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Kelly Walton Muir

Associate Professor of Ophthalmology
Ophthalmology, Glaucoma
Box 3802 Med Ctr, Durham, NC 27710
Dept of Ophthalmology, Durham, NC 27710

Selected Publications


Do African American patients with glaucoma ask their eye providers the questions they have?

Journal Article Eye (Lond) · February 2024 PURPOSE: The objective of this study was to describe what questions patients checked on a glaucoma question prompt list and how often patients asked the same checked questions during medical visits. DESIGN: A randomized controlled trial was conducted to te ... Full text Link to item Cite

African American patient-provider communication about glaucoma vision quality-of-life.

Journal Article Eye (Lond) · February 2024 BACKGROUND/OBJECTIVES: Little is known about African American patient-provider communication about glaucoma-related quality-of-life. The objectives of this study were to: (a) examine associations between patient socio-demographics and vision quality-of-lif ... Full text Link to item Cite

A Previsit Intervention's Influence on Glaucoma Topics Discussed between Black Patients and Providers.

Journal Article Ophthalmol Glaucoma · 2024 PURPOSE: The objectives of this study were to conduct a randomized controlled trial testing the effectiveness of a previsit glaucoma video/question prompt list intervention, and to examine the impact on how often providers educate Black patients about glau ... Full text Link to item Cite

Barriers to Care among Glaucoma Patients With a Missed Appointment and Interest in a Navigator Program.

Journal Article J Glaucoma · October 23, 2023 PRECIS: Most glaucoma patients with a missed appointment report barriers to care and social risk factors. One-third expressed interest in engaging with a patient navigator program. Most expressed interest in rescheduling. PURPOSE: To identify barriers to c ... Full text Link to item Cite

Accessibility and Cultural Inclusivity of Online Glaucoma-Based Video Content for Patient Education.

Conference J Glaucoma · July 1, 2023 PRCIS: This study is the first to evaluate the ease of access, understandability, and cultural inclusivity of online glaucoma-related video content for patient education. Overall, materials were found to be poorly understandable and not culturally represen ... Full text Link to item Cite

Provider use of a participatory decision-making style with African American patients with glaucoma.

Journal Article Patient Educ Couns · June 2023 OBJECTIVE: To examine whether non-adherent African American patients with glaucoma who received a question prompt list and video intervention were more likely to be given treatment options, have their input included into treatment regimens, and rate their ... Full text Link to item Cite

Systematic analysis of levels of evidence supporting American Academy of Ophthalmology Preferred Practice Pattern guidelines, 2012-2021.

Journal Article BMC Ophthalmol · March 31, 2023 BACKGROUND: Despite the increased emphasis on evidence-based medicine, the current state of evidence behind ophthalmology clinical practice guidelines is unknown. The purpose of this systematic analysis was to understand the levels of evidence (LOE) suppor ... Full text Link to item Cite

Readability, Content, and Accountability Assessment of Online Health Information for Retinitis Pigmentosa & Retinitis Pigmentosa Treatment Options.

Journal Article Ophthalmic Genet · February 2023 PURPOSE: New therapies for retinitis pigmentosa (RP) have led to patients desiring more information about their disease. We assessed the readability, content, and accountability of online health information for RP and its treatments. METHODS: Two internet ... Full text Link to item Cite

Improving Black Patient Question-Asking and Provider Education During Glaucoma Visits.

Journal Article Ophthalmol Glaucoma · 2023 PURPOSE: The objectives of this study were to conduct a randomized, controlled trial testing the effectiveness of a previsit glaucoma video/question prompt list intervention to increase Black patient question-asking and provider education about glaucoma an ... Full text Link to item Cite

Glaucoma Knowledge and Disease Severity in a Veteran Population: The Medication Adherence in Glaucoma to Improve Care (MAGIC) Study.

Journal Article Ophthalmol Glaucoma · 2023 PURPOSE: To assess the relationship between glaucoma knowledge and disease severity. DESIGN: Substudy of a randomized controlled trial at a single Veterans Affairs (VA) eye clinic. PARTICIPANTS: Veterans with medically treated open-angle glaucoma who self- ... Full text Link to item Cite

How Medication Adherence Affects Disease Management in Veterans with Glaucoma: Lessons Learned from a Clinical Trial.

Journal Article Ophthalmic Res · 2023 INTRODUCTION: We conducted a secondary, real-world clinical assessment of a randomized controlled trial to determine how a glaucoma medication adherence intervention impacted the clinical outcomes of participants at 12 months post-randomization. Participan ... Full text Open Access Link to item Cite

Cost-Utility Analysis of a Medication Adherence-Enhancing Educational Intervention for Glaucoma.

Journal Article Ophthalmol Glaucoma · 2023 OBJECTIVE: To evaluate the cost utility of a glaucoma medication-enhancing intervention compared to standard of care over a lifetime from the United States Department of Veterans Affairs (VA) payer perspective. DESIGN: Model-based cost-utility analysis of ... Full text Link to item Cite

Qualitative Analysis of Barriers and Facilitators to Glaucoma Medication Adherence in a Randomized Controlled Trial Intervention.

Journal Article Ophthalmol Glaucoma · 2023 OBJECTIVE: In the Medication Adherence In Glaucoma To Improve Care trial, 200 veterans with medically-treated glaucoma were randomized to an intervention designed to improve glaucoma medication adherence or to usual care. In the 6 months after intervention ... Full text Link to item Cite

Glaucoma Fellows-in-Training Recent Surgery Trends.

