September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Wills Eye Community Intervention to Improve Glaucoma Detection and Follow-up Care
Author Affiliations & Notes
  • Lisa A Hark
    Wills Eye Hospital , Philadelphia , Pennsylvania, United States
  • L Jay Katz
    Wills Eye Hospital , Philadelphia , Pennsylvania, United States
  • Deiana M Johnson
    Wills Eye Hospital , Philadelphia , Pennsylvania, United States
  • Jeanne Molineaux
    Wills Eye Hospital , Philadelphia , Pennsylvania, United States
  • Jonathan S Myers
    Wills Eye Hospital , Philadelphia , Pennsylvania, United States
  • ARTHUR RESENDE
    Wills Eye Hospital , Philadelphia , Pennsylvania, United States
  • Shae Reber
    Wills Eye Hospital , Philadelphia , Pennsylvania, United States
  • Michael Waisbourd
    Wills Eye Hospital , Philadelphia , Pennsylvania, United States
  • Benjamin Leiby
    Thomas Jefferson University , Philadelphia, Pennsylvania, United States
  • Julia A Haller
    Wills Eye Hospital , Philadelphia , Pennsylvania, United States
  • Footnotes
    Commercial Relationships   Lisa Hark, None; L Jay Katz, None; Deiana Johnson, None; Jeanne Molineaux, None; Jonathan Myers, None; ARTHUR RESENDE, None; Shae Reber, None; Michael Waisbourd, None; Benjamin Leiby, None; Julia Haller, None
  • Footnotes
    Support  Centers for Disease Control and Prevention 1 U01 DP005127-01
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 2588. doi:
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      Lisa A Hark, L Jay Katz, Deiana M Johnson, Jeanne Molineaux, Jonathan S Myers, ARTHUR RESENDE, Shae Reber, Michael Waisbourd, Benjamin Leiby, Julia A Haller; Wills Eye Community Intervention to Improve Glaucoma Detection and Follow-up Care. Invest. Ophthalmol. Vis. Sci. 2016;57(12):2588.

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      © 2017 Association for Research in Vision and Ophthalmology.

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Abstract

Purpose : The Wills Eye Glaucoma Research Center, with funding from the CDC, initiated a 5-year community-based telemedicine intervention to improve detection and management of glaucoma and other eye diseases in high-risk patients in Philadelphia.

Methods : Subjects (African Americans, Hispanic, or Asian individuals age >45; Caucasian individuals age >65; and anyone age >40 with diabetes or a family history of glaucoma) were offered eye screenings (Visit 1) in primary care physician offices and Federally Qualified Health Centers. Visit 1 consisted of an ocular, medical, and family history; fundus photographs using a non-mydriatic, auto-focus, hand-held fundus camera (Volk, Ohio, USA); intraocular pressure (IOP) measurements (iCare, Helsinki, Finland); and visual acuity testing. Subjects with abnormal images and unreadable photos were invited for a complete eye exam in the same community location (Visit 2). Satisfaction surveys were administered to all subjects at Visit 1 and analyzed independently by Westat, Inc.

Results : From April 1, 2015 to December 1, 2015, 414 subjects consented and attended Visit 1. The mean age was 58.4 years. Subjects were predominately female (59.3%); 58% African American, 21% Caucasian, 4.1% Asian, 19.8% Hispanic/Latino and 0.8% other/mixed race. A total of 156 subjects had abnormal images (37.7%) and 62 subjects had unreadable images (15%). Fifty-three subjects (17%) had abnormal cup-to-disc ratio, 16 subjects (5.1%) had rim width <0.2 and 39 subjects (12.5%) had cup-to-disc asymmetry >0.2. Sixteen subjects (3.9%) had ocular hypertension with normal images. The majority of subjects (94%), stated they would return to this community location for a complete eye exam if a problem was found. At least 82% reported they would recommend the screening to a friend or family member and 80% said it was very convenient to have the screening in their doctor’s office.

Conclusions : This project clearly demonstrates how community-based telemedicine screening can improve access, detection, and follow-up eye care of individuals at high-risk for glaucoma and other eye diseases. Conducting eye screenings and complete eye examinations in primary care offices and federally qualified health centers holds promise in improving follow-up eye care and delaying vision loss in high-risk populations.

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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