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Related Concept Videos

Glaucoma: Overview01:25

Glaucoma: Overview

486
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...
486
Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

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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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Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

378
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...
378

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Italian glaucoma virtual clinics: Developing a consensus for remote patient management.

Francesco Matarazzo1,2, Carlo Alberto Cutolo3, Alessandro Rabiolo4

  • 1Department of Neurosciences, Reproductive Sciences and Dentistry, University of Naples "Federico II", Naples, Italy.

Acta Ophthalmologica
|March 18, 2025
PubMed
Summary
This summary is machine-generated.

Italian glaucoma specialists reached consensus on guidelines for virtual clinics, defining suitable patients, essential assessments, and staffing needs to improve glaucoma care accessibility and efficiency.

Keywords:
delphi panelexpert consensusglaucomavirtual clinics

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Area of Science:

  • Ophthalmology
  • Health Services Research

Background:

  • Glaucoma care faces increasing demand, necessitating innovative service delivery models.
  • Virtual clinics offer a potential solution to enhance accessibility and streamline patient management.

Purpose of the Study:

  • To establish expert consensus on guidelines for implementing glaucoma virtual clinics in Italy.
  • Focus areas include patient suitability, essential clinical assessments, and staffing requirements.

Main Methods:

  • A modified Delphi method was employed with Italian glaucoma specialists.
  • A 66-item questionnaire covered patient categories, assessments, staffing, and implementation guidelines.
  • Multi-round expert review and rating were used to achieve consensus.

Main Results:

  • Consensus was reached on 57.6% of items after two rounds involving 11-16 specialists.
  • Specific patient profiles, essential diagnostic tests, and required roles (e.g., orthoptists, ophthalmic assistants) were identified.
  • Agreement was achieved on standardized assessments and the need for support staff.

Conclusions:

  • The Delphi panel provides foundational guidance for establishing glaucoma virtual clinics in Italy.
  • These guidelines cover patient selection, necessary assessments, and optimal staffing.
  • Implementing tailored virtual clinics can improve glaucoma care access, workflow efficiency, and meet healthcare system demands.