Journal Article Ophthalmol Glaucoma · 2023 PURPOSE: The volume of microinvasive glaucoma surgery (MIGS) has increased dramatically in recent years, from 31 059 in 2013 to 69 420 in 2018. We investigated the impact of this trend on trainees by determining the proportion of glaucoma surgeries perform ... Full text Link to item Cite

Within-Trial Cost-Effectiveness of an Adherence-Enhancing Educational Intervention for Glaucoma.

Journal Article Am J Ophthalmol · December 2022 PURPOSE: To assess the within-trial cost-effectiveness of a behavioral intervention to improve glaucoma medication adherence. DESIGN: Prospective cost-effectiveness analysis of randomized, controlled trial data. METHODS: The study setting was a Veterans Af ... Full text Open Access Link to item Cite

Acceptance of a Pre-visit Intervention to Engage African American Glaucoma Patients during Visits.

Journal Article Optom Vis Sci · December 1, 2022 SIGNIFICANCE: The glaucoma question prompt list/video intervention was well received by patients. Eighty-seven percent of patients recommended that other patients should watch the educational video before their visits, and 89% said that other patients shou ... Full text Link to item Cite

Aiding Adherence to Glaucoma Medications: A Systematic Review.

Journal Article Semin Ophthalmol · April 3, 2022 PURPOSE: To provide a comprehensive assessment of the strategies studied to date that focus on improving glaucoma medication adherence. METHODS: A systematic review of the literature was conducted in MEDLINE (PubMed), Embase (Elsevier), and Scopus (Elsevie ... Full text Link to item Cite

Improved Glaucoma Medication Adherence in a Randomized Controlled Trial.

Journal Article Ophthalmol Glaucoma · 2022 PURPOSE: To test the effectiveness of an intervention designed to improve glaucoma medication adherence. DESIGN: Randomized, controlled trial at a Veterans Affairs (VA) eye clinic. PARTICIPANTS: Veterans with medically treated glaucoma who reported poor ad ... Full text Open Access Link to item Cite

Health Literacy and Success with Glaucoma Drop Administration.

Journal Article Ophthalmol Glaucoma · 2022 PURPOSE: To assess the relationship between health literacy and successful glaucoma drop administration. DESIGN: Substudy of a single-site interventional randomized controlled trial. PARTICIPANTS: Veterans receiving care at the Durham Veterans Affairs Eye ... Full text Open Access Link to item Cite

Do African American patients with glaucoma ask their eye providers the questions they have?

Journal Article Eye (Lond) · February 2024 PURPOSE: The objective of this study was to describe what questions patients checked on a glaucoma question prompt list and how often patients asked the same checked questions during medical visits. DESIGN: A randomized controlled trial was conducted to te ... Full text Link to item Cite

African American patient-provider communication about glaucoma vision quality-of-life.

Journal Article Eye (Lond) · February 2024 BACKGROUND/OBJECTIVES: Little is known about African American patient-provider communication about glaucoma-related quality-of-life. The objectives of this study were to: (a) examine associations between patient socio-demographics and vision quality-of-lif ... Full text Link to item Cite

A Previsit Intervention's Influence on Glaucoma Topics Discussed between Black Patients and Providers.

Journal Article Ophthalmol Glaucoma · 2024 PURPOSE: The objectives of this study were to conduct a randomized controlled trial testing the effectiveness of a previsit glaucoma video/question prompt list intervention, and to examine the impact on how often providers educate Black patients about glau ... Full text Link to item Cite

Barriers to Care among Glaucoma Patients With a Missed Appointment and Interest in a Navigator Program.

Journal Article J Glaucoma · October 23, 2023 PRECIS: Most glaucoma patients with a missed appointment report barriers to care and social risk factors. One-third expressed interest in engaging with a patient navigator program. Most expressed interest in rescheduling. PURPOSE: To identify barriers to c ... Full text Link to item Cite

Accessibility and Cultural Inclusivity of Online Glaucoma-Based Video Content for Patient Education.

Conference J Glaucoma · July 1, 2023 PRCIS: This study is the first to evaluate the ease of access, understandability, and cultural inclusivity of online glaucoma-related video content for patient education. Overall, materials were found to be poorly understandable and not culturally represen ... Full text Link to item Cite

Provider use of a participatory decision-making style with African American patients with glaucoma.

Journal Article Patient Educ Couns · June 2023 OBJECTIVE: To examine whether non-adherent African American patients with glaucoma who received a question prompt list and video intervention were more likely to be given treatment options, have their input included into treatment regimens, and rate their ... Full text Link to item Cite

Systematic analysis of levels of evidence supporting American Academy of Ophthalmology Preferred Practice Pattern guidelines, 2012-2021.

Journal Article BMC Ophthalmol · March 31, 2023 BACKGROUND: Despite the increased emphasis on evidence-based medicine, the current state of evidence behind ophthalmology clinical practice guidelines is unknown. The purpose of this systematic analysis was to understand the levels of evidence (LOE) suppor ... Full text Link to item Cite

Readability, Content, and Accountability Assessment of Online Health Information for Retinitis Pigmentosa & Retinitis Pigmentosa Treatment Options.

