Why do people present late with advanced glaucoma? A qualitative interview study.
OBJECTIVE
To explore the presentation behaviours and pathways to detection of adults who first presented to UK hospital eye services with severe glaucoma.


METHODS
Semistructured interviews, based on models of diagnostic delay, to obtain a descriptive self-reported account of when and how participants' glaucoma was detected.


RESULTS
11 patients participated (five in Aberdeen, six in Huddersfield). Four participants reported that the optometry appointment at which their glaucoma was detected was their first ever eye test or their first for over 10 years. Seven participants reported attending regular routine optometrist appointments. Their self-reported experiences and pathways to detection describe a variety of missed detection opportunities and delayed referral and treatment.


CONCLUSIONS
The qualitative data suggest that late detection of glaucoma can result from delays at the patient level but, although based on a small sample, delays also occurred at the healthcare provider (system) level both in terms of accuracy of case detection and effective referral. We suggest that current attempts to address the significant burden of over-referral of glaucoma suspects to hospital eye services (a large proportion of which are false positives) must also focus on the issue of false negatives and on reducing missed detection and service delays.
Health Services Research Unit, University of Aberdeen, , Aberdeen, UK.
Maria
M
Prior
Jill J
JJ
Francis
Augusto
A
Azuara-Blanco
Nitin
N
Anand
Jennifer M
JM
Burr
D000328:Adult; D000368:Aged; D057210:Delayed Diagnosis / Q000523:psychology*; D018450:Disease Progression; D005260:Female; D005901:Glaucoma / Q000175:diagnosis* / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D036301:Qualitative Research; D040242:Risk Reduction Behavior; D012720:Severity of Illness Index; D006113:United Kingdom
Glaucoma