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Anterior chamber angle evaluation using gonioscopy : consistency and agreement between optometrists and ophthalmologists / Jack Phu in OVS : Optometry & Vision Science, vol. 96, 10 (Octobre 2019)
[article]
in OVS : Optometry & Vision Science > vol. 96, 10 (Octobre 2019)
Titre : Anterior chamber angle evaluation using gonioscopy : consistency and agreement between optometrists and ophthalmologists Type de document : article de périodique Auteurs : Jack Phu ; Henrietta Wang ; Sieu Khuu ; Barbara Zangerl ; Michael Hennessy ; Katherine Masselos ; Michael Kalloniatis Année de publication : 2019 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:G:Glaucome:Glaucome / diagnostic
[Thésaurus Mesh]Ophtalmologie
[Thésaurus Mesh]Optométrie
[Thésaurus Mesh]Relations interprofessionnelles
[Thésaurus HELB]:Paramédical:gonioscopieMots-clés : angle de la chambre antérieure Résumé : SIGNIFICANCE In our intermediate-tier glaucoma care clinic, we demonstrate fair to moderate agreement in gonioscopy examination between optometrists and ophthalmologists, but excellent agreement when considering open versus closed angles. We highlight the need for increased consistency in the evaluation and recording of angle status using gonioscopy.
PURPOSE The consistency of gonioscopy results obtained by different clinicians is not known but is important in moving toward practice modalities such as telemedicine and collaborative care clinics. The purpose of this study was to evaluate the description and concordance of gonioscopy results among different practitioners.
METHODS The medical records of 101 patients seen within a collaborative care glaucoma clinic who had undergone gonioscopic assessment by two clinicians (one optometrist and either one general ophthalmologist [n = 50] or one glaucoma specialist [n = 51]) were reviewed. The gonioscopy records were evaluated for their descriptions of deepest structure seen, trabecular pigmentation, iris configuration, and other features. These were compared between clinicians (optometrist vs. ophthalmologist) and against the final diagnosis.
RESULTS Overall, 51.9 and 59.8% of angles were graded identically in terms of deepest visible structure when comparing between optometrist versus general ophthalmologist and optometrist versus glaucoma specialist, respectively. The concordance increased when considering ±1 of the grade (67.4 and 78.5%, respectively), and agreement with the final diagnosis was high (>90%). Variations in angle grading other than naming structures were observed (2.0, 30, and 3.9% for optometrist, general ophthalmologist, and glaucoma specialist, respectively). Most of the time, trabecular pigmentation or iris configuration was not described.
CONCLUSIONS Fair to moderate concordance in gonioscopy was achieved between optometrists and ophthalmologists in a collaborative care clinic in which there is consistent feedback and clinical review. To move toward unified medical records and a telemedicine model, improved consistency of record keeping and angle description is required.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Assessing Corneal Speckle in Optical Coherence Tomography: A New Look at Glaucomatous Eyes / Robert Iskander in OVS : Optometry & Vision Science, vol. 97, 02 (Février 2020)
[article]
in OVS : Optometry & Vision Science > vol. 97, 02 (Février 2020)
Titre : Assessing Corneal Speckle in Optical Coherence Tomography: A New Look at Glaucomatous Eyes Type de document : article de périodique Auteurs : Robert Iskander ; Malgorzata A. Kostyszak ; Danilo A Jesus ; Malgorzata Majewska ; Monika E Danielewska ; Patrycja Krzyzanowska-Berkowska Année de publication : 2020 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:G:Glaucome:Glaucome / diagnostic
[Thésaurus Mesh]Rétine
[Thésaurus Mesh]Tomographie par cohérence optiqueMots-clés : Rétinas glaucoma tomography, optical coherence Résumé : SIGNIFICANCE: Optical coherence tomography speckle is used here in an unconventional way as the indirect
source of information on tissue microstructure. The study reveals that the corneal speckle of glaucoma suspects
has a similar relationship between the parameters of scattering exhibited in glaucoma patients.
PURPOSE: The purpose of this study was to evaluate the potential of optical coherence tomography imaging of the
cornea in early diagnosis of glaucoma.
METHODS: Corneas of 64 subjects of three groups, including 18 primary open-angle glaucoma patients, 24 glaucoma suspects with normal levels of IOP and uncompromised visual field, and 22 age-matched controls, were imaged with spectral optical coherence tomography. A central region of interest in each optical coherence
tomography image visualizing the stroma was automatically extracted, and the intensity data within that region
were fit with the generalized gamma distribution. Its parameters describe the scatterer cross section and scatterer
density and indirectly assess corneal microstructure. In addition, subjects underwent measurements of IOP, visual
field, Heidelberg Retinal Tomography, retinal nerve fiber layer thickness, and biometry. Group means of all parameters were tested for equality. Within each group of subjects, correlation was evaluated between the statistical parameters of the corneal speckle.
