在定期验光师就诊期间进行青光眼筛查：能否覆盖有患青光眼风险的人群？
Glaucoma screening during regular optician visits: can the population at risk of developing glaucoma be reached?
作者信息
Stoutenbeek R, Jansonius N M
机构信息
Department of Ophthalmology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
出版信息
Br J Ophthalmol. 2006 Oct;90(10):1242-4. doi: 10.1136/bjo.2006.095505. Epub 2006 Jul 19.
AIM
To determine the percentage of the population at risk of developing glaucoma, which can potentially be reached by conducting glaucoma screening during regular optician visits.
METHODS
1,200 inhabitants aged >40 years were randomly selected from Dutch community population databases. A questionnaire was mailed to these inhabitants with questions on their latest optician visit and risk factors for glaucoma. A second questionnaire was sent to their opticians, who were asked about their willingness to conduct an additional glaucoma screening programme in the future.
RESULTS
The questionnaire was returned by 959 of 1,200 inhabitants and 37 of 50 opticians. The percentage of inhabitants who visited an optician during a 5-year period was 83% (95% confidence interval (CI) 80% to 85%). This percentage was adjusted for the presence of risk factors for glaucoma to obtain the percentage of the population at risk of developing glaucoma. The percentage of opticians willing to cooperate in a glaucoma screening programme extended beyond a non-contact tonometry measurement alone was 91% (95% CI 77% to 98%).
CONCLUSION
By conducting glaucoma screening during regular optician visits, a large section of the population at risk of developing glaucoma can be reached.
目的
确定有患青光眼风险的人群比例，通过在常规验光师就诊时进行青光眼筛查有可能覆盖这部分人群。
方法
从荷兰社区人口数据库中随机选取1200名年龄大于40岁的居民。向这些居民邮寄一份问卷，询问他们最近一次验光师就诊情况以及青光眼的危险因素。向他们的验光师发送第二份问卷，询问其未来是否愿意开展额外的青光眼筛查项目。
结果
1200名居民中有959人、50名验光师中有37人回复了问卷。在5年期间看过验光师的居民比例为83%（95%置信区间（CI）80%至85%）。该比例针对青光眼危险因素的存在情况进行了调整，以得出有患青光眼风险的人群比例。愿意在青光眼筛查项目中合作且不仅仅局限于单纯非接触眼压测量的验光师比例为91%（95%CI 77%至98%）。
结论
通过在常规验光师就诊时进行青光眼筛查，可以覆盖很大一部分有患青光眼风险的人群。
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