Journal of Current Glaucoma Practice最新文献

{"title":"Comparing the Accuracy and Readability of Glaucoma-related Question Responses and Educational Materials by Google and ChatGPT.","authors":"Samuel A Cohen, Ann C Fisher, Benjamin Y Xu, Brian J Song","doi":"10.5005/jp-journals-10078-1448","DOIUrl":"10.5005/jp-journals-10078-1448","url":null,"abstract":"<p><strong>Aim and background: </strong>Patients are increasingly turning to the internet to learn more about their ocular disease. In this study, we sought (1) to compare the accuracy and readability of Google and ChatGPT responses to patients' glaucoma-related frequently asked questions (FAQs) and (2) to evaluate ChatGPT's capacity to improve glaucoma patient education materials by accurately reducing the grade level at which they are written.</p><p><strong>Materials and methods: </strong>We executed a Google search to identify the three most common FAQs related to 10 search terms associated with glaucoma diagnosis and treatment. Each of the 30 FAQs was inputted into both Google and ChatGPT and responses were recorded. The accuracy of responses was evaluated by three glaucoma specialists while readability was assessed using five validated readability indices. Subsequently, ChatGPT was instructed to generate patient education materials at specific reading levels to explain seven glaucoma procedures. The accuracy and readability of procedural explanations were measured.</p><p><strong>Results: </strong>ChatGPT responses to glaucoma FAQs were significantly more accurate than Google responses (97 vs 77% accuracy, respectively, <i>p</i> < 0.001). ChatGPT responses were also written at a significantly higher reading level (grade 14.3 vs 9.4, respectively, <i>p</i> < 0.001). When instructed to revise glaucoma procedural explanations to improve understandability, ChatGPT reduced the average reading level of educational materials from grade 16.6 (college level) to grade 9.4 (high school level) (<i>p</i> < 0.001) without reducing the accuracy of procedural explanations.</p><p><strong>Conclusion: </strong>ChatGPT is more accurate than Google search when responding to glaucoma patient FAQs. ChatGPT successfully reduced the reading level of glaucoma procedural explanations without sacrificing accuracy, with implications for the future of customized patient education for patients with varying health literacy.</p><p><strong>Clinical significance: </strong>Our study demonstrates the utility of ChatGPT for patients seeking information about glaucoma and for physicians when creating unique patient education materials at reading levels that optimize understanding by patients. An enhanced patient understanding of glaucoma may lead to informed decision-making and improve treatment compliance.</p><p><strong>How to cite this article: </strong>Cohen SA, Fisher AC, Xu BY, <i>et al.</i> Comparing the Accuracy and Readability of Glaucoma-related Question Responses and Educational Materials by Google and ChatGPT. J Curr Glaucoma Pract 2024;18(3):110-116.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"18 3","pages":"110-116"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"12-month Safety and Efficacy Outcomes of a Standalone Trabecular Bypass Device.","authors":"Brandon Huynh, Colin Clement, Vuong Nguyen, Stephen O'Hagan, Frank Howes, Peter Macken, David Manning, Ridia Lim, Jed Lusthaus, Mitchell Lawlor","doi":"10.5005/jp-journals-10078-1447","DOIUrl":"10.5005/jp-journals-10078-1447","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the outcomes of the iStent inject in a real-world clinical setting as a standalone procedure to lower intraocular pressure (IOP) in open-angle glaucoma.</p><p><strong>Materials and methods: </strong>Patients with open-angle glaucoma having undergone iStent inject insertion without concurrent cataract extraction were included in this multicenter observational real-world study in Australia. Patient data was entered into the Fight Glaucoma Blindness! Registry. Assessments through 12 months included glaucoma subtype, IOP, medications, best-corrected visual acuity (BCVA), secondary surgical procedures, and adverse events. Kaplan-Meier survival curves for outcomes were reported according to the World Glaucoma Association (WGA).</p><p><strong>Results: </strong>Sixty-one eyes from 44 patients with a mean age of 76 ± 11.4 underwent standalone iStent inject implantation. The mean ± SD preoperative IOP was 17.5 ± 7.5 mm Hg, and the mean preoperative number of topical medications was 2.5 ± 1.5. At 12 months postoperatively, there was no statistically significant IOP reduction, while the number of glaucoma medications used was reduced to 1.4 ± 1.5 (<i>p</i> < 0.001). Fourteen point one percent of eyes required a secondary pressure-lowering procedure within the 12-month follow-up window.</p><p><strong>Conclusion: </strong>This assessment of standalone iStent inject implantation did not show any significant reduction in IOP, but there was a significant decrease in medication use in the real-world clinical setting. The procedure is safe with minimal adverse outcomes; however, a subset of patients required secondary procedures within 12 months of follow-up.</p><p><strong>How to cite this article: </strong>Huynh B, Clement C, Nguyen V, <i>et al.</i> 12-month Safety and Efficacy Outcomes of a Standalone Trabecular Bypass Device. J Curr Glaucoma Pract 2024;18(3):103-109.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"18 3","pages":"103-109"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A New \"Tube-in-tube\" Method to Extend Glaucoma Drainage Devices Using Paul Glaucoma Implant.","authors":"Tasmin Berman, Leon Au","doi":"10.5005/jp-journals-10078-1430","DOIUrl":"10.5005/jp-journals-10078-1430","url":null,"abstract":"<p><strong>Aim and background: </strong>To describe a novel and uncomplicated technique of elongating the tubing of a glaucoma drainage device (GDD) sourced from a segment of the tube from a Paul® Glaucoma Implant (PGI).