| Screening for glaucoma in the community by non-ophthalmologically trained staff using semi automated equipment. | |
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MedLine Citation:
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PMID: 2182352 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Eighty-nine and a half per cent of the population of a general practice over the age of 49 years were screened for glaucoma and high risk ocular hypertension requiring treatment. Screening took place using semi-automated intraocular pressure and visual field equipment operated by non-ophthalmologically trained staff. An experienced ophthalmologist examined all patients in a single blind manner to reduce false negatives to a minimum. Patients suspected of requiring treatment on the grounds of raised intraocular pressure, abnormal visual fields or suspicious optic discs were subsequently examined in a hospital clinic. Treatment criteria, as commonly practiced, were carefully defined and the sensitivities and specificities of the methods of screening used were calculated. One and three tenths per cent of the practice population were known to be receiving treatment prior to the study and a further 1.4% were found to require treatment after screening. The sensitivity and specificity of the non-contact tonometer were 91.7% and 95.6% respectively with a predictive power of 22.5% for a positive result. The mean time taken to perform the test in both eyes was two minutes. Seventy per cent of the patients with pressures over 22 mmHg in both eyes on screening were found to require treatment. The routine use of the field screener did not increase either the sensitivity or specificity of the screening process but its use in cases with raised intraocular pressure is advised to indicate the degree of urgency of the referral. An algorithm based on the results of the study is suggested when planning the use of semi-automated equipment to screen for ocular disease related to raised intraocular pressure. |
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Authors:
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S A Vernon; D J Henry; L Cater; S J Jones |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Eye (London, England) Volume: 4 ( Pt 1) ISSN: 0950-222X ISO Abbreviation: Eye (Lond) Publication Date: 1990 |
Date Detail:
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Created Date: 1990-05-16 Completed Date: 1990-05-16 Revised Date: 2009-11-03 |
Medline Journal Info:
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Nlm Unique ID: 8703986 Medline TA: Eye (Lond) Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 89-97 Citation Subset: IM |
Affiliation:
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Academic Unit of Ophthalmology, University of Nottingham. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Algorithms Automation England Family Practice Female Glaucoma / prevention & control* Humans Male Middle Aged Ocular Hypertension / prevention & control Sensitivity and Specificity Single-Blind Method Tonometry, Ocular / instrumentation Vision Disorders / prevention & control Vision Screening / methods* Visual Fields |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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