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Patient profile and management in advanced glaucomaQueen Margaret Hospital, Dunfermline, UK, jwallace3{at}nhs.net
Queen Margaret Hospital, Dunfermline, UK
Queen Margaret Hospital, Dunfermline, UK
Queen Margaret Hospital, Dunfermline, UK
Queen Margaret Hospital, Dunfermline, UK
Chief Scientist Office, Edinburgh, UK Purpose: to study patient characteristics and management profile in advanced glaucoma. Method: A retrospective study of 87 case notes of patients registered blind due to glaucoma, and cross-sectional interview of 29 patients. Results: advanced glaucoma at presentation was documented in 43 cases (49%). Insufficient optometry assessment was significantly associated with advanced disease (p = 0.0339). Normal tension glaucoma patients were significantly more likely to present with advanced disease compared to other types of glaucoma (p = 0.0034). Poor compliance with medication was significantly higher in those with hearing loss (p = 0.0168). Patients with advanced field defect at presentation and those with poor compliance had significantly higher social deprivation scores compared to others on the blind register (p < 0.0001). Nine (10%) patients had partial registration before full registration and 29 (33%) patients had late registration. Of the 29 patients interviewed, 20 (69%) did not demonstrate basic knowledge regarding their disease or its management; nor had they received written information on glaucoma or instructions on drop technique. Conclusion: Special care pathways are required in advanced glaucoma taking into account co-existent morbidity, disease education and compliance.
Key Words: advanced glaucoma blindness co-morbidity patient knowledge registration
British Journal of Visual Impairment, Vol. 26, No. 1,
7-23 (2008) |
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