Glaucoma Service.
Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia PA.
J Glaucoma. 2021 Oct 1;30(10):875-877. doi: 10.1097/IJG.0000000000001920.
Community-based screening programs have had limited success in preventing vision loss from glaucoma due to overall low prevalence of glaucoma, screening limitations, and barriers to follow-up appointments. This editorial highlights lessons learned from 2 large prospective trials: the Philadelphia Telemedicine Glaucoma Detection and Follow-up Study and the Screening To Prevent Glaucoma Study. While some lessons are specific to ophthalmology, many lessons are applicable to screening for asymptomatic diseases in underserved, vulnerable communities.
基于社区的筛查计划在预防青光眼导致的视力丧失方面收效有限,这是由于青光眼的总体患病率较低、筛查存在局限性以及后续预约的障碍。这篇社论强调了从两项大型前瞻性试验中吸取的经验教训:费城远程医疗青光眼检测和随访研究以及筛查以预防青光眼研究。虽然有些经验教训是眼科特有的,但许多经验教训适用于在服务不足、脆弱的社区中筛查无症状疾病。