Journal Article Ophthalmic Genet · February 2023 PURPOSE: New therapies for retinitis pigmentosa (RP) have led to patients desiring more information about their disease. We assessed the readability, content, and accountability of online health information for RP and its treatments. METHODS: Two internet ... Full text Link to item Cite

Improving Black Patient Question-Asking and Provider Education During Glaucoma Visits.

Journal Article Ophthalmol Glaucoma · 2023 PURPOSE: The objectives of this study were to conduct a randomized, controlled trial testing the effectiveness of a previsit glaucoma video/question prompt list intervention to increase Black patient question-asking and provider education about glaucoma an ... Full text Link to item Cite

Glaucoma Knowledge and Disease Severity in a Veteran Population: The Medication Adherence in Glaucoma to Improve Care (MAGIC) Study.

Journal Article Ophthalmol Glaucoma · 2023 PURPOSE: To assess the relationship between glaucoma knowledge and disease severity. DESIGN: Substudy of a randomized controlled trial at a single Veterans Affairs (VA) eye clinic. PARTICIPANTS: Veterans with medically treated open-angle glaucoma who self- ... Full text Link to item Cite

How Medication Adherence Affects Disease Management in Veterans with Glaucoma: Lessons Learned from a Clinical Trial.

Journal Article Ophthalmic Res · 2023 INTRODUCTION: We conducted a secondary, real-world clinical assessment of a randomized controlled trial to determine how a glaucoma medication adherence intervention impacted the clinical outcomes of participants at 12 months post-randomization. Participan ... Full text Open Access Link to item Cite

Cost-Utility Analysis of a Medication Adherence-Enhancing Educational Intervention for Glaucoma.

Journal Article Ophthalmol Glaucoma · 2023 OBJECTIVE: To evaluate the cost utility of a glaucoma medication-enhancing intervention compared to standard of care over a lifetime from the United States Department of Veterans Affairs (VA) payer perspective. DESIGN: Model-based cost-utility analysis of ... Full text Link to item Cite

Qualitative Analysis of Barriers and Facilitators to Glaucoma Medication Adherence in a Randomized Controlled Trial Intervention.

Journal Article Ophthalmol Glaucoma · 2023 OBJECTIVE: In the Medication Adherence In Glaucoma To Improve Care trial, 200 veterans with medically-treated glaucoma were randomized to an intervention designed to improve glaucoma medication adherence or to usual care. In the 6 months after intervention ... Full text Link to item Cite

Glaucoma Fellows-in-Training Recent Surgery Trends.

Journal Article Ophthalmol Glaucoma · 2023 PURPOSE: The volume of microinvasive glaucoma surgery (MIGS) has increased dramatically in recent years, from 31 059 in 2013 to 69 420 in 2018. We investigated the impact of this trend on trainees by determining the proportion of glaucoma surgeries perform ... Full text Link to item Cite

Within-Trial Cost-Effectiveness of an Adherence-Enhancing Educational Intervention for Glaucoma.

Journal Article Am J Ophthalmol · December 2022 PURPOSE: To assess the within-trial cost-effectiveness of a behavioral intervention to improve glaucoma medication adherence. DESIGN: Prospective cost-effectiveness analysis of randomized, controlled trial data. METHODS: The study setting was a Veterans Af ... Full text Open Access Link to item Cite

Acceptance of a Pre-visit Intervention to Engage African American Glaucoma Patients during Visits.

Journal Article Optom Vis Sci · December 1, 2022 SIGNIFICANCE: The glaucoma question prompt list/video intervention was well received by patients. Eighty-seven percent of patients recommended that other patients should watch the educational video before their visits, and 89% said that other patients shou ... Full text Link to item Cite

Aiding Adherence to Glaucoma Medications: A Systematic Review.

Journal Article Semin Ophthalmol · April 3, 2022 PURPOSE: To provide a comprehensive assessment of the strategies studied to date that focus on improving glaucoma medication adherence. METHODS: A systematic review of the literature was conducted in MEDLINE (PubMed), Embase (Elsevier), and Scopus (Elsevie ... Full text Link to item Cite

Improved Glaucoma Medication Adherence in a Randomized Controlled Trial.

Journal Article Ophthalmol Glaucoma · 2022 PURPOSE: To test the effectiveness of an intervention designed to improve glaucoma medication adherence. DESIGN: Randomized, controlled trial at a Veterans Affairs (VA) eye clinic. PARTICIPANTS: Veterans with medically treated glaucoma who reported poor ad ... Full text Open Access Link to item Cite

Health Literacy and Success with Glaucoma Drop Administration.

Journal Article Ophthalmol Glaucoma · 2022 PURPOSE: To assess the relationship between health literacy and successful glaucoma drop administration. DESIGN: Substudy of a single-site interventional randomized controlled trial. PARTICIPANTS: Veterans receiving care at the Durham Veterans Affairs Eye ... Full text Open Access Link to item Cite

Factors Associated with Ophthalmology Referral and Adherence in a Teleretinal Screening Program: Insights from a Federally Qualified Health Center.

Conference Clin Ophthalmol · 2022 BACKGROUND: Early detection of ophthalmic conditions such as diabetic retinopathy (DR) and glaucoma is crucial to preventing vision loss. Previous studies have evaluated teleretinal screening programs for DR in well-insured populations. The purpose of this ... Full text Link to item Cite

Applications of deep learning in detection of glaucoma: A systematic review.