RESULTS: Glaucoma suspects had statistically significantly different IOP, visual field parameters, mean retinal
fiber layer thickness, and central corneal thickness from those of glaucoma patients but not from those of the control group. The parameters of the corneal speckle were not significantly different between the groups, but they
showed a markedly higher and statistically significant coefficient of determination for glaucoma patients and suspects than that for the control group (0.927 and 0.707 vs. 0.336).
CONCLUSIONS: The results indicate that glaucoma suspects have similar relationship between the corneal scatterer cross section and scatterer density to that exhibited in the glaucoma patients but markedly different from that
of healthy controlsPermalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Assessing the Impact of En Face Retinal Nerve Fiber Layer Imaging on Clinical Decision Making for Glaucoma Suspects / Brett J King in OVS : Optometry & Vision Science, vol. 97, 02 (Février 2020)
[article]
in OVS : Optometry & Vision Science > vol. 97, 02 (Février 2020)
Titre : Assessing the Impact of En Face Retinal Nerve Fiber Layer Imaging on Clinical Decision Making for Glaucoma Suspects Type de document : article de périodique Auteurs : Brett J King ; William H. Swanson, ; Stephanie A. Klemencic ; Michael Chaglasian ; Bruce Teitelbaum ; Christopher A. Clark ; Ashley M. Speilburg ; Jane Ann Grogg ; Todd D Peabody Année de publication : 2020 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:G:Glaucome:Glaucome / classification
[Thésaurus Mesh]:G:Glaucome:Glaucome / diagnostic
[Thésaurus Mesh]:G:Glaucome:Glaucome / thérapie
[Thésaurus Mesh]Glaucome
[Thésaurus Mesh]Prise en charge de la maladie
[Thésaurus Mesh]Tomographie par cohérence optiqueMots-clés : glaucoma diagnosis therapeutics disease management tomography, optical coherence fibres nerveuses rétiniennes circumpapillary retinal nerve fiber Résumé : SIGNIFICANCE
Assessing and managing glaucoma are a complicated process in which experience plays a key role in decision making. Although advanced glaucoma is more easily diagnosed, patients with early glaucoma or who present with suspicious findings are more complicated. A need to aid clinicians in the decision-making process exists.
PURPOSE
The purpose of this study was to assess the impact of en face ocular coherence tomography images to clinical decision making when added to standard presentations of circumpapillary retinal nerve fiber layer thickness and automated perimetry.
METHODS
Thirty participants from two centers presenting either as a glaucoma suspect or for an initial glaucoma evaluation were enrolled. Six masked investigators were given standard presentations of circumpapillary retinal nerve fiber layer thickness and perimetry. They were asked if glaucomatous damage was present as well as a recommended plan of management on 5-point Likert scales. They were then given en face images of the retinal nerve fiber layer in three different presentations coupled with the standard presentation, and the questions were repeated. An intraclass correlation coefficient (ICC) was generated.
RESULTS
The masked investigators had moderate agreement from the standard presentation for assessment (ICC = 0.67 [95% confidence interval {CI}, 0.54 to 0.80] and ICC = 0.69 [95% CI, 0.52 to 0.80], respectively), as well as with the addition of the en face images (ICC = 0.69; 95% CI, 0.56 to 0.81). The en face images tended to change decisions in both assessment and plan toward likely to have glaucoma and likely to start treatment.
CONCLUSIONS
The addition of en face images to a standard presentation has an impact on clinical decision making. Although en face images seem to influence the decision toward likely to have glaucoma and likely to treat, it is unclear if this leads to a more accurate decision. Further investigations seem warranted to assess sensitivity and specificity of this approach.
Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Comment identifier le glaucome et ne pas se faire avoir par lui / Nicholas Strouthidis in LRO : La Revue d'Optométrie et de contactologie, 53 (Avril 2015)
[article]
in LRO : La Revue d'Optométrie et de contactologie > 53 (Avril 2015) . - 14-17
Titre : Comment identifier le glaucome et ne pas se faire avoir par lui Type de document : article de périodique Auteurs : Nicholas Strouthidis, Auteur Article en page(s) : 14-17 Descripteurs (mots clés) : [Thésaurus Mesh]:G:Glaucome:Glaucome / diagnostic
[Thésaurus Mesh]:G:Glaucome:Glaucome / thérapiePermalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité Périodique Erasme - périodiques Périodiques Disponible Périodique Erasme - périodiques Périodiques Disponible Comparison of Three Different Tonometers in Eyes with Angle Closure / Tae-won Lee in OVS : Optometry & Vision Science, vol. 96, 02 (Février 2019)
[article]
in OVS : Optometry & Vision Science > vol. 96, 02 (Février 2019) . - p. 124-129
Titre : Comparison of Three Different Tonometers in Eyes with Angle Closure Type de document : article de périodique Auteurs : Tae-won Lee, Auteur ; Chungkwon Yoo, Auteur ; Yong Yeon Kim, Auteur Année de publication : 2019 Article en page(s) : p. 124-129 Langues : Anglais (eng) Langues originales : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:G:Glaucome:Glaucome / diagnostic
[Thésaurus Mesh]:G:Glaucome:Glaucome / thérapie
[Thésaurus Mesh]Glaucome
[Thésaurus Mesh]Tonométrie oculaire
[Thésaurus HELB]:Optique:pression intraoculaireRésumé : SIGNIFICANCE Precise measurement of intraocular pressure (IOP) is essential when diagnosing and managing glaucoma. We compared the IOP readings of three different tonometers and analyzed agreement among tonometers in eyes with high IOPs.
