Study of the importance of family screening of glaucoma: identifying the target

  • Dr. Achyut N Pandey Associate Professor, Department of Ophthalmology, VCSGIMSR, Srinagar, Garhwal, Uttarakhand, India
  • Dr. Parul Singh Associate Professor, Department of Ophthalmology, Government Medical College, Badaun, Uttar Pradesh, India
Keywords: Glaucoma, Ophthalmic examination, Visual loss

Abstract

Aim: To describe the value and results of family screening of glaucoma patients in the glaucoma clinic of a tertiary center in the Garhwal Himalayan region over a period of one year.

Material and Method: 300 patients underwent comprehensive ophthalmic examination and glaucoma examination including IOP measurement by Goldman applanation tonometry, binocular dilated fundoscopy with +90D Volk lens, gonioscopy using the 4 mirror Volk goniolens.

Results: 300 persons detected with primary glaucoma whose families were invited to participate in the family screening initiative, there were 114 first degree relatives who attended the screening with a response rate of 32%. The relatives of probands ranged in age from 18 to 89 years with 56.8% being males. 198 were diagnosed as primary angle-closure suspects, 8 as angle-closure,238 as glaucoma suspects and 132 subjects (11.6%) had definite glaucoma. Most affected subjects were in 40-70 years. The angle-closure disease was found more in females.

Conclusion: Study also found a higher prevalence of glaucoma in siblings; especially the angle-closure entity. Targeting first degree relatives of persons with primary glaucoma may offer a relatively inexpensive way of detecting glaucoma and in the identification of suspects at risk of glaucoma who may be advocated closer monitoring.

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Published
2020-03-31
How to Cite
N Pandey, A., & Singh, P. (2020). Study of the importance of family screening of glaucoma: identifying the target. Tropical Journal of Ophthalmology and Otolaryngology, 5(3), 63-65. https://doi.org/10.17511/jooo.2020.i03.01
Section
Original Article