Identifying the needs for eye care education in Quebec, Canada

Authors

  • Julie Brule
  • Christine Duguay
  • Joanie Larouche

DOI:

https://doi.org/10.65636/cjo.v75i3.7299

Keywords:

awareness, knowledge, eye disease, refractive error, optometric examination guideliens, patient education

Abstract

In Quebec, optometrists, opticians and ophthalmologists are the stakeholders in eye care provision. The public healthcare scheme covers optometric examinations for patients under 18, over 64 and any patient with an ocular emergency. A population educated on common eye conditions is more likely to seek care and implement preventative measures. However, little is known of the population's awareness of the scope of practice of eyecare professionals, examination coverage or common oculo­visual conditions.

Purpose: To determine the patients' awareness of the recommended guidelines of optometric examinations, of the scope of practice of eyecare professionals and of common oculo-visual conditions.

Methods: A self-administered questionnaire was distributed to patients presenting for an eye examination at the University of Montreal optometry clinic.

Results: Of our respondents (N=222), 63% believe a child should undergo an eye examination before age 5 and 62% believe a routine exam should be performed every 2 years. Fifty-eight percent know exam fees are covered for patients under 18, 49% for patients over 64 and 59% for ocular emergencies. Twenty-eight percent of respondents believe optometrists are the eye care provider to consult to treat a red eye, 39% to diagnose ocular pathologies and 12% to remove a foreign body. Sixty-five percent of our respondents can identify the symptoms of myopia, compared to 25% for hyperopia and 52% for presbyopia. Regarding common eye diseases, 22% of respondents correctly identified cataracts, 45% glaucoma and 28% age-related macular degeneration (ARMD). Eighty-four percent of respondents showed some knowledge of risk factors, symptoms and treatments of cataracts, 27% for glaucoma and 22% for ARMD.

Conclusion: Respondents seem well aware of the guidelines surrounding ocular examinations. There are unmet needs in patient education regarding the details of coverage, the role of optometrists as primary eye care practitioners and the symptoms, risk factors and treatments of several common and sight-threatening conditions.

References

1. Ordre des Optométristes du Québec. Pour y voir clair -monographie sur l'optométrie. Available at: http://wwwoo4.org/ files/documents/Voirclair.pdf. Accessed June 19, 2012.

2. Régie de l'assurance maladie du Québec. Available at: http://www.ramq.gouvqc.ca/fr/citoyens/assurance-maladie/soins/Pages/services-medicaux.aspx. Accessed June 21st, 2012

3. Association des Optométristes du Québec. Recueil des ententes, Montréal: Association des Optométristes du Québec; 2011.

4. Xu K, Trope GE, Buncic R, Jin YP. Utilization of eye care providers by Canadian adolescents: evidence from the Canadian Community Health Survey. Can J Ophthalmol 201247 :211-6. DOI: https://doi.org/10.1016/j.jcjo.2012.03.041

5. Robinson BE, Stolee P Frequency of eye examinations guidelines -summary. An evidence-based approach. Can ] Optom 2011; 73:15-16. DOI: https://doi.org/10.15353/cjo.73.582

6. Enquête sur la sante dans les collectivités canadiennes (ESCC) 2009-2010, Statistique Canada, Fichier de micro données a grande diffusion.

7. Medical Service Plan (MSP): BC Ministry of Health, Medical and health care benefits. Available at: http://www.health.gov.bc.ca/msp/infoben/benefits.html, accessed June 21s, 2012.

8. Noertjojo K, Maberley D, Bassett K, Courtright P Awareness of eye diseases and risk factors: identifying needs for health education and promotion in Canada. Can J Ophthalmol 200641 : 617-23. DOI: https://doi.org/10.1016/S0008-4182(06)80035-9

9. Livingston PM, Lee SE, De Paola C, Carson CA, Guest CS, Taylor HR. Knowledge of glaucoma, and its relationship to self-care practices, in a population sample. Aust NZ Ophthalmol 1995, 2337-41.

