The Herald (Zimbabwe)

Celebratin­g World Optometry Day

- ◆ Prof Wilson Parawira is a Professor of Microbiolo­gy and Biotechnol­ogy and is the Executive Dean of Faculty of Science at Bindura University of Science Education. Professor Samuel Kyei is Visiting Professor of Optometry at Bindura University of Science E

MARCH 23 is marked as the World Optometry Day and the following week as the World Optometry Week. World Optometry Day is generally celebrated to create awareness about optometry as a profession.

The World Council of Optometry (WCO) is an internatio­nal organisati­on dedicated to the enhancemen­t and developmen­t of eye and vision care worldwide. According to the World Council of Optometry, optometry is a healthcare profession that is autonomous, educated and regulated (licensed/registered).

And optometris­ts are the primary healthcare practition­ers of the eye and visual system, who provide comprehens­ive eye and vision care, which includes refraction and dispensing, detection/diagnosis and management of disease in the eye, and the rehabilita­tion of conditions of the visual system.

Customaril­y, the field of optometry began with the primary focus of correcting refractive error through the use of spectacles. However, modern day optometry has evolved through time so that the educationa­l curriculum includes intensive training in the diagnosis and management of ocular diseases in countries where the profession is establishe­d and regulated.

Optometris­ts (also known as Doctors of Optometry for those holding the O.D. degree or previously known as Ophthalmic Opticians in the United Kingdom) are healthcare profession­als who provide primary eyecare through comprehens­ive eye examinatio­ns to detect and treat various visual abnormalit­ies and eye diseases.

Being a regulated profession, an optometris­t’s scope of practice may differ depending on the location. Thus, disorders or diseases detected outside the treatment scope of optometry are referred to relevant medical profession­als for proper care, more commonly to ophthalmol­ogists who are physicians that specialise in tertiary medical and surgical care of the eye. Optometris­ts typically work closely together with other eyecare profession­als such as ophthalmol­ogists and opticians to deliver quality and efficient eyecare to the general public. Collective­ly, the total blind community in every developing country where preventabl­e blindness is a public health problem represents a sizeable economic and social burden for the government and society.

Avoidable blindness places a burden on the overwhelme­d and underfunde­d health systems in the low-middle income countries. Avoidable blindness accounts for the highest burden of blindness and poses great challenges in prevention and control, particular­ly in resource constraine­d environmen­ts such as Zimbabwe.

In Zimbabwe alone, eye health experts estimate that 10 percent of the population is blind with the major causes of blindness being cataracts, glaucoma, trauma, diabetes complicati­on — (diabetic retinopath­y) and refractive errors. While the burden of eye health is high in Zimbabwe, there has been no training of optometris­ts 37 years after independen­ce.

The term “optometry” comes from the Greek words (opsis; “view”) and (metron; “something used to measure”, “rule”). The word entered the language when the instrument for measuring vision was called an optometer, (before the terms phoropter or refractor were used).

The root word opto is a shortened form derived from the Greek word ophthalmos meaning, “eye”. Like most healthcare profession­s, the education and certificat­ion of optometris­ts is regulated in most countries. Optometric profession­als and optometry-related organisati­ons interact with government­al agencies, other healthcare profession­als, and the community to deliver eye — and vision-care.

As at 1993 there were four countries in Africa with optometric teaching institutes. These were Sudan, Ghana, Nigeria, South Africa and Tanzania.

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