Journal of Current Glaucoma Practice最新文献

{"title":"The Effectiveness of a Nurse-led Glaucoma Education on Patient Knowledge and Compliance Motivation Levels: A 1-year Prospective Case Series.","authors":"James J Sng,&nbsp;Bryan C H Ang,&nbsp;Wai Cheng Soo Hoo,&nbsp;Angela P H Lim,&nbsp;Hwei Yee Teo,&nbsp;Leonard W L Yip","doi":"10.5005/jp-journals-10078-1418","DOIUrl":"10.5005/jp-journals-10078-1418","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the impact of a nurse-led glaucoma education program on patient knowledge and compliance levels in an Asian population.</p><p><strong>Materials and methods: </strong>A 1-year prospective case series involving 69 adult glaucoma patients. Each patient attended a standardized nurse-led glaucoma education session. A questionnaire was administered by a single nurse-clinician and analyzed at three time points (preeducation for baseline, immediately posteducation, and at the 1-year follow-up) to evaluate for associations with patient knowledge and compliance motivation levels.</p><p><strong>Results: </strong>A total of 64 patients were included in the final analysis. Patients with higher educational qualifications or who were employed had better baseline knowledge of glaucoma. Younger patients had higher baseline compliance motivation levels. Immediately posteducation, both median patient knowledge score and compliance motivation levels had a statistically significant increase. Patients on more glaucoma eye drops had greater immediate improvement in confidence in eye drop application. Patients with more positive Humphrey visual field mean deviation values had a greater immediate improvement in confidence in their understanding of glaucoma. A total of 34 patients were readministered the questionnaire at the 1-year time point. Median score for patient knowledge was highest at this point. Employed patients demonstrated better patient knowledge at baseline and at 1-year time point compared to unemployed patients. Unemployed patients experienced a significant improvement in scores from baseline to immediately posteducation, but improvement from immediately posteducation to the 1-year time point was insignificant was insignificant.</p><p><strong>Conclusion: </strong>Our study has examined the effectiveness of a nurse-led glaucoma education program in an Asian population, demonstrating improvement in both patient knowledge and compliance motivation levels up to 1 year after intervention.</p><p><strong>How to cite this article: </strong>Sng JJ, Ang BCH, Soo Hoo WC, <i>et al</i>. The Effectiveness of a Nurse-led Glaucoma Education on Patient Knowledge and Compliance Motivation Levels: A 1-year Prospective Case Series. J Curr Glaucoma Pract 2023;17(3):149-156.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 3","pages":"149-156"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10618600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71424045","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":"Decision Factors for Glaucoma Suspects and Ocular Hypertensive Treatment at an Academic Center.","authors":"Elizabeth C Ciociola, Alicia Anderson, Huijun Jiang, Ian Funk, Feng-Chang Lin, Jean-Claude Mwanza, Meredith R Klifto, David Fleischman","doi":"10.5005/jp-journals-10078-1417","DOIUrl":"10.5005/jp-journals-10078-1417","url":null,"abstract":"<p><strong>Aims and background: </strong>Practice guidelines assert that high-risk glaucoma suspects should be treated. Yet, there is ambiguity regarding what constitutes a high enough risk for treatment. The purpose of this study was to determine which factors contribute to the decision to treat glaucoma suspects and ocular hypertensive patients in an academic ophthalmology practice.</p><p><strong>Materials and methods: </strong>Retrospective cohort study of glaucoma suspects or ocular hypertensives at an academic ophthalmology practice from 2014 to 2020. Demographics, comorbidities, intraocular pressure (IOP), optical coherence tomography (OCT) findings, and visual field measurements were compared between treated and untreated patients. A multivariable logistic regression model assessed predictors of glaucoma suspected treatment.