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Related Experiment Videos

How optometrists screen for glaucoma: a survey.

N P Strong1

  • 1Department of Ophthalmology, Leicester Royal Infirmary, UK.

Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)
|January 1, 1992
PubMed
Summary
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Leicestershire optometrists routinely screen optic discs for glaucoma. However, selective tonometry use and limited advanced field testing hinder comprehensive glaucoma screening in primary care settings.

Area of Science:

  • Ophthalmology
  • Optometry
  • Public Health

Background:

  • Glaucoma screening is crucial for early detection and prevention of vision loss.
  • Primary care optometrists play a vital role in identifying at-risk individuals.

Purpose of the Study:

  • To assess current glaucoma screening practices among optometrists in Leicestershire.
  • To evaluate the availability and utilization of diagnostic tools and referral criteria.

Main Methods:

  • A survey was distributed to all registered and practicing optometrists in Leicestershire.
  • The survey collected data on facilities, patient selection, tests performed, and referral criteria for glaucoma.

Main Results:

  • All optometrists examine optic discs; 99% have tonometry, but often use it selectively.

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  • 88% possess field testing apparatus, but only 38% have effective automated or semiautomated perimetry.
  • Referral criteria for intraocular pressure (IOP) varied, with thresholds of 27 mmHg or 24 mmHg depending on disc appearance.
  • Conclusions:

    • While optic disc examination is standard, selective tonometry and limited advanced field testing may compromise glaucoma screening effectiveness.
    • Standardized referral criteria based on objective findings are needed to improve patient management.