10. Attebo K, Mitchell P, Cumming R, Smith W. Knowledge and beliefs about common eye diseases. Aust NZ] Ophthalmol 1997,25:283-87. DOI: https://doi.org/10.1111/j.1442-9071.1997.tb01516.x

11.Livingston PM, McCarty CA, Taylor HR. Knowledge, attitudes, and self care practices associated with age related eye disease in Australia. Brit J Ophthalm6l 1998,82: 780-5. DOI: https://doi.org/10.1136/bjo.82.7.780

12. Muller A, Keeffe JE, Taylor HR. Changes in eye care utilization following an eye health promotion campaign. Clin Exp Ophthalmol 2007;35 : 305-9. DOI: https://doi.org/10.1111/j.1442-9071.2007.01450.x

13. Quillen DA. Common causes of vision loss in elderly patients. Am Fam Physician 1999,60.99-108.

14. L'optométriste : un nouvel intervenant a considéré pour une politique du médicament complète. Mémoire de l'Ordre des Optométristes du Québec présenté a la commission des affaires sociales de l'Assemblée Nationale du Québec. Montréal, 2005.

15. Dandona R, Dandona L, John RK, McCarty CA, Rao GN. Awareness of eye diseases in an urban population in southern India. B World Health Organ 2001,79.96-102.

16. Lau TE, Lee V, Lau M, Michon J. Knowledge about cataract, glaucoma, and age related macular degeneration in the Hong Kong Chinese population. Brit ] Ophthalmol 2002,86:1080-84. DOI: https://doi.org/10.1136/bjo.86.10.1080

17, Baker H, Murdoch IE. Can a public health intervention improve awareness and health seeking behaviour for glaucoma? Brit ] Ophthalmol 200892: 1671-5. DOI: https://doi.org/10.1136/bjo.2008.143537

18. Pfeiffer N, Krieglstein GK, Wellek S. Glaucoma Care Updates Knowledge about Glaucoma in the Unselected Population : A German Survey. J Glaucoma 2002;11 458-63 DOI: https://doi.org/10.1097/00061198-200210000-00016

19. Gasch AT, Wang P, Pasquale LR. Determinants of glaucoma awareness in a general eye clinic. Ophthalmology 2000;107: 303-8. DOI: https://doi.org/10.1016/S0161-6420(99)00076-7

20. Landers JA, Goldberg I, Graham SL. Factors affecting awareness and knowledge of glaucoma among patients presenting to an urban emergency department. Clin Exp Ophthalmol 2002;30:104-9. DOI: https://doi.org/10.1046/j.1442-6404.2002.00493.x

21. Srinivasan S, Neo HY, Sangtam T, Ku JY, Chau SYM, Rostihar AK, Eong KGA. Survey on the knowledge of age-related macular degeneration and its risk factors among Singapore residents. Clin Exp Ophthalmol 2009,37:795-800. DOI: https://doi.org/10.1111/j.1442-9071.2009.02153.x

22. AMD Alliance International. Awareness of Age-related macular degeneration and associated risk factors: AMD Global report 2005. Toronto: AMD International 2005.

23. Shah N, Turner S, Johnston RL. Is there still a need for strengthening optometrist referral and general public awareness regarding cataract even in developed countries? Int Ophthalmol 2011;31 : 3534. DOI: https://doi.org/10.1007/s10792-011-9478-0

24 Jarvi rt JC. Preventing blindness in Americans: The need for eye health education. Surv Ophthalmol 1995;40:41-4. DOI: https://doi.org/10.1016/S0039-6257(95)80045-X

Published

2026-08-26

How to Cite

Brule, J., Duguay, C., & Larouche, J. (2026). Identifying the needs for eye care education in Quebec, Canada. Canadian Journal of Optometry, 75(3), 45–52. https://doi.org/10.65636/cjo.v75i3.7299

Most read articles by the same author(s)