Glaucoma surgery preferences when the surgeon adopts the role of the patient

Ta Chang, Elizabeth A. Vanner, Richard K Parrish

Research output: Contribution to journalArticle

Abstract

Background/Objectives: To survey the members of the American Glaucoma Society (AGS) to determine which glaucoma procedures they would prefer to have performed on themselves. Subjects/Methods: We distributed an anonymous, electronic survey via the AGS listserv. The participants were asked to adopt the role of a patient with primary open angle glaucoma with progressive visual field loss in need of glaucoma surgery. Three preoperative intraocular pressure (IOP) levels were provided (>26 mmHg, 21–26 mmHg, and <21 mmHg), and the participants were asked to choose a glaucoma procedure they would prefer performed on themselves under each preoperative IOP levels from a list of fifteen procedures. Results: Out of 289 responses (representing 27.4% of active and provisional AGS members), the most preferred procedures were ab interno trabeculotomy (20.3%), Xen gel stent (18.6%), iStent with two devices (14.3%) and traditional trabeculectomy augmented with mitomycin C (14.1%). 17.6% and 6.9% of participants preferred a trabeculectomy performed or a glaucoma drainage device (GDD) implanted on themselves, which is a lower than what would be offered to a hypothetical patient. Significant proportions of participants prefer non-bleb forming or conjunctiva-sparing procedures, even with low preoperative IOP levels. Older participants were more likely to prefer traditional trabeculectomy and having a single procedure across all levels of preoperative IOP. Conclusions: The majority of AGS participants in the survey would prefer micro-invasive glaucoma surgery over traditional trabeculectomy or a GDD performed on themselves as a primary glaucoma procedure, and most would prefer non-bleb forming and conjunctiva-sparing procedures.

Original languageEnglish (US)
JournalEye (Basingstoke)
DOIs
StatePublished - Jan 1 2019

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Glaucoma
Trabeculectomy
Intraocular Pressure
Conjunctiva
Equipment and Supplies
Drainage
Surgeons
Mitomycin
Visual Fields
Stents
Gels

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems

Cite this

Glaucoma surgery preferences when the surgeon adopts the role of the patient. / Chang, Ta; Vanner, Elizabeth A.; Parrish, Richard K.

In: Eye (Basingstoke), 01.01.2019.

Research output: Contribution to journalArticle

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abstract = "Background/Objectives: To survey the members of the American Glaucoma Society (AGS) to determine which glaucoma procedures they would prefer to have performed on themselves. Subjects/Methods: We distributed an anonymous, electronic survey via the AGS listserv. The participants were asked to adopt the role of a patient with primary open angle glaucoma with progressive visual field loss in need of glaucoma surgery. Three preoperative intraocular pressure (IOP) levels were provided (>26 mmHg, 21–26 mmHg, and <21 mmHg), and the participants were asked to choose a glaucoma procedure they would prefer performed on themselves under each preoperative IOP levels from a list of fifteen procedures. Results: Out of 289 responses (representing 27.4{\%} of active and provisional AGS members), the most preferred procedures were ab interno trabeculotomy (20.3{\%}), Xen gel stent (18.6{\%}), iStent with two devices (14.3{\%}) and traditional trabeculectomy augmented with mitomycin C (14.1{\%}). 17.6{\%} and 6.9{\%} of participants preferred a trabeculectomy performed or a glaucoma drainage device (GDD) implanted on themselves, which is a lower than what would be offered to a hypothetical patient. Significant proportions of participants prefer non-bleb forming or conjunctiva-sparing procedures, even with low preoperative IOP levels. Older participants were more likely to prefer traditional trabeculectomy and having a single procedure across all levels of preoperative IOP. Conclusions: The majority of AGS participants in the survey would prefer micro-invasive glaucoma surgery over traditional trabeculectomy or a GDD performed on themselves as a primary glaucoma procedure, and most would prefer non-bleb forming and conjunctiva-sparing procedures.",
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