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Paul Pue-Jung Lee

Consulting Professor in the Department of Ophthalmology
Ophthalmology, Glaucoma
Box 3802 Med Ctr, Durham, NC 27710
Wadsworth Bldg, Durham, NC 27710

Selected Publications


Development and Validation of the Low Vision Severely Constricted Peripheral Eyesight (LV-SCOPE) Questionnaire.

Journal Article Am J Ophthalmol · December 2023 PURPOSE: To develop and validate a novel patient-reported outcome (PRO) measure to assess vision-related functioning in individuals with severe peripheral field loss (PFL). DESIGN: Prospective outcome measure development/validation study. METHODS: A 127-it ... Full text Link to item Cite

Patient-Centered Outcomes After a Medication Adherence Intervention: a Pilot Study.

Journal Article J Glaucoma · October 1, 2023 PRCIS: Self-determination theory (SDT) guided behavioral interventions are effective in improving several patient-centered metrics, including glaucoma-related distress. However, whether improvement in patient-centered metrics can drive an improvement in me ... Full text Link to item Cite

Glaucoma Medication Adherence 1 Year after the Support, Educate, Empower Personalized Glaucoma Coaching Program.

Journal Article Ophthalmol Glaucoma · 2023 PURPOSE: To assess the efficacy of the Support, Educate, Empower (SEE) glaucoma coaching program on medication adherence among poorly adherent patients with glaucoma for 12 months after cessation of the intervention. DESIGN: Uncontrolled intervention study ... Full text Link to item Cite

Disparities in Vision Health and Eye Care.

Journal Article Ophthalmology · October 2022 Significant disparities in vision health and eye care exist. To achieve health equity, we must understand the root causes and drivers of health disparities and inequities, including social determinants of health and systemic racism. ... Full text Link to item Cite

Small Payments, Large Consequences.

Journal Article JAMA Ophthalmol · September 1, 2022 Full text Link to item Cite

Broadening Access to Eyeglasses in the US.

Journal Article JAMA Health Forum · March 1, 2022 Full text Link to item Cite

Comparison of Medication Adherence Assessment Tools to Identify Glaucoma Medication Nonadherence.

Conference Ophthalmol Glaucoma · 2022 PURPOSE: To assess the accuracy of 5 subjective self-assessment tools (3 adherence measures and 2 psychometric scales) and pharmacy refill data in predicting objective electronically monitored nonadherence. DESIGN: Prospective cohort study. PARTICIPANTS: G ... Full text Link to item Cite

The Burden of Caring for and Treating Glaucoma: The Patient Perspective.

Journal Article Ophthalmol Glaucoma · 2022 PURPOSE: To understand the treatment burden experienced by patients receiving care for primary open-angle glaucoma. DESIGN: Semistructured, one-on-one, qualitative interviews. PARTICIPANTS: Patients with primary open-angle glaucoma and age ≥40 years who we ... Full text Link to item Cite

Demographic, Clinical, and Psychosocial Predictors of Change in Medication Adherence in the Support, Educate, Empower Program.

Conference Ophthalmol Glaucoma · 2022 PURPOSE: To investigate whether demographic, clinical, or psychosocial factors act as moderators of change in medication adherence in the Support, Educate, Empower (SEE) program. DESIGN: Prospective, single-arm pilot study with a pre-post design. PARTICIPA ... Full text Link to item Cite

Disparities in Eye Care Utilization During the COVID-19 Pandemic.

Journal Article Am J Ophthalmol · January 2022 PURPOSE: To assess the relationship between telemedicine utilization and sociodemographic factors among patients seeking eye care. DESIGN: Comparative utilization analysis. METHODS: We reviewed the eye care utilization patterns of a stratified random sampl ... Full text Link to item Cite

Keratoplasty and Glaucoma

Chapter · January 1, 2022 Factors contributing to postkeratoplasty glaucoma include the presence of preexisting glaucoma, the nature of the underlying condition precipitating corneal transplantation, disruption of aqueous outflow from the keratoplasty, and the use of corticosteroid ... Full text Cite

Vision-related quality of life in adults with severe peripheral vision loss: a qualitative interview study

Journal Article Journal of Patient-Reported Outcomes · December 1, 2021 Background: Existing patient-reported outcome (PRO) measures may not be relevant to the full range of functional and vision-related quality of life (VR-QOL) concerns of individuals with vision impairment due to severe peripheral field loss (PFL). Measureme ... Full text Cite

Feasibility of a Risk-Based Approach to Cataract Surgery Preoperative Medical Evaluation.

Journal Article JAMA Ophthalmol · December 1, 2021 IMPORTANCE: In 2019, the US Centers for Medicare & Medicaid Services implemented the Patients Over Paperwork initiative, allowing hospitals and ambulatory surgery centers to establish their own policies on preoperative history and physical requirements. A ... Full text Link to item Cite

Potential Impact of COVID-19 Disruptions on the Next Generation of Vision Scientists.

Journal Article JAMA Ophthalmol · August 1, 2021 IMPORTANCE: Emerging vision scientists who have yet to be awarded their first independent funding may have their research careers disproportionately affected by early COVID-19-related disruptions. In September 2020, the Alliance for Eye and Vision Research ... Full text Link to item Cite

A novel think tank program to promote innovation and strategic planning in ophthalmic surgery

Journal Article Perioperative Care and Operating Room Management · March 1, 2021 Background: Continuous quality improvement is a pillar of all surgical groups. Innovation is a critical aspect to continuously improve, but traditional staff retreats have several disadvantages which limit their utility in identifying needs and developing ... Full text Cite

Reduced Mammography Screening for Breast Cancer among Women with Visual Impairment.

Conference Ophthalmology · February 2021 PURPOSE: Timely mammography to screen for breast cancer in accordance with the United States Preventive Services Task Force (USPSTF) recommendations can reduce morbidity and mortality substantially. This study assessed whether the odds of undergoing screen ... Full text Link to item Cite

Change in Ophthalmic Clinicians' Attitudes Toward Telemedicine During the Coronavirus 2019 Pandemic.

Journal Article Telemed J E Health · February 2021 Background: Ophthalmic clinicians report low confidence in telemedicine-based eye care delivery, but it may have changed given its rapid expansion during the coronavirus 2019 (COVID-19) pandemic. Introduction: The purpose of this study was to determine cli ... Full text Link to item Cite

Development and Validation of the Low Vision Severely Constricted Peripheral Eyesight (LV-SCOPE) Questionnaire.

Journal Article Am J Ophthalmol · December 2023 PURPOSE: To develop and validate a novel patient-reported outcome (PRO) measure to assess vision-related functioning in individuals with severe peripheral field loss (PFL). DESIGN: Prospective outcome measure development/validation study. METHODS: A 127-it ... Full text Link to item Cite

Patient-Centered Outcomes After a Medication Adherence Intervention: a Pilot Study.

Journal Article J Glaucoma · October 1, 2023 PRCIS: Self-determination theory (SDT) guided behavioral interventions are effective in improving several patient-centered metrics, including glaucoma-related distress. However, whether improvement in patient-centered metrics can drive an improvement in me ... Full text Link to item Cite

Glaucoma Medication Adherence 1 Year after the Support, Educate, Empower Personalized Glaucoma Coaching Program.

Journal Article Ophthalmol Glaucoma · 2023 PURPOSE: To assess the efficacy of the Support, Educate, Empower (SEE) glaucoma coaching program on medication adherence among poorly adherent patients with glaucoma for 12 months after cessation of the intervention. DESIGN: Uncontrolled intervention study ... Full text Link to item Cite

Disparities in Vision Health and Eye Care.

Journal Article Ophthalmology · October 2022 Significant disparities in vision health and eye care exist. To achieve health equity, we must understand the root causes and drivers of health disparities and inequities, including social determinants of health and systemic racism. ... Full text Link to item Cite

Small Payments, Large Consequences.

Journal Article JAMA Ophthalmol · September 1, 2022 Full text Link to item Cite

Broadening Access to Eyeglasses in the US.

Journal Article JAMA Health Forum · March 1, 2022 Full text Link to item Cite

Comparison of Medication Adherence Assessment Tools to Identify Glaucoma Medication Nonadherence.

Conference Ophthalmol Glaucoma · 2022 PURPOSE: To assess the accuracy of 5 subjective self-assessment tools (3 adherence measures and 2 psychometric scales) and pharmacy refill data in predicting objective electronically monitored nonadherence. DESIGN: Prospective cohort study. PARTICIPANTS: G ... Full text Link to item Cite

The Burden of Caring for and Treating Glaucoma: The Patient Perspective.

Journal Article Ophthalmol Glaucoma · 2022 PURPOSE: To understand the treatment burden experienced by patients receiving care for primary open-angle glaucoma. DESIGN: Semistructured, one-on-one, qualitative interviews. PARTICIPANTS: Patients with primary open-angle glaucoma and age ≥40 years who we ... Full text Link to item Cite

Demographic, Clinical, and Psychosocial Predictors of Change in Medication Adherence in the Support, Educate, Empower Program.

Conference Ophthalmol Glaucoma · 2022 PURPOSE: To investigate whether demographic, clinical, or psychosocial factors act as moderators of change in medication adherence in the Support, Educate, Empower (SEE) program. DESIGN: Prospective, single-arm pilot study with a pre-post design. PARTICIPA ... Full text Link to item Cite

Disparities in Eye Care Utilization During the COVID-19 Pandemic.

Journal Article Am J Ophthalmol · January 2022 PURPOSE: To assess the relationship between telemedicine utilization and sociodemographic factors among patients seeking eye care. DESIGN: Comparative utilization analysis. METHODS: We reviewed the eye care utilization patterns of a stratified random sampl ... Full text Link to item Cite

Keratoplasty and Glaucoma

Chapter · January 1, 2022 Factors contributing to postkeratoplasty glaucoma include the presence of preexisting glaucoma, the nature of the underlying condition precipitating corneal transplantation, disruption of aqueous outflow from the keratoplasty, and the use of corticosteroid ... Full text Cite

Vision-related quality of life in adults with severe peripheral vision loss: a qualitative interview study

Journal Article Journal of Patient-Reported Outcomes · December 1, 2021 Background: Existing patient-reported outcome (PRO) measures may not be relevant to the full range of functional and vision-related quality of life (VR-QOL) concerns of individuals with vision impairment due to severe peripheral field loss (PFL). Measureme ... Full text Cite

Feasibility of a Risk-Based Approach to Cataract Surgery Preoperative Medical Evaluation.

Journal Article JAMA Ophthalmol · December 1, 2021 IMPORTANCE: In 2019, the US Centers for Medicare & Medicaid Services implemented the Patients Over Paperwork initiative, allowing hospitals and ambulatory surgery centers to establish their own policies on preoperative history and physical requirements. A ... Full text Link to item Cite

Potential Impact of COVID-19 Disruptions on the Next Generation of Vision Scientists.

Journal Article JAMA Ophthalmol · August 1, 2021 IMPORTANCE: Emerging vision scientists who have yet to be awarded their first independent funding may have their research careers disproportionately affected by early COVID-19-related disruptions. In September 2020, the Alliance for Eye and Vision Research ... Full text Link to item Cite

A novel think tank program to promote innovation and strategic planning in ophthalmic surgery

Journal Article Perioperative Care and Operating Room Management · March 1, 2021 Background: Continuous quality improvement is a pillar of all surgical groups. Innovation is a critical aspect to continuously improve, but traditional staff retreats have several disadvantages which limit their utility in identifying needs and developing ... Full text Cite

Reduced Mammography Screening for Breast Cancer among Women with Visual Impairment.

Conference Ophthalmology · February 2021 PURPOSE: Timely mammography to screen for breast cancer in accordance with the United States Preventive Services Task Force (USPSTF) recommendations can reduce morbidity and mortality substantially. This study assessed whether the odds of undergoing screen ... Full text Link to item Cite

Change in Ophthalmic Clinicians' Attitudes Toward Telemedicine During the Coronavirus 2019 Pandemic.

Journal Article Telemed J E Health · February 2021 Background: Ophthalmic clinicians report low confidence in telemedicine-based eye care delivery, but it may have changed given its rapid expansion during the coronavirus 2019 (COVID-19) pandemic. Introduction: The purpose of this study was to determine cli ... Full text Link to item Cite

Application of the Sight Outcomes Research Collaborative Ophthalmology Data Repository for Triaging Patients With Glaucoma and Clinic Appointments During Pandemics Such as COVID-19.

Journal Article JAMA Ophthalmol · September 1, 2020 IMPORTANCE: During the coronavirus disease 2019 (COVID-19) pandemic, eye care professionals caring for patients with sight-threatening diseases, such as glaucoma, have had to determine whether some patient appointments could safely get postponed, weighing ... Full text Link to item Cite

Insights Into Eye Care Practice During COVID-19.

Journal Article JAMA Ophthalmol · September 1, 2020 Full text Link to item Cite

Cost-Utility Analysis of Glaucoma Medication Adherence.

Conference Ophthalmology · May 2020 PURPOSE: The majority of patients with glaucoma do not take their medications as prescribed. Estimates of the cost-utility value of adherence to prescribed glaucoma medication are vital to implement potentially effective interventions. DESIGN: Cost-utility ... Full text Link to item Cite

Association of Individual-Level Factors With Visual Outcomes in Optic Neuritis: Secondary Analysis of a Randomized Clinical Trial.