</p><p><strong>Results: </strong>Of the 388 patients included, 311 (80%) were untreated, and 77 (20%) were treated. There was no statistical difference in age, race/ethnicity, family history of glaucoma, central corneal thickness (CCT), or any visual field parameters between the two groups. Treated glaucoma suspects had higher IOP, thinner retinal nerve fiber layers (RNFL), more RNFL asymmetry, thinner ganglion cell-inner plexiform layers (GCIPL), and a higher prevalence of optic disc drusen, disc hemorrhage, ocular trauma, and proliferative diabetic retinopathy (PDR) (<i>p</i> < 0.05 for all). In the multivariable model, elevated IOP {odds ratio [OR] 1.16 [95% confidence interval (CI) 1.04-1.30], <i>p</i> = 0.008}, yellow temporal [5.76 (1.80-18.40), <i>p</i> = 0.003] and superior [3.18 (1.01-10.0), <i>p</i> = 0.05] RNFL quadrants, and a history of optic disc drusen [8.77 (1.96-39.34), <i>p</i> = 0.005] were significant predictors of glaucoma suspect treatment.</p><p><strong>Conclusion: </strong>Higher IOP, RNFL thinning, and optic disc drusen were the strongest factors in the decision to treat a glaucoma suspect or ocular hypertensive patient. RNFL asymmetry, GCIPL thinning, and ocular comorbidities may also factor into treatment decisions.</p><p><strong>Clinical significance: </strong>Understanding the clinical characteristics that prompt glaucoma suspect treatment helps further define glaucoma suspect disease status and inform when treatment should be initiated.</p><p><strong>How to cite this article: </strong>Ciociola EC, Anderson A, Jiang H, <i>et al.</i> Decision Factors for Glaucoma Suspects and Ocular Hypertensive Treatment at an Academic Center. J Curr Glaucoma Pract 2023;17(3):157-165.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 3","pages":"157-165"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10618603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71424041","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":"Lifestyle Measures for Glaucoma Patients: An Objective Social Media Content Analysis.","authors":"Rutvi Chahal,&nbsp;Ankush Jindal,&nbsp;Uday Pratap Singh Parmar,&nbsp;Rohan Bir Singh,&nbsp;Shibal Bhartiya,&nbsp;Parul Ichhpujani","doi":"10.5005/jp-journals-10078-1412","DOIUrl":"10.5005/jp-journals-10078-1412","url":null,"abstract":"<p><strong>Aim: </strong>In this study, we analyze the content quality and characteristics of the most viewed search results on various internet platforms related to lifestyle measures for patients with glaucoma.</p><p><strong>Materials and methods: </strong>In this internet-based cross-sectional study, we used search keywords \"glaucoma,\" \"lifestyle,\" \"glaucoma,\" and \"exercise\" on the most popular internet platforms-Google, Facebook, YouTube, and Reddit. The top 30 Google searches about each of the keyword combinations were identified. We also assessed the first 30 videos on YouTube and Facebook Watch, the first 30 Reddit posts and the first 30 Google images about each of the keyword combinations. The quality of content from the platforms was evaluated by three independent reviewers using the well-established Sandvik score, Health on Net (HON) code, and risk score for different uploaders. The quality of content regarding lifestyle measures in glaucoma uploaded by healthcare professionals (HCPs) was further evaluated.</p><p><strong>Results: </strong>The established criteria resulted in 48 websites from the Google search engine, 22 videos from YouTube, 37 posts from Reddit, and 28 videos from Facebook Watch, which were included in the final analysis. The mean Sandvik scores were 11.14 ± 1.8 (Google webpages), 10.4 ± 2.19 (YouTube videos), 10.54 ± 2.21 (Facebook Watch), and 4.24 ± 1.18 (Reddit). The mean risk scores were 0.22 ± 0.68 (YouTube videos), 0.18 ± 0.47 (Facebook Watch), and 0.11 ± 0.31 (Reddit). The mean HON code scores were 5.45 ± 1.62 (YouTube), 6.55 ± 1.44 (Google webpages), 5.29 ± 1.04 (Facebook Watch), and 8.27 ± 3.05 (Reddit). The content uploaded by HCPs was primarily from ophthalmologists and had significantly (<i>p</i> < 0.05) higher content quality scores. The majority of the content recommended aerobic exercise as a lifestyle measure in patients with glaucoma as an adjuvant to medical and surgical management.</p><p><strong>Conclusion: </strong>The majority of the content regarding lifestyle measures in glaucoma was uploaded by HCPs and had medically accurate and well-referenced information, especially on Google and YouTube.</p><p><strong>Clinical significance: </strong>Primary care physicians and ophthalmologists can reliably use social media content to guide recently diagnosed patients about the requisite lifestyle measures.