Compliance With International Council of Ophthalmology Guidelines for Glaucoma Eye Care in Pakistan.

IF 2 4区 医学 Q2 OPHTHALMOLOGY
Journal of Glaucoma Pub Date : 2025-01-01 Epub Date: 2024-08-15 DOI:10.1097/IJG.0000000000002486
Yousaf Jamal Mahsood, Ali Hassan Nasir, Hira Wakil, Saima Farooq
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引用次数: 0

Abstract

Prcis: This study demonstrated that the compliance levels with International Council of Ophthalmology (ICO) Guidelines for glaucoma eye care were low for all the elements in both public and private health care settings.

Purpose: To determine the compliance with the ICO guidelines for glaucoma eye care among Pakistani ophthalmologists and to compare differences among ophthalmologists practicing in public and private health care settings.

Materials and methods: This was a retrospective chart review, and the records were reviewed according to ICO guidelines. The ICO recommends that each patient with glaucoma be evaluated for 19 items from 3 elements which are history, examination, and investigations. Mean compliance was recorded for each of the 3 elements. The compliance of each item was also checked and then a compared between the 2 settings, that is, public and private health care settings.

Results: A total of 394 records were analyzed, with a mean age of 51.9±14.9 years and 232 (58.9%) male patients. Most records were from private settings 339 (86%), and primary open angle glaucoma 163 (41.4%) was the most common diagnosis. Compliance was low for all elements; history (31.8%), examination (61.3%), and investigation (6%). Pupil reaction differed significantly between the 2 groups ( P =0.001).

Conclusion: Pakistan's ophthalmologists, whether in public or private health care settings, lack knowledge of ICO guidelines for glaucoma eye care. This study emphasizes the importance of implementing these guidelines in the general ophthalmology curriculum.

巴基斯坦遵守国际眼科理事会青光眼眼科护理指南的情况。
摘要目的:确定巴基斯坦眼科医生对国际眼科理事会(ICO)青光眼眼部护理指南的遵守情况,并比较在公立和私立医疗机构执业的眼科医生之间的差异:这是一项回顾性病历审查,根据 ICO 指南审查病历。ICO 建议对每位青光眼患者进行 19 个项目的评估,包括病史、检查和化验三个要素。记录了这三项内容的平均达标率。此外,还检查了每个项目的合规性,然后对两种医疗机构(即公立和私立医疗机构)的合规性进行了比较:共分析了 394 份病历,平均年龄为 51.9+14.9 岁,男性患者 232 人(58.9%)。大多数病历来自私立医疗机构,共 339 份(86%),最常见的诊断是原发性开角型青光眼,共 163 份(41.4%)。病史(31.8%)、检查(61.3%)和调查(6%)等所有要素的依从性都很低。两组患者的瞳孔反应差异很大(P=0.001):巴基斯坦的眼科医生,无论是在公立还是私立医疗机构,都缺乏对 ICO 青光眼眼科护理指南的了解。本研究强调了在普通眼科课程中实施这些指南的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Glaucoma
Journal of Glaucoma 医学-眼科学
CiteScore
4.20
自引率
10.00%
发文量
330
审稿时长
4-8 weeks
期刊介绍: The Journal of Glaucoma is a peer reviewed journal addressing the spectrum of issues affecting definition, diagnosis, and management of glaucoma and providing a forum for lively and stimulating discussion of clinical, scientific, and socioeconomic factors affecting care of glaucoma patients.
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