Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Glaucoma: Overview01:25

Glaucoma: Overview

1.7K
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...
1.7K
Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

1.1K
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.
Drugs such as carbonic anhydrase inhibitors, α2- and...
1.1K
Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

1.7K
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...
1.7K
Diabetic Retinopathy01:27

Diabetic Retinopathy

65
DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
65

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Consumer-Reported Quality Indicators for Publicly-Funded Home and Community-Based Services: Development and Validation.

The Gerontologist·2026
Same author

How do US states define person-centered and family-involved care in assisted living regulations.

Frontiers in dementia·2026
Same author

Prevalence of Unmet Service Needs and Associated Person-Reported Outcomes in Long-Term Services and Supports in the United States.

Journal of the American Geriatrics Society·2026
Same author

Long-Term Perceptions of the Value of Amyloid PET Scans Among Cognitively Impaired Medicare Beneficiaries and Their Care Partners.

International journal of geriatric psychiatry·2026
Same author

Intraocular Pressure Measurement Variability in the Ocular Hypertension Treatment Study.

Ophthalmology. Glaucoma·2026
Same author

Toward Long-Term Visual Field Appearance Forecasting Using Artificial Intelligence for Ophthalmic Education and Diagnosis.

Ophthalmology science·2026

Related Experiment Video

Updated: May 5, 2026

Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
07:11

Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential

Published on: May 25, 2020

6.2K

Patient Navigators Improve In-Office Eye Exam Adherence After Community Eye Screenings in a Randomized Clinical

Lisa A Hark1, Prakash Gorroochurn2, Laura T Pizzi3

  • 1From the Department of Ophthalmology (L.H., A.G., N.H., J.H., L.P., Q.W., D.D., I.V., T.S., J.L., G.C.), Columbia University, Vagelos College of Physicians and Surgeons, New York, New York, USA.; Edward S. Harkness Eye Institute (L.H., S.M., N.H., J.H., Q.W., D.D., I.V., D.T., Y.W., T.S., J.L., G.C.), Columbia University Irving Medical Center, New York, New York, USA..

American Journal of Ophthalmology
|February 27, 2025
PubMed
Summary

Patient navigators significantly improved adherence to initial eye exams for underserved populations after community screenings. This intervention also proved cost-effective, saving $8.78 per participant compared to usual care.

More Related Videos

Using an Automated Hirschberg Test App to Evaluate Ocular Alignment
05:40

Using an Automated Hirschberg Test App to Evaluate Ocular Alignment

Published on: March 24, 2020

11.5K
Subjective Refraction Test Using a Smartphone for Vision Screening
05:36

Subjective Refraction Test Using a Smartphone for Vision Screening

Published on: October 18, 2024

578

Related Experiment Videos

Last Updated: May 5, 2026

Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
07:11

Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential

Published on: May 25, 2020

6.2K
Using an Automated Hirschberg Test App to Evaluate Ocular Alignment
05:40

Using an Automated Hirschberg Test App to Evaluate Ocular Alignment

Published on: March 24, 2020

11.5K
Subjective Refraction Test Using a Smartphone for Vision Screening
05:36

Subjective Refraction Test Using a Smartphone for Vision Screening

Published on: October 18, 2024

578

Area of Science:

  • Ophthalmology and Public Health
  • Health Services Research
  • Health Economics

Background:

  • Underserved populations face barriers to accessing follow-up eye care after community screenings.
  • Adherence to recommended ophthalmology appointments is crucial for early detection and management of eye diseases.

Purpose of the Study:

  • To evaluate the effectiveness and cost-efficiency of patient navigators in enhancing adherence to initial in-office eye exams.
  • To assess the impact of patient navigators on eye care access for underserved groups.

Main Methods:

  • A 5-year prospective, cluster-randomized clinical trial involving adults aged 40+ from affordable housing and senior centers.
  • Community-based eye health screenings followed by referral, with navigator intervention (appointment scheduling support) versus usual care.
  • Analysis included adherence rates, logistic regression for associated factors, and cost-effectiveness analysis.

Main Results:

  • Adherence to initial eye exams was 51.8% with patient navigators versus 38.1% in the usual care group.
  • Navigator intervention increased the odds of adherence (OR = 1.529) and English primary language also positively influenced adherence (OR = 1.815).
  • The navigator intervention resulted in cost savings, with an incremental cost-effectiveness difference of $8.78 less per participant.

Conclusions:

  • Patient navigators are effective in improving adherence to in-office eye exams among underserved populations.
  • The navigator model offers a cost-effective strategy for enhancing follow-up eye care adherence.
  • Implementing patient navigator programs can bridge the gap in eye care access for vulnerable communities.