Chapter · January 1, 2024
Primary open-angle glaucoma (POAG) is a chronic optic neuropathy diagnosed by characteristic optic nerve and/or visual field abnormalities. Traditionally, elevated intraocular pressure (TOP) of 21 mm Hg or greater was required for glaucoma diagnosis; howev ...
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Journal ArticleAm 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleOphthalmol 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 ...
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Journal ArticleOphthalmology · 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. ...
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ConferenceOphthalmol 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 ...
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Journal ArticleOphthalmol 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 ...
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ConferenceOphthalmol 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 ...
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Journal ArticleAm 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 ...
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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 ...
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Journal ArticleJournal 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 ...
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Journal ArticleJAMA ophthalmology · December 2021
ImportanceIn 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 requireme ...
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Journal ArticleJAMA 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 ...
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Journal ArticlePerioperative 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 ...
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ConferenceOphthalmology · 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 ...
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Chapter · January 1, 2024
Primary open-angle glaucoma (POAG) is a chronic optic neuropathy diagnosed by characteristic optic nerve and/or visual field abnormalities. Traditionally, elevated intraocular pressure (TOP) of 21 mm Hg or greater was required for glaucoma diagnosis; howev ...
Full textCite
Journal ArticleAm 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 textLink to itemCite
Journal ArticleJ 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 textLink to itemCite
Journal ArticleOphthalmol 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 ...
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Journal ArticleOphthalmology · 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. ...
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ConferenceOphthalmol 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 ...
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Journal ArticleOphthalmol 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 ...
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ConferenceOphthalmol 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 ...
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Journal ArticleAm 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 ...
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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 textCite
Journal ArticleJournal 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 ...
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Journal ArticleJAMA ophthalmology · December 2021
ImportanceIn 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 requireme ...
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Journal ArticleJAMA 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 ...
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Journal ArticlePerioperative 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 ...
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ConferenceOphthalmology · 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 ...
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Journal ArticleTelemed 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 ...
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Journal ArticleJAMA 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 ...
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ConferenceOphthalmology · 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 ...
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Journal ArticleJAMA 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 ...
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Journal ArticleOphthalmol 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 ...
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ConferenceJAMA 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 ...
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Journal ArticleTelemed 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 ...
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Journal ArticleEye 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 ...
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Journal ArticleJ 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 ...
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Journal ArticlePilot 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleBr 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 ...
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Journal ArticleClin 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 ...
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Journal ArticleJAMA 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. ...
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Journal ArticleBMC 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 ...
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Journal ArticleJAMA 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 ...
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Journal ArticleCornea · 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleTelemed 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 ...
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Journal ArticleJAMA 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticlePatient · 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 ...
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Journal ArticleJ 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 ...
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ConferenceOphthalmology · 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleHealth 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJAMA 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticlePLoS 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 ...
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Journal ArticleOphthalmology · 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. ...
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Journal ArticleAm 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleMMWR 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 ...
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Journal ArticleTelemed 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 ...
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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 ...
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Journal ArticleRetina · 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 ...
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Journal ArticleJAMA 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 ...
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Journal ArticleJAMA 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleCan 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleJAMA 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 ...
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Journal ArticleMol 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 ...
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Journal ArticleInt 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleBr 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 ...
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Journal ArticleQual 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 ...
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Journal ArticleTrans 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 ...
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Journal ArticleJAMA 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 ...
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Journal ArticleJAMA 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 ...
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Journal ArticleSemin 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 ...
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Journal ArticleRetina · 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 ...
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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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleSurv 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleOphthalmic 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleOral 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 ...
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Journal ArticleOphthalmic 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleHealth 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 ...
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Journal ArticlePatient Educ Couns · May 2012
OBJECTIVE: To test an educational intervention targeted to health literacy level with the goal of improving glaucoma medication adherence. METHODS: One hundred and twenty-seven veterans with glaucoma were randomized to glaucoma education or standard care. ...
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Journal ArticleQual 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. ...
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Journal ArticleISRN Ophthalmol · 2012
Purpose. We hypothesized that lower trust in the physician is associated with worse visual outcomes in glaucoma. Methods. Subjects completed the Trust in Provider Scale (TPS) and performed visual field tests at least two years apart. The primary outcome wa ...
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Journal ArticleOphthalmic 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) ...
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Journal ArticleAm 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleOphthalmic 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 ...
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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 ...
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Journal ArticleOphthalmic 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 = ...
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Journal ArticleAMIA ... 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleInvest 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 ...
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Journal ArticleBr 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleSurv Ophthalmol · 2010
In 1997, Ebrahimzadeh, Davalos, and Lee wrote in this journal that only 32% of the ophthalmic patient educational materials reviewed were written at or below the recommended eighth-grade reading level. Since that time, the National Assessment of Adult Lite ...
