Understanding practice patterns of glaucoma subspecialists in India

• 作者: Nikhil S.Choudhari Prateep Vyas Ronnie George Sushmita Kaushik Vanita Pathak-Ray
• 来源期刊: 国际眼科杂志：英文版
• 学科: 医学
• 年，卷（期）: 2017,（10）
• 页码范围: 1580-1585
• 页数: 6页
• 分类号: R77

摘要

AIM:To obtain information on the prevailing practice patterns of glaucoma specialists in India.METHODS:Glaucoma specialists attending the Annual Conference of the Glaucoma Society of India(GSI) were surveyed.This survey,conducted in 2013,was based on an interactive audience response system.RESULTS:The information was obtained from 146 glaucoma specialists.Approximately half(n=83;57%) had ≥10 y of experience in managing glaucoma and were in institutional practice(n=74,51%).Goldmann applanation tonometry was preferred by 103(72%) specialists whilst n=25(17.4%) used non-contact tonometer.Indentation gonioscopy was favoured by two-thirds(n=90,66%) whereas stereoscopic optic disc examination and visual fields using Humphrey perimeter was performed by a majority of the specialists surveyed(n=115,86% and n=114;83% respectively).Nearly three quarter specialists(n=96;72%) preferred optical coherence tomography for imaging.The primary choice for treatment of angle closure disease and primary open angle glaucoma was laser(iridotomy,n=117;93%) and medical management(prostaglandin analogue,n=104;78%),respectively.Approximately only a third of the specialists surveyed(n=37;28%) were performing both trabeculectomy and implantation of a glaucoma drainage device and about half(n=64;47%) were not operating on congenital glaucoma at all.CONCLUSION:This survey has found conformance with preferred practice patterns in several areas of diagnosisand management of glaucoma,but there was diversity in a few areas.The information is a significant step towards improvement of glaucoma care in India,including planning for future strategies.