University Department of Ophthalmology and Optometry, Sestre Milosrdnice University Hospital Center, Vinogradska 29, Zagreb, Croatia.
Optical Express Group, Strojarska cesta 18, Zagreb, Croatia.
Int Ophthalmol. 2022 Oct;42(10):3129-3136. doi: 10.1007/s10792-022-02312-7. Epub 2022 May 14.
To report the prevalence of undiagnosed glaucoma, as well as demographic characteristics and risk factors among glaucoma suspects who were detected in a publicly promoted intraocular pressure (IOP) based glaucoma screening event.
A total of 2468 subjects older than 18 years participated in the glaucoma screening event in Zagreb, in 2014, which included a medical interview and IOP measurement using Icare tonometer. 256 subjects (10.37%) were identified as glaucoma suspects, out of which 125 (5.06%) subjects underwent further detailed ophthalmic examination and were classified into five diagnostic groups.
The prevalence of all types of newly diagnosed glaucoma was 1.175%, while the prevalence of ocular hypertension (OH), primary open-angle glaucoma (POAG), primary angle closure (PAC) and secondary glaucoma (SG) was 0.16%, 0.89%, 0.16% and 0.12%, respectively. The prevalence of newly diagnosed glaucoma in glaucoma suspects was 23.2%. 17.60% of glaucoma suspects were diagnosed as POAG. Older age was statistically significantly associated with POAG (p = 0.001) and PAC (p = 0.029). At the univariate level, refractive errors were a statistically significant predictor of POAG, and those with hyperopia had more than three times larger odds for POAG. At the multivariate level, none of the predictors reached statistical significance.
Successful cooperation between healthcare institutions and media can be a useful way of increasing awareness and detection of individuals at an increased risk for developing glaucoma.
报告在一项公开推广的眼压（IOP）为基础的青光眼筛查活动中，未确诊青光眼的患病率，以及青光眼疑似患者的人口统计学特征和危险因素。
2014 年，共有 2468 名年龄在 18 岁以上的受试者参加了萨格勒布的青光眼筛查活动，其中包括医疗访谈和使用 Icare 眼压计测量眼压。256 名（10.37%）受试者被确定为青光眼疑似患者，其中 125 名（5.06%）受试者接受了进一步的详细眼科检查，并分为五个诊断组。
所有类型新诊断青光眼的患病率为 1.175%，而眼压升高（OH）、原发性开角型青光眼（POAG）、原发性房角关闭（PAC）和继发性青光眼（SG）的患病率分别为 0.16%、0.89%、0.16%和 0.12%。青光眼疑似患者中新发青光眼的患病率为 23.2%。17.60%的青光眼疑似患者被诊断为 POAG。年龄较大与 POAG（p=0.001）和 PAC（p=0.029）有统计学显著相关性。在单变量水平上，屈光不正与 POAG 有统计学显著相关性，远视患者患 POAG 的几率是近视患者的三倍多。在多变量水平上，没有一个预测因素具有统计学意义。
医疗机构与媒体之间的成功合作可以是一种提高对青光眼高危人群的认识和检测的有效途径。
