Details:

Alternative Title:
Ophthalmic Epidemiol
Publisher's site:
http://dx.doi.org/10.3109/09286586.2015.1099683
Personal Author:
Hark, Lisa ; Waisbourd, Michael ; Myers, Jonathan S. ; Henderer, Jeffrey ; Crews, John E. ; ... More +
Hark, Lisa ; Waisbourd, Michael ; Myers, Jonathan S. ; Henderer, Jeffrey ; Crews, John E. ; Saaddine, Jinan B. ; Molineaux, Jeanne ; Johnson, Deiana ; Sembhi, Harjeet ; Stratford, Shayla ; Suleiman, Ayman ; Pizzi, Laura ; Spaeth, George L. ; Katz, L. Jay Less -
Description:
Purpose

The Wills Eye Glaucoma Research Center initiated a 2-year demonstration project to develop and implement a community-based intervention to improve detection and management of glaucoma in Philadelphia.

Methods

The glaucoma detection examination consisted of: ocular, medical, and family history; visual acuity testing; corneal pachymetry; biomicroscopy of the anterior segment; intraocular pressure (IOP) measurement; gonioscopy; funduscopy; automated visual field testing; and fundus-color photography. Treatment included laser surgery and/or IOP-lowering medication. A cost analysis was conducted to understand resource requirements. Outcome measures included; prevalence of glaucoma-related pathology and other eye diseases among high-risk populations; the impact of educational workshops on level of knowledge about glaucoma (assessed by pre- and post-test evaluation); and patient satisfaction of the glaucoma detection examinations in the community (assessed by satisfaction survey). Treatment outcome measures were change in IOP at 4–6 weeks and 4–6 months following selective laser trabeculoplasty treatment, deepening of the anterior chamber angle following laser-peripheral iridotomy treatment, and rate of adherence to recommended follow-up examinations. Cost outcomes included total program costs, cost per case of glaucoma detected, and cost per case of ocular disease detected.

Results

This project enrolled 1649 participants (African Americans aged 50+ years, adults 60+ years and individuals with a family history of glaucoma). A total of 1074 individuals attended a glaucoma educational workshop and 1508 scheduled glaucoma detection examination appointments in the community setting.

Conclusions

The Philadelphia Glaucoma Detection and Treatment Project aimed to improve access and use of eye care and to provide a model for a targeted community-based glaucoma program.


Subject:
[+]
Access To Eye Care
Article
Community-based
Community Health Services
Continuity Of Patient Care
Diagnostic Techniques, Ophthalmological
Female
Glaucoma, Open-Angle
Glaucoma Detection
Glaucoma Treatment
Gonioscopy
Health Behavior
Health Care Costs
Health Services Accessibility
Hospitals, Special
Humans
Intraocular Pressure
Male
Middle Aged
Ophthalmology
Philadelphia
Research Design
Risk Factors
Tonometry, Ocular
Trabeculectomy
Underserved Population
Visual Acuity
Visual Field Tests
Vulnerable Populations

Source:
Ophthalmic Epidemiol. 23(2):122-130.
Pubmed ID:
26950056
Pubmed Central ID:
PMC4924344
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States ; U58 DP004060/DP/NCCDPHP CDC HHS/United States ; 1U58DP004060-01/DP/NCCDPHP CDC HHS/United States
CC999999/Intramural CDC HHS/United States ; U58 DP004060/DP/NCCDPHP CDC HHS/United States ; 1U58DP004060-01/DP/NCCDPHP CDC HHS/United States Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:fabca8eac930f03791abfa723ea6a8bcead57fcb67e6bbf6503cf453abd9b0f0
File Type:

Supporting Files

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