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印度原发性开角型青光眼患者一级亲属的筛查

Screening First Degree Relatives of Persons with Primary Open Angle Glaucoma in India.

作者信息

Rajendrababu Sharmila, Gupta Nidhi, Vijayakumar B, Kumaragurupari R, Krishnadas S R

机构信息

Senior Glaucoma Consultant, Department of Glaucoma, Aravind Eye Hospital, Madurai Tamil Nadu, India.

Mediacal Officer, Aravind Eye Care System, Madurai, Tamil Nadu, India.

出版信息

J Curr Glaucoma Pract. 2014 Sep-Dec;8(3):107-12. doi: 10.5005/jp-journals-10008-1172. Epub 2015 Jan 15.

Abstract

PURPOSE

To report the results of screening first degree relatives of persons identified with primary open angle glaucoma in a tertiary eye hospital glaucoma services.

DESIGN

A cross-sectional study of first degree relatives of persons with primary open angle glaucoma.

MATERIALS AND METHODS

First degree relatives of patients identified with primary open angle glaucoma were invited to participate in a screening evaluation in the base hospital to detect glaucoma. All participating individuals had comprehensive eye examination including vision screening, refraction, slit-lamp biomicroscopy, applanation tonometry, gonioscopy, frequency doubling peri-metry and dilated fundus examination. Persons with definite and suspected glaucoma were subject to full threshold automated perimetry.

RESULTS

A 514 first degree relatives of 346 persons with primary open angle glaucoma, of 4972 individuals who were invited to participate attended the screening examination (Response Rate 7%). Fifty-five percent of those who attended were males and mean age of participants was 56.8 years. Sixty-eight relatives (13.3% of those screened) were detected to have definite glaucoma. Sixty percent of those detected with definite glaucoma were siblings. Fifteen percent of siblings, 4% of off-springs and 20% of parents who attended the screening examination had definite open angle glaucoma.

CONCLUSION

Prevalence of open angle glaucoma amongst first degree relatives of persons with glaucoma is higher than in the general population as reported in previous studies. Significant barriers, however, exist in the uptake of eye care services among relatives of persons known to have primary open angle glaucoma. How to cite this article: Rajendrababu S, Gupta N, Vijayakumar B, Kumaragurupari R, Krishnadas SR. Screening First Degree Relatives of Persons with Primary Open Angle Glaucoma in India. J Curr Glaucoma Pract 2014;8(3):107-112.

摘要

目的

报告在一家三级眼科医院青光眼诊疗服务中,对确诊为原发性开角型青光眼患者的一级亲属进行筛查的结果。

设计

对原发性开角型青光眼患者的一级亲属进行的横断面研究。

材料与方法

邀请确诊为原发性开角型青光眼患者的一级亲属到基层医院参加青光眼筛查评估。所有参与个体均接受了全面的眼科检查,包括视力筛查、验光、裂隙灯生物显微镜检查、压平眼压测量、前房角镜检查、倍频视野检查和散瞳眼底检查。确诊和疑似青光眼的患者接受全阈值自动视野检查。

结果

346例原发性开角型青光眼患者的514名一级亲属中,4972名受邀参加筛查的个体中有497人参加了筛查检查(应答率7%)。参加者中55%为男性,参与者的平均年龄为56.8岁。68名亲属(占筛查者的13.3%)被检测出患有确诊青光眼。确诊青光眼患者中有60%为兄弟姐妹。参加筛查检查的兄弟姐妹中有15%、后代中有4%、父母中有20%患有确诊的开角型青光眼。

结论

青光眼患者一级亲属中开角型青光眼的患病率高于先前研究报道的一般人群。然而,已知患有原发性开角型青光眼患者的亲属在接受眼保健服务方面存在重大障碍。如何引用本文:拉金德拉巴布·S、古普塔·N、维贾亚库马尔·B、库马古鲁帕里·R、克里希纳达斯·SR。印度原发性开角型青光眼患者一级亲属的筛查。《当代青光眼实践杂志》2014年;8(3):107 - 112。

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