Division of Ophthalmology, Department of Surgery, University of Calgary, Calgary, AB.
Department of Ophthalmology, Centre Hospitalier de l'Université de Montréal (CHUM).
J Glaucoma. 2020 Dec;29(12):1162-1172. doi: 10.1097/IJG.0000000000001659.
PRéCIS:: Ocular surface disease (OSD) in glaucoma is an area for improvement in the management of patients with glaucoma. This study explores the knowledge of glaucoma subspecialists toward OSD in glaucoma, then provides a suggested treatment algorithm.
To assess the attitudes, knowledge, and level of comfort of Canadian glaucoma specialists with respect to the assessment and management of OSD among patients with glaucoma.
Ophthalmologist members of the Canadian Glaucoma Society with fellowship training in glaucoma were contacted to participate in this cross-sectional survey study. Responses were recorded to statements regarding attitudes toward OSD in glaucoma, and assessment and management modalities. These were recorded primarily in the form of a Likert scale rated 1 to 7 from "strongly disagree" to "strongly agree." Descriptive statistics were generated, and mean and SD for responses on Likert scales.
Thirty-six responses were included. All respondents agreed that comprehensive management of OSD could improve quality of life, 97% agreed it could lead to better glaucoma outcomes, whereas only 22% agreed it is presently being adequately managed in glaucoma practices. Respondents were asked to list all treatment modalities they felt knowledgeable about, ranging from 100% for optimizing topical glaucoma therapies to 31% for serum tears. Nearly all respondents (92%) agreed that a suggested algorithm for the treatment of OSD in glaucoma could improve their approach to management.
OSD is a common comorbidity of glaucoma. Although respondents overwhelmingly agreed that comprehensive management of OSD may lead to improved quality of life and glaucoma-related outcomes, only a small percentage felt it was presently adequately managed. Increasing knowledge related to the assessment and management of OSD in glaucoma may in the future improve patient care.
评估加拿大青光眼专家对青光眼患者眼表疾病（OSD）评估和管理的态度、知识和舒适度。
联系了具有青光眼专科培训 fellowship的加拿大青光眼学会眼科医生会员参与这项横断面调查研究。记录了他们对青光眼患者眼表疾病态度、评估和管理模式的评估的回应。这些回应主要以 1 到 7 的李克特量表形式记录，从“强烈不同意”到“强烈同意”。生成了描述性统计数据，并对李克特量表上的响应进行了均值和标准差计算。
OSD 是青光眼的常见合并症。尽管大多数受访者一致认为全面管理 OSD 可能会改善生活质量和青光眼相关结果，但只有一小部分人认为目前在青光眼实践中得到了充分的管理。增加对青光眼患者 OSD 评估和管理的相关知识，可能会在未来改善患者的护理。
