scholarly journals Selective laser trabeculoplasty (SLT) performed by optometrists for patients with glaucoma and ocular hypertension: a scoping review

2021 ◽  
Vol 6 (1) ◽  
pp. e000611
Author(s):  
Lee Jones ◽  
Evgenia Konstantakopoulou ◽  
Gus Gazzard
Keyword(s):  
Ocular Hypertension ◽  
Scoping Review ◽  
Grey Literature ◽  
Clinical Effectiveness ◽  
Selective Laser Trabeculoplasty ◽  
Training Requirements ◽  
Laser Trabeculoplasty ◽  
The Usa ◽  
Training Programmes ◽  
The Uk

Selective laser trabeculoplasty (SLT) has been established as an effective treatment to lower intraocular pressure in people with glaucoma and ocular hypertension. The procedure is typically within the remit of ophthalmologists; however, there is potential to upskill optometrists and other healthcare professionals (HCPs) to deliver the treatment. We conducted a scoping review to identify the current global landscape of HCP-delivered SLT and describe training features, clinical effectiveness and safety. Relevant articles were identified through online database searches and grey literature sources. Four articles were selected for full inclusion. This review identified training programmes for optometrist-delivered SLT in the UK and the USA. The findings indicate that more research is needed to clarify training requirements and clinical effectiveness.

scholarly journals Selective laser trabeculoplasty (SLT) performed by optometrists for patients with glaucoma and ocular hypertension: a scoping review protocol

2020 ◽  
Vol 5 (1) ◽  
pp. e000438
Author(s):  
Lee Jones ◽  
Evgenia Konstantakopoulou ◽  
Gus Gazzard
Keyword(s):  
Health Service ◽  
Ocular Hypertension ◽  
National Health ◽  
Scoping Review ◽  
Evidence Synthesis ◽  
Grey Literature ◽  
Medical Professionals ◽  
Selective Laser Trabeculoplasty ◽  
Laser Trabeculoplasty ◽  
Key Stakeholders

IntroductionIn the UK, the National Institute for Health and Clinical Excellence are amending guidelines to support use of selective laser trabeculoplasty (SLT) as a first-line treatment for patients with glaucoma and ocular hypertension. The procedure is quick, effective in lowering intraocular pressure, cost-effective for the National Health Service and offers an equivalent safety profile to other therapies. The procedure is typically performed by an ophthalmologist; however, there is potential for suitably trained non-medical professionals to deliver the therapy. This scoping review will identify service delivery models where SLT is delivered by non-medical professionals worldwide, with a focus on optometrists.Methods and analysisA systematic search of the following databases will be conducted: CINAHL; MEDLINE Complete; Embase; HMIC and Ovid Emcare. For inclusion, studies must examine healthcare models of SLT delivery by optometrists and describe one of the following outcomes: training procedures; clinical effectiveness; safety and cost-effectiveness. A search of grey literature will be conducted via professional societies; national health departments; medicine regulatory bodies; charities and conference proceedings. Two reviewers will independently screen titles, abstracts and full-texts articles, followed by charting of data. This evidence synthesis will summarise findings narratively, supplemented with tables and descriptive statistics.Ethics and disseminationThe review focuses on published articles and therefore ethical approval is not required. The findings will be relevant to key stakeholders including health service managers, policymakers, clinicians and patients. The findings of this review will be disseminated through peer-reviewed publications, conference presentations and summary reports for key stakeholders.

scholarly journals Selective Laser Trabeculoplasty in the Treatment of Ocular Hypertension and Open-Angle Glaucoma: Clinical Review

2021 ◽  
Vol 10 (15) ◽  
pp. 3307
Author(s):  
Aleksandra Zgryźniak ◽  
Joanna Przeździecka-Dołyk ◽  
Marek Szaliński ◽  
Anna Turno-Kręcicka
Keyword(s):  
Ocular Hypertension ◽  
Laser Energy ◽  
Open Angle Glaucoma ◽  
Biological Effects ◽  
Primary Treatment ◽  
Treatment Modalities ◽  
Complication Rates ◽  
Open Angle ◽  
Selective Laser Trabeculoplasty ◽  
Laser Trabeculoplasty

Selective laser trabeculoplasty (SLT) is a glaucoma treatment that reduces intraocular pressure (IOP). Its mechanism is based on the biological effects of the selective application of laser energy to pigmented trabecular meshwork (TM) cells, resulting in increased outflow facility. Herein, we review current publications on SLT and summarize its efficacy and safety for different indications in open-angle glaucoma (OAG) and ocular hypertension (OHT) treatment. SLT effectively reduces IOP when used as a primary treatment. In patients whose IOP is medically controlled, SLT helps to reduce medication use, and when maximally tolerated topical therapy is ineffective, SLT facilitates the realization of the target IOP. SLT is a repeatable procedure for which the vast majority of complications are mild and self-limiting. With effective IOP reduction, low complication rates and the potential to repeat the procedure, SLT offers the possibility of delaying the introduction of medical therapy and other more invasive treatment modalities while simultaneously avoiding the accompanying complications. With this knowledge, we suggest that SLT be considered as an essential primary treatment option in OAG and OHT, switching to other treatment modalities only when laser procedures are insufficient for achieving the required target IOP.

