Screening for Glaucoma in a Medical Clinic With Photographs of the Nerve Fiber Layer
Archives of Ophthalmology
Purpose: To evaluate nerve fiber layer photography as a method for glaucoma screening in a general medical clinic setting. Methods: One hundred seventy-one persons who attended an academic hospital medical clinic were administered a questionnaire and underwent a complete eye examination, including automated perimetry and photography of the optic disc and nerve fiber layer. Results: Eighteen patients were diagnosed as having primary glaucoma; one, secondary glaucoma; and 21 were suspected of having glaucoma. Nerve fiber layer photographs were taken on 145 persons (85%) and were readable in 136 (80%) of the sample of 171 subjects. Nerve fiber layer atrophy was detected on masked evaluation in 64% of those with glaucoma, in 28% of those suspected of having glaucoma, and in 16% of persons who did not meet the criteria for glaucoma. Conclusions: Nerve fiber layer photography can be carried out as a screening method and can identify a substantial proportion of those with glaucoma. It compares favorably with tonometry, cup-disc ratio estimation, or screening visual field examination for glaucoma detection. © 1994, American Medical Association. All rights reserved.
Wang, F., Quigley, H., & Tielsch, J. (1994). Screening for Glaucoma in a Medical Clinic With Photographs of the Nerve Fiber Layer. Archives of Ophthalmology, 112 (6). http://dx.doi.org/10.1001/archopht.1994.01090180094042