Guidelines for treatment of chronic primary angle-closure glaucoma

Muñoz-Negrete, F.J.; González-Martín-Moro, J.; Casas-Llera, Pilar; Urcelay-Segura, J.L.; Rebolleda, Gema; Ussa, Fernando; Monclus, N Guerri; Hernández, César; Moreno-Montañés, Javier; Pérez, María Paz Villegas; Pablo, L.; García‐Feijoó, Julián

doi:10.1016/j.oftale.2015.03.013

Cited by 3 publications

(9 citation statements)

References 101 publications

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“…Table 1 summarises the general characteristics of the 20 included clinical practice guidelines. The guidelines were derived from Argentina, 27 Australia, 28,29 Brazil, 30 Canada, 31,32 India, 33 Kenya, 34 Malaysia, 35 Scotland, 36 Spain, 37 Sweden, 38 United Kingdom [39][40][41] United States, [42][43][44] the Asia-Pacific region 45 and Europe, 46 and were published between 2010 and 2022. Four guidelines were funded by government organisations, 28,35,36,41 two by the authoring organisation, 42,43 one by industry, 45 and one by the European Glaucoma Society Foundation.…”

Section: General Characteristics and Quality Of Guidelinesmentioning

confidence: 99%

“…46 Two guidelines stated that no funding was provided, 29,33 and the remaining 10 did not state if any funding was provided. 27,[30][31][32]34,[37][38][39][40]44 Eye and/or healthcare providers or clinicians (including ophthalmologists and optometrists) were explicitly stated as the target audience in all guidelines, except for one guideline where it was not clearly stated (but likely F I G U R E 1 Selection process for identifying clinical practice guidelines providing recommendations for clinical care of glaucoma suspects. Following the removal of duplicates, the remaining records underwent a two-stage selection process to identify relevant guidelines written in English.…”

Section: General Characteristics and Quality Of Guidelinesmentioning

confidence: 99%

“…The lowest scoring domains across all guidelines were for 'Applicability', 'Editorial Independence' and 'Stakeholder Involvement'; three or less guidelines achieved a score of >66% for each of these domains. Only the National Institute for Health 33,36,39,44 Five guidelines only provided a definition of a PAC suspect, with all specifically for PAC disease or glaucoma 30,37,40,43 except for one guideline. 32 Among the other 11 guidelines, the most common clinical features considered to define either a 'glaucoma suspect' or a 'primary open angle glaucoma [POAG] suspect' (the latter being explicitly defined in five guidelines) 34,35,41,42,45,46 were the presence of a suspicious optic disc or nerve appearance (n = 11), elevated intraocular pressure (IOP; n = 8), or suspicious visual field results (n = 7).…”

Section: General Characteristics and Quality Of Guidelinesmentioning

confidence: 99%

“…Table 4 summarises the recommendations for initiating treatment for 'glaucoma suspects' or 'POAG suspects' in each of the 16 guidelines, excluding the four specifically for PAC disease or established glaucoma. 30,37,40,43 Three guidelines did not provide any such recommendations, 31,32,44 one guideline 36 indicated that this topic was covered by a 2009 NICE guideline, 47 and one guideline only provided recommendations for assessing such individuals during the COVID-19 pandemic. 33 Of the remaining 11 guidelines, treatment recommendations were mostly formal (n = 6), and most assessed the quality of the evidence used to derive the recommendation (n = 6), but only a few stated the strength of the recommendation (n = 3).…”

Section: Recommendations For Treatment Initiationmentioning

confidence: 99%

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Systematic review and appraisal of quality, definitions and treatment recommendations of clinical guidelines for glaucoma suspects