Cystoid macular edema following selective laser trabeculoplasty in a patient with ocular hypertension

2018 ◽  
Vol 39 (8) ◽  
pp. 1891-1893 ◽  
Author(s):  
Nurgül Örnek ◽  
Kemal Örnek ◽  
Tevfik Oğurel ◽  
Nesrin Büyüktortop Gökçınar
Keyword(s):  
Macular Edema ◽  
Ocular Hypertension ◽  
Cystoid Macular Edema ◽  
Selective Laser Trabeculoplasty ◽  
Laser Trabeculoplasty

scholarly journals Primary Selective Laser Trabeculoplasty for Open-Angle Glaucoma and Ocular Hypertension

Ophthalmology ◽  
2019 ◽  
Vol 126 (9) ◽  
pp. 1238-1248 ◽  
Author(s):  
Anurag Garg ◽  
Victoria Vickerstaff ◽  
Neil Nathwani ◽  
David Garway-Heath ◽  
Evgenia Konstantakopoulou ◽  
...  
Keyword(s):  
Ocular Hypertension ◽  
Open Angle Glaucoma ◽  
Open Angle ◽  
Selective Laser Trabeculoplasty ◽  
Laser Trabeculoplasty

scholarly journals Ageing carers and intellectual disability: a scoping review

2019 ◽  
Vol 20 (4) ◽  
pp. 162-178
Author(s):  
Aoife Mahon ◽  
Elizabeth Tilley ◽  
Gurch Randhawa ◽  
Yannis Pappas ◽  
Jitka Vseteckova
Keyword(s):  
Intellectual Disability ◽  
Scoping Review ◽  
Grey Literature ◽  
Primary Care Providers ◽  
Psychological Needs ◽  
Care Providers ◽  
High Quality Research ◽  
Content Type ◽  
Lack Of Information ◽  
The Uk

Purpose Individuals with intellectual disability(ies) are living longer contributing to an overall increase in the average age of caregivers. The purpose of this paper is to review the literature on the physical, social and psychological needs of ageing carers of individuals with intellectual disability(ies) in the UK. Design/methodology/approach A scoping review framework was used to identify literature from eleven databases, the grey literature and the references lists of relevant studies. Only primary research studies that discussed the needs of non-professional carers, aged 65+ years old, of individuals with intellectual disability(ies) in the UK were included. No date restrictions were applied. Thematic analysis was used to narratively synthesise findings. Findings Six studies were included. Five key themes were identified: Living with fear, lack of information, rebuilding trust, proactive professional involvement and being ignored. Housing and support information is not communicated well to carers. Professionals require more training on carer needs and trust must be rebuilt between carers and professionals. Proactive approaches would help identify carer needs, reduce marginalisation, help carers feel heard and reduce the risk of care crisis. Greater recognition of mutual caring relationships is needed. Originality/value This review highlighted the needs of older caregivers for individuals with intellectual disability(ies) as well as the need for more high-quality research in this field. The information presented in this review may be considered by primary care providers and funding bodies when planning future support for this growing population of carers.

scholarly journals Identifying attributes of food literacy: a scoping review

2017 ◽  
Vol 20 (13) ◽  
pp. 2406-2415 ◽  
Author(s):  
Elsie Azevedo Perry ◽  
Heather Thomas ◽  
H Ruby Samra ◽  
Shannon Edmonstone ◽  
Lyndsay Davidson ◽  
...  
Keyword(s):  
Scoping Review ◽  
Grey Literature ◽  
Risk Groups ◽  
Measurement Tool ◽  
Literacy Interventions ◽  
Food Literacy ◽  
Food And Nutrition ◽  
Food Decisions ◽  
The Uk ◽  
The Impact

AbstractObjectiveAn absence of food literacy measurement tools makes it challenging for nutrition practitioners to assess the impact of food literacy on healthy diets and to evaluate the outcomes of food literacy interventions. The objective of the present scoping review was to identify the attributes of food literacy.DesignA scoping review of peer-reviewed and grey literature was conducted and attributes of food literacy identified. Subjects included in the search were high-risk groups. Eligible articles were limited to research from Canada, USA, the UK, Australia and New Zealand.ResultsThe search identified nineteen peer-reviewed and thirty grey literature sources. Fifteen identified food literacy attributes were organized into five categories. Food and Nutrition Knowledge informs decisions about intake and distinguishing between ‘healthy’ and ‘unhealthy’ foods. Food Skills focuses on techniques of food purchasing, preparation, handling and storage. Self-Efficacy and Confidence represent one’s capacity to perform successfully in specific situations. Ecologic refers to beyond self and the interaction of macro- and microsystems with food decisions and behaviours. Food Decisions reflects the application of knowledge, information and skills to make food choices. These interdependent attributes are depicted in a proposed conceptual model.ConclusionsThe lack of evaluated tools inhibits the ability to assess and monitor food literacy; tailor, target and evaluate programmes; identify gaps in programming; engage in advocacy; and allocate resources. The present scoping review provides the foundation for the development of a food literacy measurement tool to address these gaps.

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