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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 796-800 |
| Number of pages | 5 |
| Journal | Archives of Ophthalmology |
| Volume | 112 |
| Issue number | 6 |
| DOIs | |
| State | Published - 1994 |
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ASJC Scopus subject areas
- Ophthalmology
Cite this
Screening for Glaucoma in a Medical Clinic With Photographs of the Nerve Fiber Layer. / Wang, Fang; Quigley, Harry A; Tielsch, James M.
In: Archives of Ophthalmology, Vol. 112, No. 6, 1994, p. 796-800.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Screening for Glaucoma in a Medical Clinic With Photographs of the Nerve Fiber Layer
AU - Wang, Fang
AU - Quigley, Harry A
AU - Tielsch, James M.
PY - 1994
Y1 - 1994
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0028310833&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028310833&partnerID=8YFLogxK
U2 - 10.1001/archopht.1994.01090180094042
DO - 10.1001/archopht.1994.01090180094042
M3 - Article
C2 - 8002839
AN - SCOPUS:0028310833
VL - 112
SP - 796
EP - 800
JO - JAMA Ophthalmology
JF - JAMA Ophthalmology
SN - 2168-6165
IS - 6
ER -