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Subsequent Receipt of Interventions for Glaucoma Among a Nationwide Sample of Patients Who Underwent Laser Peripheral Iridotomy.

Publication ,  Journal Article
Bansal, S; Balakrishnan, SA; Blachley, T; Weizer, JS; Lee, PP; Stein, JD
Published in: Am J Ophthalmol
August 2015

PURPOSE: To evaluate use of medical, laser, or incisional surgical interventions for glaucoma after laser peripheral iridotomy (LPI). DESIGN: Retrospective longitudinal cohort study. METHODS: All enrollees aged ≥21 years in a US managed-care network who underwent bilateral LPIs in 2001-2011 were identified. The mean numbers of pre- and post-LPI glaucoma medication classes prescribed and the proportion of enrollees requiring cataract or glaucoma surgery within 2 years after the LPIs were determined. Multivariable logistic regression assessed factors associated with enrollees' prescription of ≥1 glaucoma medication class after bilateral LPIs. RESULTS: Of the 1660 patients undergoing bilateral LPIs, 1280 (77.1%) had no pre- or post-LPI prescriptions for any glaucoma medication class. Of the remaining patients, 251 (66.1%) required more glaucoma medication classes after than before the procedures, whereas 44 (11.6%) used fewer after the procedures; 85 (22.4%) were prescribed the same number before and after the LPIs. A total of 167 patients (10.1%) underwent cataract surgery and 79 (4.8%) received glaucoma surgery over the 2-year follow-up. Black patients had a 130% increased odds for glaucoma medication-class prescriptions after bilateral LPIs, compared with white patients (P = .02). The odds of post-LPI glaucoma medication use increased by 21% for every additional 5 years of age (P < .0001). CONCLUSION: Most patients undergoing bilateral LPIs received no pre- or post-LPI glaucoma medication-class prescriptions and had no cataract or additional glaucoma surgery within 2 years after LPIs. Clinicians should alert black or older patients and those already taking glaucoma medications before the procedure of their higher odds of requiring medications afterward.

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Published In

Am J Ophthalmol

DOI

EISSN

1879-1891

Publication Date

August 2015

Volume

160

Issue

2

Start / End Page

275 / 282.e4

Location

United States

Related Subject Headings

  • United States
  • Retrospective Studies
  • Practice Guidelines as Topic
  • Ophthalmology & Optometry
  • Ophthalmologic Surgical Procedures
  • Middle Aged
  • Male
  • Laser Therapy
  • Iris
  • Iridectomy
 

Citation

APA
Chicago
ICMJE
MLA
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Bansal, S., Balakrishnan, S. A., Blachley, T., Weizer, J. S., Lee, P. P., & Stein, J. D. (2015). Subsequent Receipt of Interventions for Glaucoma Among a Nationwide Sample of Patients Who Underwent Laser Peripheral Iridotomy. Am J Ophthalmol, 160(2), 275-282.e4. https://doi.org/10.1016/j.ajo.2015.04.031
Bansal, Surbhi, S Asha Balakrishnan, Taylor Blachley, Jennifer S. Weizer, Paul P. Lee, and Joshua D. Stein. “Subsequent Receipt of Interventions for Glaucoma Among a Nationwide Sample of Patients Who Underwent Laser Peripheral Iridotomy.Am J Ophthalmol 160, no. 2 (August 2015): 275-282.e4. https://doi.org/10.1016/j.ajo.2015.04.031.
Bansal S, Balakrishnan SA, Blachley T, Weizer JS, Lee PP, Stein JD. Subsequent Receipt of Interventions for Glaucoma Among a Nationwide Sample of Patients Who Underwent Laser Peripheral Iridotomy. Am J Ophthalmol. 2015 Aug;160(2):275-282.e4.
Bansal, Surbhi, et al. “Subsequent Receipt of Interventions for Glaucoma Among a Nationwide Sample of Patients Who Underwent Laser Peripheral Iridotomy.Am J Ophthalmol, vol. 160, no. 2, Aug. 2015, pp. 275-282.e4. Pubmed, doi:10.1016/j.ajo.2015.04.031.
Bansal S, Balakrishnan SA, Blachley T, Weizer JS, Lee PP, Stein JD. Subsequent Receipt of Interventions for Glaucoma Among a Nationwide Sample of Patients Who Underwent Laser Peripheral Iridotomy. Am J Ophthalmol. 2015 Aug;160(2):275-282.e4.
Journal cover image

Published In

Am J Ophthalmol

DOI

EISSN

1879-1891

Publication Date

August 2015

Volume

160

Issue

2

Start / End Page

275 / 282.e4

Location

United States

Related Subject Headings

  • United States
  • Retrospective Studies
  • Practice Guidelines as Topic
  • Ophthalmology & Optometry
  • Ophthalmologic Surgical Procedures
  • Middle Aged
  • Male
  • Laser Therapy
  • Iris
  • Iridectomy