</p><p><strong>How to cite this article: </strong>Chahal R, Jindal A, Parmar UPS, <i>et al.</i> Lifestyle Measures for Glaucoma Patients: An Objective Social Media Content Analysis. J Curr Glaucoma Pract 2023;17(3):141-148.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 3","pages":"141-148"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10618604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71424042","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":"Clinical Profile of Primary Open-angle Glaucoma Patients at an Eye Center in Nigeria.","authors":"Ngozika E Ezinne,&nbsp;Michael A Kwarteng,&nbsp;Kingsley K Ekemiri,&nbsp;Victoria I Iroanachi,&nbsp;Selassie Tagoh,&nbsp;Grace Ogbonna,&nbsp;Khathutshelo P Mashige","doi":"10.5005/jp-journals-10078-1413","DOIUrl":"10.5005/jp-journals-10078-1413","url":null,"abstract":"<p><strong>Aim: </strong>Globally, one of the leading causes of preventable blindness is primary open-angle glaucoma (POAG). The study assessed the clinical presentations of POAG patients attending an eye center in Abuja, Nigeria.</p><p><strong>Materials and methods: </strong>Records of 188 eyes, collected from 94 patients diagnosed with POAG for a period of 1 year at the eye center, were reviewed. Clinical records, including age, gender, visual acuity (VA), central cornea thickness (CCT), intraocular pressure (IOP), cup-to-disk ratios, and retinal nerve fiber layer (RNFL) thickness of the participants, were extracted and analyzed.</p><p><strong>Results: </strong>The majority of the participants were males (56.4%) and adults (57.4%), most of whom had normal VA (>70% in each eye). Our analysis revealed normal average estimates of RNFL thickness, IOP, and CCT among the participants. Females had thicker RNFL compared to males (<i>p</i> = 0.02). Although CCT decreased with age (<i>r</i> = -0.28, <i>p =</i> 0.005), there was no such link between IOP and CCT (<i>r</i> = 0.09, <i>p =</i> 0.38).</p><p><strong>Conclusion: </strong>Central cornea thickness (CCT), RNFL thickness, and IOP in isolation should not be used as early indicators for POAG; rather, a combination of these and other indices is recommended. Early detection through active screening and treatment in the community for at-risk groups is highly advised.</p><p><strong>How to cite this article: </strong>Ezinne NE, Kwarteng MA, Ekemiri KK, <i>et al</i>. Clinical Profile of Primary Open-angle Glaucoma Patients at an Eye Center in Nigeria. J Curr Glaucoma Pract 2023;17(3):113-117.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 3","pages":"113-117"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10618605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71424039","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":"Outcomes of Trainee-performed MIGS at Parkland Memorial Hospital: A Retrospective Cohort Study.","authors":"Joseph Da,&nbsp;Matthew Gillings,&nbsp;Shivani Kamat,&nbsp;Niraj Nathan","doi":"10.5005/jp-journals-10078-1414","DOIUrl":"10.5005/jp-journals-10078-1414","url":null,"abstract":"<p><strong>Aims and background: </strong>As the use of minimally invasive or microinvasive glaucoma surgery (MIGS) continues to expand, it is important to look at its outcomes in the hands of trainees. This study aims to examine the efficacy and safety of Kahook Dual Blade (KDB) goniotomy and endocyclophotocoagulation (ECP) with cataract extraction (CE) done by residents and fellows.</p><p><strong>Methods: </strong>All cases of KDB or ECP performed with CE between 2012 and 2020 at Parkland were reviewed, excluding cases with multiple MIGS procedures or other procedures.</p><p><strong>Results: </strong>A total of 153 eyes of 136 patients who underwent KDB and 125 eyes of 124 patients who underwent ECP were included. Mean intraocular pressure (IOP) decreased from 17.2 ± 5.2 at baseline to 15.4 ± 5.5 mm Hg at postoperative (post-op) month (POM) 12 in the KDB group (<i>p</i> = 0.02) and from 18.6 ± 6.3 at baseline to 15.1 ± 4.9 mm Hg at POM12 in the ECP group (<i>p</i> < 0.001), with wide variation in IOP change among subjects for both. The mean change in IOP across all time points was statistically significant for both groups. Medication counts were reduced from baseline at POMs 1, 3, and 6, but not 12, in both the KDB and ECP groups (<i>p</i> = 0.43 and <i>p</i> = 0.35, respectively). The rate of serious complications was very low; the most common complication was cystoid macular edema (CME) (six cases) and active inflammation beyond POM1 (15 cases) for KDB and ECP, respectively.