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    Six year outcomes of combined phacoemulsification surgery and endoscopic cyclophotocoagulation in refractory glaucoma
    (Springer, 2022-12-09) Feinberg, L.; Swampillai, A. J.; Byles, D.; Smith, M.
    PURPOSE: This study is to describe the 6-year results of combined phacoemulsification surgery and endoscopic cyclophotocoagulation (Phaco-ECP) surgery in patients with uncontrolled glaucoma and no previous glaucoma surgery. METHODS: This is a retrospective case series of 84 eyes. The primary outcome measure was intraocular pressure (IOP) reduction 6 years postoperatively. Secondary outcome measures were the cumulative probability of failure of the surgical procedure at 6 years. Failure was defined as IOP higher than 21 mm Hg or lower than 6 mm Hg or IOP not reduced by 20% from baseline at the 1, 2, 3, 4, 5, or 6-year time points or further laser or other surgery to reduce IOP at any timepoint. RESULTS: There was a statistically significant decrease in mean IOP from 18.9 mmHg pre-operatively to 13.7, 12.8, 13.0, 12.7, 12.5, and 12.3 mmHg at the 1, 2, 3, 4, 5, and 6 years post-operatively respectively (p < 0.001). Fifty-seven (68%) reached criteria for failure by 6 years. In 36% of cases, this was due to inadequate IOP control, whereas 32% required further laser or surgery. When we excluded patients who only had selective laser trabeculoplasty rather than further surgery, the failure rate reduced to 51%. Eleven percent had a post-operative complication, 2.4% requiring further surgical intervention. CONCLUSIONS: At 6 years postoperatively, combined phaco-ECP achieved a significant reduction in IOP in patients with uncontrolled glaucoma and no previous drainage surgery. Significant complications were uncommon, but 68% was classified as surgical failures by the six year point.
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    How are Chaplaincy Departments Responding Amidst the COVID-19 Pandemic? A Snapshot of UK Responses to a Questionnaire
    (Equinox Publishing Ltd, 2020-08) Harrison, Simon; Scarle, Julia
    This is a brief reflection on how chaplaincy in the United Kingdom is responding “on the ground” to COVID-19. It is based on a short questionnaire responded to by 27 chaplaincy teams, who were providing ministry during COVID-19, in April 2020. It notes significant changes in practice and captures some variation and similarities in chaplaincy experiences. It also highlights emerging concerns with respect to chaplaincy practice that may require additional research in the future