Use of gonioscopy in medicare beneficiaries before glaucoma surgery.

Abstract:

PURPOSE:The American Academy of Ophthalmology Preferred Practice Patterns for angle closure and open-angle glaucoma (OAG) patients recommends performing bilateral gonioscopy upon initial presentation to evaluate the possibility of narrow angle or angle-closure glaucoma (ACG) and then repeating the examination at least every 5 years. This study aims to assess how commonly eye care providers perform gonioscopy before planned glaucoma surgery in OAG, anatomic narrow angle, and ACG in the Medicare population. METHODS:Data obtained from a 5% random sample of Medicare beneficiaries undergoing glaucoma surgery in the United States in 1999 were retrospectively reviewed. The proportion of patients with evidence of at least one gonioscopic examination before glaucoma surgery was determined for the period of 1995 to 1999. Demographic and clinical factors potentially influencing the decision to perform gonioscopy were also examined. RESULTS:Overall, gonioscopy is apparently performed in 49% of Medicare beneficiaries during the 4 to 5 years preceding glaucoma surgery. This rate was significantly lower (P < 0.001) in patients with OAG (46%), as compared with anatomic narrow angle (58%) and ACG (57%) patients. Hispanics, elderly (aged 70 to 84), patients undergoing laser iridotomy, and patients receiving care in the New York/New Jersey area all had significantly higher apparent preoperative gonioscopy rates (P < 0.05). CONCLUSIONS:Gonioscopy examination before glaucoma surgery in Medicare beneficiaries is underused, undercoded, and/or miscoded, given current recommendations. Underuse is of particular concern in patients undergoing laser iridotomy as it is the diagnostic test of choice in ACG.

journal_name

J Glaucoma

journal_title

Journal of glaucoma

authors

Coleman AL,Yu F,Evans SJ

doi

10.1097/01.ijg.0000212287.62798.8f

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

486-93

issue

6

eissn

1057-0829

issn

1536-481X

pii

00061198-200612000-00003

journal_volume

15

pub_type

杂志文章
  • Latanoprost-induced iris heterochromia and open-angle glaucoma: a clinicopathologic report.

    abstract:PURPOSE:To report the histopathologic and immunohistochemical findings from the iridectomy specimen of a patient with acquired unilateral iris heterochromia due to latanoprost. PATIENT AND METHODS:A 45-year-old woman with open-angle glaucoma and unilateral iris heterochromia was evaluated for uncontrolled intraocular ...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/00061198-200110000-00009

    authors: Tsai JC,Sivak-Callcott JA,Haik BG,Zhang J,McLean IW

    更新日期:2001-10-01 00:00:00

  • Gonioscopy-assisted Transluminal Trabeculotomy in a Pediatric Patient With Steroid-induced Glaucoma.

    abstract:PURPOSE:To report a case of successful intraocular pressure (IOP) reduction after a 360-degree gonioscopy-assisted transluminal trabeculotomy (GATT) using the iTrack catheter in a patient with steroid-induced glaucoma as a result of treatment of vernal keratoconjunctivitis (VKC). MATERIALS AND METHODS:Case report. RE...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000001326

    authors: Hopen ML,Gallardo MJ,Grover D

    更新日期:2019-10-01 00:00:00

  • Preference-based Glaucoma-specific Health-related Quality of Life Instrument: Development of the Health Utility for Glaucoma.

    abstract:PURPOSE:To develop a descriptive system for a glaucoma-specific preference-based health-related quality of life (HRQoL) instrument: the Health Utility for Glaucoma (HUG-5). METHODS:The descriptive system was developed in 2 stages: item identification and item selection. A systematic literature review of HRQoL assessme...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000000984

    authors: Muratov S,Podbielski DW,Kennedy K,Jack SM,Pemberton J,Ahmed IIK,Baltaziak M,Xie F

    更新日期:2018-07-01 00:00:00

  • Presumed Sympathetic Ophthalmia Following Nd: YAG Transscleral Cyclophotocoagulation.

