Changes in glaucoma management following visual field testing and optical coherence tomography
Conclusion Glaucoma therapeutic changes occurred following approximately 5% of outpatient encounters. Surgery and LT were more likely to occur following a visit with a HVF rather than an OCT, while either investigation was associated with a higher odds of medication change. (Source: British Journal of Ophthalmology)
Source: British Journal of Ophthalmology - July 20, 2023 Category: Opthalmology Authors: Sun, M. T., Singh, K., Wang, S. Y. Tags: Original articles - Clinical science Source Type: research

Background polygenic risk modulates the association between glaucoma and cardiopulmonary diseases and measures: an analysis from the UK Biobank
Conclusion The relations between systemic conditions and glaucoma vary by underlying genetic predisposition to POAG, with larger associations among those who developed glaucoma despite low genetic risk. (Source: British Journal of Ophthalmology)
Source: British Journal of Ophthalmology - July 20, 2023 Category: Opthalmology Authors: Kolli, A., Sekimitsu, S., Wang, J., Segre, A., Friedman, D., Elze, T., Pasquale, L. R., Wiggs, J., Zebardast, N. Tags: Original articles - Clinical science Source Type: research

One-year surgical outcomes of the PreserFlo MicroShunt in glaucoma: a multicentre analysis
Conclusion The PreserFlo MicroShunt with MMC 0.4 mg/mL showed an overall success rate of 68.3% at 1 year, and led to significant IOP and medication reduction with a low rate of adverse effects. (Source: British Journal of Ophthalmology)
Source: British Journal of Ophthalmology - July 20, 2023 Category: Opthalmology Authors: Tanner, A., Haddad, F., Fajardo-Sanchez, J., Nguyen, E., Thong, K. X., Ah-Moye, S., Perl, N., Abu-Bakra, M., Kulkarni, A., Trikha, S., Lascaratos, G., Parnell, M., Kailani, O., King, A. J., Agrawal, P., Stead, R., Giannouladis, K., Rodrigues, I., Goyal, S Tags: Open access Original articles - Clinical science Source Type: research

Telemetric non-contact intraocular pressure monitoring with an implanted sensor in patients with glaucoma: long-term safety report and monitoring data
Conclusion So far, our data suggest good long-term safety, tolerability and functionality of the implanted sensors up to almost ten years. Such sensors may help facilitate patients’ self-measurements of IOP. This disease monitoring method should be investigated further to determine if it helps improve wider patient experience, engagement and visual prognosis for those being treated for complex glaucoma. (Source: British Journal of Ophthalmology)
Source: British Journal of Ophthalmology - July 20, 2023 Category: Opthalmology Authors: Schmidt, I., Plange, N., Walter, P., Koutsonas, A. Tags: Original articles - Clinical science Source Type: research

Clinical outcomes of penetrating canaloplasty in patients with traumatic angle recession glaucoma: a prospective interventional case series
Conclusion Penetrating canaloplasty significantly reduces IOP and has a high success rate in angle recession glaucoma. Trial registration number ChiCTR1900020511. (Source: British Journal of Ophthalmology)
Source: British Journal of Ophthalmology - July 20, 2023 Category: Opthalmology Authors: Cheng, H., Ye, W., Zhang, S., Xie, Y., Gu, J., Le, R., Deng, Y., Hu, C., Zhao, Z., Ke, Z., Liang, Y. Tags: Original articles - Clinical science Source Type: research

Development and validation of the 40-item Glaucoma Visual Functioning Questionnaire
Conclusions The GVFQ-40 possesses good validity and reliability. It can be used to evaluate the impact of glaucomatous damage on visual ability and has potential in the evaluation of intervention efficacy. Trial registration number NCT04722861. (Source: British Journal of Ophthalmology)
Source: British Journal of Ophthalmology - July 20, 2023 Category: Opthalmology Authors: Huang, H., Lin, J., Luo, M., Li, Z., Zhu, Y., Han, J., Jin, L., Li, Y., Zhuo, Y. Tags: Open access Original articles - Clinical science Source Type: research

Factors associated with glaucoma-specific quality of life in a US glaucoma clinic in a pilot implementation of an online computerised adaptive test (GlauCAT)
Conclusions In a busy glaucoma clinic where QoL was measured with online adaptive tests for glaucoma, we found that several demographic and clinical variables are associated with lower domain scores, suggesting that patients with predisposing demographic and clinical factors are at a higher risk of worse QoL. (Source: British Journal of Ophthalmology)
Source: British Journal of Ophthalmology - July 20, 2023 Category: Opthalmology Authors: Halawa, O. A., Roldan, A. M., Meshkin, R. S., Zebardast, N., Fenwick, E. K., Lamoureux, E. L., Friedman, D. S. Tags: Original articles - Clinical science Source Type: research