Journal Article JAMA Netw Open · May 1, 2020 IMPORTANCE: Using corticosteroids to treat acute demyelinating optic neuritis has been identified as an area for shared decision-making. However, no analysis exists to support personalized shared decision-making that considers long- and short-term treatmen ... Full text Link to item Cite

The Impact of the Support, Educate, Empower Personalized Glaucoma Coaching Pilot Study on Glaucoma Medication Adherence.

Journal Article Ophthalmol Glaucoma · 2020 PURPOSE: To assess the efficacy of the Support, Educate, Empower (SEE) glaucoma coaching program on medication adherence among glaucoma patients with low adherence. DESIGN: Uncontrolled intervention study with a pre-post design. PARTICIPANTS: Glaucoma pati ... Full text Link to item Cite

Association of Vision Loss With Hospital Use and Costs Among Older Adults.

Conference JAMA Ophthalmol · June 1, 2019 IMPORTANCE: Patients with vision loss who are hospitalized for common illnesses are often not identified as requiring special attention. This perception, however, may affect the outcomes, resource use, and costs for these individuals. OBJECTIVE: To assess ... Full text Link to item Cite

Access to and Experiences with, e-Health Technology Among Glaucoma Patients and Their Relationship with Medication Adherence.

Journal Article Telemed J E Health · December 2018 Background:As online health information becomes common, it is important to assess patients' access to and experiences with online resources.Introduction:We examined whether glaucoma patients' technology usage differs by medication adherence and whether adh ... Full text Link to item Cite

Eye Symptom Questionnaire to Evaluate Anterior Eye Health.

Journal Article Eye Contact Lens · November 2018 OBJECTIVES: Ophthalmologists assess eye complaints with a careful history and eye examination; however, other types of physicians have limited tools to evaluate anterior segment (AS) eye diseases. We identified the eye symptom questions that providers shou ... Full text Link to item Cite

Philadelphia Telemedicine Glaucoma Detection and Follow-up Study: Analysis of Unreadable Fundus Images.

Journal Article J Glaucoma · November 2018 PURPOSE: The purpose of this study was to ascertain determinants of unreadable fundus images for participants enrolled in the Philadelphia Telemedicine Glaucoma Detection and Follow-up Study. METHODS: Individuals were screened for glaucoma at 7 primary car ... Full text Link to item Cite

Personalized behavior change program for glaucoma patients with poor adherence: A pilot interventional cohort study with a pre-post design

Journal Article Pilot and Feasibility Studies · April 25, 2018 Background: About half of people with glaucoma do not adhere to their recommended medications. Interventions for other chronic conditions have successfully utilized reminder systems and motivational interviewing (MI)-based counseling. This study was design ... Full text Cite

Brand Medications and Medicare Part D: How Eye Care Providers' Prescribing Patterns Influence Costs.

Journal Article Ophthalmology · March 2018 PURPOSE: To quantify costs of eye care providers' Medicare Part D prescribing patterns for ophthalmic medications and to estimate the potential savings of generic or therapeutic drug substitutions and price negotiation. DESIGN: Retrospective cross-sectiona ... Full text Link to item Cite

Costs of a community-based glaucoma detection programme: analysis of the Philadelphia Glaucoma Detection and Treatment Project.

Journal Article Br J Ophthalmol · February 2018 BACKGROUND: Glaucoma is the foremost cause of irreversible blindness, and more than 50% of cases remain undiagnosed. Our objective was to report the costs of a glaucoma detection programme operationalised through Philadelphia community centres. METHODS: Th ... Full text Link to item Cite

Electronic Health Records Are Here to Stay.

Journal Article JAMA Ophthalmol · February 1, 2018 Full text Link to item Cite

Two-year outcomes of a pilot glaucoma suspect telemedicine monitoring program.

Journal Article Clin Ophthalmol · 2018 PURPOSE: The purpose of this study was to characterize a pilot program using e-health to monitor glaucoma suspects in a large integrated health system. METHODS: A retrospective chart review of patients enrolled in the first 2 years of a new glaucoma suspec ... Full text Link to item Cite

Trends in Use of Ambulatory Surgery Centers for Cataract Surgery in the United States, 2001-2014.

Journal Article JAMA Ophthalmol · January 1, 2018 IMPORTANCE: Cataract surgery is commonly performed at ambulatory surgery centers (ASCs) and hospital outpatient departments (HOPDs). These venues differ in many ways, including surgical efficiency, patient throughput, patient safety, and costs per surgery. ... Full text Link to item Cite

Mapping standard ophthalmic outcome sets to metrics currently reported in eight eye hospitals.

Journal Article BMC Ophthalmol · December 29, 2017 BACKGROUND: To determine alignment of proposed international standard outcomes sets for ophthalmic conditions to metrics currently reported by eye hospitals. METHODS: Mixed methods comparative benchmark study, including eight eye hospitals in Australia, In ... Full text Link to item Cite

Diplopia-Related Ambulatory and Emergency Department Visits in the United States, 2003-2012.

Journal Article JAMA Ophthalmol · December 1, 2017 IMPORTANCE: Diplopia is believed to be a common eye-related symptom. However, to date, there are no available population-based estimates, which are necessary to understand the impact of this disabling symptom on the health care system and to identify steps ... Full text Link to item Cite

Teleophthalmic Approach for Detection of Corneal Diseases: Accuracy and Reliability.

Journal Article Cornea · October 2017 PURPOSE: Corneal and anterior segment diseases cause most of the urgent visits to eye care professionals. We evaluated the diagnostic accuracy of detecting corneal diseases using external photographs from 2 portable cameras for telemedicine purposes. METHO ... Full text Link to item Cite

Large Disparities in Receipt of Glaucoma Care between Enrollees in Medicaid and Those with Commercial Health Insurance.

Journal Article Ophthalmology · October 2017 PURPOSE: To determine whether the type of health insurance a patient possesses and a patient's race/ethnicity affect receipt of common tests to monitor open-angle glaucoma (OAG). DESIGN: Retrospective longitudinal cohort study. PARTICIPANTS: A total of 21  ... Full text Link to item Cite

Philadelphia Telemedicine Glaucoma Detection and Follow-up Study: Methods and Screening Results.

Journal Article Am J Ophthalmol · September 2017 PURPOSE: To describe methodology and screening results from the Philadelphia Telemedicine Glaucoma Detection and Follow-up Study. DESIGN: Screening program results for a prospective randomized clinical trial. METHODS: Individuals were recruited who were Af ... Full text Link to item Cite

Establishing a Regional Glaucoma Physician Collaborative to Improve Quality of Care.

Journal Article Am J Ophthalmol · July 2017 PURPOSE: Improving adherence to practice guidelines can improve patient safety and quality of care. We sought to establish a regional glaucoma physician collaborative to evaluate and improve adherence to the American Academy of Ophthalmology's Primary Open ... Full text Link to item Cite

Patient Attitudes Toward Telemedicine for Diabetic Retinopathy.

Journal Article Telemed J E Health · March 2017 INTRODUCTION: Diabetic retinopathy (DR) is the leading cause of new-onset blindness in adults. Telemedicine is a validated, cost-effective method to improve monitoring. However, little is known of patients' attitudes toward telemedicine for DR. Our study e ... Full text Link to item Cite

Agreement of Ocular Symptom Reporting Between Patient-Reported Outcomes and Medical Records.

Journal Article JAMA Ophthalmol · March 1, 2017 IMPORTANCE: Accurate documentation of patient symptoms in the electronic medical record (EMR) is important for high-quality patient care. OBJECTIVE: To explore inconsistencies between patient self-report on an Eye Symptom Questionnaire (ESQ) and documentat ... Full text Link to item Cite

Simultaneous Implantation of an Ahmed and Baerveldt Glaucoma Drainage Device for Uncontrolled Intraocular Pressure in Advanced Glaucoma.

Journal Article J Glaucoma · February 2017 PURPOSE: To evaluate efficacy and safety of a novel technique, simultaneous implantation of Ahmed and Baerveldt shunts, for improved control of intraocular pressure (IOP) in advanced glaucoma with visual field defects threatening central fixation. PATIENTS ... Full text Link to item Cite

Telemedicine for ophthalmic consultation services: use of a portable device and layering information for graders.

Journal Article J Telemed Telecare · February 2017 Introduction We compared remote, image-based patient consultations to in-person consultations at emergency department and inpatient hospital settings. Methods Patients evaluated by the ophthalmic consultation services (gold standard) were imaged over a two ... Full text Link to item Cite

Patient-Centered Outcome Measures to Assess Functioning in Randomized Controlled Trials of Low-Vision Rehabilitation: A Review.

Journal Article Patient · February 2017 Low-vision rehabilitation (LVR) aims to improve the functioning of patients with chronic uncorrectable visual impairment. LVR is inherently a patient-centered intervention since its approach and goals are dictated by the needs and abilities of each individ ... Full text Link to item Cite

User-centered Design of the eyeGuide: A Tailored Glaucoma Behavior Change Program.

Journal Article J Glaucoma · October 2016 PURPOSE: We employed user-centered design to refine a prototype of the eyeGuide, a novel, tailored behavior change program intended to improve medication adherence among glaucoma patients. PATIENTS: Glaucoma patients age 40 years and above prescribed ≥1 gl ... Full text Link to item Cite

Building a Culture of Safety in Ophthalmology.

Conference Ophthalmology · September 2016 Patient safety focused on a reduction in both procedural and diagnostic error is the number one concern of the United States healthcare system in the 21st century. The American Board of Ophthalmology has a longstanding interest in patient safety, and in 20 ... Full text Link to item Cite

Assessing Geographic Variation in Strabismus Diagnosis among Children Enrolled in Medicaid.

Journal Article Ophthalmology · September 2016 PURPOSE: To determine how strabismus diagnosis varies within a given community and across communities among children with Medicaid health insurance. DESIGN: Retrospective cohort analysis. PARTICIPANTS: Children aged ≤10 years enrolled in Medicaid in Michig ... Full text Link to item Cite

Intraocular Pressure Reduction after Phacoemulsification versus Manual Small-Incision Cataract Surgery: A Randomized Controlled Trial.

Journal Article Ophthalmology · August 2016 PURPOSE: To compare reduction in intraocular pressure (IOP) and change in anterior chamber angle configuration between eyes undergoing phacoemulsification versus those undergoing manual small-incision cataract surgery (MSICS). DESIGN: Prospective, randomiz ... Full text Link to item Cite

Sight-Threatening Ocular Diseases Remain Underdiagnosed Among Children Of Less Affluent Families.

Journal Article Health Aff (Millwood) · August 1, 2016 Sight-threatening eye diseases such as strabismus (misaligned eyes) and amblyopia (lazy eye) develop during childhood. The earlier in life these diseases are diagnosed and effectively treated, the greater the chance of preventing irreversible long-term sig ... Full text Link to item Cite

Assessing the Role of the Family/Support System Perspective in Patients With Glaucoma.

Journal Article J Glaucoma · July 2016 PURPOSE: To investigate the role of the family/friends support system for patients with glaucoma and their perspective on barriers to effective glaucoma management. METHODS: Six focus groups were conducted in 3 geographically and ethnically diverse areas o ... Full text Link to item Cite

Why Patients With Glaucoma Lose Vision: The Patient Perspective.

Journal Article J Glaucoma · July 2016 PURPOSE: To explore why glaucoma patients believe that glaucoma continues to cause vision loss despite the availability of effective treatment. METHODS: Nine focus groups were conducted in 3 geographically and ethnically diverse areas of the United States ... Full text Link to item Cite

Geographic Variation in the Rate and Timing of Cataract Surgery Among US Communities.

Journal Article JAMA Ophthalmol · March 2016 IMPORTANCE: Previous studies using data from the 1980s found relatively little geographic variation in cataract surgery rates across the United States. We do not know whether similar patterns hold true today, nor do we know the patient- and community-level ... Full text Link to item Cite

Rates of Vitrectomy among Enrollees in a United States Managed Care Network, 2001-2012.

Journal Article Ophthalmology · March 2016 PURPOSE: To determine whether vitrectomy surgery rates have changed over the past decade and factors affecting the odds of undergoing this procedure. DESIGN: Retrospective, longitudinal cohort study. PARTICIPANTS: All enrollees 21 years of age or older bet ... Full text Link to item Cite

Evaluation of Screening for Retinopathy of Prematurity by ROPtool or a Lay Reader.

Journal Article Ophthalmology · February 2016 PURPOSE: To determine if (1) tortuosity assessment by a computer program (ROPtool, developed at the University of North Carolina, Chapel Hill, and Duke University, and licensed by FocusROP) that traces retinal blood vessels and (2) assessment by a lay read ... Full text Link to item Cite

IOP: Fluctuation

Chapter · January 1, 2016 Full text Cite

Hospitalization after Cataract Surgery in a Nationwide Managed-Care Population.

Journal Article PLoS One · 2016 PURPOSE: Little is known regarding the extent by which patients undergoing outpatient cataract surgery are at risk for postoperative hospitalization. We sought to determine the percentage of patients undergoing cataract surgery who were subsequently hospit ... Full text Link to item Cite

Patterns of Glaucoma Medication Adherence over Four Years of Follow-Up.