</p><p><strong>Conclusion: </strong>Combined CE/MIGS procedures performed by trainees were safe but less efficacious in lowering IOP and medications compared to literature reporting outcomes of attending surgeons, apart from ECP/MIGS with regards to IOP lowering, which was found to be similarly efficacious.</p><p><strong>Clinical significance: </strong>Cataract extraction (CE) combined with KDB or ECP in the hands of trainees decreased mean IOP from baseline and was safe. IOP and medication reduction of MIGS/CE in the hands of trainees were overall lesser than reported values by attending surgeons.</p><p><strong>How to cite this article: </strong>Da J, Gillings M, Kamat S, <i>et al.</i> Outcomes of Trainee-performed MIGS at Parkland Memorial Hospital: A Retrospective Cohort Study. J Curr Glaucoma Pract 2023;17(3):134-140.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 3","pages":"134-140"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10618606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71424044","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":"Optimizing Glaucoma Care: A Holistic Approach.","authors":"Tanuj Dada,&nbsp;Nidhi Chauhan","doi":"10.5005/jp-journals-10078-1416","DOIUrl":"10.5005/jp-journals-10078-1416","url":null,"abstract":"<p><p><b>How to cite this article:</b> Dada T, Chauhan N. Optimizing Glaucoma Care: A Holistic Approach. J Curr Glaucoma Pract 2023;17(3):111-112.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 3","pages":"111-112"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10618607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71424043","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":"Race and Gender Shift among Academic Glaucoma Specialists in the Last 5 Decades.","authors":"Kasra Afzali,&nbsp;Dylann K Fujimoto,&nbsp;Seyed Omid Mohammadi,&nbsp;Ken Y Lin","doi":"10.5005/jp-journals-10078-1407","DOIUrl":"10.5005/jp-journals-10078-1407","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the demographic composition of academic glaucoma specialists currently practicing in the United States.</p><p><strong>Design: </strong>Retrospective and observational study.</p><p><strong>Subjects: </strong>Academic glaucoma specialists identified from ophthalmology residency programs listed on the Doximity database.</p><p><strong>Methods: </strong>The American Board of Ophthalmology (ABO) membership directory, Doximity database, publicly available data, and direct communications were used to identify academic glaucoma specialists and their demographics. Information collected included-name, gender, race/ethnicity, geographic location, board certification date, academic affiliation, and academic rank. Ophthalmic age was defined as the number of years since ophthalmology board certification. Underrepresented minority (URM) groups were defined as Hispanics, Black or African Americans, Latinos, American Indians, or Alaskan Natives as defined by San Francisco match. In addition, the temporal, geographic, and academic rank distributions among females and URMs were explored.</p><p><strong>Main outcome measures: </strong>Women and URMs representations among academic glaucoma specialists across academic ranks, geographic regions, as well as ophthalmic age.</p><p><strong>Results: </strong>There were 457 active academic glaucoma specialists identified from 110 institutions in 38 states. Among them, 185 (40.5%) were women and 42 (9.2%) were URM. The proportion of women glaucoma specialists in academia had increased significantly with a rate of 1.049 in odds ratio (OR) per year (<i>p</i> < 0.001). However, there were no significant changes in the proportion of URMs over time. The earliest year of certification was 1,964 for males and 1,974 for females. When controlled for ophthalmic age, there were no significant differences in the distribution of women or URMs between the different academic ranks (<i>p</i> = 0.572 and <i>p</i> = 0.762, respectively). Among assistant professors, women had a significantly higher ophthalmic age compared to men (<i>p</i> < 0.001), but there was no significant difference in ophthalmic age in both the associate and full professor groups. There were no significant differences in the geographic distribution of gender (<i>p</i> = 0.516) and URM across United States regions (<i>p</i> = 0.238).