The follow-up of patients screened for glaucoma with non-mydriatic fundus photography.
In order to evaluate the value of photographic screening in predicting progressive glaucomatous damage, we re-examined 26 subjects 5 years after the initial screening. Of the 26 patients 16 had typical glaucomatous optic disc and visual field abnormalities (n = 7), retinal nerve layer damage (n = 6), or other risk factors of glaucoma (n = 3). In 10 of 26 patients suspected of having glaucoma, no abnormalities were initially confirmed. Of the 16 eyes with initially abnormal findings, 10 (63%) showed progressive changes during the 5-year follow-up period. The 10 initially suspected cases have remained healthy throughout the follow-up, giving a false positive rate of 5.5%. The results of this study indicate that it is possible to identify correctly patients with progressive glaucomatous changes with a non-mydriatic fundus camera.
Komulainen
R
R
Department of Ophthalmology, University of Oulu, Finland.
Tuulonen
A
A
Airaksinen
P J
PJ
D005260:Female; D005500:Follow-Up Studies; D005654:Fundus Oculi; D005901:Glaucoma / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009412:Nerve Fibers / Q000473:pathology; D009901:Optic Nerve Diseases / Q000175:diagnosis; D010781:Photography; D012164:Retinal Diseases / Q000175:diagnosis; D012307:Risk Factors; D014786:Vision Disorders / Q000473:pathology; D015351:Vision Screening / Q000379:methods; D014792:Visual Acuity; D014794:Visual Fields