Survey of Glaucoma Practice Patterns Among Members of The Philippine Glaucoma Society

Objective: To identify the glaucoma clinical practice patterns among the members of the Philippine Glaucoma Society (PGS) from 2015 to 2016 using an online survey. Methods: An online link was sent to each consenting PGS member which directed them to two poll sites. These sites asked questions abo...

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Main Authors: Edgar Felipe U. Leuenberger, MD, DPBO, James Paul S. Gomez, MD, DPBO, Karlo Paolo L. Alejo, MD, DPBO, Robert Edward T. Ang, MD, DPBO, Maria Zita Zagala-Meriales, MD, DPBO, Pamela C. Allarey, MD, DPBO, Aldo Mar B. Cariaga, MD, DPBO, John Mark S. De Leon, MD, DPBO, Sammy L. Ang, MD, DPBO
Format: Article
Language:English
Published: Philippine Academy of Ophthalmology 2020-06-01
Series:Philippine Journal of Ophthalmology
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Online Access:https://paojournal.com/index.php/pjo/article/view/87
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author Edgar Felipe U. Leuenberger, MD, DPBO
James Paul S. Gomez, MD, DPBO
Karlo Paolo L. Alejo, MD, DPBO
Robert Edward T. Ang, MD, DPBO
Maria Zita Zagala-Meriales, MD, DPBO
Pamela C. Allarey, MD, DPBO
Aldo Mar B. Cariaga, MD, DPBO
John Mark S. De Leon, MD, DPBO
Sammy L. Ang, MD, DPBO
author_facet Edgar Felipe U. Leuenberger, MD, DPBO
James Paul S. Gomez, MD, DPBO
Karlo Paolo L. Alejo, MD, DPBO
Robert Edward T. Ang, MD, DPBO
Maria Zita Zagala-Meriales, MD, DPBO
Pamela C. Allarey, MD, DPBO
Aldo Mar B. Cariaga, MD, DPBO
John Mark S. De Leon, MD, DPBO
Sammy L. Ang, MD, DPBO
author_sort Edgar Felipe U. Leuenberger, MD, DPBO
collection DOAJ
description Objective: To identify the glaucoma clinical practice patterns among the members of the Philippine Glaucoma Society (PGS) from 2015 to 2016 using an online survey. Methods: An online link was sent to each consenting PGS member which directed them to two poll sites. These sites asked questions about demographics and their preferred clinical practice patterns. Frequency and percent distributions were used to analyze the data. Results: There was a high response rate from PGS members at 97% (42 out of 43 members). More than half of respondents (51%, n=22) defined glaucoma as glaucomatous optic neuropathy with an evident visual field loss. IOP was routinely measured by 90% (n=38) of the respondents with majority preferring to use the Goldmann applanation tonometer (GAT) (98%, n=41). Gonioscopy was done on all new patients by all PGS members but only 62% did regular gonioscopy on follow-up consultations. Most of the respondents relied on the 90D lens (88%) to assess the optic nerve. Visual field examination (VFE) was routinely requested by all respondents. Pachymetry and anterior segment optical coherence tomography (AS-OCT) were used sparingly at only 43% and 12% respectively. Appositional angle closure was addressed by performing laser iridotomy with majority of the respondents preferring a site that is covered by the upper eyelid (57%). Prostaglandin analogues were the top choice as first-line monotherapy for eyes with open-angle glaucoma. Majority of the respondents (55%) opted to do laser trabeculoplasty (LTP) as an adjunct to medical therapy. Mitomycin-C was the preferred intraoperative antimetabolite for trabeculectomy by 98% (n=41). Ahmed (71%, n=30) was the more favored glaucoma drainage device (GDD) by our respondents over Baerveldt (19%, n=8). Conclusion: This survey showed majority of the glaucoma practices of PGS members appear to adhere to the current clinical practice guidelines.
