Journal ArticleOphthalmology · October 2024
PURPOSE: To assess changes in vision care availability at Federally Qualified Health Centers (FQHCs) between 2017 and 2021 and whether neighborhood-level demographic social risk factors (SRFs) associated with eye care services provided by FQHCs. DESIGN: Se ...
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Journal ArticleJ Glaucoma · April 1, 2024
PRCIS: Most glaucoma patients with missed appointments 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: The purpose of this study w ...
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Journal ArticleTransl Vis Sci Technol · March 1, 2024
PURPOSE: To evaluate the diagnostic performance of a robotically aligned optical coherence tomography (RAOCT) system coupled with a deep learning model in detecting referable posterior segment pathology in OCT images of emergency department patients. METHO ...
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Journal ArticleEye (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 ...
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Journal ArticleEye (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 ...
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Journal ArticleOphthalmol 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 ...
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ConferenceJ 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 ...
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Journal ArticlePatient 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 ...
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Journal ArticleBMC 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 ...
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Journal ArticleOphthalmic 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 ...
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Journal ArticleOphthalmol 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 ...
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Journal ArticleOphthalmol 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- ...
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Journal ArticleOphthalmic 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 ...
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Journal ArticleOphthalmol 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 ...
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Journal ArticleOphthalmol 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 ...
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Journal ArticleOphthalmol 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleOptom 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 ...
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Journal ArticleSemin 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 ...
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Journal ArticleOphthalmol 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 ...
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Journal ArticleOphthalmol 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 ...
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ConferenceClin 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 ...
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Journal ArticleEur 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 ...
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Journal ArticleClin 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 ...
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Journal ArticleOphthalmol 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 ( ...
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Journal ArticleTransl 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 ...
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Journal ArticleOptom 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. ...
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Journal ArticleOptom 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleCurr 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleExpert 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 ...
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Journal ArticlePatient 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 ...
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Journal ArticleOptom 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 ...
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ConferenceJ 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 ...
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Journal ArticleOphthalmol 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 ...
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Journal ArticlePrev 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 ...
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Journal ArticleOphthalmic 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 ...
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Journal ArticleCurr 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, ...
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Journal ArticleSemin 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 ...
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Journal ArticleClin 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" ...
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Journal ArticleBMJ 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 ...
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Journal ArticleClin 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleOptom 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 ...
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Journal ArticlePatient 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 ...
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Journal ArticleSurv 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 ...
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Journal ArticleBMC 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 ...
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Journal ArticleHealth 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 ...
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Journal ArticleOptom 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 ...
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Journal ArticleCurr 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 ...
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Journal ArticleInt 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleClin 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" ...
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Journal ArticleHealth 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 ...
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Journal ArticleClin 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 ...
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Journal ArticlePatient 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 ...
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Journal ArticleOptom 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 ...
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Journal ArticleOphthalmology · 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 ...
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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 ...
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Journal ArticleClin 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 ...
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Journal ArticleN 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 ...
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Journal ArticleClin 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 ...
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Journal ArticleClin 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 ...
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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 ...
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Journal ArticleAnn 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 ...
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Journal ArticleBMJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticlePatient 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleCurr 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 ...
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Journal ArticleJAMA 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 ...
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Journal ArticlePatient 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. ...
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Journal ArticleArch 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 ...
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Journal ArticleBr 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 ...
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Journal ArticleISRN 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 ...
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Journal ArticleISRN 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleSurv 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleBr J Ophthalmol · June 2008
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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 ...
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Journal ArticleAm J Ophthalmol · October 2007
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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 ...
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Journal ArticleJ Glaucoma · December 2006
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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 ...
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Journal ArticleAm J Ophthalmol · August 2006
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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 ...
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Journal ArticleAm J Ophthalmol · May 2006
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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 ...
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Journal ArticleOphthalmology · December 2004
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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 ...
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Journal ArticleCurr Opin Ophthalmol · December 2003
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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 ...
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Journal ArticleExp Eye Res · February 2002
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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 ...
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