Wu,

Karunaratne,

Ang

et al. 2023

Clinical Exper Ophthalmology

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BackgroundTo appraise the quality of clinical practice guidelines for glaucoma suspects, and to assess their consistency for how a ‘glaucoma suspect’ is defined and their recommendations for treatment initiation for such individuals.MethodsThis study included all documents that self‐identified as a ‘guideline’ and provided recommendation(s) for the clinical care of glaucoma suspects. The quality of eligible guidelines was assessed using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument.ResultsFrom 1196 records retrieved from comprehensive searches and two records manually included, 20 clinical practice guidelines were deemed eligible. Based on an appraisal using the AGREE II instrument, 16 (80%) guidelines had ≤2 domains with scores >66%. Overall, the lowest scoring domains were for applicability, editorial independence and stakeholder involvement. There was relatively poor agreement across the guidelines for what defines a ‘glaucoma suspect’ or ‘primary open angle glaucoma [POAG] suspect’, as well as the recommendations and criteria for treatment initiation in these populations. There was better agreement for the definition and recommendations for treatment initiation for ‘primary angle closure suspects’.ConclusionsThere is substantial room to improve the methodological quality of most current international clinical guidelines for glaucoma suspects. Clinicians should consider this finding when using such guidelines to inform their care of glaucoma suspects. Substantial variation in the definition of a POAG suspect and recommendations for treatment initiation underscores important gaps in the current evidence for the accurate prediction of glaucoma development and treatment effectiveness in these individuals.

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Section: General Characteristics and Quality Of Guidelinesmentioning

confidence: 99%

Section: General Characteristics and Quality Of Guidelinesmentioning

confidence: 99%

Section: General Characteristics and Quality Of Guidelinesmentioning

confidence: 99%

Section: Recommendations For Treatment Initiationmentioning

confidence: 99%

See 2 more Smart Citations

Systematic review and appraisal of quality, definitions and treatment recommendations of clinical guidelines for glaucoma suspects

Wu,

Karunaratne,

Ang

et al. 2023

Clinical Exper Ophthalmology

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“…At present, the only modifiable risk factor for glaucoma is intraocular pressure (IOP). 19,20 Although inconclusive, cigarette smoking is found to increase the risk of POAG. 21,22 Noxious substances in cigarettes may cause elevation of oxidative stress markers 23,24 and changes in vascular integrity in the optic nerve head, 25,26 which have been postulated as part of POAG pathogenesis.…”

Section: Introductionmentioning

confidence: 99%

Malay Glaucoma Eye Study: cigarette smoking and primary angle closure glaucoma

Salim¹,

Selvarajah²,

Bt³

et al. 2019

MyJO

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Introduction: The detrimental effects of cigarette smoking include impairment of optic nerve head perfusion and elevation of oxidative stress levels, which are believed to be part of the pathogenesis of glaucoma. However, there is no evidence on the effect of cigarette smoking as a risk for primary angle-closure glaucoma (PACG). Purpose: To determine the association between cigarette smoking and PACG in Malay patients. Study design: Case control study. Materials and methods: Two-hundred Malay PACG patients and 250 controls from three tertiary hospitals in Malaysia were involved in this study. PACG patients were diagnosed based on the World Glaucoma Association consensus. The smoking status was documented using validated questionnaire adopted from Singapore Malays Eye Study through face-to-face interview. Smoking status was divided into active smokers, ex-smokers, passive smokers, and non-smokers. The association of smoking and PACG was analysed with multiple logistic regression. Confounders such as age, gender, education status, and body mass index (BMI) were considered in the analysis. Results: There was female preponderance in PACG with 3:1 ratio. Active smokers (p = 0.656) and ex-smokers (0.073) were not significantly associated with PACG in Malays. Passive smoking significantly increased the risk of PACG by 6.8-fold (95% CI 2.49,18.67; p < 0.001). Number of cigarettes/day (p = 0.144) and duration of smoking (p = 0.176) were also not significantly associated with PACG (p = 0.144). No formal education, primary and secondary education level increased the risk of PACG (p < 0.001). Each unit increment of BMI increased the risk of PACG by 1.14-fold (95% CI 1.03, 1.27; p = 0.014). A year increased in age increased the risk by 1.05 times (95% CI 1.00, 1.09; p = 0.026). Conclusions: There is no significant association between active smoking and PACG. Passive smoking is a potential risk factor for PACG. The preponderance of women may contribute to this result. However, quantification of exposure to passive smoking is not possible in this study.

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Transscleral cyclophotocoagulation in the treatment of glaucoma: patient selection and perspectives

Liebenthal

Schuman

2021

Expert Review of Ophthalmology

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Guidelines for treatment of chronic primary angle-closure glaucoma

Cited by 3 publications

References 101 publications

Systematic review and appraisal of quality, definitions and treatment recommendations of clinical guidelines for glaucoma suspects

Systematic review and appraisal of quality, definitions and treatment recommendations of clinical guidelines for glaucoma suspects

Malay Glaucoma Eye Study: cigarette smoking and primary angle closure glaucoma

Transscleral cyclophotocoagulation in the treatment of glaucoma: patient selection and perspectives

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