F Wang1, H A Quigley, J M Tielsch. 1. Dana Center for Preventive Ophthalmology, Wilmer Ophthalmological Institute, Johns Hopkins University, Baltimore, Md.
Abstract
PURPOSE: To evaluate nerve fiber layer photography as a method for glaucoma screening in a general medical clinic setting. METHODS: One hundred seventy-one persons who attended an academic hospital medical clinic were administered a questionnaire and underwent a complete eye examination, including automated perimetry and photography of the optic disc and nerve fiber layer. RESULTS: Eighteen patients were diagnosed as having primary glaucoma; one, secondary glaucoma; and 21 were suspected of having glaucoma. Nerve fiber layer photographs were taken on 145 persons (85%) and were readable in 136 (80%) of the sample of 171 subjects. Nerve fiber layer atrophy was detected on masked evaluation in 64% of those with glaucoma, in 28% of those suspected of having glaucoma, and in 16% of persons who did not meet the criteria for glaucoma. CONCLUSIONS: Nerve fiber layer photography can be carried out as a screening method and can identify a substantial proportion of those with glaucoma. It compares favorably with tonometry, cup-disc ratio estimation, or screening visual field examination for glaucoma detection.
PURPOSE: To evaluate nerve fiber layer photography as a method for glaucoma screening in a general medical clinic setting. METHODS: One hundred seventy-one persons who attended an academic hospital medical clinic were administered a questionnaire and underwent a complete eye examination, including automated perimetry and photography of the optic disc and nerve fiber layer. RESULTS: Eighteen patients were diagnosed as having primary glaucoma; one, secondary glaucoma; and 21 were suspected of having glaucoma. Nerve fiber layer photographs were taken on 145 persons (85%) and were readable in 136 (80%) of the sample of 171 subjects. Nerve fiber layer atrophy was detected on masked evaluation in 64% of those with glaucoma, in 28% of those suspected of having glaucoma, and in 16% of persons who did not meet the criteria for glaucoma. CONCLUSIONS: Nerve fiber layer photography can be carried out as a screening method and can identify a substantial proportion of those with glaucoma. It compares favorably with tonometry, cup-disc ratio estimation, or screening visual field examination for glaucoma detection.
Authors: Zvia Burgansky-Eliash; Gadi Wollstein; Tianjiao Chu; Joseph D Ramsey; Clark Glymour; Robert J Noecker; Hiroshi Ishikawa; Joel S Schuman Journal: Invest Ophthalmol Vis Sci Date: 2005-11 Impact factor: 4.799
Authors: Brett J King; William H Swanson; Stephanie A Klemencic; Michael Chaglasian; Bruce A Teitelbaum; Christopher A Clark; Ashley M Speilburg; Jane Ann Grogg; Todd D Peabody Journal: Optom Vis Sci Date: 2020-02 Impact factor: 2.106