Journal Article Ophthalmology · October 2015 PURPOSE: To assess longer-term patterns of glaucoma medication adherence and identify whether patterns established during the first year of medication use persist during 3 subsequent years of follow-up. DESIGN: Retrospective, longitudinal cohort analysis. ... Full text Link to item Cite

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

Journal Article 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 un ... Full text Link to item Cite

The Most Common Barriers to Glaucoma Medication Adherence: A Cross-Sectional Survey.

Journal Article Ophthalmology · July 2015 PURPOSE: To evaluate the frequency of 11 commonly cited barriers to optimal glaucoma medication adherence among glaucoma patients and to identify barriers contributing to poor adherence. DESIGN: Prospective, cross-sectional survey. PARTICIPANTS: One hundre ... Full text Link to item Cite

Geographic disparity of severe vision loss - United States, 2009-2013.

Journal Article MMWR Morb Mortal Wkly Rep · May 22, 2015 Vision loss and blindness are among the top 10 disabilities in the United States, causing substantial social, economic, and psychological effects, including increased morbidity, increased mortality, and decreased quality of life.* There are disparities in ... Link to item Cite

Eye care providers' attitudes towards tele-ophthalmology.

Journal Article Telemed J E Health · April 2015 BACKGROUND: The rapid rise of e-health and remote care systems will likely change the practice patterns of ophthalmologists. Although telemedicine practices are thriving in many specialties of medicine, telemedicine for ophthalmology has been limited prima ... Full text Link to item Cite

Author reply: To PMID 24393349.

Journal Article Ophthalmology · March 2015 Full text Link to item Cite

Economics of Glaucoma Care

Chapter · January 1, 2015 Glaucoma is a growing and costly disease. Modeling suggests treatment of glaucoma is cost-effective, but more research is needed to establish which populations stand to benefit the most from different courses of treatment.With looming changes in healthcare ... Full text Cite

Direct medical costs and resource use for treating central and branch retinal vein occlusion in commercially insured working-age and Medicare populations.

Journal Article Retina · November 2014 PURPOSE: To quantify the burden of illness for incident branch retinal vein occlusion (BRVO) and central retinal vein occlusion (CRVO) in a commercially insured working-age (commercial) and Medicare US population. METHODS: Retrospective cohort analysis of ... Full text Link to item Cite

Regular examinations for toxic maculopathy in long-term chloroquine or hydroxychloroquine users.

Journal Article JAMA Ophthalmol · October 2014 IMPORTANCE: According to evidence-based, expert recommendations, long-term users of chloroquine or hydroxychloroquine sulfate should undergo regular visits to eye care providers and diagnostic testing to check for maculopathy. OBJECTIVE: To determine wheth ... Full text Link to item Cite

Effect of gestational age and birth weight on the risk of strabismus among premature infants.

Journal Article JAMA Pediatr · September 2014 IMPORTANCE: Strabismus causes irreversible vision loss if not detected and treated early. It is unclear whether birth weight (BW) and gestational age (GA) are risk factors for strabismus. OBJECTIVE: To estimate the effect of BW and GA on the likelihood of ... Full text Link to item Cite

Use of health care claims data to study patients with ophthalmologic conditions.

Journal Article Ophthalmology · May 2014 OBJECTIVE: To describe what information is or is not included in health care claims data, provide an overview of the main advantages and limitations of performing analyses using health care claims data, and offer general guidance on how to report and inter ... Full text Link to item Cite

Intraocular pressure in eyes receiving monthly ranibizumab in 2 pivotal age-related macular degeneration clinical trials.

Journal Article Ophthalmology · May 2014 PURPOSE: To characterize preinjection intraocular pressure (IOP) in eyes receiving monthly ranibizumab versus sham or verteporfin photodynamic therapy (PDT) for age-related macular degeneration (AMD). DESIGN: Post hoc analysis of IOP data from 2 phase 3 cl ... Full text Link to item Cite

Simultaneous placement of 2 glaucoma drainage devices for uncontrolled glaucoma.

Journal Article Can J Ophthalmol · April 2014 OBJECTIVE: To report baseline characteristics and surgical outcomes of placement of simultaneous glaucoma drainage devices (GDDs) in eyes with considerably elevated intraocular pressure (IOP) despite maximal medical therapy. DESIGN: Retrospective case seri ... Full text Link to item Cite

Cost-effectiveness of bevacizumab and ranibizumab for newly diagnosed neovascular macular degeneration.

Journal Article Ophthalmology · April 2014 PURPOSE: We sought to determine the most cost-effective treatment for patients with newly diagnosed neovascular macular degeneration: monthly or as-needed bevacizumab injections, or monthly or as-needed ranibizumab injections. DESIGN: Cost-effectiveness an ... Full text Link to item Cite

Simultaneous Implantation of Two Glaucoma Drainage Devices for Uncontrolled Advanced Glaucoma

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

Patient-Reported Outcomes in Optometric Glaucoma Care

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

Development of a preference-based index from the National Eye Institute Visual Function Questionnaire-25.

Journal Article JAMA Ophthalmol · March 2014 IMPORTANCE: Understanding how individuals value health states is central to patient-centered care and to health policy decision making. Generic preference-based measures of health may not effectively capture the impact of ocular diseases. Recently, 6 items ... Full text Link to item Cite

Osteogenesis imperfecta and primary open angle glaucoma: genotypic analysis of a new phenotypic association.

Journal Article Mol Vis · 2014 PURPOSE: Osteogenesis imperfecta (OI) is a group of inherited disorders characterized by bone fragility. Ocular findings include blue sclera, low ocular rigidity, and thin corneal thickness. However, there are no documented cases linking OI and primary ope ... Link to item Cite

Barriers to and Suggestions on Improving Utilization of Eye Care in High-Risk Individuals: Focus Group Results.

Journal Article Int Sch Res Notices · 2014 Purpose. To understand barriers facing high-risk individuals and to solicit the suggestions of these individuals, especially nonusers, on how to change the eye care delivery system to better meet their needs. Methods. Four focus groups were conducted. All ... Full text Link to item Cite

Resident compliance with the american academy of ophthalmology preferred practice pattern guidelines for primary open-angle glaucoma.

Journal Article Ophthalmology · December 2013 PURPOSE: To examine resident adherence to preferred practice pattern (PPP) guidelines set up by the American Academy of Ophthalmology for follow-up care of primary open-angle glaucoma (POAG) patients. DESIGN: Retrospective chart review. PARTICIPANTS: One h ... Full text Link to item Cite

Development of a quality improvement program in a department of ophthalmology.

Journal Article Br J Ophthalmol · December 2013 OBJECTIVE: To design and implement a quality improvement (QI) programme in an academic department of ophthalmology. DESIGN: The six core competencies of the Accreditation Council for Graduate Medical Education serve as the model for this programme in an in ... Full text Link to item Cite

Development of a vision-targeted health-related quality of life item measure.

Journal Article Qual Life Res · November 2013 PURPOSE: To develop a vision-targeted health-related quality of life (HRQOL) measure for the NIH Toolbox for the Assessment of Neurological and Behavioral Function. METHODS: We conducted a review of existing vision-targeted HRQOL surveys and identified col ... Full text Link to item Cite

Cost-effectiveness of bevacizumab and ranibizumab for newly diagnosed neovascular macular degeneration (an American Ophthalmological Society thesis).

Journal Article Trans Am Ophthalmol Soc · September 2013 PURPOSE: To determine the most cost-effective treatment for patients with newly diagnosed neovascular macular degeneration: monthly or as-needed bevacizumab injections, or monthly or as-needed ranibizumab injections. METHODS: Using a Markov model with a 20 ... Link to item Cite

Socioeconomic disparity in use of eye care services among US adults with age-related eye diseases: National Health Interview Survey, 2002 and 2008.

Journal Article JAMA Ophthalmol · September 2013 IMPORTANCE: Individuals with age-related eye disease (ARED) need to use eye care services for detection, assessment, and care at regular intervals. OBJECTIVE: To explore the association between socioeconomic position (SEP) and use of eye care services amon ... Full text Link to item Cite

Reading speed improvements in retinal vein occlusion after ranibizumab treatment.

Journal Article JAMA Ophthalmol · July 2013 IMPORTANCE: Treatment of macular edema secondary to retinal vein occlusion with ranibizumab has been shown to improve visual acuity compared with macular laser or observation. It is important to determine whether these visual acuity improvements translate ... Full text Link to item Cite

Systematic review of educational interventions to improve glaucoma medication adherence.

Journal Article Semin Ophthalmol · May 2013 Adherence to prescribed glaucoma medications is often poor, and proper adherence can be challenging for patients. We systematically reviewed the literature and identified eight studies using educational interventions to improve glaucoma medication adherenc ... Full text Link to item Cite

Ten-year incidence of age-related macular degeneration according to diabetic retinopathy classification among medicare beneficiaries.

Journal Article Retina · May 2013 PURPOSE: To compare the longitudinal incidence over 10 years of dry and wet age-related macular degeneration (AMD) in a U.S. sample of Medicare beneficiaries with no diabetes mellitus, diabetes mellitus without retinopathy, nonproliferative diabetic retino ... Full text Link to item Cite

Osteogenesis Imperfecta and the Eye

Chapter · January 1, 2013 While the many skeletal, auditory, dental and other anomalies in osteogenesis imperfecta (OI) have been well documented in the medical literature, the eye and the visual system are also commonly affected in patients with OI. As type I collagen fibers are a ... Full text Cite

Driving ability reported by neovascular age-related macular degeneration patients after treatment with ranibizumab.

Journal Article Ophthalmology · January 2013 OBJECTIVES: To determine the impact of ranibizumab on driving status, driving ability perception, and having 20/40 vision or better in patients with choroidal neovascularization resulting from age-related macular degeneration (AMD). DESIGN: Phase III, mult ... Full text Link to item Cite

High-risk populations for vision loss and eye care underutilization: a review of the literature and ideas on moving forward.

Journal Article Surv Ophthalmol · 2013 Much work has been done to highlight and understand the significant disparities in the use of eye care services, but they continue to exist. We review the existing literature on utilization in high-risk populations to provide a context for understanding wh ... Full text Link to item Cite

Surveillance of disparities in vision and eye health in the United States: an expert panel's opinions.

Journal Article Am J Ophthalmol · December 2012 PURPOSE: To define surveillance approaches and metrics to capture the burden of vision health disparities and to identify properties of a surveillance system to guide public health interventions. DESIGN: Expert panel. METHODS: Analysis of relevant literatu ... Full text Link to item Cite

Impact of geographic density of eye care professionals on eye care among adults with diabetes.

Journal Article Ophthalmic Epidemiol · December 2012 OBJECTIVE: To examine the impact of the geographic density of eye care professionals (ECPs) on the receipt of annual dilated eye examinations among adults in the United States with diabetes. METHOD: Data from the 2006 Behavioral Risk Factor Surveillance Sy ... Full text Link to item Cite

Improved vision-related function after ranibizumab for macular edema after retinal vein occlusion: results from the BRAVO and CRUISE trials.

Journal Article Ophthalmology · October 2012 PURPOSE: To examine the impact of intravitreal ranibizumab on patient-reported visual function using the 25-item National Eye Institute Visual Function Questionnaire (NEI VFQ-25) through 6 months in patients with macular edema (ME) secondary to branch or c ... Full text Link to item Cite

Non-exposed bisphosphonate-related osteonecrosis of the jaw: a critical assessment of current definition, staging, and treatment guidelines.

Journal Article Oral Dis · October 2012 Non-exposed bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a newly reported complication arising from bisphosphonate therapy that presents with atypical symptoms and no apparent mucosal fenestration or exposure of necrotic bone. The clinical ob ... Full text Link to item Cite

Glaucoma, Alzheimer disease and other dementia: a longitudinal analysis.

Journal Article Ophthalmic Epidemiol · October 2012 PURPOSE: To evaluate the risk of developing Alzheimer disease (AD) or other dementia in patients diagnosed with open-angle glaucoma (OAG) in a nationally representative longitudinal sample of elderly persons. METHODS: This retrospective cohort study (Janua ... Full text Link to item Cite

The ophthalmic practice of the future.

Journal Article Arch Ophthalmol · September 2012 How will the ophthalmologist of the future practice? What will be the effect of government policy? How will this impact the mix of health care providers responsible for the delivery of eye care to patients? What part will health record technology play in c ... Full text Link to item Cite

Longitudinal trends in resource use in an incident cohort of open-angle glaucoma patients: resource use in open-angle glaucoma.

Journal Article Am J Ophthalmol · September 2012 PURPOSE: To characterize the costs of caring for patients with open-angle glaucoma (OAG) in the United States over time and to identify factors that influence these costs. DESIGN: Longitudinal cohort study. METHODS: Claims data from 19 927 newly diagnosed ... Full text Link to item Cite

The development of a decision analytic model of changes in mean deviation in people with glaucoma: the COA model.

Journal Article Ophthalmology · July 2012 PURPOSE: To create and validate a statistical model predicting progression of primary open-angle glaucoma (POAG) assessed by loss of visual field as measured in mean deviation (MD) using 3 landmark studies of glaucoma progression and treatment. DESIGN: A M ... Full text Link to item Cite

Despite 'welcome to Medicare' benefit, one in eight enrollees delay first use of part B services for at least two years.