Predictors of long-term intraocular pressure control after lens extraction in primary angle closure glaucoma: results from the EAGLE trial
Conclusion Patients with primary angle closure glaucoma/PAC are 10 times more likely to maintain drop-free good IOP control with initial CLE surgery than LPI. Non-Chinese ethnicity, higher baseline IOP and using glaucoma drops prior to randomisation are predictors of worse long-term IOP response. (Source: British Journal of Ophthalmology)
Source: British Journal of Ophthalmology - July 20, 2023 Category: Opthalmology Authors: Mitchell, W. G., Azuara-Blanco, A., Foster, P. J., Halawa, O., Burr, J., Ramsay, C. R., Cooper, D., Cochran, C., Norrie, J., Friedman, D., Chang, D. Tags: Editor's choice Original articles - Clinical science Source Type: research

Evaluation of the Nallasamy formula: a stacking ensemble machine learning method for refraction prediction in cataract surgery
Conclusions The Nallasamy formula (available at https://lenscalc.com/) outperformed the seven other formulas studied on overall MAE, MedAE, and percentage of eyes within 0.5 D of prediction. Clinical significance may be primarily at the population level. (Source: British Journal of Ophthalmology)
Source: British Journal of Ophthalmology - July 20, 2023 Category: Opthalmology Authors: Li, T., Stein, J., Nallasamy, N. Tags: Open access Original articles - Clinical science Source Type: research

Real-world visual outcomes of cataract surgery based on population-based studies: a systematic review
Conclusions We observed large inequality in the visual outcomes and principal causes of visual impairment after cataract surgery among different countries and regions. Structured quality control and enhancement programmes are needed to improve the outcomes of cataract surgery and reduce inequality. (Source: British Journal of Ophthalmology)
Source: British Journal of Ophthalmology - July 20, 2023 Category: Opthalmology Authors: Han, X., Zhang, J., Liu, Z., Tan, X., Jin, G., He, M., Luo, L., Liu, Y. Tags: Open access Original articles - Clinical science Source Type: research

Ocular morbidity in Marfan syndrome: a nationwide epidemiological study
Conclusion This nationwide epidemiological study of ocular morbidity in MFS demonstrates a profound burden and emphasises the need for thorough and experienced ophthalmological surveillance. (Source: British Journal of Ophthalmology)
Source: British Journal of Ophthalmology - July 20, 2023 Category: Opthalmology Authors: Kjeldsen, S., Andersen, N., Groth, K., Larsen, D., Hjortdal, J., Berglund, A., Gravholt, C., Stochholm, K. Tags: Original articles - Clinical science Source Type: research

Establishing a method to estimate the effect of antimyopia management options on lifetime cost of myopia
Conclusions Financial investment in AMM during childhood may be balanced or exceeded across a lifetime by reduced refractive progression, simpler lenses, and reduced risk of pathology and vision loss. Our methodology can be applied to estimate cost in comparable scenarios. (Source: British Journal of Ophthalmology)
Source: British Journal of Ophthalmology - July 20, 2023 Category: Opthalmology Authors: Fricke, T. R., Sankaridurg, P., Naduvilath, T., Resnikoff, S., Tahhan, N., He, M., Frick, K. D. Tags: Open access Review Source Type: research

At a glance
Ocular morbidity in Marfan syndrome: a nationwide epidemiological study (see page 1051) This nationwide epidemiological study of ocular morbidity in Marfan syndrome demonstrates a profound burden, compared to controls, especially concerning disorders of lens, retinal detachment, and glaucoma, which translates into significantly increased ophthalmic surgery and medication. Real-world visual outcomes of cataract surgery based on population-based studies: a systematic review (see page 1056) There is a lack of population-based data on post-cataract surgery visual acuity outcomes in many countries. Existing evidence demonstrate...
Source: British Journal of Ophthalmology - July 20, 2023 Category: Opthalmology Authors: Larkin, F. Tags: Highlights from this issue Source Type: research

Development and validation of a questionnaire-based myopia proxy in adults: the LifeLines Cohort Study
Conclusion Self-administered refractive error-related questions could be used as an effective tool to capture proxy-inferred myopic cases in a population-based setting. (Source: British Journal of Ophthalmology)
Source: British Journal of Ophthalmology - June 22, 2023 Category: Opthalmology Authors: Asefa, N. G., Neustaeter, A., Vehof, J., Nolte, I. M., Snieder, H., Jansonius, N. M. Tags: Original articles - Clinical science Source Type: research

Childhood versus early-teenage onset Lebers hereditary optic neuropathy: visual prognosis and capacity for recovery
Conclusion Visual prognosis of LHON in children is much more favourable in cases of childhood onset (≤12 years of age) as compared with teenage onset (13–16 years), mostly due to better recovery from nadir in childhood onset. (Source: British Journal of Ophthalmology)
Source: British Journal of Ophthalmology - June 22, 2023 Category: Opthalmology Authors: Siedlecki, J., Koenig, S., Catarino, C., Schaumberger, M. M., Schworm, B., Priglinger, S. G., Rudolph, G., von Livonius, B., Klopstock, T., Priglinger, C. S. Tags: Original articles - Clinical science Source Type: research