GLAUS: Evaluation of the Possibility to Delegate Glaucoma Surveillance to Orthoptists in Hospital
Study Details
Study Description
Brief Summary
Glaucoma is a progressive optical neuropathy, generally associated with ocular hypertension. The treatment aims to stabilize the visual field deficiencies by lowering the intraocular pressure. Due to the fluctuation of the visual field test and re-test measures, the European recommendations are to obtain 6 visual field tests in 2 years (or one every 4 months) in order to know if the pathology is progressing despite the current treatment (or if the treatment is necessary, in cases of intraocular hypertensions). The lack of ophthalmologists renders the monitoring of a beginning glaucoma, rarely compatible with the present recommendations. It is therefore crucial to evaluate new therapeutic alternatives, when faced to a decreasing medical demography and an increase the patient's needs.
This study should allow to validate the possibility to delegate monitoring tasks to orthoptists during glaucoma surveillance. To organize the delegation of this surveillance to orthoptists would permit a better distribution of the ophthalmologist's activities.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Patients with glaucoma Patients presenting an open-angle glaucoma or ocular hypertension |
Other: Monitoring by an orthoptist then by an ophthalmologist
At each visit, the usual monitoring tests will be collected and viewed by the orthoptist then by the ophthalmologist concerning the necessity of an anticipated ophthalmological consultation
|
Outcome Measures
Primary Outcome Measures
- detection by the orthoptists of an abnormality that would require an anticipated ophthalmologic consultation [20 month of follow-up]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age from 18 years old or more
-
Open-angle glaucoma or ocular hypertension
Exclusion Criteria:
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Other active ocular pathology
-
Monophthalmic patients
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Patients requiring a Goldmann visual field exam
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Opposition of the patient to participate to the trial
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Pregnant women or breastfeeding
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Patient under juridical protection
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Lack of affiliation to social security or universal health coverage
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Centre hospitalier | Angers | France | ||
| 2 | Hôpital Ambroise-Paré | Boulogne Billancourt | France | ||
| 3 | Clinique Universitaire d'Ophtalmologie | Grenoble | France | ||
| 4 | Fondation Ophtalmologique A de Rothschild | Paris | France | 75019 |
Sponsors and Collaborators
- Fondation Ophtalmologique Adolphe de Rothschild
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ICU_2015_39