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