The value of different screening techniques for glaucoma

Mr, Wilson; Khanna, Sunil S.

doi:10.1097/00055735-199404000-00011

Cited by 12 publications

(6 citation statements)

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“…In light of the continuing challenges regarding accurate and cost-effective diagnosis of glaucoma in the general population it has been suggested that health care providers focus their efforts solely on case detection in high-risk individuals (e.g. older age, positive family history, or certain ethnic groups) instead [ 10 , 12 , 27 ]. This is an issue that will continue to evolve as our understanding of glaucoma, as well as diagnostic and therapeutic modalities, are further refined.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the irreversible nature of the vision loss that occurs with glaucoma, management strategies must focus by necessity upon early detection and prevention of disease progression through strict control of IOP. However, these goals are limited by the fact that a simple and cost-effective screening plan for glaucoma has yet to be developed [ 9 - 12 ]. The prevention of glaucoma in developing and developed countries alike is further hindered by factors such as limited access to health care, poverty, limited formal education, and inadequate knowledge or understanding of the disease [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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A novel approach to glaucoma screening and education in Nepal

et al. 2008

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Background: Glaucoma is a major cause of blindness worldwide and an increasingly significant global health problem. Glaucoma prevention and management efforts have been challenging due to inherent difficulty in developing a simple and cost-effective screening plan, limited access to health care and educational resources, poverty, and inadequate knowledge of the disease, particularly in developing countries. Starting in 2004 the Tilganga Eye Centre in Kathmandu, Nepal has provided targeted glaucoma screening, treatment, and education through a combination of clinical outreach programs and educational activities for patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A novel approach to glaucoma screening and education in Nepal

et al. 2008

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“…As the visual loss in glaucoma is irreversible, management goals must be focused upon early detec on and preven on of disease progression through strict control of IOP. However, these goals of screening plans are difficult to achieve in the country like Nepal because of [5][6][7] the cost effec veness. This is a community based, prospec ve, opportunis c screening method adopted in cataract screening programs to detect glaucoma suspects so that they could be further inves gated for final diagnosis and treatment.…”

Section: Introductionmentioning

confidence: 99%

Glaucoma in Community: An Opportunistic Screening in Cataract Screening Programs

Rajbanshi

2019

Birat J. Health Sci.

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Introduction: Glaucoma is an optic neuropathy for which elevated intraocular pressure is considered as major risk factor. Glaucoma is the second most common cause of blindness after cataract. Since visual loss in glaucoma is irreversible, management strategies must be focused upon early detection and prevention of disease progression through strict control of intraocular pressure. Objectives: To estimate the ocular morbidity of glaucoma in community screening camps and to estimate the types of glaucoma. Methodology: It is a Community based opportunistic screening program. Study was carried out at community screening camps for cataract from August 2009 to August 2010. Five hundred five patients equal and above 50 years were examined in five screening camps conducted in Kathmandu valley. Glaucoma suspects were identified on the basis of shallow anterior chamber, intraocular pressure > 20 mm of Hg, abnormal frequency doubling perimetry (FDP), cup to disc ratio (CDR) >0.7:1, asymmetric CDR > 0.2:1, unhealthy NRR and the other disc findings suggestive of glaucoma. Glaucoma suspects were re-examined in tertiary eye hospital (TIO) in order to make a final diagnosis and provide treatment. Result: Out of 505, 67 glaucoma suspects were re-examined in Tilganga Institute of Ophthalmology. Number of patient diagnosed glaucoma was 17 (3.37%). Of them 9 patients (1.78%) had POAG, 4 (0.79 %) had secondary glaucoma, 3 (0.59%) had normal tension glaucoma and 1 (0.20 %) had ocular hypertension. Conclusion: Morbidity of glaucoma is very high in community and more screenings in larger scales are needed in order to decrease the burden of blindness due to glaucoma.

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“…The importance of early and objective diagnosis of glaucoma is evident. In the last decade, optical imaging devices have been developed to quantify structural characteristics of the optic nerve head, retinal nerve fiber layer (RNFL), and retina in an attempt to objectively identify glaucoma (1)(2)(3)(4)(5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%