Journal Article Health Aff (Millwood) · June 2012 Much research has focused on the possible overuse of health care services within Medicare, but there is also substantial evidence of underuse. In recent years, Congress has added a "welcome to Medicare" physician visit and a number of preventive services w ... 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

Rasch analysis in the development of a simplified version of the National Eye Institute Visual-Function Questionnaire-25 for utility estimation.

Journal Article Qual Life Res · March 2012 PURPOSE: Preference-based health measures value how people feel about the desirability of a health state. Generic measures may not effectively capture the impact of vision loss from ocular diseases. Disease-targeted measures could address this limitation. ... Full text Link to item Cite

Author reply

Journal Article Ophthalmology · February 1, 2012 Full text 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

Longitudinal evidence on punctal plug use in an elderly population.

Journal Article Ophthalmic Plast Reconstr Surg · 2012 PURPOSE: The purpose of this study was to determine whether changes in Medicare reimbursement for punctal plug insertion were associated with a decrease in the incidence of insertion and dry eye diagnosis. METHODS: Incident cases of dry eye syndrome (DES) ... Full text Link to item Cite

Medicare costs for neovascular age-related macular degeneration, 1994-2007.

Journal Article Am J Ophthalmol · December 2011 PURPOSE: To assess changes in Medicare payments for neovascular age-related macular degeneration (AMD) since introduction of anti-vascular endothelial growth factor (VEGF) therapies. DESIGN: Retrospective, longitudinal cohort study. METHODS: Using the Medi ... Full text Link to item Cite

An assessment of the health and economic burdens of glaucoma.

Journal Article Am J Ophthalmol · October 2011 PURPOSE: To bring together information concerning the epidemiology and the economic and individual burdens of glaucoma. DESIGN: Interpretive essay. METHODS: Review and synthesis of selected literature published from 1991 through December 2010. RESULTS: An ... Full text Link to item Cite

Ocular complications after anti-vascular endothelial growth factor therapy in Medicare patients with age-related macular degeneration.

Journal Article Am J Ophthalmol · August 2011 PURPOSE: To determine longitudinal rates of ocular complications after anti-vascular endothelial growth factor (VEGF) treatment for neovascular age-related macular degeneration (AMD) in a nationally representative longitudinal sample. DESIGN: Retrospective ... Full text Link to item Cite

A critical appraisal and comparison of the quality and recommendations of glaucoma clinical practice guidelines.

Journal Article Ophthalmology · June 2011 PURPOSE: To appraise primary open-angle glaucoma (POAG) practice guidelines critically and to compare these guidelines' major recommendations. DESIGN: Evaluation of clinical practice guidelines and their development process. PARTICIPANTS: Glaucoma fellowsh ... Full text Link to item Cite

Estimated cases of legal blindness and visual impairment avoided using ranibizumab for choroidal neovascularization: non-Hispanic white population in the United States with age-related macular degeneration.

Journal Article Arch Ophthalmol · June 2011 OBJECTIVE: To estimate the number of non-Hispanic white individuals in the United States avoiding legal blindness and visual impairment from neovascular age-related macular degeneration (AMD) with ranibizumab availability. METHODS: Modeling of visual acuit ... Full text Link to item Cite

Reply

Other American Journal of Ophthalmology · April 1, 2011 Full text Cite

Can topical ketorolac 0.5% improve the function of Ahmed® glaucoma drainage devices?

Journal Article Ophthalmic Surg Lasers Imaging · 2011 BACKGROUND AND OBJECTIVE: To determine whether postoperative use of topical ketorolac tromethamine 0.5% affects intraocular pressure (IOP) following Ahmed glaucoma drainage device (New World Medical, Inc., Rancho Cucamonga, CA) implantation. PATIENTS AND M ... Full text Link to item Cite

IOP: Fluctuation

Chapter · December 1, 2010 Glaucoma is a leading cause of visual impairment and blindness in the United States [1, 2] and worldwide [3]. Lowering intraocular pressure (IOP) is the only proven means to slow or halt disease progression in those at higher risk of developing glaucoma (O ... Full text Cite

The methodology of visual field testing with frequency doubling technology in the National Health and Nutrition Examination Survey, 2005-2006.

Journal Article Ophthalmic Epidemiol · December 2010 PURPOSE: To describe the frequency doubling technology (FDT) methodology to measure visual field loss in the National Health and Nutrition Examination Survey and to evaluate data reliability. METHODS: Participants aged 40 years and older were eligible (n = ... Full text Link to item Cite

Integrating direct electronic collection of data from patients into the process of care for eye care professionals.

Journal Article AMIA ... Annual Symposium proceedings. AMIA Symposium · November 2010 Enabling collection of clinical data directly from patients has the potential to increase data accuracy and augment patient engagement in the care process. Most patient data entry systems have been created independent of electronic health records, and few ... Cite

One-year outcomes after retinal detachment surgery among medicare beneficiaries.

Journal Article Am J Ophthalmol · September 2010 PURPOSE: To determine longitudinal rates of second retinal detachment operation and postoperative adverse outcomes after retinal detachment surgery in a nationally representative sample of older Americans. DESIGN: Retrospective, longitudinal cohort analysi ... Full text Link to item Cite

Getting what we deserve: Health and medical care in America

Journal Article Global Public Health · September 2010 Full text Cite

Documentation of conformance to preferred practice patterns in caring for patients with dry eye.

Journal Article Arch Ophthalmol · May 2010 OBJECTIVE: To evaluate documentation of physician evaluations of patients with dry eye for the presence of key elements as defined in the American Academy of Ophthalmology Summary Benchmarks for Preferred Practice Patterns. METHODS: One hundred thirty-one ... Full text Link to item Cite

Primary care provider views of the current referral-to-eye-care process: focus group results.

Journal Article Invest Ophthalmol Vis Sci · April 2010 Purpose. To understand the barriers facing primary care providers (PCPs), including nurse practitioners (NPs) and physician assistants (PAs), in the current referral-to-eye-care process and to solicit suggestions from PCPs on how to improve the current ref ... Full text Link to item Cite

Vision-related quality of life in persons with unilateral branch retinal vein occlusion using the 25-item National Eye Institute Visual Function Questionnaire.

Journal Article Br J Ophthalmol · March 2010 AIM: To evaluate vision-related quality of life in persons with branch retinal vein occlusion (BRVO) using the 25-item National Eye Institute Visual Function Questionnaire (NEI VFQ-25). DESIGN: Observational, cross-sectional, interviewer-administered study ... Full text Link to item Cite

Conformance with preferred practice patterns in caring for children with esotropia.

Journal Article J Pediatr Ophthalmol Strabismus · 2010 PURPOSE: To evaluate documentation of the initial evaluation in patients with esotropia, with respect to history, physical examination, care management, and patient education, for the presence of key elements as defined in the American Academy of Ophthalmo ... 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

Assessing the Importance of IOP Variables in Glaucoma Using a Modified Delphi Process.

Journal Article J Glaucoma · 2010 PURPOSE: To assess the degree of consensus among glaucoma experts on the measurement, characterization, and potential implications of intraocular pressure (IOP) and its fluctuation for glaucoma treatment. METHODS: A multinational panel of 9 glaucoma expert ... Full text Link to item Cite

The role of vision in academic school performance.

Journal Article Ophthalmic Epidemiol · 2010 PURPOSE: To determine whether presenting distance visual acuity is related to subsequent academic school performance in Singaporean children between 9 to 10 years of age. METHODS: Singapore children (n = 1143 children) were examined during their visits at ... Full text Link to item Cite

Associations of eye diseases and symptoms with self-reported physical and mental health.

Journal Article Am J Ophthalmol · November 2009 PURPOSE: To study the associations of eye diseases and visual symptoms with the most widely used health-related quality-of-life (HRQOL) generic profile measure. DESIGN: HRQOL was assessed using the short form-36 (SF-36) version 1 survey administered to a s ... Full text Link to item Cite

Effects of receipt of guideline-recommended care on onset of diabetic retinopathy and its progression.

Journal Article Ophthalmology · August 2009 OBJECTIVE: To determine whether persons in a community setting diagnosed with diabetes who received recommended patterns of care experience improved vision outcomes over a 3-year time period. DESIGN: Retrospective, longitudinal, cohort analysis. PARTICIPAN ... Full text Link to item Cite

Characteristics of low-vision rehabilitation services in the United States.

Journal Article Arch Ophthalmol · May 2009 OBJECTIVES: To describe characteristics of services, providers, and patients in low-vision rehabilitation entities serving adults in the United States. METHODS: Entities (excluding Veterans Affairs clinics) were identified through professional associations ... Full text Link to item Cite

The cost-effectiveness of routine office-based identification and subsequent medical treatment of primary open-angle glaucoma in the United States.

Journal Article Ophthalmology · May 2009 Featured Publication OBJECTIVE: To estimate the incremental cost-effectiveness of routine glaucoma assessment and treatment under current eye care visit and treatment patterns and different levels of treatment effectiveness (from randomized trials). DESIGN: We compared the cos ... Full text Link to item Cite

Longitudinal incidence of adverse outcomes of age-related macular degeneration.

Journal Article Arch Ophthalmol · March 2009 Featured Publication OBJECTIVE: To describe the visual, functional, and general health complication rates associated with age-related macular degeneration (AMD) in a nationally representative longitudinal sample of elderly persons. METHODS: This is a longitudinal retrospective ... Full text Link to item Cite

Surgical management of hypotony owing to overfiltration in eyes receiving glaucoma drainage devices.

Journal Article J Glaucoma · 2009 PURPOSE: To assess rates of surgical revision of glaucoma drainage devices (GDDs) from hypotony owing to overfiltration and its management. DESIGN: Retrospective case series. METHODS: Demographic characteristics, type of GDD implanted, type of surgical rev ... Full text Link to item Cite

Keratoconus in the Medicare population.

Journal Article Cornea · January 2009 PURPOSE: To investigate the population-based prevalence of keratoconus in US individuals aged 65 years and older. DESIGN: Multiyear retrospective cross-sectional claims analysis. METHODS: Fee-for-service claims from a 5% national sample of Medicare benefic ... 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

Understanding the importance of IOP variables in glaucoma: a systematic review.

Journal Article Surv Ophthalmol · 2009 Glaucoma is one of the leading causes of visual impairment and blindness. Lowering intraocular pressure (IOP) is the only proven means to slow or halt disease progression among those at higher risk of developing glaucoma and those with early to moderate or ... Full text Link to item Cite

Glaucoma

Chapter · December 1, 2008 Treatment for glaucoma is similar to the treatment given in other areas of medicine, requiring thoughtful evaluation of the patient followed by an appropriate care plan. Research in glaucoma, however, has expanded the basic understanding of the nature of t ... Full text Cite

Resource use and costs associated with diabetic macular edema in elderly persons.

Journal Article Arch Ophthalmol · December 2008 OBJECTIVE: To examine trends in resource use and the effect of incident diabetic macular edema (DME) on 1- and 3-year total direct medical costs in elderly patients. METHODS: We used a nationally representative 5% sample of Medicare beneficiaries from 2000 ... Full text Link to item Cite

Changes in incidence of diabetes mellitus-related eye disease among US elderly persons, 1994-2005.

Journal Article Arch Ophthalmol · November 2008 OBJECTIVES: To determine if diabetic eye disease has changed over time among older Americans and to explore possibilities for observed change. METHODS: We performed a longitudinal analysis of nationally representative Medicare data, the Medicare 5% sample, ... Full text Link to item Cite

Health insurance coverage and use of eye care services.

Journal Article Arch Ophthalmol · August 2008 OBJECTIVE: To compare realized access or use of eye care services in adults with self-reported vision problems in Canada and the United States. METHODS: Using the Joint Canada/United States Survey of Health, we examined the differences in use of eye care s ... Full text Link to item Cite

Rates of glaucoma medication utilization among persons with primary open-angle glaucoma, 1992 to 2002.

Journal Article Ophthalmology · August 2008 OBJECTIVE: To determine the percentage of Medicare beneficiaries with primary open-angle glaucoma (POAG) treated medically or surgically, utilization rates for each major class of glaucoma medication, and factors influencing treatment. DESIGN: Longitudinal ... Full text Link to item Cite

Identification of patients with diabetic macular edema from claims data: a validation study.

Journal Article Arch Ophthalmol · July 2008 OBJECTIVE: To assess the validity of an algorithm for identifying patients with diabetic macular edema (DME) using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis codes in administrative billing data fro ... Full text Link to item Cite

Longitudinal rates of postoperative adverse outcomes after glaucoma surgery among medicare beneficiaries 1994 to 2005.

Journal Article Ophthalmology · July 2008 Featured Publication PURPOSE: To determine longitudinal rates of postoperative adverse outcomes after incisional glaucoma surgery in a nationally representative longitudinal sample. DESIGN: Retrospective, longitudinal cohort analysis. PARTICIPANTS: Medicare beneficiaries >or=6 ... Full text Link to item Cite

Health literacy and vision-related quality of life.

Journal Article Br J Ophthalmol · June 2008 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

Use of a standardized patient satisfaction questionnaire to assess the quality of care provided by ophthalmology residents.

