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Lessons Learned From 2 Large Community-based Glaucoma Screening Studies
Kolomeyer, Natasha N. MD*,†; Katz, Leslie J. MD*,†; Hark, Lisa A. PhD, MBA‡,§; Wahl, Madison BA?; Gajwani, Prateek MS?; Aziz, Kanza MBBS?; Myers, Jonathan S. MD*,†; Friedman, David S. MD¶,#
doi : 10.1097/IJG.0000000000001920
October 2021 - Volume 30 - Issue 10 - p 875-877
Community-based screening programs have had limited success in preventing vision loss from glaucoma due to overall low prevalence of glaucoma, screening limitations, and barriers to follow-up appointments. This editorial highlights lessons learned from 2 large prospective trials: the Philadelphia Telemedicine Glaucoma Detection and Follow-up Study and the Screening To Prevent Glaucoma Study. While some lessons are specific to ophthalmology, many lessons are applicable to screening for asymptomatic diseases in underserved, vulnerable communities.
The Impact of Tape Sealing Face Masks on Visual Field Scores in the Era of COVID-19: A Randomized Cross-over Study
Heidinger, Astrid MD*; Falb, Thomas MD*; Werkl, Peter MD*; List, Wolfgang MD*; Hoeflechner, Lukas MD*; Riedl, Regina MD, PhD†; Ivastinovic, Domagoj MD*; Hommer, Anton MD‡; Lindner, Ewald MD*
doi : 10.1097/IJG.0000000000001922
October 2021 - Volume 30 - Issue 10 - p 878-881
Tape sealing of the face mask can prevent fogging artifacts of visual field testing. Here, we demonstrate that tape sealing can improve visual field scores even when fogging artifacts are not obvious.
Lower Cognitive Function in Patients With Functionally and Structurally Severe Glaucoma: The LIGHT Study
Yoshikawa, Tadanobu MD, PhD*; Obayashi, Kenji MD, PhD†; Miyata, Kimie MD, PhD*; Saeki, Keigo MD, PhD†; Ogata, Nahoko MD, PhD*
doi : 10.1097/IJG.0000000000001923
October 2021 - Volume 30 - Issue 10 - p 882-886
This cross-sectional study of 172 patients with glaucoma showed that functional and structural glaucoma damage was significantly associated with cognitive impairment independent of age and visual acuity.
Comparison of the 24-2 and 24-2C Visual Field Grids in Determining the Macular Structure-Function Relationship in Glaucoma
Hong, Ji Wook MD; Baek, Min Su MD; Lee, Jin Yeong MD; Song, Min Kyung MD; Shin, Joong Won MD; Kook, Michael S. MD, PhD
doi : 10.1097/IJG.0000000000001928
October 2021 - Volume 30 - Issue 10 - p 887-894
The 24-2C grid showed significantly greater structure-function (S-F) associations in the global and regional sectors than the 24-2 visual field (VF) grid in open-angle glaucoma eyes.
The Profile of Secondary Glaucoma in China: A Study of Over 10,000 Patients
Gong, Haijun MD, PhD*,†; Ren, Jiawei MD*; Zheng, Bingru MD*; Huang, Xiuyi*; Liao, Yunru MD*,†; Zhou, Yuying MD*; Lin, Mingkai MD, PhD*
doi : 10.1097/IJG.0000000000001924
October 2021 - Volume 30 - Issue 10 - p 895-901
Few studies have investigated the epidemiology of secondary glaucoma (SG) in China. This study analyzed the current profile of admitted patients with SG at the largest ophthalmic center in China.
Factors Associated With Laser Trabeculoplasty Response Duration: Analysis of a Large Clinical Database (IRIS Registry)
Chang, Ta Chen MD*; Vanner, Elizabeth A. PhD*; Fujino, Danielle MS†; Kelly, Scott PhD†; Parrish, Richard K. MD*
doi : 10.1097/IJG.0000000000001918
October 2021 - Volume 30 - Issue 10 - p 902-910
In eyes with trabeculoplasty response, those with lower baseline pressure, angle recession or uveitis had shorter survival. Eyes without medications before treatment remained medication-free for a median of 197 days.
One-Year Outcomes of Micropulse Cyclophototherapy for Primary Open-angle Glaucoma
Tong, Weihan MB BCh BAO*; Shen, Tina Yu Ting MBBS*; Wong, Hung Chew MSc(Statistics)†; Aquino, Maria Cecilia MMed(Ophth)*; Chew, Paul FRCSEd(Ophth)*; Lim, Dawn MRCP(UK)*
doi : 10.1097/IJG.0000000000001925
October 2021 - Volume 30 - Issue 10 - p 911-920
In primary open-angle glaucoma (POAG), micropulse trans-scleral cyclophototherapy (MPTCP) is effective in lowering intraocular pressure (IOP), but its effects are not permanent. Hence, it can serve as a temporizing measure before definitive glaucoma surgery.
Changes to Corneal Topography and Biometrics After PRESERFLO Microshunt Surgery for Glaucoma
Ibarz Barberá, Marta MD*,†; Morales-Fernandez, Laura MD, PhD‡; Gómez de Liaño, Rosario MD, PhD‡; Tañá Rivero, Pedro MD, PhD§; Teus, Miguel A. MD, PhD?,¶,#
doi : 10.1097/IJG.0000000000001912
October 2021 - Volume 30 - Issue 10 - p 921-931
Glaucoma surgery with PRESERFLO Microshunt shows mild and transient changes in the corneal astigmatism, corneal elevation and biometrics in the early postoperative period. Posterior corneal elevation (PCE) tends to be higher in primary open angle glaucoma (POAG).
