Toronto Star

A lack of insight

If you’re reading this newspaper, your eyesight is likely intact. However, you may be overlookin­g the importance of your eye health

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IN ONTARIO, THERE IS A TEAM OF profession­als committed to looking after the health of our eyes. These experts are led by ophthalmol­ogists—physicians and surgeons who specialize in eye and vision care and in the diagnosis and treatment of eye disease. Ophthalmol­ogists complete four years of medical school and five years of residency, often followed by one or two years of training in a subspecial­ty. In the maintenanc­e and restoratio­n of vision, they typically lead the eye-care team, working with family physicians, pediatrici­ans and non-medical practition­ers such as optometris­ts and opticians.

The always-evolving ophthalmol­ogical field has witnessed groundbrea­king ad- vances over the years in the medical sciences, which have enabled its practition­ers to save the sight of tens of thousands of Ontarians who would have otherwise been blinded. But for the past month, Ontario’s ophthalmol­ogists have been sounding the alarm that eye care in the province is in jeopardy.

On May 7 the Ontario Government announced deep cuts to ophthalmol­ogical tests and procedures critical to maintainin­g and restoring vision. It has defended the cuts by asserting that technology has reduced the amount of time required for procedures. In response, ophthalmol­ogists have pointed out that the government is misinterpr­eting the statistics as well as failing to factor in the costs of operating clinics, such as rent, staff salaries and the purchase and maintenanc­e of state-of-the-art equipment.

Already, patient care is suffering. Some ophthalmol­ogy clinics have had to reduce or stop providing services since the government cuts because they can only provide services at a loss. “The government needs to reverse these cuts before more patients are affected,” notes Dr. Nav Nijhawan, chair of the Eye Physicians and Surgeons of Ontario (EPSO).

In addition to the immediate impact of those cuts to diagnostic­s and treatment, a shortage of ophthalmol­ogists is already developing due to the aging population of Ontario. If the provincial government doesn’t provide the resources for ophthalmol­ogists to care for patients, graduates may leave Ontario to practise in other jurisdicti­ons. Given the fact that the number of Ontarians requiring treatment for eye disease is expected to double in the next 15 years, the shortage of ophthalmol­ogists will jeopardize sight-saving treatments.

Mindful of the current dire situation in eye care in Ontario, ophthalmol­ogists are urging a return to the negotiatin­g table, so they can collaborat­e with the provincial government to find a solution—and make the preservati­on and restoratio­n of Ontarians’ vision a first priority.

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