    abstract::A 28-year-old man with iridocorneal endothelial syndrome and three failed trabeculectomies received two treatments of noncontact neody-mium-YAG transscleral cyclophotocoagulation. Four weeks afterwards he presented with the clinical signs of sympathetic ophthalmia in the unoperated eye. Intense topical and subtenons c...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:

    authors: Pastor SA,Iwach A,Nozik RA,Hetherington J,Fellman R

    更新日期:1993-04-01 00:00:00

  • Imaging visual cortical structure and function in vivo.

    abstract::The recent advent of in vivo two-photon microscopy has allowed the repeat imaging of cortical structures at microscopic resolution within intact brains. Recent data obtained using this imaging technique shows that dendritic spines, the postsynaptic sites of the majority of excitatory synapses in the central nervous sy...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章,评审

    doi:10.1097/IJG.0b013e3182934a30

    authors: Majewska AK

    更新日期:2013-06-01 00:00:00

  • The Clinical Interpretation of Changes in Intraocular Pressure Measurements Using Goldmann Applanation Tonometry: A Review.

    abstract:PURPOSE:The interpretation of changes in serial intraocular pressure (IOP) measurements are critical in the diagnosis and management of glaucoma. Differentiating true change from test-retest variability (TRV) in IOP measurements using Goldmann applanation tonometry (IOPG) is essential when reviewing these measurements....

    journal_title:Journal of glaucoma

    pub_type: 杂志文章,评审

    doi:10.1097/IJG.0000000000001144

    authors: Pearce JG,Maddess T

    更新日期:2019-04-01 00:00:00

  • The effects of the beta-adrenergic-blocking agents, timolol and carteolol, on plasma lipids and lipoproteins in Japanese glaucoma patients.

    abstract:PURPOSE:To determine whether two topical beta-blockers, timolol and carteolol, differently affect plasma lipids and lipoproteins in normolipidemic Japanese patients with glaucoma. PATIENTS AND METHODS:Thirty-three normolipidemic patients with primary open-angle glaucoma or ocular hypertension were randomly allocated t...

    journal_title:Journal of glaucoma

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Yamamoto T,Kitazawa Y,Noma A,Maeda S,Kato A,Ando Y,Ido T,Inazumi K,Hayakawa T,Goto Y,Ichien M

    更新日期:1996-08-01 00:00:00

  • Genetic analysis of PITX2 and FOXC1 in Rieger Syndrome patients from Brazil.

    abstract:PURPOSE:Axenfeld-Rieger syndrome is a genetically heterogeneous, autosomal dominant disorder that is characterized by anterior segment defects, glaucoma, and extraocular anomalies. This study examined the two genes known to cause Rieger syndrome, PITX2 and FOXC1, for mutations in five Brazilian families with Axenfeld-R...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/00061198-200202000-00010

    authors: Borges AS,Susanna R Jr,Carani JC,Betinjane AJ,Alward WL,Stone EM,Sheffield VC,Nishimura DY

    更新日期:2002-02-01 00:00:00

  • Peripapillary focal retinal arteriolar narrowing in open angle glaucoma.

    abstract:PURPOSE:Optic disc photographs of 750 patients attending a glaucoma practice were examined to identify focal peripapillary arteriolar narrowing. METHODS:A subgroup of 110 of these patients' photographs, who had also had finger circulation tested for vasospasm to cold, were divided into patients with peripapillary foca...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:

    authors: Rankin SJ,Drance SM

    更新日期:1996-02-01 00:00:00

  • Relationship Between Serum Glucose Levels and Intraocular Pressure, a Population-based Cross-sectional Study.

    abstract:PURPOSE:The purpose of this study is to assess the relationship between serum glucose levels and intraocular pressure (IOP) both in subjects with impaired fasting glucose (IFG) as well as in subjects with diabetes mellitus (DM). MATERIALS AND METHODS:Data of a cross-sectional sample of 18,406 subjects who underwent ro...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000000700

    authors: Cohen E,Kramer M,Shochat T,Goldberg E,Krause I

    更新日期:2017-07-01 00:00:00

  • Slit-lamp Needling of the Anterior Capsule for Aqueous Misdirection After Hyaloido-zonulectomy and Iridectomy.