Comparison of Corneal Wave Speed and Ocular Rigidity in Normal and Glaucomatous Eyes
Kazemi, Arash MD*; Zhou, Boran PhD†; Zhang, Xiaoming PhD†; Sit, Arthur J. SM, MD*
doi : 10.1097/IJG.0000000000001901
October 2021 - Volume 30 - Issue 10 - p 932-940
Ocular biomechanics were compared between treated glaucoma patients and healthy subjects matched for age, intraocular pressure (IOP), and axial length. There was no difference in corneal wave propagation speed, but ocular rigidity was lower in glaucomatous eyes.
Intraocular Pressure Monitoring Using an Intraocular Sensor Before and After Glaucoma Surgery
Saxby, Edward MBChB*; Mansouri, Kaweh MD, MPH†,‡; Tatham, Andrew J. MD, MBA, MBChB(Hons)*
doi : 10.1097/IJG.0000000000001916
October 2021 - Volume 30 - Issue 10 - p 941-946
Intraocular pressure (IOP) is the only modifiable risk factor for glaucoma, with evidence from landmark randomized controlled trials demonstrating visual field preservation with IOP reduction. Over recent years, the use of remote sensors has formed an increasingly important component of the management of chronic diseases. During the coronavirus disease 2019 pandemic, the ability to remotely monitor IOP proved particularly useful when public stay at home orders have been in place.
Acute Onset Optic Disc Hemorrhage Following Pharmacologic Mydriasis
Scott, Jessica A. MD, MS; Liebmann, Jeffrey M. MD
doi : 10.1097/IJG.0000000000001854
October 2021 - Volume 30 - Issue 10 - p e379-e381
The aim was to report 2 unusual cases of optic disc hemorrhage (DH) occurring following pharmacologic mydriasis.
Recurrent Choroidal Detachment in Peritoneal Dialysis Patient With Hypervolemia and Dilutional Hypoalbuminemia
Taechameekietichai, Teerajet MD*; Suvannachart, Pukkapol MD†; Kittiskulnam, Piyawan MD‡,§; Chansangpetch, Sunee MD, BPH†
doi : 10.1097/IJG.0000000000001787
October 2021 - Volume 30 - Issue 10 - p e382-e385
The following presents a case of recurrent choroidal detachments (CD) correlated with changes in serum albumin levels and the patient’s fluid status. A 71-year-old female patient presented with a 4-day history of blurry vision in her left eye. Pertinent medical history included end-stage renal disease treated with continuous ambulatory peritoneal dialysis. Previously, the patient’s left eye was treated for primary angle-closure glaucoma by trabeculectomy. While this resulted in a low baseline intraocular pressure (IOP) of 2 to 7?mm?Hg, the patient never developed any hypotony-related complications for the past 6 years. After examination, CD was diagnosed and treated with transscleral surgical drainage. The patient further developed 2 additional episodes of CD in the same eye. All episodes were also associated with bilateral pitting edema, weight gain, and hypoalbuminemia. Thus, the patient was recommended to take a protein supplement and limit her fluid intake. In addition, the dialysis treatment regimen was altered to achieve greater daily fluid removal. After 12 weeks, there was no recurrent episode of CD, and the patient was clinically stable with a final visual acuity of 20/30 and an IOP of 3?mm?Hg. The serum albumin levels improved slightly, and there were no signs of hypervolemia. In this case of recurrent CD, a possible association between the development of CD, hypoalbuminemia, and hypervolemia in patients with end-stage renal disease is demonstrated. Clinicians should be aware that these systemic factors can be tied with recurrent CDs, especially among patients with a low baseline IOP.
Letter to the Editor: Outcome of Bleb Revision With Autologous Conjunctival Graft Alone or Combined With Donor Scleral Graft for Late-onset Bleb Leakage With Hypotony After Standard Trabeculectomy With Mitomycin C
Garg, Prerna MS; Dubey, Suneeta MS
doi : 10.1097/IJG.0000000000001927
October 2021 - Volume 30 - Issue 10 - p e386
Response to Letter to the Editor: Outcome of Bleb Revision With Autologous Conjunctival Graft Alone or Combined With Donor Scleral Graft for Late-onset Bleb Leakage With Hypotony After Standard Trabeculectomy With Mitomycin C
Laspas, Panagiotis MD*; Wahl, Jochen MD†; Peters, Henning MD*; Prokosch-Willing, Verena PhD*; Chronopoulos, Panagiotis MD*; Grehn, Franz MD, PhD*; Pfeiffer, Norbert MD, PhD*; Hoffmann, Esther M. MD, PhD*
doi : 10.1097/IJG.0000000000001926
October 2021 - Volume 30 - Issue 10 - p e386-e387
Response to Letter to the Editor: Tube Shunt Revision With Excision of Fibrotic Capsule Using Mitomycin C With and Without Ologen—A Collagen Matrix Implant: A 3-Year Follow-up Study
Salimi, Ali MD, MSc*,†; Harasymowycz, Paul MD, FRCSC†,‡
doi : 10.1097/IJG.0000000000001910
October 2021 - Volume 30 - Issue 10 - p e387-e388
