April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Screening for Primary Open Angle Glaucoma in Virgin Islands
Author Affiliations & Notes
  • Alfred L. Anduze
    St Croix Eye Group, Inc, Kingshill, Virgin Islands, U.S.
  • Omofolasade Kosoko-Lasaki
    School of Medicine, Creighton University, Omaha, Nebraska
  • Gleb Haynatzki
    Biostatistics, University of Nebraska Medical Center, Omaha, Nebraska
  • Vera Haynatzka
    Statistical Analysis, Statistical Consulting, Omaha, Nebraska
  • David F. Gleason
    School of Medicine, St. Georges University, Bay Shore, New York
  • David L. Nash
    School of Medicine, Creighton University, Omaha, Nebraska
  • John C. Merritt
    Prevention for the People, Inc, Clinton, North Carolina
  • Jualenda Boschulte
    Jualenda Boschulte, MD, PC, Washington, Dist. of Columbia
  • Frank Ashburn
    Eye Associates of Washington DC, PC, Washington, Dist. of Columbia
  • Footnotes
    Commercial Relationships  Alfred L. Anduze, None; Omofolasade Kosoko-Lasaki, None; Gleb Haynatzki, None; Vera Haynatzka, None; David F. Gleason, None; David L. Nash, None; John C. Merritt, None; Jualenda Boschulte, None; Frank Ashburn, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 5060. doi:
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      Alfred L. Anduze, Omofolasade Kosoko-Lasaki, Gleb Haynatzki, Vera Haynatzka, David F. Gleason, David L. Nash, John C. Merritt, Jualenda Boschulte, Frank Ashburn; Screening for Primary Open Angle Glaucoma in Virgin Islands. Invest. Ophthalmol. Vis. Sci. 2011;52(14):5060.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose:
 

Evaluate the effectiveness of glaucoma screening in the US Virgin Islands.

 
Methods:
 

A retrospective review of individuals in glaucoma screening programs in St Croix, St Thomas and St Johns (October 2009 to July 2010). All subjects completed screening forms provided by The Friends of the Congressional Glaucoma Caucus Foundation (FCGCF). Demographic data like age, gender, and race were documented. Past medical history, type of diabetes, use of insulin and duration of disease, and elevated blood pressure and duration of disease were detailed. Family history of glaucoma, duration of disease, time since last eye examination were recorded. Each subject underwent a screening eye exam which included visual acuity (VA) and intraocular pressure (IOP). The VA was assessed separately in each eye with or without correction as dictated by the patient. IOP was measured using a handheld Tonopen or a Perkins Tonometer. A subset of individuals had their weight, height and body mass indices determined. Assessment of visual field was done with the Frequency Doubling Testing (FDT) machine. Dilated Fundus exam was done by OKL, AA, JM, JB and FA as needed. Patients were grouped into three categories: glaucoma suspect, cataract suspect, and other ocular disease after this was confirmed by AA. Recommendations to the screened subjects were made based on the ocular exam: urgent glaucoma consultation, non-urgent glaucoma consultation, ophthalmic consultation, and routine follow-up exam.

 
Results:
 

See JPG

 
Conclusions:
 

The Virgin Islands glaucoma outreach program, supported by The FCGCF has the potential to identify majority of patients at risk for and/or currently suffering from glaucoma.  

 
Keywords: visual fields • intraocular pressure • optic nerve 
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