Baseline socioeconomic status doesn’t impact treatment success in advanced glaucoma
Baseline socioeconomic status does not appear to hurt the success of treatment in patients with advanced glaucoma after 2 years, according to a study. There is, however, a correlation with baseline socioeconomic status and poorer visual function, poorer Visual Function Questionnaire-25 QoL, ethnicity, age, and number of visits to an optician in the years preceding diagnosis in patients presenting with advanced glaucoma.
In this study, 453 patients presenting with advanced open-angle glaucoma in at least 1 eye were randomized to either glaucoma drops (medical arm) or trabeculectomy (surgery arm) and had socioeconomic status defined by the Index of Multiple Deprivation.
The mean visual field mean deviation was -17.2 (6.7)dB and -13.0 (5.5) for the most deprived quintile of participants and the least deprived quintile in the index eye, respectively.
There was no evidence that treatment was affected by socioeconomic status after 24 months.
King AJ, Hudson J, Azuara-Blanco A, et al; TAGS research group. Effects of socioeconomic status on baseline values and outcomes at 24 months in the Treatment of Advanced Glaucoma Study randomised controlled Trial. Br J Ophthalmol. 2023;bjophthalmol-2022-321922. doi: 10.1136/bjo-2022-321922. Epub ahead of print. PMID: 36596663.
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