Initial management of ocular hypertension and primary open-angle glaucoma: an evaluation of the royal college of ophthalmologists' guidelines

Choong, Yee Fong; Devarajan, N; Pickering, A.; Pickering, Susan J.; Austin, M.

doi:10.1038/sj.eye.6700633

Cited by 5 publications

(8 citation statements)

References 25 publications

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“…A VC could be implemented in the initial assessment of a patient who had been referred from primary care, in which case these clinics served as a triaging service. These types of VCs included the glaucoma assessment clinic (GAC) [ 46 , 47 , 48 ] at the Singleton hospital and the Glaucoma Screening clinic (GSC) [ 49 ] as part of a broader service transformation program being established at the MEH. Gunn et al did not focus on a specific VC but investigated the proportion, the characteristics and the acceptability of the Hospital Eye Service (HES)-units that implemented a VC for glaucoma care [ 50 ].…”

Section: Results Of Virtual Clinics’ Studiesmentioning

confidence: 99%

“…The GE reviewed the collected clinical data and decided on a follow-up at the hospital or a discharge. In the GAC, new patients were systematically seen by the ONP without prior triage [ 46 , 47 , 48 ]. The ONP took the patient’s history, performed tests, clinically examined the patient and assessed the patient’s risk profile.…”

Section: Results Of Virtual Clinics’ Studiesmentioning

confidence: 99%

“…The ONP took the patient’s history, performed tests, clinically examined the patient and assessed the patient’s risk profile. The article of Choong et al could be considered as the pilot study of the GAC, which did not include a VC yet [ 47 ]. It was presented as a fast-track system, which allowed an ONP to triage patients, including defining the time-interval in which patients needed to have their face-to-face appointment with the GE.…”

Section: Results Of Virtual Clinics’ Studiesmentioning

confidence: 99%

“…All the studies regarding SC clinics in this review concentrated on patient follow-up, while the studies regarding VCs were done with a follow up setting—GCC [ 51 ], SMS [ 56 , 57 , 59 ], VC-PAEP [ 52 , 53 ], VC-MREH [ 54 ], VC-BEH [ 54 ] and VC-REIP [ 55 ] or for an initial assessment only—GAC [ 46 , 47 , 48 ] and GSC [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

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Shared Care and Virtual Clinics for Glaucoma in a Hospital Setting

Simons

Vercauteren

Breda

et al. 2021

JCM

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Glaucoma patients require lifelong management, and the prevalence of glaucoma is expected to increase, resulting in capacity problems in many hospital eye departments. New models of care delivery are needed to offer requisite capacity. This review evaluates two alternative schemes for glaucoma care within a hospital, i.e., shared care (SC) and virtual clinics (VCs), whereby non-medical staff are entrusted with more responsibilities, and compares these schemes with the “traditional” ophthalmologist-led outpatient service (standard care). A literature search was conducted in three large bibliographic databases (PubMed, Embase, and Trip), and the abstracts from the prior five annual meetings of the Association for Research in Vision and Ophthalmology were consulted. Twenty-nine were included in the review (14 on SC and 15 on VCs). Patients with low risk of vision loss were considered suitable for these approaches. Among the non-medical staff, optometrists were the most frequently involved. The quality of both schemes was good and improved with the non-medical staff being trained in glaucoma care. No evidence was found on patients feeling disadvantaged by the lack of a doctor visit. Both schemes increased the hospital’s efficiency. Both SC and VCs are promising approaches to tackle the upcoming capacity problems of hospital-based glaucoma care.

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Section: Results Of Virtual Clinics’ Studiesmentioning

confidence: 99%

Section: Results Of Virtual Clinics’ Studiesmentioning

confidence: 99%

Section: Results Of Virtual Clinics’ Studiesmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Shared Care and Virtual Clinics for Glaucoma in a Hospital Setting

Simons

Vercauteren

Breda

et al. 2021

JCM

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“…In our previously described Glaucoma Assessment Clinic (GAC), 3,4 all new referrals are seen via a fast‐track system which allows patients to be triaged by an ophthalmic nurse practitioner (ONP) within a few weeks of initial referral from the primary care setting. On a prospective basis, between September and December 2004, 106 consecutive new glaucoma referrals were selected from the GAC clinic booking lists.…”

Section: Methodsmentioning

confidence: 99%

Incorporation of a virtual assessment into a care pathway for initial glaucoma management: feasibility study

Rathod¹,

Thein²,

Pickering³

et al. 2008

Clinical Exper Ophthalmology

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Response to Comment on: Agreement between optometrists and ophthalmologists in the certification for vision impairment

Acton

Bartlett

Jones

et al. 2020

Eye

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We appreciate the interest of Jawaid et al.1 in our recent paper.2 The comparison of raters to a consensus panel to determine agreement has been widely used in medicine.3-6 We sought to undertake a comparison against a standardised outcome, determined by a consensus panel, rather than the assessment of absolute differences between groups. The former is more meaningful and reliable in the context of the underlying goal of the analysis, to evidence whether low vision optometrists have the appropriate ability in the certification process for vision impairment.We agree with the sensitivity and specificity values calculated by Jawaid et al.1 However, given that such values rely on the underlying assumption that the true state is known, the presentation of agreement values is more appropriate to our study.

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Initial management of ocular hypertension and primary open-angle glaucoma: an evaluation of the royal college of ophthalmologists' guidelines

Cited by 5 publications

References 25 publications

Shared Care and Virtual Clinics for Glaucoma in a Hospital Setting

Shared Care and Virtual Clinics for Glaucoma in a Hospital Setting

Incorporation of a virtual assessment into a care pathway for initial glaucoma management: feasibility study

Response to Comment on: Agreement between optometrists and ophthalmologists in the certification for vision impairment

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