Treatment options for chronic hypotony: a scoping review protocol

Introduction Chronic ocular hypotony (low intraocular pressure (IOP)) is a potentially sight-threatening condition. Although there is some controversy as to what constitutes non-physiological IOP, generally it is accepted as an IOP of 6.5 mm Hg or less, measured on three separate occasions and lasti...

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Main Authors: Harry Petrushkin, Rana Khalil, Desta Bokre, Karla Orsine Murta Dias, Aman Sutaria, Diya Shah
Format: Article
Language:English
Published: BMJ Publishing Group 2024-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/12/e085968.full
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author Harry Petrushkin
Rana Khalil
Desta Bokre
Karla Orsine Murta Dias
Aman Sutaria
Diya Shah
author_facet Harry Petrushkin
Rana Khalil
Desta Bokre
Karla Orsine Murta Dias
Aman Sutaria
Diya Shah
author_sort Harry Petrushkin
collection DOAJ
description Introduction Chronic ocular hypotony (low intraocular pressure (IOP)) is a potentially sight-threatening condition. Although there is some controversy as to what constitutes non-physiological IOP, generally it is accepted as an IOP of 6.5 mm Hg or less, measured on three separate occasions and lasting for at least 3 months. There is a paucity of data in the literature describing the management of this potentially blinding condition. As such, there is no standardised treatment regime available and no consensus on expected visual prognosis.Methods and analysis The protocol for this scoping review will follow best practice as outlined by the JBI Scoping Review Methodology Group. This review will employ the population, concept, and context model for synthesis of the review questions. Databases searched will be Ovid Medline, Ovid Embase, The Cochrane Central Register of Controlled Trials, Web of Science and Scopus databases, as well as reference lists of relevant articles and the grey literature. Key concepts identified for conducting the literature search will be ‘Ocular hypotony’, ‘medication’ and ‘surgery’. Eligibility criteria include all adults undergoing medical or surgical treatment for chronic ocular hypotony. In order to validate this search strategy, we performed a sample search on Ovid Medline from 1946 to February 2024. Following the selection process, a custom form was developed in Microsoft Excel for data charting. We intend to summarise the data using a narrative model, with the study findings grouped based on similarities in the type of treatment and outcomes assessed.Ethics and dissemination Ethical approval was not required, as our review will only include published data. We will publish the review in an open-access, peer-reviewed journal and publicise our findings at international meetings.
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spelling doaj-art-6d9d4223bb2c4f7b9d09738b160885782024-12-16T17:10:13ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2024-085968Treatment options for chronic hypotony: a scoping review protocolHarry Petrushkin0Rana Khalil1Desta Bokre2Karla Orsine Murta Dias3Aman Sutaria4Diya Shah52 Moorfields Eye Hospital NHS Foundation Trust, London, UK1 Tennent Institute of Ophthalmology, Glasgow, UK4 Joint Library of Ophthalmology Moorfields Eye Hospital and UCL Institute of Ophthalmology, London, UK2 Moorfields Eye Hospital NHS Foundation Trust, London, UK3 University College London Medical School, London, UK3 University College London Medical School, London, UKIntroduction Chronic ocular hypotony (low intraocular pressure (IOP)) is a potentially sight-threatening condition. Although there is some controversy as to what constitutes non-physiological IOP, generally it is accepted as an IOP of 6.5 mm Hg or less, measured on three separate occasions and lasting for at least 3 months. There is a paucity of data in the literature describing the management of this potentially blinding condition. As such, there is no standardised treatment regime available and no consensus on expected visual prognosis.Methods and analysis The protocol for this scoping review will follow best practice as outlined by the JBI Scoping Review Methodology Group. This review will employ the population, concept, and context model for synthesis of the review questions. Databases searched will be Ovid Medline, Ovid Embase, The Cochrane Central Register of Controlled Trials, Web of Science and Scopus databases, as well as reference lists of relevant articles and the grey literature. Key concepts identified for conducting the literature search will be ‘Ocular hypotony’, ‘medication’ and ‘surgery’. Eligibility criteria include all adults undergoing medical or surgical treatment for chronic ocular hypotony. In order to validate this search strategy, we performed a sample search on Ovid Medline from 1946 to February 2024. Following the selection process, a custom form was developed in Microsoft Excel for data charting. We intend to summarise the data using a narrative model, with the study findings grouped based on similarities in the type of treatment and outcomes assessed.Ethics and dissemination Ethical approval was not required, as our review will only include published data. We will publish the review in an open-access, peer-reviewed journal and publicise our findings at international meetings.https://bmjopen.bmj.com/content/14/12/e085968.full
spellingShingle Harry Petrushkin
Rana Khalil
Desta Bokre
Karla Orsine Murta Dias
Aman Sutaria
Diya Shah
Treatment options for chronic hypotony: a scoping review protocol
BMJ Open
title Treatment options for chronic hypotony: a scoping review protocol
title_full Treatment options for chronic hypotony: a scoping review protocol
title_fullStr Treatment options for chronic hypotony: a scoping review protocol
title_full_unstemmed Treatment options for chronic hypotony: a scoping review protocol
title_short Treatment options for chronic hypotony: a scoping review protocol
title_sort treatment options for chronic hypotony a scoping review protocol
url https://bmjopen.bmj.com/content/14/12/e085968.full
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