</p><p><strong>Conclusion: </strong>The proportion of women among academic glaucoma specialists has significantly increased over the past 5 decades; however, the proportion of URMs has been stagnant in the same period. Enhancing URM representation among academic glaucoma specialists deserves to be a future priority.</p><p><strong>How to cite this article: </strong>Afzali K, Fujimoto DK, Mohammadi SO, <i>et al.</i> Race and Gender Shift among Academic Glaucoma Specialists in the Last 5 Decades. J Curr Glaucoma Pract 2023;17(2):98-103.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 2","pages":"98-103"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a1/cd/jocgp-17-98.PMC10357023.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9865673","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":"New-onset Glaucoma Following Moderna COVID-19 Vaccination.","authors":"Yi-Wen Su,&nbsp;Shih-Jung Yeh,&nbsp;Mei-Ju Chen","doi":"10.5005/jp-journals-10078-1408","DOIUrl":"10.5005/jp-journals-10078-1408","url":null,"abstract":"<p><strong>Aim: </strong>To report a case of new-onset glaucoma following administration of the Moderna (mRNA-1273) vaccine.</p><p><strong>Background: </strong>Previous studies have reported a low incidence of ocular adverse events induced by the coronavirus disease 2019 (COVID-19) vaccine. The literature on open-angle glaucoma associated with COVID-19 vaccination is limited.</p><p><strong>Case description: </strong>The patient complained of blurred vision 2 days following the administration of the second dose of the Moderna vaccine in July 2021. At presentation, the ophthalmic examination showed elevated intraocular pressure (IOP) of 30 mm Hg in her right eye (OD) and 18 mm Hg in her left eye (OS). There were no signs of intraocular inflammation or glaucomatous optic neuropathy at the initial presentation. She was treated with a topical β-blocker first. In addition, 1 month later, her IOPs were 28 mm Hg OD and 26 mm Hg OS. Although treated with multiple antiglaucoma medications, her optic cup-to-disc ratios were increased in both eyes (OU) compared to May 2019. She developed a glaucomatous visual field (VF) defect OD in October 2021. Optical coherence tomography (OCT) revealed progressive retinal nerve fiber layer (RNFL) thinning in OU.</p><p><strong>Conclusion: </strong>Glaucoma may be a rare but severe ocular adverse event of the Moderna vaccines. The ophthalmologist should pay attention to the risk of increased IOP following COVID-19 vaccination.</p><p><strong>Clinical significance: </strong>We reported a case of new-onset open-angle glaucoma presumably associated with COVID-19 vaccination.</p><p><strong>How to cite this article: </strong>Su Y, Yeh S, Chen M. New-onset Glaucoma Following Moderna COVID-19 Vaccination. J Curr Glaucoma Pract 2023;17(2):106-109.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 2","pages":"106-109"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/16/7e/jocgp-17-106.PMC10357024.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9919002","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":"Profile of Childhood Glaucoma Attending a Tertiary Eye Care Center in Northern India.","authors":"Suneeta Dubey,&nbsp;Kanika Jain,&nbsp;Julie Pegu,&nbsp;Saptarshi Mukherjee","doi":"10.5005/jp-journals-10078-1400","DOIUrl":"10.5005/jp-journals-10078-1400","url":null,"abstract":"<p><strong>Purpose: </strong>To ascertain the prevalence and clinical features of the various types of childhood glaucoma at a tertiary eye care hospital in Northern India.</p><p><strong>Materials and methods: </strong>Retrospective chart review of all children less than 16 years of age with childhood glaucoma who presented from 1^st April 2014 to 31^st March 2019, who was diagnosed to have any subtype of childhood glaucoma as per Childhood Glaucoma Research Network (CGRN) classification and advised appropriate management.</p><p><strong>Results: </strong>Out of 405 children with childhood glaucoma, 36% had primary glaucoma, whereas the rest had secondary glaucoma. Primary congenital glaucoma (PCG) was the most common form of primary glaucoma. Glaucoma associated with acquired conditions was the most common cause of secondary glaucoma. Primary glaucoma was mostly bilateral in contrast to secondary glaucoma. The most common age of presentation with primary glaucoma was <1 year of age, and in children with secondary glaucoma was 11-16 years. On presentation, 80% of eyes had intraocular pressure (IOP) of >20 mm Hg and 70% had cupping of >0.7. Eyes with PCG were primarily managed surgically.