The Utility of Recycled Eyeglasses: A Pilot Study at the Los Angeles County Department of Health Services

  • Valerie P. Huang University of Southern California
  • Mary E. Kim University of Southern California
  • Sukriti Mohan University of Southern California
  • Lauren P. Daskivich Los Angeles County Department of Health Services
  • Jesse L. Berry University of Southern California, Children’s Hospital Los Angeles
Keywords: visual acuity, low vision, refractive error development

Abstract

Background:

The cost of eyeglasses is variably covered by medical insurance and thus is a significant barrier for patients in lower socioeconomic classes. We wanted to evaluate the efficacy of Recycle Vision (RV) at LAC+USC Medical Center, a monthly clinic run by volunteer medical students that provides free donated eyeglasses.

Methods:

A convenience sample of 30 patients were surveyed from August 1, 2019 to December 31, 2019. Patients’ prescriptions were matched with available eyeglasses based on spherical equivalent and axis of astigmatism using Winglasses software algorithm; patients selected glasses from these options based on subjective improvement of vision. All participants consented to a phone follow-up survey 1 month after initial visit to gauge satisfaction with glasses and rate difficulty in completing daily activities pre- and post-RV visit on a scale of 1 to 5 (5 being the greatest), with a 100% response rate.

Results:

Of the 30 study participants, 90% received eyeglasses from RV, with reported improvement in ease of daily activities of 3.96. 67% of respondents stated that if RV clinic did not exist, they would not have obtained glasses elsewhere; cost was the most commonly (70%) cited barrier. Upon follow-up, average likelihood of patients referring friends/family to RV was 4.07 (SD 1.14).

Conclusion:

The majority of RV patients received free eyeglasses and had subsequent improvement in their quality of life. This pilot study demonstrates that programs offering free eyeglasses can effectively correct refractive error and can offer a practical public health solution to improve functionality for underserved populations.

References

Vos T, Allen C, Arora M. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 2016; 388(10053): 1545-1602.

Flaxman SR, Bourne RRA, Resnikoff S, Ackland P, Braithwaite T, Cicinelli MV et al. Global causes of blindness and distance vision impairment 1990-2020: a systematic review and meta-analysis. Lancet Glob Health 2017; 5(12): e1221-e1234.

Berry JL, Cuzzo LM, Bababeygy SR, Quiros PA. Unmet need for corrective eyeglasses: results from a Los Angeles County Hospital survey. Int Ophthalmol 2012; 32(3): 245-50.

Global Initiative for the Elimination of Avoidable Blindness: action plan 2006-2011. World Health Organization: France, 2007.

Wang W, Yan W, Muller A, al e. Association of Socioeconomics With Prevalence of Visual Impairment and Blindness. JAMA Ophthalmol 2017; 135(12): 1295-1302.

Services. DoHC. Medi-Cal Vision Benefits. In: State of California, 2020.

Gharaibeh A, Koppikar S, J. Bonilla-Escobar F. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) in the International Journal of Medical Students. International Journal of Medical Students 2014; 2(2): 36-37.

Dandona L, Dandona R. What is the global burden of visual impairment? BMC Med 2006; 4: 6.

Levin D. Scojo Foundation provides affordable eyeglasses to the poorest countries. In: The New York Times. Gopal Pet, India, 2007.

OneSight. Get Help. In: OneSight, 2020.

Naidoo KS, Fricke TR, Frick KD, al e. Potential Lost Productivity Resulting from the Global Burden of Myopia: Systematic Review, Meta-analysis, and Modeling. Ophthalmology 2019; 126(3): 338-346.

Smith TS, Frick KD, Holden BA, al e. Potential lost productivity resulting from the global burden of uncorrected refractive error. Bull World Health Organ 2009; 87(6): 431-7.

Baggett TP, O'Connell JJ, Singer DE, Rigotti NA. The unmet health care needs of homeless adults: a national study. Am J Public Health 2010; 100(7): 1326-33.

Cumberland PM, Chianca A, Rahi JS, Eye UKB, Vision C. Accuracy and Utility of Self-report of Refractive Error. JAMA Ophthalmol 2016; 134(7): 794-801.

Bowie H, Congdon NG, Lai H, West SK. Validity of a personal and family history of cataract and cataract surgery in genetic studies. Invest Ophthalmol Vis Sci 2003; 44(7): 2905-8.

Bonilla-Escobar FJ. Fighting blindness with a Guerrilla: The Guerrilla Eye Service of Pittsburgh. International Journal of Medical Students 2017; 5(3): 117-120.

Williams AM, Botsford B, Mortensen P, Park D, Waxman EL. Delivering mobile eye care to underserved communities while providing training in ophthalmology to medical students: experience of the Guerrilla Eye Service. Clin Ophthalmol 2019; 13: 337-346.

Published
2021-04-21
How to Cite
Huang, V., Kim, M., Mohan, S., Daskivich, L., & Berry, J. (2021). The Utility of Recycled Eyeglasses: A Pilot Study at the Los Angeles County Department of Health Services. International Journal of Medical Students, 9(1), 37-42. https://doi.org/10.5195/ijms.2021.894
Section
Short Communication