Objective 28-1

Dilated Eye Examinations

Increase the proportion of persons who have a dilated eye examination every two years.

Many eye diseases and disorders have no symptoms or early warning signs. Dilated eye exams should be performed at appropriate intervals to detect changes in the retina or optic nerve or both. Eye care professionals can view the back of the eye for subtle changes and, if necessary, initiate treatment at the right time.

Data Source

Baseline: 55 percent of persons aged 18 years and older had a dilated eye examination within the past 2 years in 2002 (age adjusted to the year 2000 standard population).

Target: 58 percent of persons 18 years and over.

Target setting method: Better than the best.

Data source: National Health Interview Survey (NHIS), National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC).

Operational definition: This is a valuable tool that allows individuals to set measurable Healthy Vision objectives for their own communities.

Adults 18 years and over	Percentage of People
	55%
Race and ethnicity
American Indian or Alaska Native only	54%
Asian or Pacific Islander only	DNA
Asian only	50%
Native Hawaiian or Other Pacific Islander only	DSU
Black or African American only	54%
White only	56%
2 or more races	54%
American Indian or Alaska Native; White	47%
Black or African American; White	57%
Hispanic or Latino	45%
Non Hispanic or Latino	56%
Black or African American only, not Hisp/Latino	54%
White only, not Hispanic or Latino	57%
Gender
Female	58%
Male	52%
Education level (persons 25 years and over)
Under 12 years	44%
12 years	55%
13 years and over	62%
Diabetes status (annual examination)
Persons with diabetes	55%
Persons without diabetes	37%

Legend:
DNA = Data have not been analyzed.
DNC = Data for specific population are not collected.
DSU = Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

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Operational definition for objective: 28-1
28-1.	Increase the proportion of persons who have a dilated eye examination every two years.
National Data Source	National Health Interview Survey (NHIS), CDC, NCHS.
State Data Source	Not identified.
Healthy People 2000 Objective	Adapted from 17.23 (Diabetes and Chronic Disabling Conditions)
Measure	Percent (age adjusted - see Comments).
Baseline	55 (2002).
Numerator	Number of adults aged 18 years and older who report they had a dilated eye exam within the past two years.
Denominator	Number of adults aged 18 years and older.
Population Targeted	U.S. civilian, noninstitutionalized population.
Questions Used To Obtain the National Data	From the 2002 National Health Interview Survey: > When was the last time you had an eye exam in which the pupils were dilated? This would have made you temporarily sensitive to bright light. Less than 1 month 01 to 12 months 13 to 24 months More than 2 years
Expected Periodicity	Periodic.
Comments	Among adults, the appropriate time interval forgetting a dilated eye exam is generally consideredto be within the past 2 years. Adults who respond"less than 1 month," "1 to 12 months," or "13 to24 months" to the above question are consideredto be getting a dilated eye exam within theappropriate time interval. Among personswith diabetes, the appropriate time interval is1 year. Adults with diabetes who respond "less than 1 month" or "1-12 months" to the question are getting a dilated eye exam at the appropriate interval. Data (except those by education status) are age adjusted to the 2000 standard population using the age groups 18-24, 25-34, 35-44, 45-64, and 65 years and over. Data by education status are adjusted using the age groups 25-34, 35-44, 45-64, and 65 years and over. Age-adjusted rates are weighted sums of age-specific rates. For a discussion on age adjustment, see Part A, section 5. This objective targets a different population thanthe Healthy People 2000 objective. The targeted population for this objective is the total adult population 18 years and over. Healthy People 2000 objective 17.23 tracked people 18 yearsand over with diabetes only, and stated "Increaseto 70 percent the proportion of people with diabetes who have an annual dilated eye exam." The HealthyPeople 2010 template addresses annual eye exams among people with diabetes. For some measures, data do not meet the criteria for statistical reliability, data quality, or confidentiality and have been suppressed. Information on suppression of data for the major Healthy People 2010 data systems has been published in a Healthy People Statistical Note report (Klein, R.; Proctor, S.; Boudreault, M.; Turczyn, K. Healthy People 2010 Statistical Notes No. 24. 2002). See Part C for a description of NHIS and Appendix A for focus area contact information. All referenced "Parts" and "Appendices" can be found in Tracking Healthy People 2010.