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Invited Commentary
May 25, 2017

Growing Evidence of the Importance of the Macula in Glaucoma

Author Affiliations
  • 1Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
JAMA Ophthalmol. Published online May 25, 2017. doi:10.1001/jamaophthalmol.2017.1379

In the modern, patient-centered health care system, patient-reported outcome measures, such as quality of life (QOL), are increasingly important to payers and regulatory agencies. There are unique problems in the assessment of the effect of glaucoma on vision-related QOL such that clinicians have long recognized a frequent discordance between patients’ reported symptoms and the results of standard automated perimetry. Patients’ QOL may be adversely affected in meaningful ways regardless of whether they are aware and report they have diminished vision. The characteristically gradual loss of vision that occurs in glaucoma may lead to an underreporting of symptoms by patients.

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