Original research
Integrating eye care in low-income and middle-income settings: a scoping review
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g.
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests


  • A rapid response is a moderated but not peer reviewed online response to a published article in a BMJ journal; it will not receive a DOI and will not be indexed unless it is also republished as a Letter, Correspondence or as other content. Find out more about rapid responses.
  • We intend to post all responses which are approved by the Editor, within 14 days (BMJ Journals) or 24 hours (The BMJ), however timeframes cannot be guaranteed. Responses must comply with our requirements and should contribute substantially to the topic, but it is at our absolute discretion whether we publish a response, and we reserve the right to edit or remove responses before and after publication and also republish some or all in other BMJ publications, including third party local editions in other countries and languages
  • Our requirements are stated in our rapid response terms and conditions and must be read. These include ensuring that: i) you do not include any illustrative content including tables and graphs, ii) you do not include any information that includes specifics about any patients,iii) you do not include any original data, unless it has already been published in a peer reviewed journal and you have included a reference, iv) your response is lawful, not defamatory, original and accurate, v) you declare any competing interests, vi) you understand that your name and other personal details set out in our rapid response terms and conditions will be published with any responses we publish and vii) you understand that once a response is published, we may continue to publish your response and/or edit or remove it in the future.
  • By submitting this rapid response you are agreeing to our terms and conditions for rapid responses and understand that your personal data will be processed in accordance with those terms and our privacy notice.
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

Other responses

Jump to comment:

  • Published on:
    Dynamic integration of primary healthcare into vision care services
    • Seán J Coghlan, Medical Student Queen's University Belfast
    • Other Contributors:
      • Meenakshi Sharma, Research Fellow
      • Varsha M Rathi, Ophthalmologist
      • Rohit C Khanna, Public Health Ophthalmologist
      • Nathan Congdon, Public Health Ophthalmologist

    Dear Editor,
    We have read with great interest the scoping review by Lee et al.[1], investigating efforts to integrate eye care into healthcare systems in low-income and middle-income countries (LMIC). We also share a belief in the importance of further integrating service delivery in this area.
    Most of the cited studies addressed the integration of eye care into wider healthcare settings. The review highlights improved outcomes in management of retinopathy of prematurity achieved through enhancements to paediatrician-led care [2]. Furthermore, the review displays how improved provision of resources, training and enhanced engagement with other stakeholders has resulted in improved knowledge and guideline usage in primary care [3].
    The review highlighted various interventions delivered as short training sessions or educational modules [4-6]. Whilst undeniably important for capacity building, these measures cannot in and of themselves achieve a highly integrated system, which would require changes in infrastructure, guidelines and referral systems.
    We would appreciate a further understanding of the authors’ rationale for including certain studies in the review, which appear to contain remote or indirect references to eye care service delivery [7-12]. Some included studies [11, 12] appear to link improved management of hypertension and diabetes with prevention of associated retinopathy, though the articles do not appear to mention diabetic retinopathy e...

    Show More
    Conflict of Interest:
    None declared.