Journal Article Eur J Ophthalmol · July 2021 Glaucoma is the leading cause of irreversible blindness and disability worldwide. Nevertheless, the majority of patients do not know they have the disease and detection of glaucoma progression using standard technology remains a challenge in clinical pract ... Full text Link to item Cite

Randomized controlled trial of an education-based intervention to improve medication adherence: Design considerations in the medication adherence in glaucoma to improve care study.

Journal Article Clin Trials · June 2021 BACKGROUND: Glaucoma treatment requires patients to follow daily, often times complex, eye drop regimens, but adherence is poor for many patients, putting them at risk for irreversible vision loss. A comprehensive approach is needed to address the challeng ... Full text Open Access Link to item Cite

Effect of ICD-9 to ICD-10 Transition on Accuracy of Codes for Stage of Diabetic Retinopathy and Related Complications: Results from the CODER Study.

Journal Article Ophthalmol Retina · April 2021 PURPOSE: When the International Classification of Diseases 9th Revision (ICD-9) transitioned to the International Classification of Diseases 10th Revision (ICD-10), there was a marked increase in the complexity of International Classification of Diseases ( ... Full text Link to item Cite

January consultation #4.

Journal Article J Cataract Refract Surg · January 1, 2021 Full text Link to item Cite

Impact of Video Education on Patient Knowledge, Anxiety, and Satisfaction in Selective Laser Trabeculoplasty: A Pilot Study.

Journal Article J Glaucoma · December 2020 UNLABELLED: PRéCIS:: In patients undergoing selective laser trabeculoplasty, preoperative video education did not improve patient knowledge regarding the procedure, decrease anxiety, or increase satisfaction, as these metrics were already favorable across ... Full text Link to item Cite

Evaluation of the IOP-Lowering Effect of a Multi-Pressure Dial at Different Negative Pressure Settings.

Journal Article Transl Vis Sci Technol · November 2020 PURPOSE: To evaluate the intraocular pressure (IOP)-lowering effect of a multi-pressure dial (MPD) at targeted negative pressure settings. METHODS: Prospective, intrasubject controlled study of 65 healthy subjects randomized to receive no negative pressure ... Full text Link to item Cite

Increasing Engagement of African American Patients with Glaucoma during Medical Encounters: Creation of a Pre-visit Video.

Journal Article Optom Vis Sci · July 2020 SIGNIFICANCE: The developed video can be accessed by African American patients with glaucoma from across the United States on YouTube to learn why it is important to ask eye care providers any questions they might have about glaucoma and/or its treatment. ... Full text Link to item Cite

Cognitive Impairment among Veterans in Outpatient Vision Rehabilitation.

Journal Article Optom Vis Sci · June 2020 SIGNIFICANCE: Outpatient vision rehabilitation improves function in veterans with vision impairment, but the prevalence of cognitive impairment and the degree to which it may affect rehabilitation outcomes in the Veterans Affairs system are unknown. PURPOS ... Full text Link to item Cite

Treatment Outcomes Following Resident Performed Nonvalved (Baerveldt 350) Glaucoma Drainage Device Implantation.

Journal Article J Glaucoma · November 2019 PRECIS: When compared with outcomes by glaucoma specialists in several prospective studies, residents at the Durham Veterans Affairs Medical Center achieved comparable reductions in intraocular pressure (IOP) and failure rates during the year following Bae ... Full text Link to item Cite

The Association of an Upper Extremity Functional Survey and Glaucoma Medication Administration Success.

Journal Article Curr Eye Res · October 2019 Purpose/Aim: To determine if an upper extremity functional survey may identify which patients will have eye drop administration difficulty. Materials and Methods: Participants with glaucoma treated at a Veterans Affairs Eye Clinic who did not self-report 1 ... Full text Link to item Cite

Longitudinal reproducibility of spectral domain optical coherence tomography in children with physiologic cupping and stable glaucoma.

Journal Article J AAPOS · October 2019 PURPOSE: To determine whether Spectralis (Heidelberg, Germany) spectral domain optical coherence tomography (SD-OCT) measurements are reproducible over time in children with physiologic cupping and stable glaucoma. METHODS: Subjects were identified from a ... Full text Link to item Cite

Medication adherence in patients with ocular hypertension or glaucoma

Journal Article Expert Review of Ophthalmology · September 3, 2019 Introduction: Nonadherence to medication is a challenge to effective treatment of many chronic diseases, including glaucoma, and persists even with interventions aimed at improving adherence. The reported rates of nonadherence to topical glaucoma medicatio ... Full text Cite

A randomized controlled trial of an online educational video intervention to improve glaucoma eye drop technique.

Journal Article Patient Educ Couns · May 2019 OBJECTIVE: To determine the effectiveness of an online video intervention in improving self-efficacy and eye drop application technique in glaucoma patients. METHODS: We randomized ninety-two patients with primary open-angle glaucoma, all who self-administ ... Full text Link to item Cite

Glaucoma Patient Preferences for Video Education on Eye Drop Technique.

Journal Article Optom Vis Sci · May 2019 SIGNIFICANCE: Glaucoma patients express a strong need for practical instruction on instilling eye drops correctly. To maximize the benefit of a video intervention to improve eye drop technique, patients recommend that video education be provided both in th ... Full text Link to item Cite

The Relationship of Self-Report and Medication Possession With Glaucoma Medication Administration Success.

