Italian glaucoma virtual clinics: Developing a consensus for remote patient management.

IF 3 3区医学 Q1 OPHTHALMOLOGY Acta Ophthalmologica Pub Date : 2025-03-17 DOI:10.1111/aos.17484

Francesco Matarazzo, Carlo Alberto Cutolo, Alessandro Rabiolo, Michele Figus, Antonio Fea, Stefano Gandolfi, Corrado Gizzi, Gianluca Manni, Giorgio Marchini, Giovanni Montesano, Carlo Nucci, Maria Laura Passaro, Dario Romano, Luca Rossetti, Matteo Sacchi, Lucia Tanga, Carlo Enrico Traverso, Giacinto Triolo, Gianni Virgili, Francesco Oddone, Ciro Costagliola

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Abstract

Purpose: To establish expert consensus on guidelines for implementing glaucoma virtual clinics in Italy, focusing on patient suitability, essential clinical assessments and staffing requirements.

Methods: A modified Delphi method was used to achieve consensus among selected Italian glaucoma specialists. The steering group developed a structured questionnaire with 66 items across key areas: Patient Categories, Clinical Assessments, Roles and Staffing and Guidelines for glaucoma virtual clinic implementation. A panel of experts reviewed and rated each item across multiple rounds to reach consensus.

Results: Out of 19 invited glaucoma specialists, 16 and 11 participated in rounds 1 and 2, respectively. Consensus was achieved on 57.6% of the questions, identifying specific patient profiles suitable for glaucoma virtual clinics, essential diagnostic tests and required roles in a virtual setting. Experts agreed on the importance of standardized assessments and the necessity of support staff such as orthoptists and ophthalmic assistants in the glaucoma virtual clinic structure.

Conclusion: This Delphi panel provides guidance for implementing glaucoma virtual clinics in Italy, establishing guidelines on patient selection, required assessments and staffing needs. Tailored glaucoma virtual clinics can enhance glaucoma care accessibility, streamline workflows and address the growing demand from healthcare systems.

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来源期刊

Acta Ophthalmologica 医学-眼科学

CiteScore

7.60

自引率

5.90%

发文量

433

审稿时长

6 months

期刊介绍： Acta Ophthalmologica is published on behalf of the Acta Ophthalmologica Scandinavica Foundation and is the official scientific publication of the following societies: The Danish Ophthalmological Society, The Finnish Ophthalmological Society, The Icelandic Ophthalmological Society, The Norwegian Ophthalmological Society and The Swedish Ophthalmological Society, and also the European Association for Vision and Eye Research (EVER). Acta Ophthalmologica publishes clinical and experimental original articles, reviews, editorials, educational photo essays (Diagnosis and Therapy in Ophthalmology), case reports and case series, letters to the editor and doctoral theses.