| A survey of investigations used for the management of glaucoma in hospital service in the United Kingdom. | |
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MedLine Citation:
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PMID: 18219340 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIMS: This study surveys the current use of investigations for the management of glaucoma in hospital practice by UK ophthalmologists. METHODS: A total of 1007 questionnaires were posted to all active NHS consultant ophthalmologists. They were asked to indicate the type of hospital (whether university (UTH) or general (DGH) hospital), glaucoma specialist status, and availability and use of automated perimetry, disc photography, HRT, GDx, OCT, and pachymetry. RESULTS: A total of 493 completed questionnaires were received and 469 were analysed: 284 (60.6%) DGH, 185 (39.4%) UTH, 144 (30.7%) glaucoma specialists. There was good availability of automated perimetry (467, 99.6%), disc photography (420, 89.6%), pachymetry (374, 79.7%), OCT (212, 45.2%), HRT (206, 43.9%), and GDx (59, 12.6%). A total of 308 (65.7%) consultants had at least one digital imaging instrument available. The majority of consultants used SAP (347, 74.0%) and SITA-fast (282, 60.1%) for glaucoma suspects, and for monitoring glaucoma (283, 60.3% and 197, 42.0%, respectively). Some used Esterman (155, 33.0%) and Goldmann fields (90, 19.2%) in addition to SAP and SITA-fast for glaucoma suspects. Few consultants used short-wavelength automated perimetry and frequency-doubled perimetry. Of the three imaging tests, HRT was the most commonly used investigation for disc asymmetry, early glaucoma, glaucomatous progression, ocular hypertension, normal tension glaucoma, and unreliable visual fields (P<0.0001). Where pachymeters were available, 333 (89.0%) consultants and 117 (98.3%) glaucoma specialists used pachymetry in glaucoma management. CONCLUSIONS: There was some variation in the use of investigations for the diagnosis and management of glaucoma, reflecting the range of techniques available. SAP, SITA-fast, and pachymetry were the most commonly utilised investigations followed by HRT. Glaucoma specialist status, type of hospital, and presence of research influenced the availability and use of all investigations, except visual fields. |
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Authors:
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P S C Gordon-Bennett; A S Ioannidis; K Papageorgiou; P S Andreou |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2008-01-25 |
Journal Detail:
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Title: Eye (London, England) Volume: 22 ISSN: 1476-5454 ISO Abbreviation: Eye (Lond) Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2008-11-13 Completed Date: 2009-06-30 Revised Date: 2009-11-03 |
Medline Journal Info:
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Nlm Unique ID: 8703986 Medline TA: Eye (Lond) Country: England |
Other Details:
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Languages: eng Pagination: 1410-8 Citation Subset: IM |
Affiliation:
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Broomfield Hospital, Broomfield, Chelmsford, Essex, UK. patelgordon@yahoo.co.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Diagnostic Techniques, Ophthalmological
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utilization* Glaucoma / diagnosis*, therapy Great Britain Health Surveys Hospitalization Humans Lasers / diagnostic use, utilization Ophthalmology / trends* Perimetry / utilization Photography / statistics & numerical data Physician's Practice Patterns / trends* Practice Guidelines as Topic Questionnaires Tomography, Optical Tonometry, Ocular / utilization |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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