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Related Concept Videos

Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

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In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
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Angle Closure Glaucoma: Treatment01:28

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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Glaucoma: Overview01:25

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Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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Updated: Nov 1, 2025

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Early Experience With Full-scope Shared-care Teleglaucoma in Canada.

Molly J Elson1, Annette Giangiacomo2,3, A Y Maa1,2

  • 1Department of Ophthalmology, Emory University School of Medicine.

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|June 26, 2021
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Summary

This Canadian teleglaucoma program offers convenient, shared care for glaucoma patients, reducing wait times and travel. It efficiently manages stable cases, diverting them from subspecialty clinics.

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Area of Science:

  • Ophthalmology
  • Telemedicine
  • Public Health

Background:

  • Glaucoma management faces challenges with overburdened subspecialty clinics.
  • Teleglaucoma offers a potential solution for efficient patient care and diversion.

Purpose of the Study:

  • To describe the early experience with Care1, a large, full-scope, shared-care teleglaucoma program in Canada.
  • To evaluate the collaborative model between optometrists and ophthalmologists for glaucoma patient management.

Main Methods:

  • A retrospective query of the Care1 database for glaucoma patients (February 2016-March 2017).
  • Collection of clinical characteristics including visual acuity, intraocular pressure, and imaging results.
  • Analysis of quality metrics such as referral rates and inter-provider assessment consistency.

Main Results:

  • 4070 patients were included, with 55.1% female and an average age of 57.8 years.
  • 97.3% had visual acuity between 20/20 and 20/40; 3.3% had intraocular pressure >26.
  • Only 1.9% of patients required an in-person ophthalmologist consultation.

Conclusions:

  • The Care1 teleglaucoma program demonstrates a convenient and collaborative care model.
  • It effectively manages glaucoma suspects and medically stable glaucoma patients.
  • This approach facilitates efficient diversion from subspecialty clinics while ensuring continuity of care.