September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Glaucoma Patient-Reported Concerns and Associated Factors
Author Affiliations & Notes
  • Rachel Mogil
    Department of Ophthalmology, Manhattan Eye, Ear & Throat Hospital, New York, New York, United States
  • Andrew Tirsi
    Department of Ophthalmology, Manhattan Eye, Ear & Throat Hospital, New York, New York, United States
  • Jung Lee
    Department of Ophthalmology, Manhattan Eye, Ear & Throat Hospital, New York, New York, United States
  • Celso Tello
    Department of Ophthalmology, Manhattan Eye, Ear & Throat Hospital, New York, New York, United States
    Department of Ophthalmology, Hofstra North Shore-LIJ School of Medicine, Hempstead, New York, United States
  • Sung Chul Park
    Department of Ophthalmology, Manhattan Eye, Ear & Throat Hospital, New York, New York, United States
    Department of Ophthalmology, Hofstra North Shore-LIJ School of Medicine, Hempstead, New York, United States
  • Footnotes
    Commercial Relationships   Rachel Mogil, None; Andrew Tirsi, None; Jung Lee, None; Celso Tello, None; Sung Chul Park, Heidelberg Engineering, GmbH (R)
  • Footnotes
    Support  American Glaucoma Society Young Clinician-Scientist Award (Dr. Park), Empire Clinical Research Investigator Program of New York State (Dr. Park), MEETH Glaucoma Education and Research Fund (#591601) (Dr. Park)
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 1978. doi:
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      Rachel Mogil, Andrew Tirsi, Jung Lee, Celso Tello, Sung Chul Park; Glaucoma Patient-Reported Concerns and Associated Factors. Invest. Ophthalmol. Vis. Sci. 2016;57(12):1978.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To assess the character and degree of concerns of glaucoma patients and to identify demographic/clinical factors affecting the concerns.

Methods : We created a survey that addressed patients’ concerns on their general eyesight, visual symptoms, socioeconomic factors, activities and ocular symptoms. The survey was administered by two trained personnel to consecutive glaucoma patients in a tertiary referral practice. The severity of concern was scored with a scale of 0 to 5: not (0), slightly (1), somewhat (2), moderately (3), very (4), and extremely concerned (5). Age, gender, race, employment status (employed or not), best-corrected visual acuity (BCVA) in the worse eye, mean deviation (MD) of the most recent visual field (VF) in the worse eye, and number of total glaucoma medications were recorded. To identify demographic/clinical factors affecting the concerns, mean severity score was compared among subgroups based on categorical variables and correlation analysis was performed between severity score and numerical variables.

Results : Interview results of 100 glaucoma patients (mean VF MD, -17.56±10.24 dB; mean age, 68±15 years) were analyzed. Survey items, proportion of patients who answered ‘yes’ for each item, and degree of concern are described in Table. The two biggest concerns were blurry vision (33%) and difficulty seeing in dark light (20%) among visual symptoms, medical cost (29%) and getting help from others (13%) among socioeconomic factors, reading small print (33%) and driving (20%) among activities, and dryness (28%) and tearing (13%) among ocular symptoms. The severity of specific concern is greatest for visual symptoms (2.76/5.00), followed by socioeconomic factors (2.17/5.00), activities (2.14/5.00), and then ocular symptoms (1.62/5.00) (Table; p<0.001). The concern regarding visual symptoms was greater in patients with worse VF MD (p=0.002) or of African descent (p=0.029). The concern regarding socioeconomic factors was greater in younger (p=0.009) or employed (p=0.039) patients. The concern regarding activities was greater in patients with worse BCVA (p<0.001) or worse VF MD (p<0.001).

Conclusions : Glaucoma patients are somewhat to moderately concerned especially about visual symptoms, followed by socioeconomic factors and activities. Specific concerns are associated with certain demographic/clinical factors. This information will be useful for better care of glaucoma patients.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

 

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