National Glaucoma Awareness Month

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<ul><li><p>PROMOTIONS CALENDARNational Glaucoma Awareness Month</p><p>Jbeeas</p><p>imtheinfor</p><p>the</p><p>GlGlleares</p><p>thetheula</p><p>Cehaare</p><p>Tan</p><p>disease progresses to the severe stage, patients may developsymptoms or complaints related to restricted visual field orreduced vision.</p><p>BimThan</p><p>co</p><p>me</p><p>offorglaas</p><p>me</p><p>preM</p><p>as</p><p>StuglaStuwhaw</p><p>me</p><p>co</p><p>risno</p><p>AmP</p><p>Nathean</p><p>the</p><p>ThTh(w nsuiThfrelecpu</p><p>Trel</p><p> Answers to Your Questions About Ocular Hyperten-sion, AOA Answers to Your Questions Series Pam-phlet Q21 (AOA member price: $12/pack of 100)</p><p>Heinsoinne</p><p>152doi:10.1016/j.optm.2006.11.00019-1839/07/$ -see front matter 2007 American Optometric Association. All rights reserved.anuary is National Glaucoma Awareness Month. Glau-coma is currently estimated to affect 3 million Amer-icans. At least half of those do not know they have it,</p><p>cause glaucoma usually has no symptoms until the dis-e has progressed to an advanced stage. Therefore, it isportant for patients to understand this disease and haveir eyes checked regularly for glaucoma. In providingormation on glaucoma, with in-office patient educationpublic outreach efforts, optometrists may wish to includefollowing.</p><p>aucomaA summaryaucoma is a group of disorders that affects the eye,ding to progressive damage of the retinal cells. Thisults in irreversible damage to the optic nerve. Most often,internal pressure in the eyes rises to a level that damagesnerve fibers, causing vision loss. The elevated intraoc-</p><p>r pressure is not the disease itself but is an important risktor for the development of glaucoma. Further, there is noel of intraocular pressure that is considered normal for</p><p>eryone. Although damage from glaucoma cannot be re-rsed, early detection can result in treatment to minimizeects of the disease.laucoma has several forms, and because it can strike</p><p>yone, everyone should have their eyes checked regularly.rtain risk factors, however, elevate a persons chances ofving the disease. Those with a family history of glaucoma</p><p>deemed to be at higher risk. Other risk factors include: Advancing age Race (African or Hispanic lineage) Diabetes Hypertension Nearsightedness Elevated intraocular pressurehe most common type of glaucoma develops gradually</p><p>d painlessly, without early symptoms. However, when the</p><p>re are some suggestions on how toform patients about glaucoma andme materials that may be useful dur-g Januarys National Glaucoma Aware-ss Month observance.ecause vision loss from glaucoma is irreversible, it isportant to get regular comprehensive eye examinations.e American Optometric Association (AOA) recommendsnual eye examinations for people at risk for glaucoma. Amprehensive eye examination will include a tonometry toasure the pressure in the eyes, an evaluation of the insidethe eyes and optic nerves, and a visual field test to checkchanges in central and side vision. The treatment for</p><p>ucoma includes prescription eye drops and medicationswell as continual monitoring. In some cases, laser treat-nt or surgery may be necessary and effective in reducingssure.any patients may not realize that recent research, such</p><p>the federally sponsored Ocular Hypertension Treatmentdy (OHTS), has provided new clinical insights intoucoma. Research such as the Los Angeles Latino Eyedy (LALES) also has provided new insights into thoseo are at risk for the disease. Many patients may not beare that, based in part on such studies, the U.S. Depart-nt of Health and Human Services has expanded Medicare</p><p>verage to include preventive eye care for those deemed atk for glaucoma (see Box 1). In particular, many may stillt be aware that, since January of last year, Hispanic-ericans qualify for that Medicare preventive coverage.revent Blindness America is the primary sponsor oftional Glaucoma Awareness Month; however, the AOA,Glaucoma Foundation, and the National Eye Institute</p><p>d other entities offer a variety of materials in support ofeffort.</p><p>e American Optometric Associatione Center for Healthy Vision on the new AOA Web siteww.aoa.org) includes a glaucoma page with informatiotable for use in patient or community education efforts.e AOA Communications Group offers AOA members ae PowerPoint presentation on glaucoma, suitable fortures to community groups. E-mail requests toblicrelations@aoa.org.he AOA Order Department offers the following glaucoma-</p><p>ated materials: Glaucoma, AOA Healthy Eyes Fact Sheet FS 4 (AOA</p><p>member price: $15/pad of 100) What you should know about glaucoma, AOA Spanish</p><p>Language Fact Sheet SL 5 (AOA member price: $10/pad of 50, $15/pad of 100)faclevev</p><p>ve</p><p>effG</p><p>an</p></li><li><p>A(80ww</p><p>tio</p><p>PrPreforchcom</p><p>Asne</p><p>forFacal</p><p>FBlww</p><p>B</p><p>orted</p><p>ishedrnishe</p><p>ting tinclueasu</p><p>micro</p><p>B</p><p>Practice Strategies 45 Answers to Your Questions About Glaucoma, SpanishLanguage Pamphlet SPQ3 (AOA member price $14/pack of 100)</p><p>OA Order Department items can be ordered by calling0) 262-2210, via fax at (314) 991-4101, or online atw.aoa.org/documents/Order-Dept-Catalog.pdf. (Addi-</p><p>nal AOA materials for practitioners are listed in Box 2.)