Journal Article Ophthalmology · April 2008 PURPOSE: To develop and use a standardized patient satisfaction questionnaire (PSQ) to address two study questions: (1) What is the overall level of satisfaction with resident care? (2) Can the study questionnaire be used to detect differences in the level ... Full text Link to item Cite

A panel assessment of glaucoma management: modification of existing RAND-like methodology for consensus in ophthalmology. Part I: Methodology and design.

Journal Article Am J Ophthalmol · March 2008 PURPOSE: To examine ways to improve existing methodology to reach appropriate consensus in the treatment of primary open-angle glaucoma. DESIGN: Evidence-based literature and accumulated expert opinion. METHODS: A core nonvoting steering committee composed ... Full text Link to item Cite

Measuring access to eye care: a public health perspective.

Journal Article Ophthalmic Epidemiol · 2008 PURPOSE: To examine the different dimensions of access to eye care from a public health perspective. METHODS: We substantively review the theoretical and empirical literature on access to eye care and summarize the major considerations in measuring access ... Full text Link to item Cite

Association between intraocular pressure variation and glaucoma progression: data from a United States chart review.

Journal Article Am J Ophthalmol · December 2007 PURPOSE: To evaluate whether greater intraocular pressure (IOP) variation between visits was associated with higher likelihood of glaucoma progression. DESIGN: Cohort study. METHODS: A five-year minimum of data (June 1, 1990 through January 22, 2002) was c ... Full text Link to item Cite

A gap analysis approach to assess patient persistence with glaucoma medication.

Journal Article Am J Ophthalmol · October 2007 PURPOSE: To develop an alternative method for analysis of patient persistence with prescribed medications using the prostaglandin class of intraocular pressure (IOP)-lowering drugs as a model. DESIGN: A retrospective study of prescription refill patterns. ... Full text Link to item Cite

Glaucoma in the United States and europe: predicting costs and surgical rates based upon stage of disease.

Journal Article J Glaucoma · August 2007 Featured Publication PURPOSE: Primary open-angle glaucoma is a significant health-economic burden in both the United States and Europe that is likely to increase. This study compared treatment patterns and cost among patients with primary open-angle glaucoma in these locations ... Full text Link to item Cite

Evaluation of the relationship between ablation diameter, pupil size, and visual function with vision-specific quality-of-life measures after laser in situ keratomileusis.

Journal Article Arch Ophthalmol · August 2007 OBJECTIVE: To evaluate the relationship between ablation diameter, pupil size, and visual function as measured by a vision-specific quality-of-life instrument after undergoing laser in situ keratomileusis. METHODS: Of 300 patients eligible for this study, ... Full text Link to item Cite

Cost of patients with primary open-angle glaucoma: a retrospective study of commercial insurance claims data.

Journal Article Ophthalmology · July 2007 PURPOSE: Primary open-angle glaucoma (POAG) poses a large burden on eye care resources in the United States. We evaluated the total health care and POAG-specific charges (both pharmacy and nonpharmacy) incurred by patients with POAG using a longitudinal U. ... Full text Link to item Cite

The impact of glaucoma coding in a large claims database.

Journal Article Am J Ophthalmol · May 2007 PURPOSE: Coding variation and its impact on identified populations is a major concern in database analyses. We assessed potential differences in demographics and healthcare charges among patients with open-angle glaucoma identified through different Intern ... Full text Link to item Cite

Rates of glaucoma medication utilization among older adults with suspected glaucoma, 1992 to 2002.

Journal Article Am J Ophthalmol · May 2007 PURPOSE: To determine rates of glaucoma medication utilization among glaucoma suspects in the Medicare Current Beneficiary Survey (MCBS) and identify recent utilization patterns for various hypotensive drug classes. DESIGN: Cohort study. METHODS: By using ... Full text Link to item Cite

Patient outcomes and cataract surgery volume.

Journal Article Ophthalmology · March 2007 Full text Link to item Cite

Eye care in the United States: do we deliver to high-risk people who can benefit most from it?

Journal Article Arch Ophthalmol · March 2007 Featured Publication OBJECTIVE: To estimate the levels of self-reported access of eye care services in the nation. METHODS: We analyzed data from the 2002 National Health Interview Survey (30 920 adults aged > or =18 years). We estimated the number of US adults at high risk fo ... Full text Link to item Cite

In response [3]

Other Journal of Glaucoma · March 1, 2007 Full text Cite

Primary open-angle glaucoma

Chapter · January 1, 2007 Primary open-angle glaucoma Jennifer S Weizer, Paul P Lee. ... Full text Cite

Estimating quality-adjusted life year losses associated with visual field deficits using methodological approaches.

Journal Article Ophthalmic Epidemiol · 2007 PURPOSE: To develop a function to describe quality-adjusted life year (QALY) losses associated with visual field losses for use in cost-effectiveness models. METHODS: We estimated the patient visual field defect in decibels (dBs) that corresponded to visua ... Full text Link to item Cite

The economic burden of major adult visual disorders in the United States.

Journal Article Arch Ophthalmol · December 2006 OBJECTIVE: To estimate the societal economic burden and the governmental budgetary impact of the following visual disorders among US adults aged 40 years and older: visual impairment, blindness, refractive error, age-related macular degeneration, cataracts ... Full text Link to item Cite

Longitudinal rates of cataract surgery.

Journal Article Arch Ophthalmol · September 2006 OBJECTIVE: To determine the cumulative probability of cataract surgery and factors accounting for such surgery. METHODS: Respondents to the Asset and Health Dynamics Among the Oldest Old survey, a national longitudinal panel, were interviewed in 1998, 2000 ... Full text Link to item Cite

Health literacy and adherence to glaucoma therapy.

Journal Article Am J Ophthalmol · August 2006 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

Resident physician mentoring program in ophthalmology: the Tennessee experience.

Journal Article Arch Ophthalmol · February 2006 OBJECTIVE: To establish a mentoring program to provide resident physicians in ophthalmology with career guidance in practice management and to identify new and creative ways to involve future eye physicians in the legislative and political process. METHODS ... Full text Link to item Cite

Uveitis in the elderly: epidemiological data from the National Long-term Care Survey Medicare Cohort.

Journal Article Ophthalmology · February 2006 PURPOSE: There is a paucity of population-based data on the epidemiology of uveitis in the elderly. In the past 40 years, only 2 U.S. population-based studies have examined the epidemiology of uveitis. The conclusions of these studies on the burden of uvei ... Full text Link to item Cite

Staging the severity of disease in glaucoma -: In reply

Journal Article ARCHIVES OF OPHTHALMOLOGY · 2006 Full text Cite

A multicenter, retrospective pilot study of resource use and costs associated with severity of disease in glaucoma.

Journal Article Arch Ophthalmol · January 2006 Featured Publication OBJECTIVE: To examine resource consumption and the direct costs of treating glaucoma at different disease severity levels. DESIGN: Observational, retrospective cohort study based on medical record review. PARTICIPANTS: One hundred fifty-one records of pati ... Full text Link to item Cite

Categorizing the stage of glaucoma from pre-diagnosis to end-stage disease.

Journal Article Am J Ophthalmol · January 2006 PURPOSE: To provide a reliable, comprehensive staging system to assess glaucoma stage in the absence of an universally accepted glaucoma staging system (GSS) on the basis of visual field results. DESIGN: Literature review and GSS adaptation. METHODS: After ... Full text Link to item Cite

User interface considerations for collecting data at the point of care in the tablet PC computing environment.

Journal Article AMIA Annu Symp Proc · 2006 Featured Publication Collecting clinical data directly from clinicians is a challenge. Many standard development environments designed to expedite the creation of user interfaces for electronic healthcare applications do not provide acceptable components for satisfying the req ... Link to item Cite

Racial differences in glaucoma care: the longitudinal pattern of care.

Journal Article Arch Ophthalmol · December 2005 OBJECTIVE: To examine if racial differences exist in longitudinal care patterns for Medicare beneficiaries with glaucoma. METHODS: We analyzed national longitudinal Medicare claims data from January 1, 1991, through December 31, 1999 in 21 644 Medicare ben ... Full text Link to item Cite

Longitudinal analysis of the relationship between regular eye examinations and changes in visual and functional status.

Journal Article J Am Geriatr Soc · November 2005 Featured Publication OBJECTIVES: To determine whether regular eye examinations are associated with a greater or lesser rate of loss of ability to read newsprint, onset of blindness or low vision, or onset of limitations in instrumental activities of daily living (IADLs) and ac ... Full text Link to item Cite

Effects of changes in self-reported vision on cognitive, affective, and functional status and living arrangements among the elderly.

Journal Article Am J Ophthalmol · October 2005 PURPOSE: To study effects of changes in self-reported vision on functional status, cognition, depressive symptoms, and living arrangements. DESIGN: Longitudinal analysis of household survey data. METHODS: A total of 6234 sample persons observed in the stud ... Full text Link to item Cite

High failure rate associated with 180 degrees selective laser trabeculoplasty.

Journal Article J Glaucoma · October 2005 PURPOSE: To determine the efficacy of selective laser trabeculoplasty (SLT) in a tertiary care referral center. PATIENTS AND METHODS: In this retrospective study of selective laser trabeculoplasty performed by five physicians, 94 eyes from 94 patients were ... Full text Link to item Cite

Influence of age, race, sex, and socioeconomic status on false-negative rates of visual fields in glaucoma

Journal Article Asian Journal of Ophthalmology · September 19, 2005 Aim: An increased frequency of false-negative rates for visual fields in glaucoma has been associated with worse visual field status. This study examines whether this finding might also vary according to age, race, sex, or socioeconomic status - demographi ... Cite

Need for eye care among older adults with diabetes mellitus in fee-for-service and managed Medicare.

Journal Article Arch Ophthalmol · May 2005 OBJECTIVE: To compare rates of need for eye care among Medicare beneficiaries with network-model Medicare+Choice (MC) and fee-for-service (FFS) health insurance. METHODS: Cross-sectional study of a random sample of MC and FFS community-dwelling Medicare be ... Full text Link to item Cite

Hypothyroidism and open-angle glaucoma.

Journal Article Ophthalmology · April 2005 Full text Link to item Cite

Patient expectations regarding eye care: development and results of the Eye Care Expectations Survey (ECES).

Journal Article Arch Ophthalmol · April 2005 Featured Publication OBJECTIVE: To develop an instrument (the Eye Care Expectations Survey [ECES]) that can identify and quantify the expectations of patients visiting eye care providers. METHODS: A total of 202 patients attending 4 ophthalmology practices affiliated with Duke ... Full text Link to item Cite

Author reply

Conference American Journal of Ophthalmology · March 2005 Full text Cite

Symptoms of musculoskeletal disorders in ophthalmologists.

Journal Article Am J Ophthalmol · January 2005 OBJECTIVE: To describe the presence of musculoskeletal disorders (MSDs) of the neck, low back, and upper extremity among ophthalmologists. DESIGN: Survey. METHODS: Mail survey using a pretested instrument to 2,529 ophthalmologists in the Northeastern Unite ... Full text Link to item Cite

"Cracked-mud" ciprofloxacin precipitates on a corneal graft.

Journal Article Ophthalmic Surg Lasers Imaging · 2005 The authors describe an extreme case of ciprofloxacin deposition on the corneal graft of a 67-year-old man with a history of penetrating keratoplasty for corneal ulcer and perforation, who presented with dense, gray deposits on the anterior corneal surface ... Link to item Cite

Identifying and overcoming obstacles to point-of-care data collection for eye care professionals.

Journal Article AMIA ... Annual Symposium proceedings. AMIA Symposium · January 2005 Supporting data entry by clinicians is considered one of the greatest challenges in implementing electronic health records. In this paper we describe a formative evaluation study using three different methodologies through which we identified obstacles to ... Cite

Direct comparison of a tablet computer and a personal digital assistant for point-of-care documentation in eye care.

Journal Article AMIA ... Annual Symposium proceedings. AMIA Symposium · January 2005 New mobile computing devices including personal digital assistants (PDAs) and tablet computers have emerged to facilitate data collection at the point of care. Unfortunately, little research has been reported regarding which device is optimal for a given c ... Cite

Assessment of relative importance of tablet computer features in supporting direct electronic documentation of encounters by eye care professionals.

Journal Article AMIA Annu Symp Proc · 2005 Extensive utilization of mobile devices at the point of care will depend on device acceptance by the providers. We conducted focus groups involving nine eye care professionals to evaluate and elucidate the most important features of a tablet Personal Compu ... Link to item Cite

Creation and use of a survey instrument for comparing mobile computing devices.

Journal Article AMIA ... Annual Symposium proceedings. AMIA Symposium · January 2005 Both personal digital assistants (PDAs) and tablet computers have emerged to facilitate data collection at the point of care. However, little research has been reported comparing these mobile computing devices in specific care settings. In this study we pr ... Cite

Overcoming obstacles to collecting narrative data from eye care professionals at the point-of-care.

Journal Article AMIA ... Annual Symposium proceedings. AMIA Symposium · January 2005 Capturing the nuances of clinical observations in an electronic format has been a major challenge in implementing electronic health records. In a formative evaluation study using three different methodologies, we identified that the greatest obstacle to po ... Cite

The effect of surgery on intraocular pressure fluctuations with electroconvulsive therapy in a patient with severe glaucoma.