</p><p><strong>Conclusion: </strong>In our cohort, PCG was the most common primary childhood glaucoma. Traumatic glaucoma was the most common secondary glaucoma. Since childhood glaucoma is an important cause of visual morbidity in children, its timely diagnosis and prompt management are essential to prevent irreversible visual loss.</p><p><strong>Clinical significance: </strong>Understanding the disease pattern, their presenting features, and the proportion of different types of childhood glaucoma can help in planning appropriate eye care services, create awareness and better allocate resources to plan appropriate management strategies. Screening programs and counseling of parents should also be strengthened.</p><p><strong>How to cite this article: </strong>Dubey S, Jain K, Pegu J, <i>et al.</i> Profile of Childhood Glaucoma Attending a Tertiary Eye Care Center in Northern India. J Curr Glaucoma Pract 2023;17(2):68-74.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 2","pages":"68-74"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/61/ff/jocgp-17-68.PMC10357025.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9865671","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":"Agreement between Two Swept-source Optical Coherence Tomography: Optic Nerve Head, Retinal Nerve Fiber Layer and Ganglion Cell Layers in Healthy Eyes.","authors":"Angelica M Prada,&nbsp;Alejandro Tello,&nbsp;Carlos M Rangel,&nbsp;Virgilio Galvis,&nbsp;Gustavo Espinoza","doi":"10.5005/jp-journals-10078-1409","DOIUrl":"10.5005/jp-journals-10078-1409","url":null,"abstract":"<p><strong>Aim and background: </strong>Precision of optical coherence tomography (OCT) measurements of the optic nerve head (ONH), retinal nerve fiber layer (RNFL), and macular ganglion cell layer (GCL) is essential for the diagnosis and monitoring of glaucoma. The purpose of this research was to evaluate the repeatability and reproducibility of retinal and ONH parameters measured with two identical swept-source optical coherence devices.</p><p><strong>Methods: </strong>A cross-sectional study was conducted. A total of 30 eyes of 15 healthy subjects were included. Two technicians performed four OCT-wide protocol scans in the same visit using two identical Triton swept-source OCT (DRI-OCT) instruments. The interdevice and interobserver reproducibility and the repeatability of both instruments for all ONH, RNFL, and macular GCL parameters were evaluated by the intraclass correlation coefficient (ICC). Additionally, Bland-Altman test analysis was used for repeatability and reproducibility measurements.</p><p><strong>Results: </strong>Intraclass correlation coefficient (ICCs) of the ONH, RNFL, and GCL measurements were excellent for repeatability and interdevice reproducibility (>0.9). Interobserver reproducibility was good for all parameters except for RNFL clock hour 11 (ICC = 0.72). The variability of the average RNFL was from -4.103 to 4.97 µm, with a mean percentage of the difference (PD) of 0.37 ± 2.03%. Among GCL parameters, the greatest variability was found in the inferior sector (PD = -0.88 ± 5.39%, limits of agreement (LoA) = -8.345-7.078 μm).</p><p><strong>Conclusion: </strong>Using two identical swept-source OCT instruments for the evaluation of the structural parameters of the ONH, RNFL, and macular GCL showed high repeatability and reproducibility. This allows the clinician to make a therapeutic decision based on OCT findings coupled with the clinical evaluation of the patient. When evaluating RNFL clock hours measurements, interobserver reproducibility might decrease.</p><p><strong>Clinical significance: </strong>The understanding of measurement variability while using different devices and the impact of the observer capturing the images, is clinically relevant.</p><p><strong>How to cite this article: </strong>Prada AM, Tello A, Rangel CM, <i>et al.</i> Agreement between Two Swept-source Optical Coherence Tomography: Optic Nerve Head, Retinal Nerve Fiber Layer and Ganglion Cell Layers in Healthy Eyes. J Curr Glaucoma Pract 2023;17(2):85-90.</p>","PeriodicalId":15419,"journal":{"name":"Journal of Current Glaucoma Practice","volume":"17 2","pages":"85-90"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/da/a9/jocgp-17-85.PMC10357020.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9865674","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}