高风险人群中的青光眼查和转诊风险因素:曼哈顿视力查研究的后续研究
Qing Wang1,2, Ives A Valenzuela1,2, Noga Harizman1,2
1Department of Ophthalmology, Vagelos College of Physicians and Surgeons, Columbia University.
Journal of glaucoma
|January 10, 2025
概括
纽约市的社区眼部查有效地识别了需要进行绿眼病评估的人. 这凸显了针对高风险人群的有针对性的公共卫生倡议的重要性.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 玻璃眼是全球不可逆转失明的主要原因.
- 通过查及早检测对于预防视力丧失至关重要.
- 服务不足和高风险人群往往无法获得定期的眼科护理.
研究的目的:
- 为了确定纽约市高风险人口中的青光眼查率.
- 为了确定与转诊诊室内格劳科马评估相关的风险因素.
- 在曼哈顿视力查和后续研究 (NYC-SIGHT) 中评估社区查的有效性.
主要方法:
- 一项为期5年的集群随机临床试验,涉及40岁以上的来自负担得起的住房和老年中心的个人.
- 查包括视敏度,眼内压力 (IOP) 测量和非水 fundus 摄影.
- 异常的 fundus 图像或失败的查导致了专家或眼科医生评估的转诊.
主要成果:
- 在708名参与者中,有189名 (26.6%) 被转介到办公室内进行评估.
- 转诊与自我报告的青光眼 (OR:8.096),高的内血压 (OR:3.944) 和佩戴处方眼镜 (OR:1.601) 有关.
- 在这些被转诊者中,34%被诊断为青光眼,35.8%被怀疑患有青光眼.
结论:
- 基于社区的眼睛查,包括 fundus 摄影和光学检查,有效地识别了需要进行青光眼评估的人.
- 公共卫生战略应优先考虑服务不足的社区进行有针对性的眼科健康查.
- 这些发现支持积极主动,以社区为中心的方法,在高风险群体中检测青光眼.
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