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Issue 23-1
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IGR 23-1
The USPSTF has once again determined that the evidence is insufficient to recommend screening for primary open-angle glaucoma (POAG)
An important assessment for any new method is reliability and reproducibility, and the authors showed excellent results for their velocity and motion measures.
Knowledge about TM biomechanics might tell us which patients would be more likely to exhibit transient IOP fluctuations
The results highlight the strong desire among some glaucoma patients for home monitoring solutions
The technology has to be significantly improved before human use as a sensing error of more than 40% has been mentioned
Despite the robust results, it is possible that the genetic variants used confer a risk of POAG through pleiotropic pathways
The main limitation of the study is the generalizability of the results
The current report also confirms that laser peripheral iridotomy provided a protective effect, but did not completely eliminate the risk of developing AAC in primary angle-closure eyes
The authors conclude that it is extremely rare to develop an AAC attack after dilation in LPI-treated eyes, and that it is reasonably safe to do so when needed
Patients who require routine dilation, such as those with diabetic retinopathy, may wish to consider LPI due to the additive risk with multiple dilations
This study confirms the increased risk of glaucoma post-vitrectomy and the need for increased monitoring of these patients
Metformin treatment was associated with a lower POAG risk (OR, 0.18; 95% CI, 0.08-0.41, P<0.001) compared with no treatment with diabetes medication
LPI does not increase the risk for cataract formation
Language preference may act as a significant barrier to timely access to healthcare
Greater β-PPA area-to-disc ratio and lower BCVA could be used as simple prognostic factors for the central VA of eyes with advanced glaucoma
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