Awareness of ocular diagnosis, transportation means, and barriers to ophthalmology follow-up in the Philadelphia Telemedicine Glaucoma Detection and Follow-up Study

Abstract

<b>Purpose</b>: The purpose of this study was to assess factors affecting follow-up eye care in participants enrolled in the <i>Philadelphia Telemedicine Glaucoma Detection and Follow-up Study</i>, such as awareness of ocular diagnosis, availability of transportation methods, and reasons for missing eye care appointments. <b>Methods</b>: The sample included 172 participants who were randomized to the intervention group and contacted by the social worker. <b>Results</b>: A total of 155 participants completed the assessment form, which was used as an instrument to assess factors affecting adherence to follow-up eye care. The main reasons for missing eye exam appointments were feeling ill (38.1%, n = 59) and forgetting the appointment (34.2%, n = 53). In addition, 45 (29.2%) participants were unaware of or did not comprehend the severity of their ocular diagnosis. Common methods of transportation included public transportation (31.6%, n = 49), driving (29.7%, n = 46), and being driven (27.7%, n = 43) to their appointment. <b>Conclusion</b>: These results suggest that individuals in need of eye care may benefit from additional assistance of a social worker regarding ongoing eye exam appointment reminders and in-depth explanation of their ocular diagnosis.