Research Title: Evaluation of collaborative care models for glaucoma and identification of clinical predictors for conversion and progression
Glaucoma is a leading cause of irreversible vision impairment worldwide. In Australia, glaucoma currently affects 3% of people aged 50 years and over. With a growing and ageing population, the number of people living with glaucoma in Australia is projected to increase.
Glaucoma is characterised by progressive loss of retinal ganglion cells and associated functional vision loss. As no cure currently exists, glaucoma management relies on early detection of disease onset and progression coupled with timely intervention to prevent further vision loss. However, despite monitoring and treatment according to accepted standards of practice, some patients continue to progress. Hence, current clinical protocols including measurements of optic nerve parameters, visual field sensitivity and intraocular pressure could be optimised.
Glaucoma is a chronic disorder that typically requires life-long surveillance on a biannual or annual basis. The frequent review schedule represents a significant time commitment for eye care practitioners. Patients with glaucoma are predominantly managed by ophthalmologists. Due to a high demand for eye care services in public hospital eye clinics, patients seeking treatment may be faced with extended waiting periods. Extended waiting times represent inefficiencies in our public health system and may also result in unnecessary patient anxiety and avoidable vision loss due to delays in treatment. To address this, collaborative models of care involving community optometrists have been investigated overseas, but limited studies have been conducted in Australia.
My research will investigate novel assessment and management strategies for glaucoma including the potential role of collaborative care in Australia and technological innovations for analysing and measuring clinical data.
Jessie was awarded Bachelor of Optometry (Hons) and Graduate Certificate in Ocular Therapy by UNSW. She developed a special interest in ocular pathology during her formative years of clinical practice in rural NSW. Since then, she has held staff optometrist positions at corporate and not-for-profit practices including Centre for Eye Health and Australian College of Optometry. In 2015, Jessie participated in the DFAT AVID Program to assist in the development of a tertiary optometry course in Vietnam, partnering with Brien Holden Vision Institute and the University of Medicine Pham Ngoc Thach. Upon returning to Sydney, Jessie’s interest in public health and ocular disease has culminated into a PhD project to improve management of patients with glaucoma.
- Huang J, Katalinic P, Kalloniatis M, Hennessy MP and Zangerl B. Diurnal Intraocular Pressure Fluctuations with Self-tonometry in Glaucoma Patients and Suspects: A Clinical Trial. Optom Vis Sci. 2018 Feb;95(2):88-95.
- Huang J, Hennessy MP, Kalloniatis M and Zangerl B. Implementing collaborative care for glaucoma patients and suspects in Australia. Clin Exp Ophthalmol. 2018 Sep;46(7):826-828.
- Bandamwar KL, Garrett Q, Cheung D, Huang J, Lee l, Ng C & Papas EB. Onset time course of solution induced corneal staining. Contact Lens & Anterior Eye, 2010;33(4), 199-201
Reports and Book Chapters
- Huang J and Zangerl B. Intraocular Pressure Phasing and Glaucoma (2018). Mivison. 2018 June;135, 71-75.
2018 UNSW Science Faculty Research Grant 2018 for “Evaluating the impact of topical glaucoma treatment on diurnal fluctuations of intraocular pressure”
2017 Asia ARVO Conference Travel Grant recipient, Brisbane, Australia
Huang J, Phu J, Khuu S, Hennessy MP, Kalloniatis M & Zangerl B. Cluster analysis of longitudinal visual fields identifies patterns of progression in glaucoma patients. Presented at the World Glaucoma Congress, 27-30 March, Melbourne, Australia
Huang J, Yapp M, Masselos K, Kalloniatis M & Zangerl B. Impact of referral letter content on management of glaucoma patients and suspects in collaborative care. Presented at the Association for Research in Vision and Ophthalmology (ARVO) Annual Meeting, 29 Apr-3 May, 2018, Honolulu, USA
Zangerl B, Huang J, Katalinic P, Hennessy MP & Kalloniatis M. Improving management of glaucoma patients and suspects through self-tonometry. Presented at the 15th Scientific and 9th Educator’s Meeting in Optometry (SEMO), 5-6 April 2018, Melbourne, Australia
Huang J, Kalloniatis M, Katalinic P & Zangerl B. IOP Fluctuations in glaucoma patients measured by a self-administered tonometer. Presented at the Association for Research in Vision and Ophthalmology (ARVO) Annual Meeting, 7-11 May 2017, Baltimore, USA
Huang J, Zangerl B, Ly C, Hennessy MP, Masselos K, Agar A, Yapp M & Kalloniatis M. Model of inter-professional collaborative management of glaucoma in an Australian context. Presented at the Association for Research in Vision and Ophthalmology (ARVO) Asia Conference, 5-8 February 2017, Brisbane, Australia
Ho SM, Burnett A, Tran HL, Tran MA, Huang J, Huynh PL, Yu M & Bilotto L. A Snapshot of the First Optometry Students in Vietnam. Presented at the International Agency for the Prevention of Blindness (IAPB) 10th General Assembly, 27-30 October 2016, Durban, South Africa
AFFILIATIONS AND MEMBERSHIPS
2018-2019 School of Optometry and Vision Science Equity Diversity and Inclusion Committee Representative