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首页> 外文期刊>Journal of glaucoma >Compliance With Primary Open-angle Glaucoma and Primary Open-angle Glaucoma Suspect Preferred Practice Patterns in a Retail-based Eye Clinic
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Compliance With Primary Open-angle Glaucoma and Primary Open-angle Glaucoma Suspect Preferred Practice Patterns in a Retail-based Eye Clinic

机译：符合主要开放角度青光眼和主要开放角度青光眼可疑在零售的眼科诊所中的首选实践模式

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Purpose: To determine the level of adherence to the American Academy of Ophthalmology preferred practice pattern (PPP) guidelines for quality primary open-angle glaucoma (POAG) and POAG suspect (POAGS) care among retail-based optometrists. Methods: Patients with a diagnosis of POAG or POAGS who participated in a telemedicine pilot project were included. Patients' charts were evaluated for 15 elements of PPP guidelines for glaucoma care. Results were further stratified by number of follow-up visits and diagnosis. Results: Of 360 identified patients, 10 elements were documented in over 98%. Documentation of the remaining 5 components was as follows: dilated fundus examination 91.1%, central corneal thickness (CCT) 88.6%, visual field 78.9%, gonioscopy 47.5%, and target intraocular pressure (IOP) 15.6%. in total, 32.8% of patients were seen once, whereas the remaining 67.2% had multiple visits. In patients with multiple visits, providers were more likely to document systemic history (100.0% vs. 97.5%; P=0.0346), review of systems (100.0% vs. 97.5%; P=0.0346), gonioscopy (60.0% vs. 22.0%; P0.001), CCT (94.2% vs. 77.1%; P0.001), visual field (97.5% vs. 40.7%; P0.001), and target IOP (22.4% vs. 1.7%; P0.001) compared with single visit patients. In stratifying results by diagnosis, POAG patients more often received visual field testing (92.7% vs. 68.9%; P0.001) and had an established target IOP (35.1% vs. 1.4%; P0.001) compared with POAGS patients. Conclusions: Compliance with PPP guidelines for glaucoma care was very high for most elements but lower for performing dilated fundus examination, CCT, visual field, gonioscopy, and target IOP. This study highlights deficiencies in care likely to hamper the detection of glaucoma progression.
机译：目的：确定对美国眼科学院的遵守水平优先考虑模式（PPP）质量主要开放角度葡萄糖（PPP）和POAG嫌疑人（POAGS）在零售的验光师之间进行护理。方法：诊断诊断为参加远程医疗试点项目的POAG或POAG的患者。评估患者的图表，用于Glaucoma护理的PPP指南的15个要素。结果通过后续访问和诊断的数量进一步分层。结果：360例鉴定患者，10元素以超过98％记录。剩余5个组分的文献如下：扩张眼底检验91.1％，中央角膜厚度（CCT）88.6％，视野78.9％，奇皮镜检查47.5％，靶骨内压（IOP）15.6％。总共有32.8％的患者一次，而剩下的67.2％有多次访问。在多次访问的患者中，提供者更有可能记录系统历史（100.0％与97.5％; P = 0.0346），对系统进行审查（100.0％与97.5％; P = 0.0346），GONIOSCOPY（60.0％与22.0） ％; p <0.001），CCT（94.2％与77.1％; P <0.001），视野（97.5％vs. 40.7％; P <0.001），靶IOP（22.4％与1.7％; P <0.001 ）与单一访问患者相比。通过诊断的分层结果，POG患者更常见的视野测试（92.7％与68.9％; P <0.001），与POAGS患者相比，具有已建立的靶IOP（35.1％vs.1.4％; P <0.001）。结论：大多数元素的符合Glaucoma护理的PPP指南非常高，但对于执行扩张的眼底检查，CCT，视野，GONIICOPY和目标IOP，较低。本研究突出了妨碍妨碍葡萄糖进展的缺陷。

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