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Review of glaucoma management in France
Léo Prud'homme1,2, Juliette Knoeri3, Chloé Chamard4
1Ophthalmology, Fondation Hopital Saint Joseph, Paris, France.
European Journal of Ophthalmology
|January 4, 2023
Summary
Glaucoma management in France shows varied practices among ophthalmologists. This review highlights the need for more standardized approaches to optimize patient care and treatment outcomes.
Area of Science:
- Ophthalmology
- Medical Practice Analysis
Background:
- Glaucoma is a leading cause of irreversible blindness worldwide.
- Effective management is crucial to prevent vision loss.
- Current treatment strategies in France have not been comprehensively reviewed.
Purpose of the Study:
- To review current glaucoma management practices among French ophthalmologists.
- To identify variations in diagnostic techniques and treatment modalities.
- To assess the adoption of advanced technologies and specific interventions.
Main Methods:
- A survey was distributed to ophthalmologists across France.
- The survey comprised 15 questions covering diagnostic tools and treatment protocols.
- Data from 459 ophthalmologists were analyzed.
Main Results:
- Significant variation exists in the use of gonioscopy lenses and anterior segment imaging.
- While most interpret visual fields easily, only 54% use progression software.
- Treatment choices for postoperative hypotony and selective laser trabeculoplasty show considerable diversity.
- Management of primary angle-closure glaucoma involves peripheral iridotomy or cataract surgery in most cases.
Conclusions:
- Ophthalmologists in France exhibit diverse approaches to glaucoma management.
- There is a clear need for the development and implementation of standardized clinical practices.
- Standardization could improve consistency and effectiveness of glaucoma care.
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