Conference J Glaucoma · March 2019 PURPOSE: Many glaucoma eye drop users cannot successfully self-administer drops, and observing patients' drop technique can be time-consuming. We sought to examine the association of patient self-reported efficacy of eye drop technique and medication posse ... Full text Link to item Cite

Gray Optic Disc Crescent: Evaluation of Anatomic Correlate by Spectral-Domain OCT.

Journal Article Ophthalmol Glaucoma · 2019 PURPOSE: To test the hypothesis that the anatomic correlate of the gray optic disc crescent is pigmentation of externally oblique border tissue of Elschnig. DESIGN: Retrospective study. PARTICIPANTS: African-American adult men with or without clinically ap ... Full text Link to item Cite

Behavioral economics and diabetic eye exams.

Journal Article Prev Med · July 2018 Diabetic retinopathy is a common microvascular complication of diabetes mellitus and is the leading cause of new blindness among working-age adults in the United States. Timely intervention to prevent vision loss is possible with early detection by regular ... Full text Link to item Cite

The influence of oral statin medications on progression of glaucomatous visual field loss: A propensity score analysis.

Journal Article Ophthalmic Epidemiol · June 2018 PURPOSE: The purpose of this study was to examine the association between oral statin use and the progression of open angle glaucoma. METHODS: Medical records of 847 Veterans were reviewed to collect statin use history, record demographic and comorbid medi ... Full text Link to item Cite

Drop instillation and glaucoma.

Journal Article Curr Opin Ophthalmol · March 2018 PURPOSE OF REVIEW: To describe the current state of knowledge regarding glaucoma patients' eye drop technique, interventions attempting to improve eye drop technique, and methods for assessing eye drop technique. RECENT FINDINGS: In observational studies, ... Full text Link to item Cite

Systematic Review of Knowledge Assessments for Glaucoma Patients.

Journal Article Semin Ophthalmol · 2018 Glaucoma is a chronic eye disease affecting millions of people worldwide; it is frequently treated with daily eyedrop medications when patients are asymptomatic. Patient education is an essential feature for adherence to treatments. Developing useful patie ... Full text Link to item Cite

Identifying risk factors for blindness from primary open-angle glaucoma by race: a case-control study.

Journal Article Clin Ophthalmol · 2018 PURPOSE: To examine the factors associated with blindness from primary open-angle glaucoma (POAG) among black and white patients at our institution. PATIENTS AND METHODS: For this retrospective, case-control study, patients legally blind from POAG ("cases" ... Full text Open Access Link to item Cite

Relationship between electronically measured medication adherence and vision-related quality of life in a cohort of patients with open-angle glaucoma.

Journal Article BMJ Open Ophthalmol · 2018 OBJECTIVE: To investigate whether electronically measured medication adherence is associated with vision-related quality of life (VRQoL) in patients with open-angle glaucoma. METHODS AND ANALYSIS: This is a 3-year prospective cohort study of 79 subjects wi ... Full text Open Access Link to item Cite

Awareness and attitudes toward corneal donation: challenges and opportunities.

Journal Article Clin Ophthalmol · 2018 There is a severe shortage of donor corneas available worldwide for transplantation, with the number of patients in need of transplant greatly exceeding the number of cornea tissues available. Understanding awareness and attitudes about corneal donation wo ... Full text Link to item Cite

Risk Factors for Earlier Reexposure of Glaucoma Drainage Devices.

Journal Article J Glaucoma · December 2017 PURPOSE: The purpose of this study was to investigate factors associated with a second exposure of a glaucoma drainage device (GDD) following repair of an initial GDD exposure. MATERIALS AND METHODS: This IRB-approved retrospective cohort study examined th ... Full text Link to item Cite

Patient-Physician Communication on Medication Cost during Glaucoma Visits.

Journal Article Optom Vis Sci · December 2017 SIGNIFICANCE: This article is the first to investigate the nature of medication cost discussions between ophthalmologists and glaucoma patients. Only 87 of the 275 office visits analyzed had a discussion of medication cost. Providers should consider discus ... Full text Link to item Cite

Home Tonometry-Can We? Should We?

Journal Article JAMA Ophthalmol · October 1, 2017 Full text Link to item Cite

Consultation Section: Glaucoma. July consultation #6.

Journal Article J Cataract Refract Surg · July 2017 Full text Link to item Cite

Glaucoma patient-provider communication about vision quality-of-life.

Journal Article Patient Educ Couns · April 2017 OBJECTIVE: The purpose of this study was to: (a) describe the extent to which ophthalmologists and glaucoma patients discuss vision quality-of-life during office visits, and (b) examine the association between patient and ophthalmologist characteristics an ... Full text Link to item Cite

Aids for eye drop administration.

Journal Article Surv Ophthalmol · 2017 One aspect to eye drop adherence is successful instillation of the drops; however, it is well known that many patients struggle with this task. Difficulties may include aiming their drops, extending their neck, preventing excess drop leakage, avoiding cont ... Full text Link to item Cite

Readability of patient education materials in ophthalmology: a single-institution study and systematic review.

Journal Article BMC Ophthalmol · August 3, 2016 BACKGROUND: Patient education materials should be written at a level that is understandable for patients with low health literacy. The aims of this study are (1) to review the literature on readability of ophthalmic patient education materials and (2) to e ... Full text Open Access Link to item Cite

The Effect of Eye Drop Technique Education in Patients With Glaucoma.

