{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T14:08:29Z","timestamp":1790604509056,"version":"4.1.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,8,13]],"date-time":"2018-08-13T00:00:00Z","timestamp":1534118400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To analyze the appropriateness of referrals for incisional glaucoma-surgery in Europe.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Referrals for the first open-angle glaucoma surgery between January and October 2017 were analyzed in 18 countries: 8 \u201cold\u201d European Union, 7 \u201cnew\u201d European Union and 3 non-European Union European countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Most eyes had primary open-angle or exfoliative glaucoma. The average mean deviation was \u221213.8\u2009dB with split fixation in 44.3%. No structural progression analysis was made before the referrals. The most common medications were the combination of a prostaglandin analog, timolol and a carbonic anhydrase inhibitor (30.0%), and all other combinations comprising\u2009\u2a7e\u20093 molecules (33.8%). Laser trabeculoplasty was reported in only 18.4%. Of the 294 referrals, 41.5% were appropriate and timely, 35.0% appropriate but later than optimal, and 17.6% appropriate but too late (minimal vision maintained). The treatment period was significantly longer (median: 7\u2009years) in the \u201cold\u201d European Union countries than in the other groups (3 and 2\u2009years, respectively). No between-group differences were seen in intraocular pressure and mean deviation, but the non-European Union group referred the patients at significantly lower cup\/disk ratio and eye drop usage than the other groups. Split fixation was significantly more common in the \u201cold\u201d (60.6%) than the \u201cnew\u201d European Union countries (38.7%), and in both EU country-groups than in the non-European Union countries (13.6%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Of 294 European open-angle glaucoma referrals for first glaucoma-surgery, 41.5% were completely satisfactory. The damage was typically advanced, and the care varied considerably among the countries. This suggests that further efforts are necessary to improve glaucoma care in Europe.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672118791937","type":"journal-article","created":{"date-parts":[[2018,8,13]],"date-time":"2018-08-13T06:09:38Z","timestamp":1534140578000},"page":"406-416","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Referral for first glaucoma surgery in Europe, the ReF-GS study"],"prefix":"10.1177","volume":"29","author":[{"given":"G\u00e1bor","family":"Holl\u00f3","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Semmelweis University, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doreen","family":"Schmidl","sequence":"additional","affiliation":[{"name":"Department of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anton","family":"Hommer","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, HERA Hospital, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,8,13]]},"reference":[{"key":"bibr1-1120672118791937","unstructured":"European Glaucoma Society. 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