Seeking a practical definition of stable glaucoma: a Delphi consensus survey of UK glaucoma consultants.

Eye
B K LakhaniA J King

Abstract

To generate a practical and clinically useful consensus definition of 'stable glaucoma' to aid provision of glaucoma services in the UK and to provide guidance for the criteria that should be used for monitoring of glaucoma patients in primary care services. A Delphi exercise was undertaken to derive consensus through an online questionnaire. Participants were asked to score their strength of agreement for a series of clinical parameters. Results and comments from each round were used to inform subsequent rounds. A total of 3 rounds were undertaken. Thirty-two glaucoma experts participated in the study with over 90% completion rate achieved over three rounds. The consensus was reached for the following parameters: IOP levels to be used for defining stability, visual field-testing techniques to define stability, the number of medication changes acceptable to define stability and the number of treatment medications allowed to define stability. No consensus was reached on the period of time over which stability was defined, however, there was considerable agreement that longer durations of follow up (36-48 months) were required. A combination of optic disc photos and ocular coherence topography (OCT) retinal nerve fibre layer (RNF...Continue Reading

References

Jan 15, 2008·American Journal of Ophthalmology·M Roy WilsonUNKNOWN Glaucoma Modified RAND-Like Methodology Group
Mar 4, 2014·Journal of Clinical Epidemiology·Ivan R DiamondPaul W Wales
Aug 2, 2014·Survey of Ophthalmology·Colin I ClementTarek Shaarawy
Nov 15, 2016·Medical Teacher·Susan Humphrey-MurtoTimothy J Wood
Aug 20, 2017·The British Journal of Ophthalmology·Aachal KotechaPaul J Foster

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Citations

Sep 4, 2020·Translational Vision Science & Technology·Stuart K Gardiner, Steven L Mansberger
Aug 23, 2020·The Journal of Head Trauma Rehabilitation·Corinne Lagacé-LegendreNatalie Le Sage

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