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Written informed consent was obtained prior to enrolment. MD is a summary measure of overall reduction in VF sensitivity relative to a group of healthy age-matched observers, with more negative values indicating more vision loss. Worse eye (ie, most afflicted) VF loss as determined by Humphrey Field Analyser (HFA) mean deviation (MD) ranging from в€’2.4 dB (early) to в€’30.0 dB (advanced), although the majority of eyes exhibited moderate loss (median: в€’8.9 dB). Briefly, all participants recorded baseline best-corrected visual acuity <0.5 logMAR in the better eye. Detail of clinical measurements and ocular findings are published elsewhere (Jones et al, 2021). Twenty people (10 women) aged 62вЂ“78 (median: 71) years with an established diagnosis of glaucoma were recruited ( table 1).

Participants were assessed for suitability by a glaucoma-accredited optometrist (PC). Participants were recruited via an advertisement in the International Glaucoma Association newsletter ( IGA News: ) on a consecutive basis until the recruitment goal was reached. This report focuses on understanding the experiences of patients with glaucoma of VF home monitoring for 6 months, and exploring views regarding wider implementation of this approach in glaucoma care. 15 The aim of the present study was to investigate the acceptability of VF home monitoring using the Eyecatcher programme. We assessed accuracy of home VF monitoring in a parallel investigation. 14 For home monitoring to be successful, clinical measurements must be accurate, and patients must be accepting of this healthcare model. This research gap is significant as integration of new healthcare approaches can be challenging and sometimes met with resistance from service users. 13 However, the acceptability of home-based VF testing has not been explored.

Previous research suggests people with glaucoma are receptive to forms of home monitoring, such as web-based symptom diaries. Other tangible benefits may include increased capacity to collect more frequent VF data, shortened hospital visits and strengthening of the overall glaucoma health service by intelligently prioritising patients. 10 For example, home-based perimetry has been shown to be highly comparable with conventional hospital-based perimetry 11 12 and may be inexpensive to implement. 8 9 Innovation has increased opportunities to perform clinical tests at home. Home monitoring, whereby disease progression is proactively monitored through patient-led, home-based testing, may help alleviate the increasingly unsustainable burden on hospital eye services. 4вЂ“6 VF testing may also help predict how glaucoma will impact on patientsвЂ™ quality of life over time.

Custon field speaker nvivo 12 serial#

This measurement, known as the visual field (VF) test, is used in combination with other clinical metrics to determine progression of disease, and analysis of serial tests can be used to estimate risk of severe visual loss. 3ДЄssessment of functional damage in glaucoma is determined through perimetry, a psychophysical test highlighting areas of reduced visual (luminance contrast) sensitivity. 2 In addition, with the COVID-19 pandemic reducing the number of in-clinic services available, improving remote services and home monitoring is a research priority. The National Health Service (NHS) Long Term Plan, a 10-year strategy describing major practical changes to the NHS service model, aims to make home monitoring of chronic conditions a more widely established and convenient component of patient care. High patient caseload has resulted in glaucoma services struggling to accommodate demand therefore, establishing new methods to support effective surveillance is required. 1 Patients with glaucoma require lifelong clinical monitoring in the UK this is typically within the hospital eye service. Worldwide prevalence of glaucoma is projected to reach ~111вЂ‰million people aged 40вЂ“80 years by 2040. Glaucoma is a chronic progressive condition and a leading cause of non-recoverable vision loss.