Monitoring glaucoma from home
Dr Hari Jayaram | GR001215
The Covid-19 pandemic has significantly impacted routine clinical services across the UK, changing the way in which we access healthcare. We are funding a project that explores how patients with glaucoma can assess their vision at home using digital technology.
During the pandemic and into the recovery phase, clinical services have expanded to carry out a proportion of their consultations virtually to ensure continuity of care for patients.
The progression of glaucoma normally involves monitoring a patient’s visual field which currently requires patients to travel to clinics for the assessment. However, over a half of patients with glaucoma at Moorfields are above 70 years of age and are therefore, at a higher risk of contracting COVID-19. The travel to and from hospital to attend face to face appointments can be a concern where maintaining social distancing measures are challenging.
Finding a solution
Along with his team and the support of an innovation grant funded by Moorfields Eye Charity, Dr Hari Jayaram will explore whether patients can monitor their glaucoma by performing a visual field test at home using a computer or laptop. They will compare the outcomes to that of hospital-based tests among a group of glaucoma patients with stable visual fields. This work will demonstrate if home visual field tests can be used as a safe alternative to hospital attendance for patients with glaucoma.
The effectiveness of home-based visual field detection for patients with glaucoma presents a variety of potential benefits across service improvement with a positive emphasis on patient care.
A new and innovative approach can have a huge impact in reshaping the delivery of glaucoma care at Moorfields and reduce non-urgent hospital visits for both stable patients and those who require closer monitoring. This change in practice would ensure patients feel supported in taking control of their health.
Dr Hari Jayaram
Glaucoma, Service improvement, Patient experience