Relationship Between Intraocular Pressure and Age: A Population-Based Study in Nepal.

Prcis: Intraocular pressure (IOP) decreased with age in a population-based study in Nepal, from a mean of 14.1 mm Hg among those 60-64 years old to 13.0 mm Hg among those 80 years old or older.

Should We Perform Early Cataract Surgery? A Patient Reported Outcome Study.

Purpose: Current guidance states that access to cataract surgery should not be restricted by visual acuity (VA); nevertheless, 6/12 is used as a cut-off criterion in some health institutions. This study aims to determine the benefits of performing cataract surgery in patients with VA of 6/9 or better in both eyes; determine whether these benefits change over time; and compare the benefit observed between early first eye and second eye surgery.

Patients And Methods: Fifty adults with VA at least 6/9 in the worst eye and no ocular comorbidity were recruited.

Agreement amongst consultant ophthalmologists on levels of visual disability required for eligibility for certificate of sight impairment : Sight impairment registration using binocular composite visual fields.

Background: Registration as sight impaired allows access to services important for patients. The rates of sight impairment due to visual field loss are underestimated. Previous work has shown that evaluation of visual field defects in both eyes produces poor agreement among ophthalmologists for categorisation of patients as eligible for sight impairment registration.

Prevalence of treatment with glaucoma medication in Scotland, 2010-2017.

Aims: To report the number and demographic distribution of patients receiving intraocular pressure (IOP)-lowering medications across the whole population of Scotland for the years 2010-2017 and, using national census data, show how the observed changes compare with those predicted by the increasing age of the population structure over this period.

Methods: Data were sourced from the Prescribing Information System of the NHS Information and Statistics Division for Scotland. The number of patients dispensed any IOP-lowering medication from a community pharmacy during each calendar year was collected by gender and by 5-year age bands.

Establishing an allied health professional delivered selective laser trabeculoplasty service in Scotland.

Purpose: To describe the process of establishing a selective laser trabeculoplasty (SLT) service delivered by experienced allied health professionals (AHP) in a Scottish NHS Hospital Eye Service, and assess the safety and efficacy in comparison with SLT performed by ophthalmologists.

Methods: A training scheme for AHPs who were experienced in extended roles within the glaucoma service was developed, consisting of supervised training by a consultant ophthalmologist specialising in glaucoma leading to the AHPs independently delivering SLT. A prospective audit of consecutive SLT procedures performed by AHPs between November 2015 and April 2017 was performed.

Cataract surgery refractive outcomes: representative standards in a National Health Service setting.

Background/aims: To report refractive outcomes from an National Health Service (NHS) cataract surgery service and assess if results meet suggested benchmark standard.

Methods: Details of all patients undergoing cataract surgery in the Southern General and New Victoria hospitals in Glasgow, UK, between November 2006 and December 2016 were prospectively entered into an electronic database. Patients were reviewed 4 weeks postoperatively in the eye clinic and underwent refraction at their local optometrist prior to this appointment.

The impact of SIGN glaucoma guidelines on false-positive referrals from community optometrists in Central Scotland.

Background: Since the introduction of National Institute for Health and Care Excellence glaucoma guidelines 2009, the number of referrals from community optometrists to hospital eye services has increased across the UK, resulting in increase in first visit discharge rates (FVDRs).

Aim: To assess the impact of Scottish Intercollegiate Guidelines Network (SIGN) 144 on quality of referrals from community optometrists.

Methodology: A retrospective study of patient records who attended as new adult glaucoma referrals to clinics in Princess Alexandra Eye Pavilion, Edinburgh, and in Greater Glasgow and Clyde, was carried out across October-November 2014 (group 1) and September-October 2016 (group 2), before and after the introduction of SIGN 144.

Outcome of repeat trabeculectomies: long-term follow-up.

Aim: To assess medium-term to long-term outcomes of a cohort of repeat trabeculectomy augmented with mitomycin C (MMC).

Methods: A prospective evaluation of consecutive separate site repeat MMC-augmented trabeculectomies undertaken at a single institution between October 2000 and December 2012. Information regarding visual acuity (VA), intraocular pressure (IOP), visual field progression, postoperative interventions, surgery complications and success of surgery are presented.

