Chloé Chamard1, Max Villain1,2, Alain Bron3, Alexandre Causse4, Yacine Bentaleb5,6, François Pelen5, Christophe Baudouin7, Vincent Daien8,9,10,11. 1. Ophthalmology Department, Gui de Chauliac University Hospital, Montpellier, France. 2. Montpellier University 1, Montpellier, France. 3. Ophthalmology Department, University Hospital, Dijon, France. 4. Point Vision Ophthalmology Center, Toulouse, France. 5. Point Vision Group, Paris, France. 6. Alter'Advance, Paris, France. 7. Department of Ophthalmology III, Quinze-Vingts Hospital, INSERM-DHOS CIC, Institut de la Vision, INSERM, U968, Sorbonne University, Paris, France. 8. Ophthalmology Department, Gui de Chauliac University Hospital, Montpellier, France, vincent.daien@gmail.com. 9. Montpellier University 1, Montpellier, France, vincent.daien@gmail.com. 10. Inserm, U1061, Montpellier, France, vincent.daien@gmail.com. 11. The Save Sight Institute, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia, vincent.daien@gmail.com.
Abstract
INTRODUCTION: The rate of unknown glaucoma is around 50% in industrialized countries. The purpose of our study was to estimate the prevalence of unknown cases of ocular hypertension, glaucoma suspects, and glaucoma in patients consulting for refractive disorders in France. METHODS: A retrospective study in the Point Vision ophthalmology center was led in Toulouse, France. All participants consulting for refractive disorders between June 2015 and June 2017 in the ophthalmology center were included. The cases were identified by the assessment of intraocular pressure, optic nerve head structure, and visual field. Ocular hypertension was defined as an intraocular pressure >21 mm Hg. Glaucoma was defined as the association of a glaucomatous papilla and two successive pathological visual fields. Glaucoma suspect was defined as the association of a glaucomatous papilla without visual field defect. The primary endpoint was the prevalence of unknown ocular hypertension, glaucoma suspects, and glaucoma in patients seen in an ophthalmology center. RESULTS: A total of 66,068 patients (mean age = 37 years) consulted for a refraction visual assessment during the study period. Among them, 234 had a visual field and a retinal nerve fiber layer assessment for ocular hypertension and/or suspicious papilla. The prevalence of unknown cases of ocular hypertension, glaucoma suspect, and glaucoma was 2.6, 0.8, and 0.5 per 1,000 consultants, respectively. Median age at diagnosis of ocular hypertension, glaucoma suspect, and glaucoma was 52, 53, and 65 years, respectively. CONCLUSION: The present study highlights the importance of glaucoma screening in people over 40 years old with the measurement of intraocular pressure and an optic nerve head assessment.
INTRODUCTION: The rate of unknown glaucoma is around 50% in industrialized countries. The purpose of our study was to estimate the prevalence of unknown cases of ocular hypertension, glaucoma suspects, and glaucoma in patients consulting for refractive disorders in France. METHODS: A retrospective study in the Point Vision ophthalmology center was led in Toulouse, France. All participants consulting for refractive disorders between June 2015 and June 2017 in the ophthalmology center were included. The cases were identified by the assessment of intraocular pressure, optic nerve head structure, and visual field. Ocular hypertension was defined as an intraocular pressure >21 mm Hg. Glaucoma was defined as the association of a glaucomatous papilla and two successive pathological visual fields. Glaucoma suspect was defined as the association of a glaucomatous papilla without visual field defect. The primary endpoint was the prevalence of unknown ocular hypertension, glaucoma suspects, and glaucoma in patients seen in an ophthalmology center. RESULTS: A total of 66,068 patients (mean age = 37 years) consulted for a refraction visual assessment during the study period. Among them, 234 had a visual field and a retinal nerve fiber layer assessment for ocular hypertension and/or suspicious papilla. The prevalence of unknown cases of ocular hypertension, glaucoma suspect, and glaucoma was 2.6, 0.8, and 0.5 per 1,000 consultants, respectively. Median age at diagnosis of ocular hypertension, glaucoma suspect, and glaucoma was 52, 53, and 65 years, respectively. CONCLUSION: The present study highlights the importance of glaucoma screening in people over 40 years old with the measurement of intraocular pressure and an optic nerve head assessment.
Authors: Selvaraja Nanthini; Ahmad Sukari Ain-Nasyrah; Raja Norliza Raja Omar; Azhany Yaakub; Ahmad Tajudin Liza-Sharmini Journal: Cureus Date: 2022-02-28