Journal Article Health Commun · August 2016 Education about how to administer eye drops may improve a patient's ability to instill his or her eye drops correctly. Our objectives were to (a) document the methods providers use to educate glaucoma patients about eye drop technique; (b) determine whethe ... Full text Link to item Cite

Communication Predicts Medication Self-Efficacy in Glaucoma Patients.

Journal Article Optom Vis Sci · July 2016 PURPOSE: Medication self-efficacy, or patients' confidence that they can perform medication-related behaviors, is associated with better glaucoma medication adherence. Little is known about how to enhance glaucoma patients' medication self-efficacy. Our pu ... Full text Link to item Cite

Eye Care Professionals' Perspectives on Eye Donation and an Eye Donation Registry for Research: A Single-Institution, Cross-Sectional Study.

Journal Article Curr Eye Res · June 2016 PURPOSE: A centralized eye donation registry for research could help to bridge the gap between patients interested in donating their eyes to science and scientists who conduct research on human eye tissue. Previous research has demonstrated patient and fam ... Full text Link to item Cite

How glaucoma patient characteristics, self-efficacy and patient-provider communication are associated with eye drop technique.

Journal Article Int J Pharm Pract · April 2016 OBJECTIVES: The objective of this study was to examine the extent to which patient characteristics, eye drop technique self-efficacy, and ophthalmologist-patient communication about eye drop administration are associated with glaucoma patients' ability to ... Full text Link to item Cite

Quantifying Glaucoma Medication Adherence: The Relationship Between Self-Report, Electronic Monitoring, and Pharmacy Refill.

Journal Article J Ocul Pharmacol Ther · 2016 PURPOSE: Glaucoma medications reduce the risk of progressive visual field loss, but adherence to these medications is often poor. A better understanding of the appropriate metrics for quantifying glaucoma medication adherence is needed. We describe and com ... Full text Link to item Cite

An upright eyedrop bottle: accuracy, usage of excess drops, and contamination compared to a conventional bottle.

Journal Article Clin Ophthalmol · 2016 PURPOSE: This study tested the feasibility of using an upright eyedrop bottle (UEB), a device designed to assist patients with eyedrop placement without reclining their head. PATIENTS AND METHODS: Experienced eyedrop users were enrolled who answered "yes" ... Full text Link to item Cite

Applying the resources and supports in self-management framework to examine ophthalmologist-patient communication and glaucoma medication adherence.

Journal Article Health Educ Res · October 2015 Little is known about how ophthalmologist-patient communication over time is associated with glaucoma patient long-term adherence. The purpose of our study was to examine the association between provider use of components of the resources and supports in s ... Full text Link to item Cite

Accuracy of Patient-reported Adherence to Glaucoma Medications on a Visual Analog Scale Compared With Electronic Monitors.

Journal Article Clin Ther · September 1, 2015 PURPOSE: Glaucoma medications can improve clinical outcomes when patients adhere to their medication regimen. Providers often ask patients with glaucoma to self-report their adherence, but the accuracy of self-reporting has received little scientific atten ... Full text Link to item Cite

Exploring the influence of patient-provider communication on intraocular pressure in glaucoma patients.

Journal Article Patient Educ Couns · July 6, 2015 OBJECTIVE: We examined whether six patient-provider communication behaviors directly affected the intraocular pressure (IOP) of glaucoma patients or whether patient medication adherence and eye drop technique mediated the relationship between self-efficacy ... Full text Link to item Cite

Improving Patient Education Materials about Glaucoma with Attention to Low Health Literacy

Conference INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE · June 1, 2015 Link to item Cite

An upright eye drop dispenser

Conference INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE · June 1, 2015 Link to item Cite

Glaucoma patient expression of medication problems and nonadherence.

Journal Article Optom Vis Sci · May 2015 PURPOSE: The purpose of this study was to examine if patient demographic factors influenced self-reporting of medication side effects, difficulty with drop instillation, and nonadherence to glaucoma therapy. METHODS: English-speaking adult glaucoma patient ... Full text Link to item Cite

Ophthalmologist-patient communication, self-efficacy, and glaucoma medication adherence.

Journal Article Ophthalmology · April 2015 OBJECTIVE: To examine the associations of provider-patient communication, glaucoma medication adherence self-efficacy, and outcome expectations with glaucoma medication adherence. DESIGN: Prospective, observational cohort study. PARTICIPANTS: Two hundred s ... Full text Link to item Cite

Ocular Hypotensive Medications: Adherence and Performance

Chapter · January 1, 2015 Glaucoma is a leading cause of blindness world-wide and first-line therapy is typically ocular hypotensive medications. Several large, multicenter trials have demonstrated that lowering intraocular pressure medically reduces the risk of glaucomatous visual ... Full text Cite

Finding the best glaucoma questionnaire: a qualitative and quantitative evaluation of glaucoma knowledge assessments.

Journal Article Clin Ophthalmol · 2015 OBJECTIVE: The goal of the study was to determine which glaucoma quiz provides the best information about patient glaucoma knowledge to clinicians in clinical practice settings. METHODS: Four glaucoma quizzes were identified from the literature and nationa ... Full text Open Access Link to item Cite

Glaucoma Blindness at a Tertiary Eye Care Center.

Journal Article N C Med J · 2015 BACKGROUND: Glaucoma is an important cause of irreversible blindness. This study describes the characteristics of a large, diverse group of glaucoma patients and evaluates associations between demographic and clinical characteristics and blindness. METHODS ... Full text Link to item Cite

Health coaching for glaucoma care: a pilot study using mixed methods.

