TY - JOUR
T1 - Prevalence of increased intraocular pressure and optic disk cupping
T2 - Multicenter glaucoma screening in Israel during the 2009 and 2010 World Glaucoma weeks
AU - Israel Glaucoma Screening Group
AU - Nesher, Ronit
AU - Applebaum, E.
AU - Arodi, A.
AU - Avidar, A.
AU - Barkana, Y.
AU - Beiran, I.
AU - Bracha, Z.
AU - Burgansky, Z.
AU - Cotlear, D.
AU - Dafna, O.
AU - Drori, L.
AU - ElNaddaf, H.
AU - Epstein, E.
AU - Garzozi, H.
AU - Gawi, H.
AU - Geffen, N.
AU - Glovinsky, Y.
AU - Hadayer, A.
AU - Jubran, R.
AU - Kalev-Landoy, M.
AU - Kaniezer, B.
AU - Kratz, A.
AU - Kurtz, S.
AU - Matanes, M.
AU - Mazover, A.
AU - Mazzawi, N.
AU - Naveh, L.
AU - Nesher, R.
AU - Neuman, H.
AU - Pedut, T.
AU - Pikel, Y.
AU - Rachmiel, R.
AU - Rath, E.
AU - Robinson, A.
AU - Segev, E.
AU - Shemesh, G.
AU - Shoham, N.
AU - Silverston, B.
AU - Tam, G.
AU - Tessler, Z.
AU - Tiosano, B.
AU - Vidan, A.
AU - Vishinevski, I.
AU - Zalish, M.
AU - Zarfati, D.
AU - Zorani, Y.
N1 - Publisher Copyright:
© 2014, Israel Medical Association. All rights reserved.
PY - 2014/8/1
Y1 - 2014/8/1
N2 - Results: A total of 2560 individuals were screened; the mean age was 59 ± 13 years. IOP ≥ 21 mmHg was found in 4.8%, and 12.3% had cupping ≥ 0.5. IOP ≥ 21 mmHg together with cupping ≥ 0.5 were present in 1.4% and this rate increased with age: 3.7% of cases in the age group ≥ 70 years compared to 1% and 0.6% in the age groups 50–69 and < 50 years, respectively (P < 0.001). Likewise, the prevalence of cupping ≥ 0.7 and of IOP ≥ 24 mmHg increased significantly with age. The prevalence of IOP ≥ 21 mmHg increased in cases with a family history of glaucoma in firstdegree relatives (10.5% compared to 3.9%, P < 0.001). The prevalence of IOP ≥ 21 mmHg was also increased in diabetic patients (8.3% vs. 4.3% in non-diabetics, P = 0.002). Further ophthalmologic evaluation was recommended to 13% of the screened individuals.Conclusions: Outreach screening for glaucoma is a valuable tool for detecting glaucoma, pre-perimetric glaucoma, or ocular hypertension in a meaningful number of previously undiagnosed cases. Yet, cost-effectiveness issues should also be considered. The yield of such screening increases with age and seems to be most advantageous in cases with diabetes or a family history of glaucoma.Background: Early detection of glaucoma enables early initiation of treatment. Screening populations at risk is likely to help achieve this goal.Methods: A public awareness campaign was carried out in Israel during the 2009 and 2010 World Glaucoma Week, culminating each year in a one-day, free-of-charge screening of individuals in 13 outreach public locations. Screening was performed by 45 ophthalmologists and included a brief medical history, slit-lamp exam with measurement of intraocular pressure (IOP), and evaluation of cup/disk ratio.Objectives: To increase public awareness regarding early detection of glaucoma, and estimate the prevalence of increased intraocular pressure (IOP) and optic disk cupping in the screened population.
AB - Results: A total of 2560 individuals were screened; the mean age was 59 ± 13 years. IOP ≥ 21 mmHg was found in 4.8%, and 12.3% had cupping ≥ 0.5. IOP ≥ 21 mmHg together with cupping ≥ 0.5 were present in 1.4% and this rate increased with age: 3.7% of cases in the age group ≥ 70 years compared to 1% and 0.6% in the age groups 50–69 and < 50 years, respectively (P < 0.001). Likewise, the prevalence of cupping ≥ 0.7 and of IOP ≥ 24 mmHg increased significantly with age. The prevalence of IOP ≥ 21 mmHg increased in cases with a family history of glaucoma in firstdegree relatives (10.5% compared to 3.9%, P < 0.001). The prevalence of IOP ≥ 21 mmHg was also increased in diabetic patients (8.3% vs. 4.3% in non-diabetics, P = 0.002). Further ophthalmologic evaluation was recommended to 13% of the screened individuals.Conclusions: Outreach screening for glaucoma is a valuable tool for detecting glaucoma, pre-perimetric glaucoma, or ocular hypertension in a meaningful number of previously undiagnosed cases. Yet, cost-effectiveness issues should also be considered. The yield of such screening increases with age and seems to be most advantageous in cases with diabetes or a family history of glaucoma.Background: Early detection of glaucoma enables early initiation of treatment. Screening populations at risk is likely to help achieve this goal.Methods: A public awareness campaign was carried out in Israel during the 2009 and 2010 World Glaucoma Week, culminating each year in a one-day, free-of-charge screening of individuals in 13 outreach public locations. Screening was performed by 45 ophthalmologists and included a brief medical history, slit-lamp exam with measurement of intraocular pressure (IOP), and evaluation of cup/disk ratio.Objectives: To increase public awareness regarding early detection of glaucoma, and estimate the prevalence of increased intraocular pressure (IOP) and optic disk cupping in the screened population.
KW - Cup/disk ratio
KW - Glaucoma
KW - Intraocular pressure (IOP)
KW - Screening
UR - http://www.scopus.com/inward/record.url?scp=84907427123&partnerID=8YFLogxK
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AN - SCOPUS:84907427123
SN - 1565-1088
VL - 16
SP - 483
EP - 486
JO - Israel Medical Association Journal
JF - Israel Medical Association Journal
IS - 8
ER -