</p><p>event Blindness Americavent Blindness America (PBA) offers free informationNational Glaucoma Awareness Month including bro-</p><p>ures, fact sheets, and a dedicated Web page, The Glau-a Learning Center (www.preventblindness.org/glaucoma).part of The Glaucoma Learning Center, Prevent Blind-</p><p>ss America recently launched a new Web discussionum specifically for glaucoma patients and their families.ct sheets available to be downloaded online or ordered byling Prevent Blindness America are: Glaucoma ChecklistA checklist for patients on the</p><p>risk factors for glaucoma and the questions they shouldask themselves if they believe they may have glau-coma.</p><p> Glaucoma (Spanish)Information on glaucoma forSpanish-speaking patients.</p><p>ox 1</p><p>What Medicare coversMedicare covers an annual glaucoma screening for indiconditions: Individuals with diabetes Individuals with a family history of glaucoma African-Americans age 50 and older Hispanic-Americans age 65 and older (effective JanuaryMedicare will pay for glaucoma screening examinations repcodes: G0117Glaucoma screening for high-risk patients furn G0118Glaucoma screening for high-risk patients fu</p><p>ophthalmologist, in the office setting.The beneficiary will pay 20% of the coinsurance after meeA Medicare-reimbursable glaucoma screening examination A dilated eye examination with an intraocular pressure m A direct ophthalmoscopy examination or a slit-lamp bio</p><p>ox 2</p><p>AOA Optometric Clinical PracticeThe AOA Clinical Care Group reminds practitioners that Ntime to review the AOA Clinical Practice Guidelines perti Care of the Patient with Primary Angle Closure Gla</p><p>5.pdf Care of the Patient with Open Angle Glaucoma (CPG-9 Glaucoma MedsInformation for patients on themany medications that doctors use to treat and lowerthe pressure in the eye.</p><p> Glaucoma QuizPatients can check their knowledgeof glaucoma and ascertain their risks of sight loss.</p><p> Glaucoma Medicare BenefitsA brief pamphlet forpatients about Medicare benefits.</p><p> Signs of Possible Eye Problems in AdultsA list of thepotential eye problems specific to Hispanic patients.</p><p> Taking Your Eye Drop MedicationA pamphlet forpatients about what to expect with eye drops and howto take their eye drops.</p><p>or a full list of patient education materials, call Preventindness America at (800) 331-2020 or visit online atw.preventblindness.org or www.protectvision.org.</p><p>tional Eye Institutee National Eye Institute (NEI) Web site includes a glaucomae with information about the disease, answers to common</p><p>estions about causes and symptoms, and discussions ongnosis and types of treatment. Current research and sourcesadditional information are also outlined. NEI literature onucoma can be ordered online, including: Dont Lose Sight of Glaucoma (EY-24)</p><p>s considered to be at high risk with the following</p><p>06)using Healthcare Procedural Coding System (HCPCS)</p><p>by an optometrist or ophthalmologist, ord under the direct supervision of an optometrist or</p><p>he yearly Part B deductible.des the following:rementscopic examination</p><p>idelines on Glaucomaal Glaucoma Awareness Month can be an appropriateo glaucoma. G-5), downloadable at www.aoa.org/documents/CPG-</p><p>nloadable at www.aoa.org/documents/CPG-9.pdfNaThpagqudiaofgla</p><p>Guation</p><p>nent tucoma(CP</p><p>), dowvidual</p><p>1, 20</p></li><li><p> Educating Your Community About Glaucoma (EY-12) El Glaucoma: Lo que usted debe saber (Glaucoma:</p><p>What You Should Know) (EY-346) Glaucoma: What you should know (EY-04) Medicare Benefits Card: Glaucoma &amp; Diabetic Eye</p><p>Disease 2006 (EY-355) Tarjeta Sobre los Beneficios de Medicare: El Glau-</p><p>coma y la Enfermedad Diabtica del Ojo en Espaoldel 2006 (Medicare Benefits Card: Glaucoma &amp; Dia-betic Eye Disease in Spanish 2006) (EY-355S)</p><p> Vision Problems in the U.S.: Prevalence of AdultVision Impairment and Age-Related Eye Disease inAmerica, 2002 (EY-47)</p><p>The NEI also offers an attractive line of promotionalcards, urging Medicare beneficiaries to take advantage ofbenefits for those with glaucoma. Appropriate for distri-bution at health fairs, meal sites, senior centers, and othercommunity locations, the cards are available in bothEnglish and Spanish.</p><p>Log on to the NEI glaucoma page at www.nei.nih.gov/health/glaucoma/glaucoma_facts.asp.</p><p>Support groupsSupport groups focusing on glaucoma have been estab-lished in many communities in recent years. Many suchgroups might welcome a presentation by an optometriston new developments in the care of individuals withglaucoma, disease prevention of eye disease, or otherappropriate topics. Members of such groups may not beaware that optometrists can provide glaucoma care. Oneof the best ways to locate such support groups is to visitwww.YahooGroups.com and search for glaucoma. Sev-eral glaucoma-related groups will be listed along with abrief description. PBA may also be able to provideinformation on meeting-based support groups in someparts of the country. Several PBA affiliates sponsorsupport forums.</p><p>46 Practice Strategies</p></li></ul>