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The Inferior, Superior, Temporal Rim Width Pattern (IST Rule) Detects Glaucoma in a Japanese Population
Précis:
The inferior>superior>temporal rim width rate (IST pattern) rather than inferior≥superior≥nasal≥temporal (ISNT) pattern was suited for screening glaucoma in Japanese subjects. Failure of the IST pattern was associated with several important risk factors for glaucoma.
Purpose:
The purpose of this study was to find a rim width rate pattern to yield the highest positive likelihood ratio (LR+) in detecting glaucoma eyes and to identify risk factors for glaucoma correlating with its failure in a population-based setting.
Methods:
Disc stereophotographs of 2474 eyes of 2474 normal subjects and 23...
Source: Journal of Glaucoma - April 1, 2022 Category: Opthalmology Tags: Advances in Glaucoma: Original Studies Source Type: research
Comparison of the Structure-Function Relationship Between Advanced Primary Open Angle Glaucoma and Normal Tension Glaucoma
Conclusions:
In advanced glaucoma, differences in patterns of VF damage were found between POAG and NTG eyes. Conventional peripapillary RNFL and macular measurements showed generally good performance for estimating functional status, particularly in NTG eyes.
Source: Journal of Glaucoma - June 29, 2022 Category: Opthalmology Tags: New Glaucoma Insights: Original Studies Source Type: research
Incidence of and Risk Factors for Steroid Response After Cataract Surgery in Patients With and Without Glaucoma
Precis:
Steroid response after cataract surgery was more frequent in glaucoma patients than nonglaucoma patients. Longer axial length and more preoperative medications were risk factors for steroid response in glaucoma patients.
Purpose:
The aim was to evaluate incidence and risk factors for topical steroid response after uneventful cataract surgery in patients with and without glaucoma.
Setting:
Academic glaucoma clinics.
Design:
This was a retrospective review.
Participants:
Consecutive patients with and without glaucoma and no prior incisional glaucoma surgery undergoing cataract surgery ...
Source: Journal of Glaucoma - April 1, 2021 Category: Opthalmology Tags: Glaucoma Assessment: Original Studies Source Type: research
Distribution and Predictors of Initial Glaucoma Care Among Ophthalmologists and Optometrists: A Population-based Study
Conclusions:
Optometrists have a large and growing role in diagnosing glaucoma suspects; however, despite scope expansion, optometrists play a much smaller role in initiating glaucoma therapy.
Source: Journal of Glaucoma - June 1, 2021 Category: Opthalmology Tags: General Ophthalmology and Glaucoma: Original Studies Source Type: research
Detecting Progression in Patients With Different Clinical Presentations of Primary Open-angle Glaucoma
Conclusions:
While both RNFLT and VF parameters showed comparable abilities to identify progression across the different classifications, RNFLT assessment may be better suited to monitor progression, particularly among patients with elevated intraocular pressure and those who present with only GVF defect at baseline.
Source: Journal of Glaucoma - September 1, 2021 Category: Opthalmology Tags: Glaucoma Care: Original Studies Source Type: research
Clinical Utility of Bruch Membrane Opening–Minimum Rim Width for Detecting Early Glaucoma in Myopic Eyes
Conclusions:
BMO-MRW was overall a useful parameter for diagnosing early glaucoma in myopic eyes. However, its diagnostic performance was decreased in myopic eyes with large BMO and there were no significant differences from pRNFL thickness.
Source: Journal of Glaucoma - November 1, 2021 Category: Opthalmology Tags: New Glaucoma Insights: Original Studies Source Type: research
Is Reading Performance Impaired in Glaucoma Patients With Preserved Central Vision?
Conclusions:
Patients with mild to moderate glaucoma had worse reading performance compared with similarly aged controls, despite both having preserved central vision.
Source: Journal of Glaucoma - April 1, 2021 Category: Opthalmology Tags: Glaucoma Assessment: Original Studies Source Type: research
Long-term Efficacy of Mitomycin C Augmented Trabeculectomy in a Mixed Pediatric Glaucoma Cohort
Conclusions:
This study provides valuable evidence that Mitomycin C-augmented trabeculectomy is safe and effective as a treatment of primary or secondary pediatric glaucoma, with particularly encouraging results in cases of secondary glaucoma. Trabeculectomy offers the potential for delaying or avoiding glaucoma drainage device surgery in a significant proportion of children.
