Evaluating multidisciplinary glaucoma care: visual field progression and loss of sight year analysis in the community vs hospital setting

Autor: Tasneem Z Khatib, Maryam Mushtaq, Keith R Martin, Humma Shahid, Jane Kean, Rupert R A Bourne, Sarah Farrell, Nikou Nassehzadeh-Tabriz, Yusuf Mushtaq, Binita Panchasara, Hong Kai Lim
Rok vydání: 2021
Předmět:
Zdroj: Eye
ISSN: 1476-5454
0950-222X
DOI: 10.1038/s41433-021-01492-3
Popis: BACKGROUND: A variety of shared care models have been developed, which aim to stratify glaucoma patients according to risk of disease progression. However, there is limited published data on the rate of glaucoma progression in the hospital vs community setting. Here we aimed to compare rates of glaucomatous visual field progression in the Cambridge Community Optometrist Glaucoma Scheme (COGS) and Addenbrooke's Hospital Glaucoma Clinic (AGC). METHODS: A retrospective comparative cohort review was performed. Patients with five or more visual field tests were included. Zeiss Forum software was used to calculate the MD progression rate (dB/year). Loss of sight years (LSY) were also calculated for both COGS and AGC. RESULTS: Overall, 8465 visual field tests from 854 patients were reviewed. In all, 362 eyes from the AGC group and 210 eyes from COGS were included. The MD deterioration rate was significantly lower in the COGS patients compared with the AGC group (-0.1 vs -0.3 dB/year; p
Databáze: OpenAIRE
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