Subsequent Receipt of Interventions for Glaucoma Among a Nationwide Sample of Patients Who Underwent Laser Peripheral Iridotomy
In: American journal of ophthalmology, Jg. 160 (2014-12-30), Heft 2
Online
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Zugriff:
Purpose To evaluate use of medical, laser, or incisional surgical interventions for glaucoma after laser peripheral iridotomy (LPI). Design Retrospective longitudinal cohort study. Methods All enrollees aged ≥21 years in a US managed-care network who underwent bilateral LPIs in 2001–2011 were identified. The mean numbers of pre- and post-LPI glaucoma medication classes prescribed and the proportion of enrollees requiring cataract or glaucoma surgery within 2 years after the LPIs were determined. Multivariable logistic regression assessed factors associated with enrollees' prescription of ≥1 glaucoma medication class after bilateral LPIs. Results Of the 1660 patients undergoing bilateral LPIs, 1280 (77.1%) had no pre- or post-LPI prescriptions for any glaucoma medication class. Of the remaining patients, 251 (66.1%) required more glaucoma medication classes after than before the procedures, whereas 44 (11.6%) used fewer after the procedures; 85 (22.4%) were prescribed the same number before and after the LPIs. A total of 167 patients (10.1%) underwent cataract surgery and 79 (4.8%) received glaucoma surgery over the 2-year follow-up. Black patients had a 130% increased odds for glaucoma medication–class prescriptions after bilateral LPIs, compared with white patients ( P = .02). The odds of post-LPI glaucoma medication use increased by 21% for every additional 5 years of age ( P Conclusion Most patients undergoing bilateral LPIs received no pre- or post-LPI glaucoma medication–class prescriptions and had no cataract or additional glaucoma surgery within 2 years after LPIs. Clinicians should alert black or older patients and those already taking glaucoma medications before the procedure of their higher odds of requiring medications afterward.
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Subsequent Receipt of Interventions for Glaucoma Among a Nationwide Sample of Patients Who Underwent Laser Peripheral Iridotomy
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Autor/in / Beteiligte Person: | Blachley, Taylor ; Stein, Joshua D. ; Lee, Paul P. ; S. Asha Balakrishnan ; Bansal, Surbhi ; Weizer, Jennifer S. |
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Zeitschrift: | American journal of ophthalmology, Jg. 160 (2014-12-30), Heft 2 |
Veröffentlichung: | 2014 |
Medientyp: | unknown |
ISSN: | 1879-1891 (print) |
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