Delivering eye health care in developed as well as developing countries is crucial to the prevention of blindness. Worldwide, it is estimated that there are 45 million individuals who are blind, 180 million who are visually impaired and that over 90% of these individuals live in developing countries. Childhood visual disorders such as strabismus, amblyopia and significant refractive errors are major causes of visual impairment.
The orthoptists’ advanced knowledge and skills in pediatric vision assessment, diagnosis and management of strabismus and amblyopia, and screening techniques are invaluable in serving this population of patients. It is the orthoptist who has greater knowledge than the general physician to provide care for patients with amblyopia and strabismus. Orthoptists are valuable in triaging patients for
detecting pathology and referring patients for proper care.
Finally, many orthoptists are proficient in refractions, visual fields and
providing low vision services.
Another valuable role filled by the orthoptist is in education. At the community level, they can teach basic detection of strabismus and amblyopia to low level community health care workers. By training them to recognize specific conditions as well as the limits of available treatment, we help them to initiate early treatment in their children.
The next level of education is in teaching local allied health and ophthalmology personnel. They need to learn about normal visual development and signs of poor visual development in infants, assessment of vision and fixation, diagnosis and treatment of amblyopia and strabismus, as well as various orthoptic examination techniques. Teaching through lectures, handouts and clinical practice is essential in educating the local staff and arming them in the fight against childhood blindness.
Finally, an orthoptist can help set up orthoptic programs or coordinate vision screening programs. Developing countries need well-trained people who can continue the work of medical missionaries. Thus, we need to promote the concept of orthoptics and improve the quality of education to combat childhood visual loss.
Unfortunately, a major problem in providing proper care is the lack of trained and experienced personnel. With a current world population of over 6.5 billion, there are only 150,000 ophthalmologists and less than 16,000 orthoptists worldwide. The International Orthoptic Association has taken action to expand the reach of orthoptics and help build orthoptics around the world by participating in ophthalmology congresses in countries outside of the IOA.At these congresses, the IOA presents symposia to help spread information about the role of orthoptists. In 2005-2006, the IOA responded to invitations to present at the World Ophthalmology Congress in Brazil and at the annual Chinese Ophthalmology Meeting in China. In addition, the IOA has established the Volunteer Program, the Exchange Program and the Partner Country Program.
The Volunteer Program provides and opportunity to help build the orthoptic profession. Orthoptist volunteers travel to non-IOA countries to educate and train local health care workers and promote orthoptics. The IOA volunteer program has offered assistance in several countries, including Ecuador, Thailand, Romania, India, Hong Kong, Egypt, Mexico, Slovenia and Greece.
Many orthoptists have already participated in the IOA Volunteer Program visiting coutries like Burundi, Honduras, Pakistan, Dominican Republic, India, Peru etc. and have written exciting reports about their experiences. Please have a look and enjoy reading.
Reports: Burundi, Honduras, Pakistan, Dominican Republic_2009, Dominican Republic_2010, Dominican Republic_2012, Dominican Republic_2014, Dominican Republic_2016, Peru, India_2013, India_2015
The Exchange Program encourages orthoptists and their departments to welcome visitors from abroad. This program provides a link between orthoptists interested in sharing their practice patterns with foreign orthoptists. This may take the form of as little as a half day visit or a visit of several months, depending on the wants of the participants. The exchange program now has a total of 16 sites available for visits in Austria, Canada, Germany, New Zealand, Sweden, the United Kingdom and the United States of America.
Read some fabulous reports from colleagues around the world, who already took part in this program.
Reports: Marocco ↔ Belgium; Portugal ↔ U.K.; Italy ↔ USA; U.K. ↔ USA; Japan ↔ New Zealand; U.K. ↔The Netherlands; Germany ↔ New Zealand; Pakistan ↔ U.K.; Urkaine ↔ U.K.; Japan ↔ Canada; Germany ↔ Canada
The Partner Country Program was initiated to encourage member countries to become involved with building the orthoptic profession in non-IOA member countries. Each IOA country has a partner country which it tries to help in whatever way it can. Some country partnerships have been extremely successful resulting in expanding the utilization of orthoptists throughout the world.
Please consider taking part in one of these exciting programs from the IOA. IOA members are welcome to complete the appropriate application (see Members) and submit it to the IOA International Relations Committee. Non IOA members are welcome to fill in the below listed application form.
We look forward to hearing from you!
If you are having difficulties using these forms you can still submit these pdfs for application