Source: Journal of Glaucoma - April 1, 2021 Category: Opthalmology Tags: Glaucoma Surgery: Original Studies Source Type: research
Glaucoma Publication Trends in Leading General Ophthalmology Journals During the Past Quarter Century: Where Are the Clinical Trials?
Précis:
During the past quarter century, the rate of glaucoma-related publication in general ophthalmology journals increased due to higher representation in “experimentally oriented” journals. The rate of glaucoma randomized controlled clinical trial (RCT) articles decreased during the same time period.
Purpose:
To evaluate trends in rate of glaucoma publications in leading general ophthalmology journals over the past quarter century.
Materials and Methods:
Q1 ophthalmology journals Web sites were reviewed. Only journals not limited to certain subspecialty were considered “general” and included ...
Source: Journal of Glaucoma - June 1, 2021 Category: Opthalmology Tags: General Ophthalmology and Glaucoma: Original Studies Source Type: research
Efficacy and Safety of Repeated Micropulse Transscleral Diode Cyclophotocoagulation in Advanced Glaucoma
Conclusion:
Repeated MPTCP is at best moderately effective in lowering IOP for eyes with advanced glaucoma.
Source: Journal of Glaucoma - July 1, 2021 Category: Opthalmology Tags: Advances in Glaucoma Surgery: Original Studies Source Type: research
Incremental Health Care Expenditures Associated With Glaucoma in the United States: A Propensity Score–matched Analysis
Précis:
Adjusting for sociodemographics and comorbidities, patients with glaucoma incur an annual incremental economic burden of $1863.17, translating to $9.2 billion nationally. When analyzed by the health care service sector, prescription medication expenditures were higher for glaucoma patients.
Purpose:
The purpose of this study was to estimate the incremental health care burden, defined as attributable costs solely due to a diagnosis, of patients with diagnosed glaucoma, controlling for comorbidities, and sociodemographics.
Design:
A retrospective cross-sectional analysis of Medical Expenditure Pane...
Source: Journal of Glaucoma - December 23, 2021 Category: Opthalmology Tags: Advances in Glaucoma: Original Studies Source Type: research
Glaucoma Health Coaching: A Survey of Eye Drop Instillation Education
Conclusions:
Experienced and inexperienced patients found glaucoma health coaching beneficial. Health coaching empowers patients with long-term conditions to be champions of their own health condition, and it is important for patients to receive this training from the onset of their treatment.
Source: Journal of Glaucoma - May 1, 2022 Category: Opthalmology Tags: Advances in Glaucoma: Original Studies Source Type: research
Cost Utility of Schlemm’s Canal Microstent Injection With Cataract Surgery for Open-angle Glaucoma in the US Medicare System
Conclusions:
HMS implantation during cataract surgery appears to be cost-effective for patients with mild-to-moderate glaucoma. Nevertheless, more long-term safety and efficacy data are required.
Source: Journal of Glaucoma - June 1, 2022 Category: Opthalmology Tags: New Glaucoma Insights: Original Studies Source Type: research
Fluctuation in Blood Pressure and Intraocular Pressure in Normal Tension Glaucoma Using Ambulatory Monitoring
Conclusions:
Though glaucoma has been associated with exaggerated nocturnal BP dipping, we found a higher proportion of patients had systemic hypertension, blunted nocturnal BP dipping, and a morning BP surge, measures also associated with vascular dysregulation.
Source: Journal of Glaucoma - April 1, 2021 Category: Opthalmology Tags: Glaucoma Assessment: Original Studies Source Type: research
Surgical Technique for Pars Plana Ahmed Glaucoma Valve Implantation in Advanced Glaucoma: The Upside-Down Technique
Précis:
Ahmed glaucoma valve (AGV) implantation using the upside-down technique resulted in an aqueous humor outflow pathway, occurring primarily on the scleral side and secondarily on the conjunctival side, and was effective in treating refractory glaucoma.
Purpose:
To describe the AGV surgical technique, which results in changes in the primary aqueous humor outflow pathway to the scleral side (upside-down technique), and to evaluate the clinical effects and distribution of bleb fluid after surgery in patients with refractory glaucoma.
Patients and Methods:
In this retrospective study, the upside-down t...
Source: Journal of Glaucoma - June 1, 2021 Category: Opthalmology Tags: Medical and Surgical Glaucoma: Original Studies Source Type: research