    abstract:INTRODUCTION:We present a case of persistent aqueous misdirection, after Ahmed glaucoma valve surgery, despite undergoing an anterior vitrectomy with hyaloido-zonulectomy and iridectomy. CASE REPORT:A 73-year-old female patient, 4 months after phacotrabeculectomy, was referred with persistent high intraocular pressure...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000000877

    authors: Mardelli PG,Mardelli ME

    更新日期:2018-04-01 00:00:00

  • Latanoprost or brimonidine as treatment for elevated intraocular pressure: multicenter trial in the United States.

    abstract:PURPOSE:To compare the efficacy and tolerability of latanoprost or brimonidine in patients with elevated intraocular pressure (IOP). MATERIALS AND METHODS:This prospective, randomized, masked-evaluator, parallel-group, multicenter study in the United States included patients with primary open angle glaucoma or ocular ...

    journal_title:Journal of glaucoma

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/01.ijg.0000151881.99607.4e

    authors: Camras CB,Sheu WP,United States Latanoprost-Brimonidine Study Group.

    更新日期:2005-04-01 00:00:00

  • Trabeculectomy and Combined Phacoemulsification-Trabeculectomy: Outcomes and Risk Factors for Failure in Primary Angle Closure Glaucoma.

    abstract:PURPOSE:To evaluate tonometric outcomes of patients with primary angle closure glaucoma (PACG) who have undergone trabeculectomy with mitomycin C (MMC) with and without concurrent phacoemulsification and to identify risk factors for postoperative failure. PATIENTS AND METHODS:Retrospective cohort study of 44 eyes of 3...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000000493

    authors: Song BJ,Ramanathan M,Morales E,Law SK,Giaconi JA,Coleman AL,Caprioli J

    更新日期:2016-09-01 00:00:00

  • Ability of optical coherence tomography-determined ganglion cell complex thickness to total retinal thickness ratio to diagnose glaucoma.

    abstract:PURPOSE:To evaluate the usefulness of the spectral-domain optical coherence tomography (SD OCT)-determined ganglion cell complex thickness to total retinal thickness ratio (G/T ratio) in diagnosing glaucoma. METHODS:A total of 99 eyes with primary open-angle glaucoma and 35 normal eyes were enrolled in the study. SD O...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0b013e31825af58a

    authors: Kita Y,Kita R,Takeyama A,Takagi S,Nishimura C,Tomita G

    更新日期:2013-12-01 00:00:00

  • Predictive value of early IOP in mitomycin-C augmented trabeculectomy.

    abstract:PURPOSE:To determine whether early intraocular pressure (IOP) after mitomycin-C (MMC) augmented trabeculectomy has any predictive value for intermediate IOP outcome. METHODS:Retrospective case note review. All cases of trabeculectomy using MMC augmentation and at least 1-year follow-up during the study period were inc...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0b013e31805d014a

    authors: Alwitry A,Moodie J,Rotchford A,Abedin A,Patel V,King AJ

    更新日期:2007-10-01 00:00:00

  • Dietary ω-3 deficiency and IOP insult are additive risk factors for ganglion cell dysfunction.

    abstract:AIM:Dietary deficiencies in ω-3 polyunsaturated fatty acids are known to effect retinal function including retinal ganglion cell (RGC) activity, which may have implications for glaucoma. In this study we consider retinal function after dietary manipulation and intraocular pressure (IOP) stress designed to compromise RG...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0b013e318237cac7

    authors: Nguyen CT,Vingrys AJ,Bui BV

    更新日期:2013-04-01 00:00:00

  • Decreased cardiovagal regulation in exfoliation syndrome.

    abstract:PURPOSE:To investigate the parasympathetic cardiovascular regulation, baroreflex sensitivity (BRS), and pulse wave velocity (PWV) in exfoliation syndrome (XFS). METHODS:Heart rate variability indices [standard deviation of all RR intervals (SDNN); the mean of absolute successive differences (RMSSD); the percentage of ...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0b013e3181379d67

    authors: Visontai Z,Horváth T,Kollai M,Holló G

    更新日期:2008-03-01 00:00:00

  • In vivo confocal microscopy and ultrasound biomicroscopy study of filtering blebs after trabeculectomy: limbus-based versus fornix-based conjunctival flaps.