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spelling doaj-art-d4744b8d4e7d4cb99749b7cf0ca7fd1d2025-08-20T02:05:07ZengPhilippine Academy of OphthalmologyPhilippine Journal of Ophthalmology0031-76592020-06-0145191887Survey of Glaucoma Practice Patterns Among Members of The Philippine Glaucoma SocietyEdgar Felipe U. Leuenberger, MD, DPBO0James Paul S. Gomez, MD, DPBO1Karlo Paolo L. Alejo, MD, DPBO2Robert Edward T. Ang, MD, DPBO3Maria Zita Zagala-Meriales, MD, DPBO4Pamela C. Allarey, MD, DPBO5Aldo Mar B. Cariaga, MD, DPBO6John Mark S. De Leon, MD, DPBO7Sammy L. Ang, MD, DPBO8Asian Eye InstituteAsian Eye InstituteDe la Salle University Medical CenterAsian Eye InstituteMakati Medical CenterThe Medical CityBaguio General Hospital and Medical CenterThe Department of Health Eye Center East Avenue Medical Center Calamba Eye Center and Calamba Medical CenterObjective: To identify the glaucoma clinical practice patterns among the members of the Philippine Glaucoma Society (PGS) from 2015 to 2016 using an online survey. Methods: An online link was sent to each consenting PGS member which directed them to two poll sites. These sites asked questions about demographics and their preferred clinical practice patterns. Frequency and percent distributions were used to analyze the data. Results: There was a high response rate from PGS members at 97% (42 out of 43 members). More than half of respondents (51%, n=22) defined glaucoma as glaucomatous optic neuropathy with an evident visual field loss. IOP was routinely measured by 90% (n=38) of the respondents with majority preferring to use the Goldmann applanation tonometer (GAT) (98%, n=41). Gonioscopy was done on all new patients by all PGS members but only 62% did regular gonioscopy on follow-up consultations. Most of the respondents relied on the 90D lens (88%) to assess the optic nerve. Visual field examination (VFE) was routinely requested by all respondents. Pachymetry and anterior segment optical coherence tomography (AS-OCT) were used sparingly at only 43% and 12% respectively. Appositional angle closure was addressed by performing laser iridotomy with majority of the respondents preferring a site that is covered by the upper eyelid (57%). Prostaglandin analogues were the top choice as first-line monotherapy for eyes with open-angle glaucoma. Majority of the respondents (55%) opted to do laser trabeculoplasty (LTP) as an adjunct to medical therapy. Mitomycin-C was the preferred intraoperative antimetabolite for trabeculectomy by 98% (n=41). Ahmed (71%, n=30) was the more favored glaucoma drainage device (GDD) by our respondents over Baerveldt (19%, n=8). Conclusion: This survey showed majority of the glaucoma practices of PGS members appear to adhere to the current clinical practice guidelines.https://paojournal.com/index.php/pjo/article/view/87glaucomaonline surveypractice patternsphilippines
spellingShingle Edgar Felipe U. Leuenberger, MD, DPBO
James Paul S. Gomez, MD, DPBO
Karlo Paolo L. Alejo, MD, DPBO
Robert Edward T. Ang, MD, DPBO
Maria Zita Zagala-Meriales, MD, DPBO
Pamela C. Allarey, MD, DPBO
Aldo Mar B. Cariaga, MD, DPBO
John Mark S. De Leon, MD, DPBO
Sammy L. Ang, MD, DPBO
Survey of Glaucoma Practice Patterns Among Members of The Philippine Glaucoma Society
Philippine Journal of Ophthalmology
glaucoma
online survey
practice patterns
philippines
title Survey of Glaucoma Practice Patterns Among Members of The Philippine Glaucoma Society
title_full Survey of Glaucoma Practice Patterns Among Members of The Philippine Glaucoma Society
title_fullStr Survey of Glaucoma Practice Patterns Among Members of The Philippine Glaucoma Society
title_full_unstemmed Survey of Glaucoma Practice Patterns Among Members of The Philippine Glaucoma Society
title_short Survey of Glaucoma Practice Patterns Among Members of The Philippine Glaucoma Society
title_sort survey of glaucoma practice patterns among members of the philippine glaucoma society
topic glaucoma
online survey
practice patterns
philippines
url https://paojournal.com/index.php/pjo/article/view/87
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