Journal Article Clin Ophthalmol · 2015 INTRODUCTION: Adherence to glaucoma medications is essential for successful treatment of the disease but is complex and difficult for many of our patients. Health coaching has been used successfully in the treatment of other chronic diseases. This pilot st ... Full text Open Access Link to item Cite

Pediatric glaucoma medical therapy: who more accurately reports medication adherence, the caregiver or the child?

Journal Article Clin Ophthalmol · 2015 As they grow older, most children with glaucoma must eventually face the transition to self-administering medications. We previously reported factors associated with better or worse medication adherence in children with glaucoma, using an objective, electr ... Full text Link to item Cite

Glaucoma

Chapter · January 1, 2015 Glaucoma is the leading cause of irreversible blindness worldwide. Over the last 3 decades, a series of landmark randomized controlled trials have revealed answers regarding how glaucoma develops, progresses, and is treated. In this chapter, we start with ... Cite

Determinants of Self-Reported Barriers to Glaucoma Medicine Administration and Adherence: A Multisite Study.

Journal Article Ann Pharmacother · July 2014 BACKGROUND: Many factors influence glaucoma medication adherence. A better understanding of the relationships between health literacy, depressive symptoms, and patient-reported problems in using glaucoma medications may reveal opportunities for interventio ... Full text Link to item Cite

Risk factors for exposure of glaucoma drainage devices: a retrospective observational study.

Journal Article BMJ Open · May 2, 2014 OBJECTIVES: The purpose of this study was to identify risk factors for exposure of glaucoma drainage devices (GDD). SETTING: This retrospective, observational study was conducted in the eye clinic of an academic medical centre. PARTICIPANTS: Participants i ... Full text Link to item Cite

An upright eye drop bottle

Conference INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE · April 1, 2014 Link to item Cite

Vision-related quality of life in children with glaucoma.

Journal Article J AAPOS · February 2014 Although reporting vision-related quality of life (VRQoL) outcomes has become increasingly common in adult glaucoma studies, little is known about the influence of disease severity, medication burden, and surgical experience on the quality of life of child ... Full text Link to item Cite

Patient education preferences in ophthalmic care.

Journal Article Patient Prefer Adherence · 2014 BACKGROUND: The learning preferences of ophthalmology patients were examined. METHODS: Results from a voluntary survey of ophthalmology patients were analyzed for education preferences and for correlation with race, age, and ophthalmic topic. RESULTS: To l ... Full text Open Access Link to item Cite

Provider Education about Glaucoma and Glaucoma Medications during Videotaped Medical Visits.

Journal Article J Ophthalmol · 2014 Objective. The purpose of this study was to examine how patient, physician, and situational factors are associated with the extent to which providers educate patients about glaucoma and glaucoma medications, and which patient and provider characteristics a ... Full text Link to item Cite

Patient and family attitudes about an eye donation registry for research.

Journal Article Curr Eye Res · September 2013 PURPOSE: There is a shortage of human eye tissue available for scientists, and it is unknown how willing ophthalmic patients are to donate their eyes for research. Therefore, we assessed eye patient and family member attitudes regarding the establishment o ... Full text Link to item Cite

A low-vision rehabilitation program for patients with mild cognitive deficits.

Journal Article JAMA Ophthalmol · July 2013 IMPORTANCE: We are unaware of any standardized protocols within low-vision rehabilitation (LVR) to address cognitive impairment. OBJECTIVE: To design and pilot-test an LVR program for patients with macular disease and cognitive deficits. DESIGN: The Memory ... Full text Link to item Cite

The influence of health literacy level on an educational intervention to improve glaucoma medication adherence.

Journal Article Patient Educ Couns · May 2012 OBJECTIVE: To test an educational intervention targeted to health literacy level with the goal of improving glaucoma medication adherence. METHODS: One hundred and twenty-seven veterans with glaucoma were randomized to glaucoma education or standard care. ... Full text Link to item Cite

Influence of parental health literacy and dosing responsibility on pediatric glaucoma medication adherence.

Journal Article Arch Ophthalmol · March 2012 OBJECTIVE: To assess glaucoma medication adherence in children, hypothesizing that poor parental health literacy and eye drop instillation by the child are associated with worse adherence. METHODS: This prospective, observational study enrolled pediatric p ... Full text Link to item Cite

Validation of a short version of the glaucoma medication self-efficacy questionnaire.

Journal Article Br J Ophthalmol · February 2012 AIMS: The aims of this study were: (1) to examine whether the original glaucoma medication adherence and eye drop technique self-efficacy scales could be shortened for easier use in practice settings; and (2) to validate these scales against objective medi ... Full text Link to item Cite

Trust in the provider and glaucoma-related blindness.

Journal Article ISRN Ophthalmol · 2012 Purpose. We hypothesized that lower trust in the physician is associated with worse visual outcomes in glaucoma. Methods. Subjects completed the Trust in Provider Scale (TPS) and performed visual field tests at least two years apart. The primary outcome wa ... Full text Link to item Cite

Patient race, reported problems in using glaucoma medications, and adherence.

Journal Article ISRN Ophthalmol · 2012 Objective. The objectives of the study were to (a) describe various factors potentially related to objectively measured adherence to glaucoma medications and self-reported glaucoma medication adherence self-efficacy and (b) examine the relationship between ... Full text Link to item Cite

The relationship between glaucoma medication adherence, eye drop technique, and visual field defect severity.