    abstract:PURPOSE:To evaluate morphological features of filtering blebs after trabeculectomy with limbus-based versus fornix-based conjunctival flaps (LBCF and FBCF, respectively) using in vivo confocal microscopy (IVCM) and ultrasound biomicroscopy (UBM). PATIENTS AND METHODS:Seventy-five eyes of 62 patients with glaucoma were...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0b013e3182120a08

    authors: Morita K,Gao Y,Saito Y,Higashide T,Kobayashi A,Ohkubo S,Sugiyama K

    更新日期:2012-08-01 00:00:00

  • Accuracy of Measurements With the iCare HOME Rebound Tonometer.

    abstract:PURPOSE:To evaluate the accuracy of intraocular pressure (IOP) measurements obtained with the newly available iCare HOME (RTHOME) rebound tonometer compared with the iCare ONE (RTONE) tonometer and Goldmann applanation tonometry (GAT), and possible correlation with central corneal thickness (CCT). MATERIALS AND METHOD...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/IJG.0000000000000390

    authors: Termühlen J,Mihailovic N,Alnawaiseh M,Dietlein TS,Rosentreter A

    更新日期:2016-06-01 00:00:00

  • Ahmed Valve Upstream Obstruction Caused by Fibrous Ingrowth: Surgical Approach.

    abstract::Glaucoma secondary to penetrating keratoplasty can be challenging and multiple surgeries may be needed to control the intraocular pressure (IOP), including the use of glaucoma drainage implants. However, late failure of these drainage implant surgery is common, mostly because of excessive scarring or bleb encapsulatio...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000000739

    authors: Medeiros Pinto J,Pinto Ferreira N,Abegão Pinto L

    更新日期:2017-10-01 00:00:00

  • The Short-term Effect of Subtenon Sponge Application Versus Subtenon Irrigation of Mitomycin-C on the Outcomes of Trabeculectomy With Ex-PRESS Glaucoma Filtration Device: A Randomized Trial.

    abstract:PURPOSE:Traditionally, during trabeculectomy, Mitomycin-C (MMC) is applied to the tissues using surgical sponges. However, alternate modes of application exist. This study assessed the success rates, complication rates, final intraocular pressure (IOP), and bleb characteristics between patients receiving subtenon MMC a...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/IJG.0000000000000830

    authors: Quist MS,Brown N,Bicket AK,Herndon LW

    更新日期:2018-02-01 00:00:00

  • Evaluation of tonometric correction factors.

    abstract:PURPOSE:To investigate the efficacy of currently available correction factors in correcting intraocular pressure (IOP) measurements for the errors induced by the normal variations in corneal structural characteristics. MATERIALS AND METHODS:Central corneal thickness (CCT) and corneal radius of curvature were measured ...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/01.ijg.0000176940.81799.33

    authors: Gunvant P,O'Leary DJ,Baskaran M,Broadway DC,Watkins RJ,Vijaya L

    更新日期:2005-10-01 00:00:00

  • Outcomes of Nd: YAG Goniopuncture After Viscocanalostomy/Phacoviscocanalostomy.

    abstract:PURPOSE:The aim of this study is to evaluate the safety and efficacy of laser goniopuncture (LGP) to lower intraocular pressure (IOP) post-viscocanalostomy (VC)/phacoviscocanalostomy (PVC). Outcomes include: IOP reduction from pre-LGP levels and the need for further topical antiglaucomatous medication or surgery. PATI...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000000333

    authors: Mathews D,Shirodkar AL,Ahnood D,Garrick A

    更新日期:2016-06-01 00:00:00

  • Sensitivity and specificity of new GDx parameters.

    abstract:PURPOSE:The GDx is a scanning laser polarimeter that assesses peripapillary nerve fiber layer thickness. In addition to the 14 existing outcome parameters, four new parameters have been described recently: the Ellipse Standard Deviation (ESD), the Normalized Superior Area (NSA), the Normalized Inferior Area (NIA) and t...

