Publications by authors named "John Szetu"
Purpose: Uncorrected refractive error is the leading cause of vision impairment globally; however, little attention has been given to equity and access to services. This study aimed to identify and prioritise: (1) strategies to address inequity of access to refractive error services and (2) population groups to target with these strategies in five sub-regions within the Western Pacific.
Methods: We invited eye care professionals to complete a two-round online prioritisation process.
Background: The objective of this study was to characterize the causes of ocular trauma and determine the risk factors for infection and vision loss following ocular trauma in the Solomon Islands.
Design: A prospective clinic-based study.
Participants: A total of 507 patients with ocular trauma who were reviewed at the National Referral Hospital in Honiara or one of five provincial eye clinics were included.
Purpose: To report the spectrum of retinopathy at first presentation to photoscreening services, to determine the proportion of patients that present with sight-threatening diabetic retinopathy (STDR), and to raise awareness of the burden of diabetic eye disease in Fiji.
Methods: This retrospective observational cohort study used data from the initial visit of all new patients presenting to the diabetes retinal screening service at the Pacific Eye Institute in Fiji over the 3-month period between July and September 2012. Patients were assessed using a detailed questionnaire regarding diabetes type, duration of disease, medications, complications and co-morbidities, and blood sugar control.
We present a case of mature congenital orbital teratoma managed with lid-sparing exenteration and dermis fat graft. This is a case report on the management of congenital orbital teratoma. A full-term baby was born in Fiji with prolapsed right globe which was surrounded by a nonpulsatile, cystic mass.
View Article and Find Full Text PDFBackground: To determine the prevalence and severity of diabetic eye disease among adults aged ≥40 years with unrecognized diabetes in Fiji.
Design: Population-based cross-sectional survey using multistage cluster random sampling.
Participants: 1381 (=73.
Article Synopsis
- A study was conducted in Fiji to assess the prevalence and causes of blindness and low vision among adults aged 40 and older.
- The survey involved 1,381 participants, revealing a blindness prevalence of 2.6% and low vision at 7.2%, with cataracts identified as the leading cause of bilateral blindness.
- The findings suggest that improving access to cataract and refractive error treatments could significantly reduce vision impairment in this population.
The present study examines the association of diabetes with BMI (kg/m(2)) in Asian-Indian and Melanesian Fijian populations sharing a common environment. A population-based survey was used to investigate the risk of diabetes (defined by glycosylated Hb concentration ≥ 6·5 % among participants who denied previous diagnosis of the disease by a medical practitioner) by sex, ethnicity and strata of BMI in a series of age-adjusted logistic regression models. Ethnicity and BMI interactions were compared using WHO and empirically derived BMI cut-off points.
View Article and Find Full Text PDFBackground: To characterize cataract and its surgery among adults aged ≥40 years in Fiji.
Design: Population-based cross-sectional survey using multistage cluster random sampling.
Participants: 1381 (= 73.
Background: To characterize causes, risk factors and outcomes for ocular trauma among adults aged ≥40 years in Fiji.
Design: Population-based cross-sectional survey; multistage cluster random sampling.
Participants: 1381 (= 73.
Background: To determine the presence, severity and context of diabetic retinopathy among diabetic adults using hospital eye clinic services in Honiara, Solomon Islands.
Methods: Fifty consecutive known diabetic patients aged ≥20 years were interviewed and underwent Snellen distance vision testing and complete ocular examination, including dilated 90 D funduscopy. Diabetic retinopathy was graded according to the International Clinical Diabetic Retinopathy and Macular Oedema Disease Severity Scales.
Diabetic eye disease among adults in Fiji with self-reported diabetes.
Clin Exp Ophthalmol
December 2010
Background: To characterize diabetic eye disease and its management among adults aged ≥40 years with self-reported diabetes in Fiji.
Methods: During a population-based cross-sectional survey using multistage cluster random sampling, participants reported health information, including whether a doctor had diagnosed diabetes. HbA1c and visual acuity were measured.
Aim: To estimate the prevalence of diabetes among adults aged ≥40 years in Fiji, and determine the demographic characteristics associated with this diagnosis.
Method: During a population-based survey, participant glycosylated haemoglobin (HbA1c) was determined and physician diagnosis of diabetes self-reported. HbA1c ≥6.
Purpose: To evaluate against its objectives the achievements of the first 5 years of a national eye health programme in Vanuatu.
Methods: Programme clinical activity data were collated from surgical logs, clinic and outreach reports, and patient register books. Cataract surgical outcomes were retrieved from monitoring software.
Aim: To determine the prevalence and severity of diabetic retinopathy in patients with type 2 diabetes in Luganville, the second largest town in Vanuatu. Additionally, to investigate risk factors for retinopathy and the effect of retinopathy on visual acuity (VA) within this group.
Method: All 83 registered patients with type 2 diabetes in Luganville, a town of 13 121 people, were invited for an interview and anthropometric measurements.