The additional yield of a periodic screening programme for open-angle glaucoma: a population-based comparison of incident glaucoma cases detected in regular ophthalmic care with cases detected during screening

The British Journal of Ophthalmology
R StoutenbeekN M Jansonius

Abstract

To study the additional yield of a periodic screening programme for open-angle glaucoma (OAG) by comparing, in a population-based setting, incident OAG (iOAG) cases detected in regular ophthalmic care with those detected during screening. Participants aged 55 and over from the population-based Rotterdam Study underwent the same ophthalmic examination at baseline (1991-3) and follow-up (1997-9), including visual field testing and simultaneous stereo optic disc photography. Of 3842 participants, 87 (2.3%) developed iOAG during a mean follow-up time of 6.5 years. Of these 87 iOAG cases, 78 (90%) were included in this study. Of the 78 iOAG cases detected at follow-up, 23 (29%) had already been detected before during regular ophthalmic care. The remaining 55 (71%) undetected iOAG cases more often showed glaucomatous optic neuropathy without glaucomatous visual field loss (29 of 55 (53%)) as compared with the detected cases (four of 23 (17%); p = 0.009). Of the undetected iOAG cases, only four had developed significant visual field loss in their better eye. The additional yield of a periodic OAG screening programme is lower than expected from published prevalence data. In the discussion, the authors estimate that-in a white populatio...Continue Reading

Citations

Dec 22, 2010·Indian Journal of Ophthalmology·Anja Tuulonen
Nov 9, 2011·Clinics in Geriatric Medicine·Roger J ZoorobSarah E Taylor
Jul 2, 2010·Ophthalmology·Monika A CzudowskaNomdo M Jansonius
Jan 4, 2013·Acta Ophthalmologica. Supplement·Anders HeijlUNKNOWN Swedish Ophthalmological Society
Jan 25, 2012·Acta Ophthalmologica·Margriet M de VriesNomdo M Jansonius
Sep 20, 2011·American Journal of Ophthalmology·Marc F LiebermanMingguang He
Oct 21, 2006·The Cochrane Database of Systematic Reviews·S HattJ Burr
Sep 16, 2020·Investigative Ophthalmology & Visual Science·Nigus G AsefaHarold Snieder

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