The Toronto epidemiology glaucoma survey: a pilot study
The Toronto epidemiology glaucoma survey: a pilot study
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DOI：
10.1016/j.jcjo.2011.06.013
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发表时间：
2011-08-01
影响因子：
4.2
通讯作者：
Trope, Graham E.
中科院分区：
文献类型：
--
作者：
Anraku, Ayako;Jin, Ya-Ping;Trope, Graham E.
目的：为了评估未被发现的青光眼在多伦多population.Design的患病率：一个横断面survey。参与者：多伦多居民年龄在50岁或以上。那些表示自己没有青光眼的患者被邀请到多伦多西部医院进行全面的眼科评估，包括最佳矫正视力测试、压平眼压测量、角膜厚度测量、前房角镜检查、椎间盘评估、倍频技术和海德堡视网膜断层扫描。疑似青光眼的患者被要求返回进行进一步评估，包括24-2 Humphrey自动视野测试，重复海德堡视网膜断层扫描，重复椎间盘评估，可能还有昼夜张力曲线。青光眼的诊断是根据标准化的标准修改所使用的鹿特丹研究和福斯特和associated.Results：在975个合格的受访者，73（7.5%）表示，他们有青光眼。在其余902名阴性受访者中，271人预约了临床预约，180人完成了临床评估;他们的平均年龄为61.6岁。在参与者中，7例（3.9%）被诊断为青光眼：5例（2.8%）原发性开角型青光眼（3例为低压型青光眼，2例为高压型青光眼）; 1例（0.6%）慢性闭角型青光眼; 1例（0.6%）假性剥脱性青光眼。另有8名（4.4%）参与者被归类为可能患有开角型青光眼，33名（18.3%）被怀疑患有青光眼。窄角被发现在27名参与者（15%），和37（20.6%）有青光眼家族史。结论：未被发现的青光眼的患病率似乎是高的多伦多。需要涉及更多参与者的进一步研究来证实这一发现。
Objective: To evaluate the prevalence of undetected glaucoma in a Toronto population.Design: A cross-sectional survey.Participants: Toronto residents aged 50 years or older.Methods: Telephone calls were randomly made to Toronto residents. Those who indicated they did not have glaucoma were invited to the Toronto Western Hospital for a comprehensive ophthalmic assessment, including best corrected visual acuity testing, applanation tonometry, pachymetry, gonioscopy, disc assessment, frequency doubling technology, and Heidelberg retinal tomography. Patient suspected to have glaucoma were asked to return for further evaluation, including a 24-2 Humphrey automated visual field test, repeat Heidelberg retinal tomography, repeat disc assessment, and possibly a diurnal tension curve. The diagnosis of glaucoma was made based on standardized criteria modified from those used by the Rotterdam Study and Foster and associates.Results: Among 975 eligible respondents, 73 (7.5%) stated that they had glaucoma. Of the remaining 902 negative respondents, 271 booked clinical appointments, and 180 completed the clinical assessment; their mean age was 61.6 years. Of the participants, 7 (3.9%) were diagnosed with glaucoma: 5 (2.8%) had primary open-angle glaucoma (3 with low-pressure and 2 with high-pressure glaucoma); 1 had (0.6%) chronic angle-closure glaucoma; and 1 (0.6%) had pseudoexfoliation glaucoma. A further 8 (4.4%) participants were classified as probably having open-angle glaucoma and 33(18.3%) as being suspected to have glaucoma. Narrow angles were found in 27 participants (15%), and 37 (20.6%) had family histories of glaucoma.Conclusion: The prevalence of undetected glaucoma appears to be high in Toronto. Further studies involving larger numbers of participants are required to confirm this finding.