Journal Article J ECT · December 2004 We sought to report glaucoma surgery as a possibly protective measure in patients with elevated intraocular pressure (IOP) during electroconvulsive therapy (ECT). An interventional case report is reported. IOP measurements were taken in patients with progr ... Full text Link to item Cite

Monitoring visual status: why patients do or do not comply with practice guidelines.

Journal Article Health Serv Res · October 2004 OBJECTIVE: To determine factors affecting compliance with guidelines for annual eye examinations for persons diagnosed with diabetes mellitus (DM) or age-related macular degeneration (ARMD). DATA SOURCES/STUDY SETTING: Nationally representative, longitudin ... Full text Link to item Cite

Hypothyroidism and the development of open-angle glaucoma in a male population.

Journal Article Ophthalmology · September 2004 PURPOSE: To determine if hypothyroidism is associated with an increased risk of glaucoma using a large cohort of patients. DESIGN: Nested case-control study. PARTICIPANTS: Patients seen at the Veterans Affairs Medical Center in Birmingham, Alabama with new ... Full text Link to item Cite

What patients want to know before they have cataract surgery

Journal Article Evidence-Based Eye Care · August 1, 2004 Full text Cite

Early rapid rise in intraocular pressure after intravitreal triamcinolone acetonide injection.

Journal Article Am J Ophthalmol · August 2004 PURPOSE: To report the occurrences of early rapid increases in intraocular (IOP) after intravitreal glucocorticoid injection. DESIGN: Observational case series. METHODS: We retrospectively reviewed the records of three patients seen and treated at Duke Eye ... Full text Link to item Cite

Statins and other cholesterol-lowering medications and the presence of glaucoma.

Journal Article Arch Ophthalmol · June 2004 Featured Publication OBJECTIVE: To explore whether oral statin and other antihyperlipidemic medications are associated with open-angle glaucoma. METHODS: The administrative clinical databases maintained at the Veterans Affairs Medical Center, Birmingham, Ala, were used to cond ... Full text Link to item Cite

Do routine eye exams improve vision?

Journal Article Int J Health Care Finance Econ · March 2004 We use a longitudinal national sample of Medicare claims linked to the National Long-Term Care Survey (NLTCS) to assess the productivity of routine eye examinations. Although such exams are widely recommended by professional organizations for certain popul ... Full text Link to item Cite

Adherence to guidelines and its effects on hospitalizations with complications of type 2 diabetes.

Journal Article Rev Diabet Stud · 2004 OBJECTIVES: To study the discrepancy between actual and recommended rates of use among several measures of screening for complications of diabetes in a national longitudinal sample, the correlations among measures of adherence, and whether or not higher ra ... Full text Link to item Cite

Patient expectations for medical and surgical care: a review of the literature and applications to ophthalmology.

Journal Article Surv Ophthalmol · 2004 Over the past several decades, emphasis on patient-centered care, the dramatic growth of refractive surgery in the United States, and increasing competition in the eye care marketplace have made patient expectations increasingly important in the field of o ... Full text Link to item Cite

Responsiveness of the National Eye Institute Refractive Error Quality of Life instrument to surgical correction of refractive error.

Journal Article Ophthalmology · December 2003 OBJECTIVE: Refractive error and the means by which it is corrected may impact substantially on quality of vision and health-related quality of life in ways not captured adequately by standard measures of visual acuity. The goal of this analysis was to eval ... Full text Link to item Cite

Sampling patients within physician practices and health plans: multistage cluster samples in health services research.

Journal Article Health Serv Res · December 2003 OBJECTIVE: To better inform study design decisions when sampling patients within health plans and physician practices with multiple analysis goals. STUDY SETTING: Chronic eye care patients within six health plans across the United States. STUDY DESIGN: We ... Full text Link to item Cite

Associations of presbyopia with vision-targeted health-related quality of life.

Journal Article Arch Ophthalmol · November 2003 OBJECTIVE: To evaluate the associations of presbyopia and its correction, particularly monovision optical correction, with vision-targeted health-related quality of life. METHODS: The National Eye Institute Refractive Error Quality of Life (NEI-RQL) Instru ... Full text Link to item Cite

Parents' expectations regarding their children's eye care: interview results.

Journal Article Am J Ophthalmol · November 2003 PURPOSE: To determine a relevant set of concerns that parents express as expectations regarding their children's eye care. DESIGN: Qualitative, cross-sectional, pilot study. METHODS: A total of 48 interviews were conducted with parents of pediatric ophthal ... Full text Link to item Cite

Factors for glaucoma progression and the effect of treatment

Journal Article Evidence-Based Eye Care · October 1, 2003 Full text Cite

Longitudinal rates of annual eye examinations of persons with diabetes and chronic eye diseases.

Journal Article Ophthalmology · October 2003 OBJECTIVE: To assess the rate of annual eye examinations over time among older Americans with diabetes and chronic eye diseases. DESIGN: Longitudinal analysis of Medicare claims data. PARTICIPANTS: Random sample of Medicare beneficiaries aged 65 years or o ... Full text Link to item Cite

Estimates of incidence rates with longitudinal claims data.

Journal Article Arch Ophthalmol · October 2003 OBJECTIVE: To estimate incidence rates of the 3 major chronic eye diseases--diabetic retinopathy (DR), glaucoma, and age-related macular degeneration (ARMD)--by using longitudinal claims data from Medicare. METHODS: Longitudinal cases were ascertained by u ... Full text Link to item Cite

Vision-related quality of life in people with central retinal vein occlusion using the 25-item National Eye Institute Visual Function Questionnaire.

Journal Article Arch Ophthalmol · September 2003 OBJECTIVE: To study visual function and vision-related quality of life in persons with central retinal vein occlusion using the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25). METHODS: Interviewer-administered study of persons with c ... Full text Link to item Cite

Longitudinal prevalence of major eye diseases.

Journal Article Arch Ophthalmol · September 2003 OBJECTIVE: To describe the prevalence across time of 3 chronic eye diseases among a representative cohort of elderly subjects. STUDY DESIGN: Longitudinal observation of Medicare claims. Population A random sample of Medicare beneficiaries 65 years and olde ... Full text Link to item Cite

Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity scales.

Journal Article Ophthalmology · September 2003 PURPOSE: To develop consensus regarding clinical disease severity classification systems for diabetic retinopathy and diabetic macular edema that can be used around the world, and to improve communication and coordination of care among physicians who care ... Full text Link to item Cite

Practice characteristics and HMO enrollee satisfaction with specialty care: an analysis of patients with glaucoma and diabetic retinopathy.

Journal Article Health Serv Res · August 2003 BACKGROUND: The specialist's role in caring for managed care patients is likely to grow. Thus, assessing the correlates of patient satisfaction with specialty care is essential. OBJECTIVE: To examine the association between characteristics of eye care prac ... Full text Link to item Cite

Factors for glaucoma progression and the effect of treatment

Journal Article Evidence-Based Eye Care · July 1, 2003 Full text Cite

Patterns of care for open-angle glaucoma in managed care.

Journal Article Arch Ophthalmol · June 2003 Featured Publication OBJECTIVES: To describe patterns of care for primary open-angle glaucoma (POAG) and assess conformance with the American Academy of Ophthalmology's Preferred Practice Pattern (PPP). METHODS: We obtained administrative, survey, and eye care records data on ... Full text Link to item Cite

Patient expectations regarding eye care: focus group results.

Journal Article Arch Ophthalmol · June 2003 BACKGROUND: Increasing emphasis on patient-centered care and other recent developments should make patient expectations increasingly important in ophthalmology. Motivated by the pivotal role of patient expectations in quality-of-care assessments and by the ... Full text Link to item Cite

Measuring outcomes in chronic diseases: ready for prime time?

Journal Article Arch Ophthalmol · May 2003 Featured Publication Full text Link to item Cite

Correlation among retinal thickness, optic disc, and visual field in glaucoma patients and suspects: a pilot study.

Journal Article J Glaucoma · April 2003 OBJECTIVE: To correlate losses of retinal thickness in the perifoveal area in glaucoma as measured by the Retinal Thickness Analyzer (Talia Technology Ltd, Israel) with optic nerve and visual field changes in glaucoma patients and suspects. METHODS: Observ ... Full text Link to item Cite

Readability of ocular medication inserts.

Journal Article J Glaucoma · February 2003 OBJECTIVE: To determine the readability of ocular medication inserts and whether they are an appropriate source of medication information for patients. MATERIALS AND METHODS: The Flesch-Kincaid and SMOG readability formulas were used to calculate the reada ... Full text Link to item Cite

Visual acuity following cataract surgeries in relation to preoperative appropriateness ratings.

Journal Article Med Decis Making · 2003 The authors initiated this study to consider if the formal preoperative assessment of appropriate or inappropriate utilization of cataract surgery by an expert panel could predict postoperative improvement or decline in visual acuity. They evaluated the as ... Full text Link to item Cite

Patient satisfaction instruments used at academic medical centers: results of a survey.

Journal Article Am J Med Qual · 2003 As physicians and health administrators increasingly incorporate patients' perspectives into health care, patient satisfaction has become a significant health care outcome. However, there is limited knowledge regarding the patient satisfaction instruments ... Full text Link to item Cite

Development of a patient satisfaction survey for outpatient care: a brief report.

Journal Article J Med Pract Manage · 2003 Patient satisfaction has become a significant component of health care outcomes and an increasingly important component of quality assessment. Selecting the appropriate methods to measure patient satisfaction is a critical challenge for health care manager ... Link to item Cite

Using the arteriolar Pressure Attenuation Index to predict ocular hypertension progression to open-angle glaucoma.

Journal Article Arch Ophthalmol · January 2003 Featured Publication BACKGROUND: Vascular phenomena are considered important to optic nerve and visual field progression in open-angle glaucoma (OAG). A recently described formulation, the Pressure Attenuation Index (PAI), links arteriolar caliber variations to pressure loss a ... Full text Link to item Cite

Economic analysis in eye disease.

Journal Article Arch Ophthalmol · January 2003 Full text Link to item Cite

Characteristics of eye care practices with managed care contracts.

Journal Article Am J Manag Care · December 2002 OBJECTIVES: To describe the variation in practice structure, financial arrangements, and utilization and quality management systems for eye care practices with managed care contracts. STUDY DESIGN: Cross-sectional survey of 88 group and 56 solo eye care pr ... Link to item Cite

Vision loss among diabetics in a group model Health Maintenance Organization (HMO).

Journal Article Am J Ophthalmol · February 2002 PURPOSE: To report the management of diabetic retinopathy in one group model health maintenance organization and assess the quality of care. METHODS: Cross-sectional study. A chart review of 1200 randomly identified patients with diabetes mellitus, continu ... Full text Link to item Cite

Development of the 25-item National Eye Institute visual function questionnaire

Journal Article Evidence-Based Eye Care · January 1, 2002 Full text Cite

Making quality important.

Journal Article Ophthalmology · November 2001 Full text Link to item Cite

Development of the 25-item National Eye Institute Visual Function Questionnaire.

Journal Article Arch Ophthalmol · July 2001 Featured Publication OBJECTIVE: To develop and test the psychometric properties of a 25-item version of the National Eye Institute Visual Function Questionnaire (NEI VFQ-25). DESIGN: Prospective observational cohort study of persons with 1 of 5 chronic eye diseases or low visi ... Full text Link to item Cite

The year 2000: placing new technology in context.

Journal Article Arch Ophthalmol · November 1999 Full text Link to item Cite

Characterization of circulating T cells specific for tumor-associated antigens in melanoma patients.

Journal Article Nat Med · June 1999 We identified circulating CD8+ T-cell populations specific for the tumor-associated antigens (TAAs) MART-1 (27-35) or tyrosinase (368-376) in six of eleven patients with metastatic melanoma using peptide/HLA-A*0201 tetramers. These TAA-specific populations ... Full text Link to item Cite

Use of guidelines in the management of patients with glaucoma

Journal Article Disease Management and Health Outcomes · May 11, 1999 Glaucoma is a leading cause of vision loss and blindness worldwide, especially among the elderly. While there are many forms of glaucoma, there are 2 major groups: 'open-angle' (OAG) and 'angle closure'. The latter is now successfully treated by laser irid ... Full text Cite

The relationship of self-rated vision and hearing to functional status and well-being among seniors 70 years and older.

Journal Article Am J Ophthalmol · April 1999 PURPOSE: To describe the relationship between self-reported visual and hearing impairment and an index of global functional status among seniors age 70 years or older. METHODS: A total of 7,320 United States community-dwelling persons aged 70 years or olde ... Full text Link to item Cite

Subspecialties in ophthalmology.

Journal Article Arch Ophthalmol · February 1999 Link to item Cite

The associations between self-rated vision and hearing and functional status in middle age.

Journal Article Ophthalmology · February 1999 Featured Publication OBJECTIVES: To describe the associations between self-reported visual and hearing impairment and an index of global functional status among community-dwelling, middle-aged Americans. DESIGN: Cross-sectional. PARTICIPANTS: A total of 9744 U.S. community-dwe ... Full text Link to item Cite

Effects of adherence to traditional female sex roles on compliance with diabetic regimens: A case history

Journal Article Journal of Visual Impairment and Blindness · January 1, 1999 This article investigates the possible association between adherence to traditional feminine sex roles, poor compliance with treatment for diabetes, and the onset of diabetic retinopathy. The authors present a case study and suggestions for health care pro ... Full text Cite

Why literacy matters. Links between reading ability and health.