Journal Article Ophthalmology · December 2011 OBJECTIVE: The purpose of the study was to examine (1) how patient adherence and eye drop technique were associated with visual field defect severity and (2) how general glaucoma adherence self-efficacy and eye drop technique self-efficacy were related to ... Full text Link to item Cite

Acquired central corneal thickness increase following removal of childhood cataracts.

Journal Article Am J Ophthalmol · March 2011 PURPOSE: To evaluate central corneal thickness (CCT) in children with congenital/developmental cataracts before and after cataract removal, to correlate CCT with corneal diameters before cataract surgery in this same group, and to evaluate CCT over time in ... Full text Link to item Cite

Central corneal thickness in children and adolescents with pediatric glaucoma and eye disorders at risk of developing glaucoma.

Journal Article J Pediatr Ophthalmol Strabismus · 2011 BACKGROUND: To investigate central corneal thickness (CCT) in children with glaucoma and at risk for glaucoma. METHODS: The study included 139 children with glaucoma: 66 at risk for glaucoma (ie, aphakia, aniridia, or uveitis) and 66 normal children. CCT w ... Full text Link to item Cite

Combined fluocinolone acetonide intravitreal insertion and glaucoma drainage device placement for chronic uveitis and glaucoma.

Journal Article Am J Ophthalmol · May 2010 PURPOSE: To determine whether a fluocinolone acetonide sustained-release intravitreal drug delivery system can be implanted safely at the same time that a glaucoma drainage device is placed for eyes with uveitis and elevated intraocular pressure (IOP) rece ... Full text Link to item Cite

Health literacy and ophthalmic patient education.

Journal Article Surv Ophthalmol · 2010 In 1997, Ebrahimzadeh, Davalos, and Lee wrote in this journal that only 32% of the ophthalmic patient educational materials reviewed were written at or below the recommended eighth-grade reading level. Since that time, the National Assessment of Adult Lite ... Full text Link to item Cite

Glaucoma patients' trust in the physician.

Journal Article J Ophthalmol · 2009 Objectives. To describe glaucoma patients' trust in the physician and to test the hypothesis that increased interpersonal trust is associated with increased medication adherence. Methods. One hundred ninety-five subjects with open-angle glaucoma seen by mu ... Full text Link to item Cite

Health literacy and vision-related quality of life.

Journal Article Br J Ophthalmol · June 2008 Featured Publication BACKGROUND: Non-visual factors influence a person's vision-related quality of life (VRQoL). The purpose of this study was to assess the relationship between health literacy and VRQoL in glaucoma patients. METHODS: One hundred and ninety-five subjects with ... Full text Link to item Cite

Central corneal thickness: congenital cataracts and aphakia.

Journal Article Am J Ophthalmol · October 2007 Featured Publication PURPOSE: To evaluate central corneal thickness (CCT) in normal children (controls) and in those with cataracts, pseudophakia, and aphakia. DESIGN: Prospective, observational case series. METHODS: CCT was measured in 369 eyes of 223 children. Subjects with ... Full text Link to item Cite

Central corneal thickness in children: Racial differences (black vs. white) and correlation with measured intraocular pressure.

Journal Article J Glaucoma · December 2006 Featured Publication PURPOSE: To test the hypotheses that the mean central corneal thickness (CCT) of healthy black children is thinner than that of healthy white children and to confirm the relationship between increased CCT and measured intraocular pressure (IOP) in children ... Full text Link to item Cite

Health literacy and adherence to glaucoma therapy.

Journal Article Am J Ophthalmol · August 2006 Featured Publication PURPOSE: To describe the health literacy of subjects with open angle glaucoma and to investigate the hypothesis that low health literacy is associated with poor glaucoma medication adherence. DESIGN: Cross-sectional patient survey and concomitant chart rev ... Full text Link to item Cite

Central corneal thickness in children: stability over time.

Journal Article Am J Ophthalmol · May 2006 Featured Publication PURPOSE: To evaluate central corneal thickness (CCT) in children over time. DESIGN: Prospective observational case series. METHODS: CCT was measured by ultrasonic pachymetry in 69 eyes of 38 subjects age 3 to 14 years recruited from the Duke University Eye ... Full text Link to item Cite

Central corneal thickness and its relationship to intraocular pressure in children.

Journal Article Ophthalmology · December 2004 Featured Publication OBJECTIVE: Central corneal thickness (CCT) has emerged as an important predictive factor for the development of glaucomatous damage. Although a child's cornea reaches adult thickness by the age of 3, little has been reported about normal CCT measurements i ... Full text Link to item Cite

Horner syndrome.

Journal Article Curr Opin Ophthalmol · December 2003 Featured Publication Horner syndrome refers to the constellation of signs resulting from the interruption of sympathetic innervation to the eye and ocular adnexae. Classically, the clinical findings include a triad of ipsilateral blepharoptosis, pupillary miosis, and facial an ... Full text Link to item Cite

Age-related changes in vitreous mobility as measured by video B scan ultrasound.

Journal Article Exp Eye Res · February 2002 Featured Publication Many vitreoretinal disorders increase in incidence with age. The vitreous is known to liquefy and separate from the retina in aging patients. Liquefaction and partial vitreous separation alter the biomechanics of the vitreous and change the tractional forc ... Full text Link to item Cite