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J. Li, L. Xu, S. Wang, H. Yang, Y. Zheng, C. Chen; Preliminary Study of Glaucoma Screening Mode in Beijing Communities. Invest. Ophthalmol. Vis. Sci. 2009;50(13):428.
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© ARVO (1962-2015); The Authors (2016-present)
To study the feasibility of glaucoma screening mode in Beijing communities.
We performed glaucoma screening from Sep. 2007 to Apr. 2008 in 18 communities of Beijing Dongcheng District. Community staff organized the screenees. Visual acuity examination, non-mydriasis digital fundus photography and short questionnaire were done by 2 trained technicians in all 50 years old or over subjects. For subjects with unclear fundus photos, anterior segment photographs were taken. All photos could be seen by subjects at spot, and then were uploaded to the special B/S database in the Internet with software. A professional staff read centrally again all photos in the photo center. Community staff and patients could search and looked at their self-result in the Internet. The diagnosis of suspect glaucoma based on the morphological change of optic nerve head and retinal nerve fiber layer. All suspect glaucoma were forwarded to a specialized hospital for confirm and treatment.
6886 subjects (50-89 yrs) were screened. 405 subjects(5.88%)were recognized as suspect glaucoma, with male 38%, average age 71.0±7.8 year-old. Suspect glaucoma of 50-59, 60-69, 70-79, and 80 year-old or over were 8.0%, 24.0%, 56.6%, 11.4%, respectively. 146 subjects were confirmed as glaucoma by Beijing Tongren Hospital. It accounted for 36.05% of suspect glaucoma and 2.12% (prevalence) of screening population. In all patients with glaucoma, 87 patients (59.59%) didn’t know their selves having glaucoma. The cost of screening was 20 RMB Yuan ($3) for a person. 289 subjects(4.20%)with cataract needing surgery were detected and 557 subjects(8.09%)with diabetic retinopathy. In addition, other eye diseases such as 3.10% with macula disease, 1.60% with retinochoroid disease, 0.40% with optic atrophy, and 0.35% with retinal vascular disease were found. Patients with cataracts needing surgery and Grade III or over diabetic retinopathy were also forwarded for treatment.
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