Journal Article Arch Ophthalmol · January 1999 The ability to understand verbal and written materials is central to modern life. Yet, the US Department of Education estimated that 47% of all adult Americans in 1993 had poor reading and comprehension skills. Analyses of the readability of patient educat ... Full text Link to item Cite

Psychometric properties of the National Eye Institute Visual Function Questionnaire (NEI-VFQ). NEI-VFQ Field Test Investigators.

Journal Article Arch Ophthalmol · November 1998 Featured Publication OBJECTIVE: To test the reliability and validity of the 51-item Field Test Version of the National Eye Institute Visual Function Questionnaire (NEI-VFQ) across 5 common chronic eye conditions. DESIGN: Prospective observational cohort study of persons with 1 ... Full text Link to item Cite

Orthopaedic workforce in the next millennium.

Journal Article J Bone Joint Surg Am · October 1998 Featured Publication Link to item Cite

Visual function impairments in relation to gender, age, and visual acuity in patients who undergo cataract surgery.

Journal Article Ophthalmology · September 1998 PURPOSE: This study aimed to determine the relationship between visual function impairment in 776 patients who had extracapsular cataract extraction with posterior chamber intraocular lens implantation and gender, age, preoperative visual acuity (VA) of bo ... Full text Link to item Cite

Work time estimates for ophthalmic diagnoses and procedures. Results from the Eye Care Workforce Study.

Journal Article Arch Ophthalmol · July 1998 OBJECTIVE: To provide estimates of patient-level annual ophthalmologist work times for the care of common ophthalmic conditions and patient-level global surgical care time for common or important ophthalmic procedures. METHODS: A random sample of the domes ... Full text Link to item Cite

Trabeculectomy with intraoperative 5-fluorouracil.

Journal Article Ophthalmic Surg Lasers · July 1998 BACKGROUND AND OBJECTIVE: To investigate the outcome and complication rates of trabeculectomy following the combined use of intraoperative, topical 5-fluorouracil (5-FU) and low-dose, postoperative subconjunctival 5-FU injections. PATIENTS AND METHODS: For ... Link to item Cite

Subspecialty distributions of ophthalmologists in the workforce.

Journal Article Arch Ophthalmol · July 1998 OBJECTIVE: To describe the distribution of the supply and requirements for subspecialty ophthalmologists. METHODS: Estimates from the Eye Care Workforce Study were used to provide subspecialty-based assessments of the supply and public health need, as well ... Full text Link to item Cite

Neuroendocrinology of melatonin in reproduction: recent developments.

Journal Article J Chem Neuroanat · June 1998 The circadian melatonin rhythm with high levels in the dark period is important for the synchronization of reproductive response to appropriate environmental conditions in animals. The target sites of melatonin action on reproductive functions remain to be ... Full text Link to item Cite

Melatonin: a chemical photoperiodic signal with clinical significance in humans.

Journal Article Chin Med J (Engl) · March 1998 Secretion of pineal melatonin exhibits a diumal rhythm and a seasonal rhythm in humans. Night-time melatonin is high at 3-5 year-old and decreases with age. Many drugs and pathological conditions also change melatonin levels in the circulation. Melatonin h ... Link to item Cite

Demand-based assessment of workforce requirements for orthopaedic services.

Journal Article J Bone Joint Surg Am · March 1998 On the basis of an analysis of the supply of and demand for orthopaedic surgeons, we projected that there will be 21,134 full-time-equivalent orthopaedists in the year 2010 if training continues at current levels. We estimated a demand-based requirement of ... Full text Link to item Cite

Identifying the content area for the 51-item National Eye Institute Visual Function Questionnaire: results from focus groups with visually impaired persons.

Journal Article Arch Ophthalmol · February 1998 OBJECTIVE: To identify the content area for a questionnaire designed to measure vision-targeted health-related quality of life and to determine whether problems with vision-related functioning are qualitatively similar across different common eye diseases. ... Full text Link to item Cite

Conformance with the preferred practice pattern for diabetic eye care.

Journal Article Retina · 1998 OBJECTIVE: To investigate conformance with a practice guideline in the eye care of patients with diabetes. METHODS: The care of 210 patients with diabetes seen in a multispecialty eye care setting was compared with the recommendations of the American Acade ... Full text Link to item Cite

Orthopaedic workforce in the next millennium

Conference Journal of Bone and Joint Surgery · January 1, 1998 Full text Cite

A comparison of self-reported utilization of ophthalmic care for diabetes in managed care versus fee-for-service.

Journal Article Retina · 1998 PURPOSE: To assess the association between structural factors in the health care delivery system and self-reported utilization of ophthalmic services by patients with diabetes in the Medical Outcomes Study (MOS). METHODS: Self-reported utilization of ophth ... Full text Link to item Cite

Is a combined procedure of penetrating keratoplasty, vitreclomy, and selon implant in the pars plana effective?

Journal Article Investigative Ophthalmology and Visual Science · December 1, 1997 Purpose: To assess the effectiveness of a combined procedure ( pars plana vitrectomy, penetrating keratoplasty, and pars plana insertion of a Seton implant) in preserving vision while controlling intraocular pressure, and maintaining graft clarity. Methods ... Cite

Cataract documentation across systems of care

Journal Article Investigative Ophthalmology and Visual Science · December 1, 1997 Purpose: Describe cataract surgery documentation across systems of care: 1) Fee for service (FFS); 2) group/staff model item, and 3) IPA model managed care Methods: Review of at least 92 chats from each system of care of patient undergoing cataract surgery ... Cite

Effectiveness of pericaridium as patch graft material in glaucoma drainage device surgery

Journal Article Investigative Ophthalmology and Visual Science · December 1, 1997 Purpose: To evaluate the safety and efficacy of pericardium as patch graft material in glaucoma drainage device (GDD) surgery. Methods: Pericardium (Tutoplast Processed Pericardium, Biodynamics International, U S., Inc., Tampa, FL) was used to cover the su ... Cite

The role of informed consent in ocular medical therapy

Journal Article Ophthalmology Clinics of North America · October 29, 1997 The basis of any physician-patient relationship is mutual trust. Legal doctrines serve to reinforce the relationship by requiring the consent of the patient for any diagnosis or treatment. At the same time, legal doctrines strive to seek a balance with the ... Cite

Screening tests in a clinic population.

Journal Article Ophthalmology · September 1997 Full text Link to item Cite

Variations in cataract extraction rates in Medicare prepaid and fee-for-service settings.

Journal Article JAMA · June 11, 1997 OBJECTIVE: To compare rates of cataract extraction in 2 prepaid health settings and in traditional fee-for-service (FFS) settings. DESIGN: A cross-sectional analysis using 1993 health maintenance organization (HMO) Medicare claims and encounter files, the ... Link to item Cite

Do we understand the effects of 'managed care' in ophthalmology? A review and analysis.

Journal Article Arch Ophthalmol · April 1997 Little has been published that directly assesses the effect of structures for providing managed care or the effects of capitated, prepaid financing on the cost and quality of eye care services. Managed care organizations use fewer ophthalmologists and may ... Full text Link to item Cite

Annular peripheral choroidal detachment simulating aqueous misdirection after glaucoma surgery.

Journal Article Ophthalmology · March 1997 PURPOSE: The purpose of the study was to define a newly recognized complication after glaucoma surgery and to recommend a therapeutic regimen. METHODS: Eighteen patients diagnosed initially as having aqueous misdirection after glaucoma surgery, but who sub ... Full text Link to item Cite

The impact of blurred vision on functioning and well-being.

Journal Article Ophthalmology · March 1997 Featured Publication OBJECTIVE: To determine the impact of blurred vision on functional status and well-being, the authors used a cross-sectional analysis of Medical Outcomes Study (MOS) 2-year follow-up data. METHODS: One thousand six hundred forty-two respondents were asked ... Full text Link to item Cite

Functional associations of "trouble seeing".

Journal Article J Gen Intern Med · February 1997 The purpose of this study was to determine how vision problems affect health status. The information was collected in 1990 from 2,249 household heads and spouses over 50 years of age during an annual survey of a nationally representative sample that was ad ... Full text Link to item Cite

‘Managed’ Care Somewhat ‘Mangled’?-Reply

Journal Article Archives of Ophthalmology · January 1, 1997 Full text Cite

Functional associations of 'trouble seeing'

Journal Article Journal of General Internal Medicine · January 1, 1997 The purpose of this study was to determine how vision problems affect health status. The information was collected in 1990 from 2,249 household heads and spouses over 50 years of age during an annual survey of a nationally representative sample that was ad ... Full text Cite

Glaucoma associated with uveitis.

Journal Article Surv Ophthalmol · 1997 Raised intraocular pressure is a common and frequently serious complication of anterior uveitis. The milieu of inflammatory cells, the mediators they release, and the corticosteroid therapy used to treat the uveitis can participate in the pathogenesis of u ... Full text Link to item Cite

Literacy levels of ophthalmic patient education materials.

Journal Article Surv Ophthalmol · 1997 Health care providers have become increasingly aware of poor patient understanding of their illnesses and their treatments. A major, increasingly recognized factor in poor understanding and compliance is the low literacy skills of 90 million Americans. Thi ... Full text Link to item Cite

Use of eye care services among the 1991 Medicare population.

Journal Article Ophthalmology · November 1996 PURPOSE: To determine the use of eye care services by type of provider (ophthalmologist, optometrist, and non-ophthalmologist physician) in the Medicare population. METHODS: As a basis for characterizing eye conditions and ophthalmic services among a popul ... Full text Link to item Cite

Sensitivity, specificity, and predictive values of screening tests for eye conditions in a clinic-based population.

Journal Article Ophthalmology · November 1996 PURPOSE: To assess four commonly available visual function tests to detect visually disabling or vision-threatening eye conditions among new patients of a large, urban, public, general ophthalmology clinic. METHODS: Three hundred seventeen patients were te ... Full text Link to item Cite

Outcomes and endpoints in glaucoma.

Journal Article J Glaucoma · August 1996 Link to item Cite

Documentation patterns before cataract surgery at ten academic centers.

Journal Article Ophthalmology · August 1996 Featured Publication PURPOSE: To determine the adequacy of documenting the preoperative evaluation for cataract surgery using criteria derived from published practice guidelines. METHODS: In 1990, 1139 surgeries that were performed on 1139 patients at ten institutions of the A ... Full text Link to item Cite

Disturbances of the macular choriocapillary circulation in a university- based ophthalmology referral practice

Journal Article Annals of Ophthalmology - Glaucoma · July 1, 1996 Disturbances of the macular choriocapillary circulation may be more common than usually recognized. Thirty-five (20%) of 176 eyes that underwent scanning laser ophthalmoscope fluorescein videoangiography over a 2-year period in a university-based ophthalmo ... Cite

Cataract surgery after trabeculectomy.

Journal Article Ophthalmic Surg Lasers · July 1996 BACKGROUND AND OBJECTIVE: To determine the effect of cataract surgery on glaucomatous eyes with good intraocular pressure (IOP) control after trabeculectomy. PATIENTS AND METHODS: Twenty-two eyes with functional blebs that underwent cataract extraction wer ... Link to item Cite

Glaucoma care and conformance with preferred practice patterns. Examination of the private, community-based ophthalmologist.

Journal Article Ophthalmology · July 1996 Featured Publication BACKGROUND: Practice guidelines are becoming more prominent in the provision of medical care. A previous study demonstrated a high rate of conformance with recommended patterns of care for patients with open-angle glaucoma in an academic, public clinic set ... Full text Link to item Cite

Suprachoroidal hemorrhage after Molteno implantation.

Journal Article J Glaucoma · June 1996 PURPOSE: The objective of this study is to identify the rate and the associated risk factors for suprachoroidal hemorrhage (SCH) after Molteno drain implantation. METHODS: Data from the Molteno pilot study and single versus double-plate Molteno study were ... Link to item Cite

The effects of California Proposition 187 on ophthalmology clinic utilization at an inner-city urban hospital.

Journal Article Ophthalmology · May 1996 PURPOSE: To determine the effect on ophthalmology clinic utilization at a major public inner-city hospital of California Proposition 187 and the debate surrounding its passage. Proposition 187 was a statewide referendum passed by 63% of the electorate in t ... Full text Link to item Cite

The importance of "quality of care".

Journal Article Ophthalmology · April 1996 Full text Link to item Cite

Impact of proposed Los Angeles County budget cuts on ophthalmology patients at Los Angeles County -USC Medical Center

Journal Article Investigative Ophthalmology and Visual Science · February 15, 1996 Purpose: To determine the impact of proposed budget cuts on ophthalmology outpatients at Los Angeles County USC Medical Center (LAC-USC). Methods: A survey was conducted of all eye clinic patients at LAC-USC from Aug 28-Sep 1, 1995. Univariate and multi-va ... Cite

The NEI VFQ 51-item test version and its relationship with visual acuity across 5 diseases

Journal Article Investigative Ophthalmology and Visual Science · February 15, 1996 Purpose: To determine the psychometric properties of the NEI-VFQ, a survey designed to assess visual functioning and the influence of visual disability on health-related quality of life (HR-QOL). Methods: We conducted a 5-site, cross-sectional study that i ... Cite

Initial clinical experience with the Ahmed glaucoma valve implant in the management of neovascular glaucoma

Journal Article Investigative Ophthalmology and Visual Science · February 15, 1996 Purpose: To examine the Ahmed valve implant in the management of intraocular pressure (IOP) in patients with movascular glaucoma (NVG). Methods: We retrospectively reviewed all patients with NVG who underwent placement of an Ahmed valve implant between 7/9 ... Cite

Assessment of appropriateness of cataract surgery at ten academic medical centers in 1990.