    journal_title:Journal of glaucoma

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00061198-200402000-00006

    authors: Colen TP,Tang NE,Mulder PG,Lemij HG

    更新日期:2004-02-01 00:00:00

  • Phaco-viscocanalostomy versus phaco-trabeculotomy: a middle-term study.

    abstract:PURPOSE:To compare the surgical outcomes between phaco-viscocanalostomy and phaco-trabeculotomy in open-angle glaucoma. PATIENTS AND METHODS:In a nonrandomized, retrospective clinical study, 110 eyes underwent phaco-viscocanalostomy (VCS group), and 110 eyes underwent phaco-trabeculotomy (LOT group). The mean follow-u...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/01.ijg.0000212265.96864.77

    authors: Park M,Hayashi K,Takahashi H,Tanito M,Chihara E

    更新日期:2006-10-01 00:00:00

  • Xen Gel Stent to Resolve Late Hypotony After Glaucoma Drainage Implant Surgery: A Novel Technique.

    abstract:PURPOSE:To describe a new surgical method for treating late profound hypotony in 2 patients with glaucoma drainage implant (GDI). PATIENTS AND METHODS:Two patients, an 85-year-old woman and a 44-year-old woman, presented with choroidal effusions secondary related to chronic hypotony after GDI surgery. A novel techniqu...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000001022

    authors: Välimäki J

    更新日期:2018-10-01 00:00:00

  • The Efficacy of a Latanoprost/Timolol Fixed Combination Versus Latanoprost and Timolol Gel-forming Solution Unfixed Combination on Daytime Intraocular Pressure.

    abstract:PURPOSE:To evaluate the effect of a latanoprost/timolol fixed combination (LTFC) versus a latanoprost and timolol gel-forming solution unfixed combination (LTuFC) on daytime intraocular pressure (IOP) levels and fluctuations. METHODS:This was an 8-week, randomized, parallel-group study. Ninety eyes of 90 patients diag...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/IJG.0000000000000170

    authors: Özyol E,Özyol P

    更新日期:2016-02-01 00:00:00

  • Comparison of Ab Externo and Ab Interno 360-degree Suture Trabeculotomy in Adult Open-angle Glaucoma.

    abstract:PRECIS:Ab interno (gonioscopy-assisted transluminal trabeculotomy) and ab externo 360-degree suture trabeculotomy (ST) achieved similar success rates for reducing intraocular pressure (IOP) without serious complications threatening visual acuity. PURPOSE:We aimed to compare the efficacy of ab externo and ab interno 36...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/IJG.0000000000001627

    authors: Yalinbas D,Dilekmen N,Hepsen IF

    更新日期:2020-11-01 00:00:00

  • Optic disc hemorrhage in Asian glaucoma patients.

    abstract:PURPOSE:To assess the prevalence of optic disc hemorrhage in Asian patients with established glaucoma using a recently described, highly sensitive detection method. MATERIALS AND METHODS:Patients entering a trial of glaucoma filtering surgery in Southeast Asia (The Singapore 5FU Study) were assessed for the presence o...

    journal_title:Journal of glaucoma

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00061198-200306000-00008

    authors: Gazzard G,Morgan W,Devereux J,Foster P,Oen F,Seah S,Khaw PT,Chew P

    更新日期:2003-06-01 00:00:00

  • Retinal nerve fiber layer measurement of the Hong Kong chinese population by optical coherence tomography.

    abstract:PURPOSE:To obtain retinal nerve fiber layer (RNFL) measurements by optical coherence tomography in a local, normal Hong Kong Chinese population and to identify the correlation of the measurement with age cross-sectionally. METHODS:A total of 129 normal Hong Kong Chinese volunteers of different age groups were recruite...

    journal_title:Journal of glaucoma

    pub_type: 杂志文章

    doi:10.1097/00061198-200212000-00004

    authors: Mok KH,Lee VW,So KF

    更新日期:2002-12-01 00:00:00