</p><p><strong>Surgical technique: </strong>Conjunctival and Tenon's peritomy are performed with relaxing incisions to expose the original tube. The original tube is then removed from the anterior chamber, and the original entry site is closed. The tip of the original Baerveldt/Ahmed tubing is shortened to near the plate, and the lumen is stretched open using Burke's forceps (nontoothed to avoid damage to the tubing) while the appropriate length of the Paul tube was being pushed inside and is secure without the need for any suturing. The new smaller Paul tube is then inserted back into the anterior chamber using a 26-gauge tract. An 8-0 Ethilon® was then used to secure the tube to the sclera, and TISSEL® was used to secure it (Baxter, United States). Depending on the positioning, either the original Tutoplast® pericardium or new double-layered Tutoplast® can be placed over the tube to prevent erosion. The Tenon's and conjunctiva were then closed to secure the conjunctival and Tenon's back in their original position at the limbus, and the radial conjunctival incisions can be closed using TISSEL® fibrin glue or further sutures if required.</p><p><strong>Conclusion: </strong>This method offers several benefits over previously documented techniques; it avoids significant bulkiness, and the elongated tube conforms to the curvature of the globe owing to the suitable rigidity of the extended section. The additional tubing segment fits securely without the need for sutures. Introducing a smaller diameter tube into the anterior chamber in comparison to other GDDs minimizes the surface area between the tube and corneal endothelium, therefore decreasing the rate of potential endothelium cell loss.</p><p><strong>Clinical significance: </strong>This novel \"tube-in-tube\" technique is efficient, safe, and straightforward to perform. It eliminates the need for alterations in glaucoma medication since the PGI is not thought to offer any flow resistance.</p><p><strong>How to cite this article: </strong>Berman T, Au L. A New \"Tube-in-tube\" Method to Extend Glaucoma Drainage Devices Using Paul Glaucoma Implant. J Curr Glaucoma Pract 2024;18(3):130-133.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"18 3","pages":"130-133"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reversing Aging and Improving Health Span in Glaucoma Patients: The Next Frontier?","authors":"Tanuj Dada, Karthikeyan Mahalingam, Shibal Bhartiya","doi":"10.5005/jp-journals-10078-1451","DOIUrl":"10.5005/jp-journals-10078-1451","url":null,"abstract":"<p><p><b>How to cite this article:</b> Dada T, Mahalingam K, Bhartiya S. Reversing Aging and Improving Health Span in Glaucoma Patients: The Next Frontier? J Curr Glaucoma Pract 2024;18(3):87-93.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"18 3","pages":"87-93"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing Pigment Dispersion Glaucoma Postbilateral ICL Implantation in High Myopia: A Case Report on the Crucial Role of Gonioscopy in Correcting a Misdiagnosis","authors":"P. Ramesh, P. Sathyan, Ashik Azad, A. Devadas, Tejaswi Ragolu, S. Ramesh, M. Ramesh, R. Rajasekaran","doi":"10.5005/jp-journals-10078-1433","DOIUrl":"https://doi.org/10.5005/jp-journals-10078-1433","url":null,"abstract":"","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"30 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140363531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Glaucoma Drug Prescription Pattern in North India: Public vs Private Sector Hospitals","authors":"Suresh Kumar, S. Bhartiya, P. Ichhpujani, Surbhi Kapoor, Uday Pratap Singh Parmar, Sonali Kaundal","doi":"10.5005/jp-journals-10078-1438","DOIUrl":"https://doi.org/10.5005/jp-journals-10078-1438","url":null,"abstract":"","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"30 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140364436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Drainage of Suprachoroidal Hemorrhage Combined with Surgical Correction of Hypotony after Trabeculectomy","authors":"Saurabh Verma, Tanuj Dada, A. N. Bukke, Ayushi Agarwal, Nitika Beri, Saloni Une","doi":"10.5005/jp-journals-10078-1429","DOIUrl":"https://doi.org/10.5005/jp-journals-10078-1429","url":null,"abstract":"","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"51 50","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140362926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analyzing the Shortcomings of Trabecular Micro-bypass Stents for Surgical Management of Glaucoma","authors":"Tanuj Dada, Nitika Beri","doi":"10.5005/jp-journals-10078-1439","DOIUrl":"https://doi.org/10.5005/jp-journals-10078-1439","url":null,"abstract":"","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"31 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140361993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urrets–Zavalia Syndrome of Unresolving Mydriasis Following Endocyclophotocoagulation Combined with Phacoemulsification","authors":"Anny M.S. Cheng, Geetha G Vedula, Aarup Kubal, Jillene Moxam, D. T. Yang, Shailesh K Gupta","doi":"10.5005/jp-journals-10078-1431","DOIUrl":"https://doi.org/10.5005/jp-journals-10078-1431","url":null,"abstract":"","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"52 41","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140362902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prospective Comparison of VisuALL Virtual Reality Perimetry and Humphrey Automated Perimetry in Glaucoma","authors":"W. E. Sponsel, Jeffrey M Griffin, Grant T Slagle, Truong A Vu, Ainsley Eis","doi":"10.5005/jp-journals-10078-1434","DOIUrl":"https://doi.org/10.5005/jp-journals-10078-1434","url":null,"abstract":"","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"19 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140361461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}