Journal Article Ophthalmology · February 1996 PURPOSE: To develop criteria for the appropriateness of cataract surgery (extracapsular cataract extraction or phacoemulsification with planned implantation of a posterior chamber intraocular lens) and to apply these criteria to patients from ten academic ... Full text Link to item Cite

Laser suture lysis after mitomycin C trabeculectomy.

Journal Article Ophthalmology · February 1996 PURPOSE: To evaluate the timing, efficacy, and complications of laser suture lysis (LSL) after mitomycin C trabeculectomy in patients with glaucoma at high risk for failure of filtering surgery. METHODS: The authors retrospectively reviewed the charts of 6 ... Full text Link to item Cite

The role of smears, cultures, and antibiotic sensitivity testing in the management of suspected infectious keratitis.

Journal Article Ophthalmology · January 1996 PURPOSE: To examine the role of routine smears, cultures, and antibiotic sensitivity testing in the treatment of suspected infectious keratitis. METHODS: A retrospective chart and laboratory data review was performed for 81 consecutive patients seen in the ... Full text Link to item Cite

Estimating eye care workforce supply and requirements.

Journal Article Ophthalmology · December 1995 Featured Publication PURPOSE: To estimate the workforce supply and requirements for eye care in the United States. METHODS: Three models were constructed for analysis: supply of providers, public health need for eye care, and demand (utilization) for eye care. Ophthalmologists ... Full text Link to item Cite

The importance of initial management in the treatment of severe infectious corneal ulcers.

Journal Article Ophthalmology · December 1995 PURPOSE: To identify factors that influence the outcome of patients with severe infectious corneal ulcers. METHOD: A retrospective review was performed of the hospital records of all such patients admitted to the Doheny Eye Hospital during a 30 month perio ... Full text Link to item Cite

The relationship between visual acuity and functioning and well-being among diabetics.

Journal Article Qual Life Res · August 1995 Given the enormous recent interest in functional capabilities related to vision, the goal of this study was to examine the relationship of standard clinical measures of vision (e.g. Snellen acuity) to functioning and well-being. The association between Sne ... Full text Link to item Cite

Experience with the Baerveldt glaucoma implant in treating neovascular glaucoma.

Journal Article Ophthalmology · July 1995 PURPOSE: The authors present a retrospective study designed to assess the effectiveness of the Baerveldt glaucoma implant in controlling intraocular pressure (IOP) and maintaining visual function in eyes with neovascular glaucoma. METHODS: The medical reco ... Full text Link to item Cite

Pars plana Baerveldt tube insertion with vitrectomy in glaucomas associated with pseudophakia and aphakia.

Journal Article Am J Ophthalmol · April 1995 PURPOSE: We reviewed the course of intraocular pressure, visual acuity, and complications in patients with shallow anterior chambers or vitreous prolapse who underwent insertion of glaucoma drainage tubes through the pars plana (after a complete posterior ... Full text Link to item Cite

Ocular infections.

Journal Article West J Med · March 1995 Link to item Cite

Evaluating quality of care in the new health care environment.

Journal Article Arch Ophthalmol · February 1995 Featured Publication Today's health care environment explicitly emphasizes quality monitoring and improvement systems. To better understand the new concepts of quality, the quality systems currently used and under development at the Doheny Eye Institute, Los Angeles, Calif, an ... Full text Link to item Cite

Hypotony Following Trabeculectomy

Journal Article Journal of Glaucoma · January 1, 1995 Summary: Objective: To determine the risk factors for development of postoperative hypotony and the effects of hypotony on the outcome of surgery in terms of intraocular pressure (IOP) control and final visual acuity in patients who underwent standard trab ... Full text Cite

Experience with the Baerveldt Implant in Young Patients with Complicated Glaucomas

Journal Article Journal of Glaucoma · January 1, 1995 Purpose: Previous studies have suggested that glaucoma shunt implantation may be useful in the management of glaucoma in young patients in whom goniotomy and/or trabeculotomy have failed or are inappropriate. Herein, we describe our initial experience with ... Full text Cite

Visual recovery after trabeculectomy

Journal Article Journal of Glaucoma · January 1, 1995 Purpose: We retrospectively analyzed 155 eyes of 155 patients who underwent trabeculectomy with and without antimetabolites to determine the time for recovery of visual acuity postoperatively and to determine factors associated with delayed recovery of vis ... Full text Cite

Tissue plasminogen activator and glaucoma drainage implants

Journal Article Journal of Glaucoma · January 1, 1995 Purpose: The tube lumen of a glaucoma drainage implant is prone to occlusion by a blood or fibrin clot due to its small caliber, relatively low flow rate, and the plasmoid nature of the aqueous humor passing through it in the early postoperative period. Th ... Full text Cite

Postoperative complications and short-term outcome after 5-fluorouracil or mitomycin-C trabeculectomy

Journal Article Journal of Glaucoma · January 1, 1995 Purpose: This study was performed to compare the postoperative complications between trabeculectomy with 5-fluorouracil injected after surgery and trabeculectomy with mitomycin-C applied intraoperatively. Methods: Retrospective review was done on 77 eyes t ... Full text Cite

Trabeculectomy in pseudophakic patients: postoperative 5-fluorouracil versus intraoperative mitomycin C antiproliferative therapy.

Journal Article Ophthalmic Surg · 1995 Trabeculectomy outcome in pseudophakic glaucoma patients treated with mitomycin C (MMC) or 5-fluorouracil (5-FU) was analyzed retrospectively in 46 cases (46 eyes). Thirty patients received intraoperative MMC; 16, 5-FU. There were no significant difference ... Link to item Cite

Delayed macular choriocapillary circulation in age-related macular degeneration.

Journal Article Int Ophthalmol · 1995 PURPOSE: To investigate the macular choriocapillary circulation (MCC) in eyes with age-related macular degeneration (ARMD) and to correlate these findings with the associated clinical and angiographic drusen characteristics. METHODS: Scanning laser ophthal ... Full text Link to item Cite

Transconjunctival sinusotomy using the 193-nm excimer laser.

Journal Article Acta Ophthalmol (Copenh) · December 1994 Successful surgical management of glaucoma is limited as a consequence of undesired fibroblastic response of episcleral tissues. In 10 rabbit and three human eye bank eyes, we have performed a modified sinusotomy procedure using the 193-nm excimer laser. T ... Full text Link to item Cite

Conformance with preferred practice patterns in caring for patients with glaucoma.

Journal Article Ophthalmology · October 1994 Featured Publication BACKGROUND: Practice guidelines are becoming more prominent in the provision of medical care. However, the limited data that exist suggests that conformance in ophthalmic care may be low. METHODS: A retrospective study of 120 charts of patients with open-a ... Full text Link to item Cite

The efficacy of a multimedia educational campaign to increase the use of eye care services.

Journal Article Ophthalmology · August 1994 PURPOSE: Effective eye care, both preventive and problem-directed, requires that patients actually see trained eye care providers. The authors examined the impact of a multimedia campaign on patient behavior in using eye care. METHODS: The authors surveyed ... Full text Link to item Cite

Aqueous tube shunt to a preexisting episcleral encircling element in the treatment of complicated glaucomas.

Journal Article Ophthalmology · June 1994 PURPOSE: The treatment of glaucoma after scleral buckling surgery is often problematic. The authors investigated a series of patients in whom a silicone tube was implanted to shunt aqueous from the anterior segment to the fibrous capsule surrounding a prev ... Full text Link to item Cite

Time parameters for glaucoma procedures.

Journal Article Arch Ophthalmol · June 1994 Changes in physician reimbursement and the practice environment have emphasized the importance of determining physician time for procedures and services. Forty-five percent of the members of the American Glaucoma Society responded to a mail survey of estim ... Full text Link to item Cite

Epithelial ingrowth and glaucoma drainage implants.

Journal Article Ophthalmology · May 1994 BACKGROUND: The authors report four cases of conjunctival epithelial invasion into the fibrous capsule surrounding a Baerveldt glaucoma implant. All cases were associated with concurrent or recent prior scleral buckling surgery. METHODS: Three patients had ... Full text Link to item Cite

The potential role of ophthalmology as an entry point to the healthcare system.

Journal Article Ophthalmology · February 1994 PURPOSE: To evaluate whether patients who receive ophthalmic care have other physicians and whether ophthalmologists can serve as a significant entry point to the healthcare system. METHODS: Two hundred fourteen patients at a tertiary care eye institute we ... Full text Link to item Cite

National outcomes of cataract extraction. Retinal detachment and endophthalmitis after outpatient cataract surgery. Cataract Patient Outcomes Research Team.

Conference Ophthalmology · January 1994 BACKGROUND: A near-total shift to cataract extraction on an outpatient basis occurred as a result of an administrative ruling by the Health Care Financing Administration. No national study has been conducted to assess the possible effects of that decision ... Full text Link to item Cite

Site of mitomycin-C application during trabeculectomy

Journal Article Journal of Glaucoma · January 1, 1994 The outcome and postoperative complications after trabeculectomies with mitomycin-C application before flap dissection (episcleral) or after flap dissection (scleral bed) were analyzed retrospectively in 82 patients (82 eyes). Thirty-six eyes (43.9%) had a ... Full text Cite

Measuring the benefit and value of services.

Journal Article Arch Ophthalmol · January 1994 Full text Link to item Cite

Guidelines. Cataract surgery and beyond.

Journal Article Arch Ophthalmol · May 1993 Full text Link to item Cite

Community care of corneal ulcers.

Journal Article Am J Ophthalmol · March 15, 1993 Full text Link to item Cite

Is informed consent needed for fluorescein angiography?

Journal Article Arch Ophthalmol · March 1993 Fluorescein angiography is a common diagnostic procedure. Questions have been frequently raised as to whether explicit informed consent is needed for this procedure and what form such consent should take. Review of existing legal concepts indicates that th ... Full text Link to item Cite

Glove perforations in ophthalmic surgery.

Journal Article Am J Ophthalmol · February 15, 1993 Full text Link to item Cite

In Reply

Journal Article Archives of Ophthalmology · January 1, 1993 Full text Cite

Economic concerns in glaucoma management in the 21st century

Journal Article Journal of Glaucoma · January 1, 1993 Full text Cite

Mitomycin-C concentration in human aqueous humour following trabeculectomy.

Journal Article Eye (Lond) · 1993 The aim of the study was to determine mitomycin-C (MMC) concentrations in human aqueous humour during trabeculectomy and to correlate anterior chamber concentrations with method of application. MMC was applied intra-operatively by saturating sponges, rangi ... Full text Link to item Cite

Community care of corneal ulcers.

Journal Article Am J Ophthalmol · November 15, 1992 Because of increasing concern about the appropriate and cost-effective use of eye care services and procedures, several organizations have sought to arrive at practice guidelines or practice patterns from which physicians can draw guidance. To assess the p ... Full text Link to item Cite

Glove perforations in ophthalmic surgery.

Journal Article Am J Ophthalmol · October 15, 1992 To determine the potential rate of intraoperative parenteral exposure of physicians and patients caused by glove perforation during ophthalmic surgery, gloves were analyzed after 125 procedures. Gloves were collected from all surgical team members (surgeon ... Full text Link to item Cite

Worldwide legal requirements for obtaining corneas: 1990.

Journal Article Cornea · March 1992 Cornea transplantation offers the hope of restoring useful vision to millions of individuals worldwide. Yet it is widely used only in certain countries. While a lack of the necessary economic and technical infrastructure is the primary reason in many count ... Full text Link to item Cite

The nonapproved use of medications.

Journal Article Ophthalmology · July 1991 The need for new treatments for both established and recently described disorders has heightened awareness of the drug approval process. In particular, many ophthalmologists have questioned the ramifications of using approved drugs in nonapproved settings ... Full text Link to item Cite

Legal considerations in international eye banking.

Journal Article Refract Corneal Surg · 1991 Link to item Cite

Corneal biopsy. Indications, techniques, and a report of a series of 87 cases.

Conference Ophthalmology · June 1990 Corneal biopsy can be an effective aid in establishing diagnoses in a variety of infections, dystrophic and degenerative conditions, corneal manifestations of systemic diseases, and drug-induced changes. Preoperative planning and proper preparation of the ... Full text Link to item Cite

Cornea donation laws in the United States.

Journal Article Arch Ophthalmol · November 1989 Full text Link to item Cite

Organ donation and the Uniform Anatomical Gift Act.

Journal Article Surgery · November 1986 The present organ procurement system is unable to meet the demand for transplantation. The Uniform Anatomical Gift Act (UAGA) is the central law in this area. It has been widely criticized and yet it has been under used in at least two respects. First, its ... Link to item Cite

Ethics, law, and medicine: today's crossroads.

Journal Article Pharos Alpha Omega Alpha Honor Med Soc · 1986 Link to item Cite