Conjunctival Chemosis as a Specific Feature of Pseudomonas aeruginosa Corneal Ulcers.

Purpose: Timely identification of a bacterial agent and its corresponding antibiotic sensitivity pattern is paramount in the management of infective corneal ulcers. Isolating the microbiological agents can take time; during this time, the initial therapy used is a chosen form of broad-spectrum antibiotics. There are no specific features of bacterial corneal ulcers that aid in identification of the involved pathogen with certainty.

Validity of the Monocular Trial of Intraocular Pressure-Lowering at Different Time Points in Patients Starting Topical Glaucoma Medication.

Importance: Establishing the true therapeutic effect of eyedrops when initiating glaucoma therapy is important. Accurate prediction of the intraocular pressure (IOP)-lowering response in the fellow eye when using a monocular trial eliminates the need for additional office visits to confirm the therapeutic effect.

Objective: To investigate the validity of the monocular trial in patients commencing topical glaucoma treatment at different time points.

Glaucoma-service provision in Scotland: introduction and need for Scottish Intercollegiate Guidelines Network guidelines.

Purpose: To describe the pattern of glaucoma-service delivery in Scotland and identify areas for improvement, taking into account Scottish General Ophthalmic Services (GOS) arrangements and the Eye Care Integration project, and to design Scottish Intercollegiate Guidelines Network (SIGN) guidelines to refine the primary and secondary interface of glaucoma care.

Materials And Methods: A glaucoma-survey questionnaire was sent to all consultant glaucomatologists in Scotland. The design of SIGN guidelines was based on the results of the questionnaire using SIGN methodology.

Repeatability of measurements of effectiveness of glaucoma medication.

Aims: To determine short-term repeatability of the effect of intraocular pressure (IOP) reducing medication and the number of repeated measurements necessary to estimate therapeutic effect with a given degree of precision.

Methods: IOP was measured at 8:00, 11:00 and 16:00 h at each of three weekly visits in untreated patients with primary open-angle glaucoma or ocular hypertension. After starting travaprost (0.

Day-to-day variability in intraocular pressure in glaucoma and ocular hypertension.

Aims: To investigate the day-to-day repeatability of intraocular pressure (IOP) measurements.

Methods: A prospective cohort study of untreated patients presenting with primary open-angle glaucoma or ocular hypertension presenting with IOP>21 mm Hg. IOP was measured by masked Goldmann tonometry at 08:00, 11:00 and 16:00 at each of the three weekly visits.

Outcome of repeat trabeculectomies.

Background: To determine the success of repeat trabeculectomy augmented with mitomycin C in a cohort of patients who had undergone previously failed trabeculectomy surgery.

Design: A consecutive cohort series of patients.

Participants: Fifty patients undergoing augmented trabeculectomy surgery following a previously failed trabeculectomy and at least 12 months' follow up.

Monocular trial of intraocular pressure-lowering medication: a prospective study.

Objective: To investigate the validity of the monocular therapeutic trial of therapy in patients commencing topical glaucoma treatment.

Design: Prospective intention-to-treat cohort study of untreated patients presenting with open-angle glaucoma or ocular hypertension.

Participants: We included 30 treatment-naïve subjects.

Angle-closure glaucoma due to suprachoroidal hemorrhage secondary to disseminated intravascular coagulation.

Secondary AACG can be associated with intumescent lens, choroidal melanoma, and aqueous misdirection. Here, we would like to report a unique case of acute angle-closure glaucoma secondary to suprachoroidal hemorrhage, resulting from disseminated intravascular coagulation, not previously reported.

Treating patients presenting with advanced glaucoma--should we reconsider current practice?

The management of patients presenting with advanced glaucoma presents a challenge to glaucoma clinicians. Presentation with advanced visual field loss is an important risk factor for progression to blindness in the affected eye(s) during the patients' lifetime. Maximising intraocular pressure (IOP) control in such situations is likely to minimise the risk of further visual field deterioration thus either preventing or slowing progression to blindness.