood vessels are fragile and often break and leak, causing a loss of vision.

“As our population ages, the number of individuals impacted by AMD continues to grow. Many will face difficulties doing the things we sometimes take for granted, such as reading, seeing faces, and driving,” said Jeff Todd, president and CEO of Prevent Blindness. “Our robust collection of resources on AMD and low vision are intentionally created to help minimize vision loss and maintain independence for those impacted by AMD while providing effective tools to the public and providers on ways to save sight.”

As part of AMD and Low Vision Month, Prevent Blindness offers the free AMD GuideMe app. This resource provides a customized overview of AMD along with a tailored resource list and suggested steps to help save sight from the eye disease specific to the individual using the GuideMe app. Prevent Blindness offers additional educational resources including fact sheets and shareable social media graphics in English and Spanish, and dedicated webpages.

New this year, as part of the Prevent Blindness ASPECT Patient Engagement Program Member Spotlight Series, graduate Laurie S., shares her experience with AMD, including her family history with the eye disease, how it impacts her daily activities including the ability to read music, and the importance of support groups “Age-related Macular Degeneration: Laurie’s Story.”

Videos in the Prevent Blindness Focus on Eye Health Series include:

  • “Age-related Macular Degeneration (AMD) and Low Vision,” featuring W. Lloyd Clark, MD, Palmetto Retinal Center, and Assistant Clinical Professor of Ophthalmology at the University of South Carolina School of Medicine.
  • “Low Vision,” featuring R. Tracy Williams, OD, FAAO, Executive Director at Spectrios Institute for Low Vision, Clinical Professor of Ophthalmology, Loyola University and Adjunct Professor, Illinois College of Optometry. Dr. Williams is also a former Prevent Blindness Board of Directors member.
  • “Vision Impairment and Mental Wellness,” with AMD patient Dr. Connie Hills, psychologist, consultant and speaker.

The Prevent Blindness “Living Well With Low Vision” program provides useful information to those with low vision, their care partners and healthcare professionals. Content includes self-help guides, resources for vision loss and mental wellness, information on clinical trials, and much more. Living Well With Low Vision is supported by grants from Amgen and Genentech.

For more information on AMD, please visit PreventBlindness.org/amd. For information on geographic atrophy, please visit PreventBlindness.org/geographic-atrophy.
And, for more information on Living Well With Low Vision, or other general eye health information, please visit lowvision.PreventBlindness.org.

For a listing of organizations and services that provide financial assistance for vision care in English or Spanish, please visit https://preventblindness.org/vision-care-financial-assistance-information.