Eye and Vision Sciences, University of Manchester, Manchester, UK.
Eye (Lond). 2009 May;23(5):1038-44. doi: 10.1038/eye.2008.245. Epub 2008 Aug 8.
To investigate the relationship between socioeconomic status and the extent of visual field loss in POAG and treated OHT patients at their first presentation to Manchester Royal Eye Hospital.
A cohort of 113 glaucoma patients seen between 1995 and 2005 was reviewed. The clinical parameters intraocular pressure, C : D ratio, family history of glaucoma, visual acuity, extent of visual field loss, and demographic parameters: age, gender, ethnicity, and residential postcode were extracted from hospital records. The socioeconomic status of each patient was estimated from the patient's residential postcode with the ACORN index (group 1: affluent and group 2: socioeconomically deprived).
In comparison to group 1 (n=49), patients in group 2 (n=64) presented with more advanced field loss, lower educational attainment (18 vs 98% with no or unknown qualification), and were less aware of glaucoma in the family (27 vs 17%). Patients with a number of systemic health problems had worse vision, more severe visual field loss, and worse clinical attendance (P<0.05).
The extent of visual field loss in glaucoma patients at first presentation is related to a combination of clinical and socioeconomic factors including the patient's postcode. This finding could be used to target future case-finding resources.
研究社会经济地位与初次就诊于曼彻斯特皇家眼科医院的 POAG 和治疗性 OHT 患者的视野丧失程度之间的关系。
回顾了 1995 年至 2005 年间就诊的 113 名青光眼患者的队列。从医院记录中提取了临床参数（眼压、C ： D 比、青光眼家族史、视力、视野丧失程度）和人口统计学参数（年龄、性别、种族和居住邮政编码）。每位患者的社会经济地位由患者的居住邮政编码用 ACORN 指数（第 1 组：富裕和第 2 组：社会经济贫困）进行评估。
与第 1 组（n=49）相比，第 2 组（n=64）患者的视野丧失更严重，教育程度更低（18% vs 98%无或未知资格），家庭中对青光眼的认识程度更低（27% vs 17%）。患有多种系统性健康问题的患者视力更差，视野丧失更严重，临床就诊情况更差（P<0.05）。
青光眼患者初次就诊时的视野丧失程度与临床和社会经济因素的综合有关，包括患者的邮政编码。这一发现可用于针对未来的病例发现资源。
