■有针对性的转诊和及时开始治疗对于限制青光眼的视力丧失至关重要。验光师,初级保健提供者,公共卫生政策制定者可以利用最近的预测因素来识别和瞄准高危人群。
■这项研究,其目的是在澳大利亚农村人口的眼科医生首次就诊时评估青光眼的严重程度,是澳大利亚人口中的第一个。
■来自麦格理港一家大型眼科诊所的患者记录,使用抗青光眼失明注册表对新南威尔士州进行了回顾性审查,以确定在2020年或2021年眼科实践中首次诊断为青光眼的患者。演示时与青光眼严重程度的关联,用视野指数(VFI)测量,使用β回归模型进行了分析。使用线性回归评估视网膜神经纤维层测量值作为次要结果测量值。
■从3548名新患者中,诊断青光眼110例,其中95人符合纳入标准。其中包括41.8%的原发性开角型青光眼,32.7%正常眼压性青光眼,11.8%继发性开角型青光眼,12.7%原发性闭角型青光眼,和0.9%继发性闭角型青光眼。演示时的VFI中位数为94.5%,71.9%的患者VFI≥90%。然而,6.3%的患者VFI低于50%。年纪大了,眼内压较高,视力较差与就诊时的严重程度显着相关。没有发现偏远的关联,性别,家族史,或青光眼类型。
■青光眼似乎在该人群中诊断相对较早。演示时的严重程度与年龄有关,眼内压,和视力,但不受评估的社会决定因素的影响。这些发现强调了老年患者频繁全面眼科检查的重要性。由于这些发现的普遍性有限,因此建议在其他澳大利亚人群中进行复制。
UNASSIGNED: Well-targeted referrals and timely commencement of treatment are essential to limiting vision loss in glaucoma. Optometrists, primary care providers, and public health policymakers can utilise predictors of late to identify and target at-risk populations.
UNASSIGNED: This study, which aimed to evaluate glaucoma severity at first
presentation to an ophthalmologist in a rural Australian population, is the first of its kind in an Australian population.
UNASSIGNED: Patient records from a large ophthalmology clinic in Port Macquarie, NSW were retrospectively reviewed using the Fight Glaucoma Blindness registry to identify patients who were first diagnosed with glaucoma at an ophthalmology practice in 2020 or 2021. Associations with glaucoma severity at
presentation, measured with visual field index (VFI), were analysed using a beta-regression model. Retinal nerve fibre layer measurements were evaluated as a secondary outcome measure using linear regression.
UNASSIGNED: From 3548 new patients seen, 110 cases of glaucoma were diagnosed, 95 of whom met inclusion criteria. These comprised 41.8% primary open-angle glaucoma, 32.7% normal-tension glaucoma, 11.8% secondary open-angle glaucoma, 12.7% primary angle closure glaucoma, and 0.9% secondary angle closure glaucoma. The median VFI at
presentation was 94.5%, and 71.9% of patients had a VFI ≥ 90%. However, 6.3% of patients presented with a VFI below 50%. Older age, higher intraocular pressure, and worse visual acuity were significantly associated with severity at
presentation. No associations were found for remoteness, sex, family history, or glaucoma type.
UNASSIGNED: Glaucoma appears to be diagnosed relatively early in this population. Severity at
presentation was associated with age, intraocular pressure, and visual acuity, but not influenced by the social determinants assessed. These findings underscore the importance of frequent comprehensive eye examinations in older patients. Replication in other Australian populations is recommended as the generalisability of these findings is limited.