Quality of Life

Quality of Life surveys have become more commonplace in Optometry.  The COVD-QOL scores for example have been shown to correlate with children having academic problems.  It’s a pleasant surprise to see QOL surveys make their way to front page news in Primary Care circles.


The Sanet Vision Integrator (SVI) is not a device you’d normally associate with glaucoma, but there it is – front and almost center – in the current issue of Primary Care Optometry News (PCON).  I chatted briefly with our colleague, Dr. Scott Edmonds, a former student of mine at the Pennsylvania College of Optometry, and he is at the vanguard of importing functional therapy and rehabilitation into the thinking of Glaucoma Societies.

The August PCON article has a great quote on p. 8:  “Clinically, one may assume that an individual with early glaucoma but normal visual field testing has no functional disability, but we have demonstrated that this, in fact, is not true.  Early glaucoma might cause functional disability even if none is demonstrated objectively.”

Might this be the dawn of a new era, in which the divide between disease and function is narrowing?

4 thoughts on “Quality of Life

  1. I believe the VEP and pERG will detect Glaucoma damage prior to OCT and Visual Field damage eight years earlier.
    Why not add VEP an pERG to medical Optometry and be way ahead of OMD’s
    In addition, we have picked up issues between the cornea to the occipital cortex including cortical blindness with our VEP instrument. August

  2. Just came from a society lecture where John Flanagan, OD, PhD, FAAO, the new dean at UCBSO, spoke about how patients with glaucoma have been shown to have deficits in dual processing or integrating of central and peripheral vision. He gave examples of using vision simulations to detect glaucoma. I was thinking that those visual simulations would be a great way to measure these problems in our everyday patients in our practice who might be on the spectrum, have had a head injury or learning related vision problems AND screen for early detection of glaucoma!

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