Philadelphia glaucoma detection and treatment project: ocular outcomes and adherence to follow-up at a single health centre

Jennifer O. Adeghate, Lisa A. Hark*, Helayna Brown, Jeffrey D. Henderer, Michael Waisbourd, Jeanne Molineaux, Kunal Malik, Alisha Maity, Danielle Chuang, Katherine Donches, Caroline Heres, Rita Eburuoh, Martin Schardt, Daohai Yu, Frederick Ramsey, Jonathan S. Myers, L. Jay Katz

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Objectives: To determine ocular outcomes and factors associated with adherence to ophthalmic follow-up in a medically underserved population at a single health centre in Philadelphia. Design: Retrospective chart review. Participants: Patients from a community glaucoma screening program. Methods: Chart review was conducted for participants who received a complete eye examination at the Philadelphia District Health Center 5 between January 1, 2012 and May 31, 2014 within the Philadelphia Glaucoma Detection and Treatment Project. Multivariate logistic regression was used to determine factors related to ophthalmic follow-up adherence. Results: A total of 249 participants completed an eye examination (mean age = 57.7 ± 6.9 years). Most were African American (n = 220; 88.4%); female (n = 129; 51.8%). Forty-seven participants (18.9%) received glaucoma-related diagnoses, 20 (8.0%) were prescribed ocular medication, and 26 (10.4%) underwent laser therapy. Ninety (36.1%) attended their recommended follow-up eye examination at the health centre. Glaucoma-related diagnosis (p ≤ 0.001), recommendation of a 4- to 6-week follow-up period (p < 0.001), prescribed eye drops (p < 0.001), or received laser therapy (p = 0.047) were factors most predictive of ophthalmic follow-up adherence. Conclusions: The collaborative effort of eye care providers and health centres offers an important opportunity to detect, treat, and manage glaucoma and other ocular pathology in medically underserved communities. Having a glaucoma-related diagnosis, initiating treatment, and scheduling regular follow-up visits are the most important factors influencing adherence to follow-up eye appointments.

Original languageEnglish
Pages (from-to)717-722
Number of pages6
JournalCanadian Journal of Ophthalmology
Issue number6
StatePublished - Dec 2019


FundersFunder number
Centers for Disease Control and Prevention


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