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Health fair glaucoma screening: follow-up evaluation.

L Skorin1, R F Multack, J N Holtzman

  • 1Department of Ophthalmology, Metropolitan Hospital, Grand Rapids, Mich.

The Journal of the American Osteopathic Association
|July 11, 1991
PubMed
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Glaucoma screening follow-up is poor in inner-city populations. Most individuals with abnormal results did not seek recommended medical eye care, highlighting a need for improved patient education and physician referrals.

Area of Science:

  • Ophthalmology
  • Public Health

Background:

  • Glaucoma screening is common at health fairs.
  • Established guidelines exist for screening techniques, instrumentation, and target populations.
  • Limited data is available on the effectiveness of follow-up for abnormal screening results.

Purpose of the Study:

  • To assess the 6-month follow-up compliance of individuals with abnormal tonometry results from an inner-city health screening.
  • To identify barriers to seeking appropriate medical eye care after abnormal glaucoma screening.

Main Methods:

  • A 6-month prospective follow-up was conducted on individuals with abnormal tonometric results identified at an inner-city osteopathic hospital.
  • Screening involved 218 subjects, with 15 showing abnormal tonometry readings.

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Main Results:

  • Only 7 of the 15 individuals with abnormal results were reached at follow-up.
  • Four individuals sought no further eye care.
  • Two sought non-medical evaluation, and only one sought medical ocular care, later diagnosed with glaucoma.

Conclusions:

  • Compliance with recommended medical eye care following abnormal glaucoma screening is inadequate in this inner-city population.
  • Enhanced patient education and prompt physician referrals are crucial for improving outcomes.
  • Interventions are needed to address barriers to accessing timely and appropriate eye care.