PURPOSE The purpose of this study was to compare the IOP readings obtained using a Goldmann applanation tonometer (GAT), a rebound tonometer (RT), and a Tono-Pen (TP) in angle-closure eyes with elevated IOP before and after medical IOP-lowering therapy.
METHODS Twenty-five eyes of 25 patients with angle closure and IOPs of greater than 30 mmHg were enrolled. Intraocular pressure was measured using RT (iCare Pro), TP (Tono-Pen XL), and GAT before and after medical treatment. The mean IOP readings of the tonometers were compared before and after treatment. The agreement among the tonometers was assessed via Bland-Altman analysis.
RESULTS The measurements from 22 eyes of 22 patients were suitable for statistical analyses. Before medical treatment, the mean TP-IOP was significantly lower than the mean GAT-IOP (44.0 ± 10.3 vs. 50.4 ± 8.9 mmHg, respectively; P < .001), but no significant difference was evident between the RT-IOP and the GAT-IOP (50.8 ± 10.9 vs. 50.4 ± 8.9 mmHg, respectively; P = .79). After IOP-lowering treatment, the mean GAT-IOP (14.9 ± 4.7 mmHg) did not differ from either the mean RT-IOP (15.6 ± 4.4 mmHg) or the mean TP-IOP (15.4 ± 5.0 mmHg; P = .05 and P = .18, respectively). The random measurement error among tonometers was greater for high IOP readings.
CONCLUSIONS Compared with RT or GAT, TP underestimated IOP in angle-closure eyes with a GAT-IOP of greater than 30 mmHg. Intraocular pressure reading agreement among the three tonometers was lower in eyes with high IOP.
Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Congrès mondial sur le glaucome (Boston, 8-12 juillet) / Jonathan Crowston in LRO : La Revue d'Optométrie et de contactologie, 31 (Octobre 2009)
PermalinkDécouverte et prise en charge d'un glaucome lors d'une primoconsultation ophtalmologique / Sarah Trenti in Revue Francophone d'Orthoptie, vol. 15, 04 (Octobre-décembre 2022)
PermalinkDépistage et prévention des glaucomes : le dépistage impose un examen ophtalmologique régulier à partir de 40 ans / Olivia Abitol in La revue du praticien, vol.66, 5 (Mai 2016)
PermalinkEffects of different body postures on the intraocular pressure in patients with primary angle-closure disease / Ji-Hye Park in OVS : Optometry & Vision Science, vol. 96, 07 (Juillet 2019)
PermalinkEfficacité clinique et efficacité par rapport au coût du dépistage du glaucome à angle ouvert in LRO : La Revue d'Optométrie et de contactologie, 28 (Janvier 2009)
PermalinkEvaluation of Average Retinal Nerve Fiber Layer Measurement in Eyes with Refractive Errors / Alexander A. Shpak in OVS : Optometry & Vision Science, vol. 98,12 (Décembre 2021)
PermalinkGlaucome : les 10 points clés : le médecin traitant a un rôle fondamental dans le dépistage, le traitement et le suivi des glaucomes / Yves Lachkar in La revue du praticien, vol.66, 5 (Mai 2016)
PermalinkGlaucome et cellules ganglionnaires photoréceptrices / Andrew Hartwick in LRO : La Revue d'Optométrie et de contactologie, 41 (Avril 2012)
PermalinkImportance de la pachymétrie cornéenne dans l’hypertension oculaire et le glaucome chronique / Caroline Hazeaux in LRO : La Revue d'Optométrie et de contactologie, 30 (Juillet 2009)
PermalinkPermalinkRôle du praticien dans le suivi des glaucomes : inciter les patients au dépistage et les motiver dans le suivi / Yves Lachkar in La revue du praticien, vol.66, 5 (Mai 2016)
PermalinkSoins du glaucome en évolution / Jean-Pierre Lagacé in L'optométriste (UNIQUEMENT ACCESSIBLE EN PDF), vol. 43, 01 (Janvier-février 2021)
PermalinkState of the Art(ificial) ; Part 1 : Understanding rigid contact lens design & fitting / Eef Van Der Worp in Global contact, 95 (Septembre-décembre 2023)
PermalinkWich retinal features might predict glaucoma susceptibility in myopic eyes / Katrin Hirsch in OPTOMETRY TODAY, vol. 58, 2 ([01/02/2018])
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