Clinical pathways in glaucoma pdf

Each year the glaucoma research foundation awards shaffer grants to worthy investigators with innovative ideas. Clinical pathways assist clinicians in standardizing the evaluation, diagnosis, and care of patients with specific conditions, with the goal of achieving optimal outcomes. Since then, the principles of glaucoma management have remained. Diagnosis the history, clinical presentation, and ophthalmic examination findings assist in diagnosing glaucoma. The 2015 ophthalmology innovation summit ois, held in las vegas before aao 2015, provided an overview of 2 new glaucoma medicationsrhopressa and trabodenoson. It is crucial for the veterinarian to determine the stage of the glaucoma. The twentytwo chapters were carefully selected and also include areas that are often overlooked, such as management of glaucoma in pregnancy or management of painful blind eye from glaucoma. A collaborative care pathway for patients with suspected. Ministry of health and longterm care of ontario created date. The decrease in quality of life associated with glaucoma may occur earlier than previously thought, underscoring the importance of early diagnosis and treatment. Included are final results from recent research projects funded by glaucoma research foundation with downloadable posters pdf. Clinical decisions in glaucoma iii preface the first edition of clinical decisions in glaucoma was published twentythree years ago.

Purpose the laser in glaucoma and ocular hypertension light trial aims to establish whether initial treatment with selective laser trabeculoplasty slt is superior to initial treatment with topical medication for primary openangle glaucoma. The impact of clinical guidelines and clinical pathways on. Glaucoma presents considerable challenges in providing clinically and costeffective care pathways. They translate national guidelines and the best available evidence for clinical application into local context. With the goal of simplifying the diagnosis and treatment process, drs. Glaucoma is a neurodegenerative disease of the eye and it is one of the leading causes of blindness. To evaluate the actual use of clinical pathways and variances, and compare the length of hospital stay for surgery of cataract, glaucoma, and vitreoretinal disorder. Professor and chairman department of ophthalmology and visual sciences university of louisville kentucky lions eye center louisville, kentucky karanjit s. Open angle glaucoma american optometric association. The balance between secretion of aqueous humor by the ciliary body and its drainage through 2 independent pathways the trabecular meshwork and uveoscleral outflow pathway determines the intraocular pressure. Laser in glaucoma and ocular hypertension light trial. On this page are posted research results from previous years. Glaucoma is a set of irreversible, progressive optic neuropathies that can lead to severe visual field loss and blindness. Effects of implementing clinical pathways for the care of.

For easy touse, comprehensive information on todays challenging cases, it is ideal. Associate professor department of ophthalmology glaucoma. Unlike clinical guidelines, clinical pathways define expected or anticipated outcomes of care and are used as a tool for process and outcome audits. Glue ear see surgical management of otitis media with effusion in children goitre see thyroid disease graves disease see thyroid disease growth, faltering. This is a multicenter, randomized, parallel group, prospective, openlabel clinical trial to. This study evaluates a newly developed referral and collaborative care pathway. They are designed to be a working document to be adapted for local use, and we hope that the guidelines are easy to read and translate. Glaucoma is not a single clinical entity but a group of ocular diseases with various causes that ultimately are associated with a progressive optic neuropathy leading to loss of vision function. This neurodegenerative disease becomes more prevalent with aging, but predisposing genetic and environmental factors also.

The project is a 12 month program to implement alternate clinical ophthalmic pathways utilising skills of optometrist, nurse practitioner clinical nurse consultant cnc and orthoptists. Analysis of visual pathways in glaucoma patients using a 3teslamri envol the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Advise people to continue regular visits to their primary eye care. Portfolio of indicators for eye health and care indicators 4i, 4ii, 10,12,16 and 17. A firstinhuman study of the efficacy and safety of. Rcophth common clinical competency framework 2016 college of optometrists guidance for professional practice 2017 college of optometrists higher qualifications glaucoma additional to gos, e. While uk population screening is not seen as justifiable, arrangements for case finding have. Simultaneous comparison of relative damage to chromatic pathways in ocular hypertension and glaucoma. Guidelines on design and reporting of glaucoma surgical trials wga guidelines on design and reporting of glaucoma surgical trials kugler publications, amsterdam, the netherlands w wga e s n editors. In patients with openangle glaucoma, there is increased resistance to aqueous outflow through the trabecular meshwork. Acceptability, adherence and economic analyses of a new. Advise people with iop below 24 mmhg to continue regular visits to their primary eye care. Clinical pathways in glaucoma original publisher pdf.

Hospital management has also used pathways to minimise average length of stay without compromising on the quality of care provided. A care pathway workflow is a sequence of connected clinical and administrative process steps diagramedflowcharted to explain the movement of materials, information, or people through a. Clinical pathway handbook for hyperbilirubinemia in term. Clinical decisions in glaucoma download ebook pdf, epub. Care pathways for glaucoma detection and monitoring in the. Targeting oxidative stress for treatment of glaucoma and. This practical, clinically oriented text is designed for everyday use by ophthalmologists, glaucoma specialists, and residents. Analysis of visual pathways in glaucoma patients using a. Genes, pathways, and animal models in primary openangle. It is this raised pressure that compresses and damages the optic nerve. This new decisionmaking guide offers 22 chapters on topics ranging from childhood and neovascular glaucoma to druginduced glaucoma and management of glaucoma. Zimmerman and kooner introduce clinical pathways in glaucoma. Guidelines on design and reporting of glaucoma surgical trials. This is the first edition of the ico guidelines for glaucoma eye care february 2016.

Tarek m shaarawy, mark b sherwood, franz grehn world glaucoma. The two most common forms of glaucoma, primary openangle glaucoma. Clinical science acceptability, adherence and economic analyses of a new clinical pathway for the identification of non responders to glaucoma eye drops. For uniformity, each subject is discussed under the. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext.