The utility of symptoms in identification of primary angle-closure in a high-risk population

Ophthalmology
Ee Lin OngPaul J Foster

Abstract

To examine the frequency of symptoms associated with primary angle closure in an East Asian population with high rates of disease. Population-based survey. One thousand adults from rural and urban provinces of Mongolia were examined. A standard questionnaire was used to determine a history of symptoms of angle closure. All participants underwent applanation tonometry, gonioscopy, and slit-lamp examination by the same observer. The frequency of symptoms was compared between normal subjects and those in 3 high-risk or affected groups: gonioscopically confirmed occludable angles, peripheral anterior synechiae (PAS) detected on gonioscopy, and anterior chamber depth of less than 2.5 mm. The frequency of symptoms associated with primary angle closure. Symptoms of visual disturbance and ocular pain traditionally linked with angle closure were reported frequently by both normal and potentially affected people. Intermittent blurring of vision at night was the only common symptom of angle closure that was significantly more frequent in people with narrow angles and PAS (P = 0.004, 48.4% vs. 31.0% narrow angles; P = 0.001, 54.3% vs. 30.6% PAS), but not in those with shallow anterior chambers (P = 0.670, 38.3% vs. 30.9%). Direct questioni...Continue Reading

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Citations

Nov 26, 2009·British Medical Bulletin·Ian Subak-SharpePaul J Foster
Jan 1, 2009·BMJ Case Reports·Mohammad AlkhalilDavid Dick
Feb 25, 2010·Journal of Glaucoma·Michel Michaelides, Paul J Foster
Nov 26, 2009·Journal français d'ophtalmologie·C LamirelV Biousse
Jul 9, 2016·Retina·Massood Mohammadi, Sasan Moghimi
Jul 4, 2019·Eye·Rui FengIan Murdoch
May 6, 2020·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Filipa Jorge TeixeiraLuís Abegão Pinto
Jan 13, 2021·JAMA : the Journal of the American Medical Association·Joshua D SteinJennifer S Weizer

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