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Journal ArticleJ 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 ...
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Journal ArticleOphthalmic 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleOphthalmology · May 2009
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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 ...
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Journal ArticleArch Ophthalmol · March 2009
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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 ...
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Journal ArticleJ 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 ...
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Journal ArticleCornea · 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 ...
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Journal ArticleJ Ophthalmol · 2009
Objectives. To describe glaucoma patients' trust in the physician and to test the hypothesis that increased interpersonal trust is associated with increased medication adherence. Methods. One hundred ninety-five subjects with open-angle glaucoma seen by mu ...
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Journal ArticleSurv 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 ...
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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 ...
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Journal ArticleArch 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 ...
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Journal ArticleArch 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, ...
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Journal ArticleArch 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleOphthalmology · July 2008
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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 ...
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Journal ArticleBr 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleOphthalmic 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleAm 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. ...
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Journal ArticleJ Glaucoma · August 2007
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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 ...
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Journal ArticleArch 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, ...
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Journal ArticleOphthalmology · 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. ...
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Journal ArticleAm 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleArch Ophthalmol · March 2007
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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 ...
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Journal ArticleOphthalmic 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleArch Ophthalmol · January 2006
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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 ...
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Journal ArticleAm 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 ...
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Journal ArticleAMIA Annu Symp Proc · 2006
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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 ...
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Journal ArticleArch 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 ...
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Journal ArticleJ Am Geriatr Soc · November 2005
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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 ...
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Journal ArticleAm 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleAsian 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleArch Ophthalmol · April 2005
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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 ...
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Journal ArticleAm 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 ...
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Journal ArticleOphthalmic 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 ...
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Journal ArticleAMIA ... 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 ...
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Journal ArticleAMIA ... 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 ...
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Journal ArticleAMIA 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 ...
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Journal ArticleAMIA ... 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 ...
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Journal ArticleAMIA ... 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleHealth 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleArch Ophthalmol · June 2004
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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 ...
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Journal ArticleInt 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 ...
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Journal ArticleRev 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 ...
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Journal ArticleSurv 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleHealth 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleHealth 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 ...
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Journal ArticleArch Ophthalmol · June 2003
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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 ...
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Journal ArticleArch 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleMed 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleArch Ophthalmol · January 2003
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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 ...
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Journal ArticleAm 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleArch Ophthalmol · July 2001
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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 ...
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Journal ArticleNat 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 ...
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Journal ArticleDisease 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleOphthalmology · February 1999
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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 ...
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Journal ArticleJournal 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleArch Ophthalmol · November 1998
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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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleOphthalmic 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleChin 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 ...
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Journal ArticleJ 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 ...
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Journal ArticleArch 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. ...
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Journal ArticleRetina · 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 ...
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Journal ArticleRetina · 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 ...
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Journal ArticleInvestigative 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 ...
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Journal ArticleInvestigative 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 ...
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Journal ArticleInvestigative 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 ...
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Journal ArticleOphthalmology 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 ...
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Journal ArticleJAMA · 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleOphthalmology · March 1997
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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 ...
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Journal ArticleJ 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 ...
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Journal ArticleJournal 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 ...
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Journal ArticleSurv 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 ...
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Journal ArticleSurv 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleOphthalmology · August 1996
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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 ...
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Journal ArticleAnnals 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 ...
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Journal ArticleOphthalmic 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 ...
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Journal ArticleOphthalmology · July 1996
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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 ...
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Journal ArticleJ 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleInvestigative 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 ...
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Journal ArticleInvestigative 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 ...
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Journal ArticleInvestigative 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleOphthalmology · December 1995
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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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleQual 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleArch Ophthalmol · February 1995
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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 ...
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Journal ArticleJournal 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 ...
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Journal ArticleJournal 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 ...
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Journal ArticleJournal 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 ...
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Journal ArticleJournal 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 ...
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Journal ArticleJournal 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 ...
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Journal ArticleOphthalmic 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 ...
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Journal ArticleInt 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 ...
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Journal ArticleActa 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 ...
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Journal ArticleOphthalmology · October 1994
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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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleOphthalmology · 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 ...
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Journal ArticleOphthalmology · 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 ...
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ConferenceOphthalmology · 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 ...
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Journal ArticleJournal 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 ...
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Journal ArticleArch 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 ...
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Journal ArticleEye (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 ...
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Journal ArticleAm 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 ...
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Journal ArticleAm 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 ...
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Journal ArticleCornea · 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 ...
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Journal ArticleOphthalmology · 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 ...
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ConferenceOphthalmology · 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 ...
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Journal ArticleSurgery · 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 ...
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