A prospective study on effectiveness of elevated intraocular pressure as a criterion for glaucoma referrals by optometric practitioners in Sweden
| Autor: | Dorothea Peters, Karin Landgren |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Optometrists medicine.medical_specialty Intraocular pressure genetic structures Open angle glaucoma Referral Eye disease effectiveness Glaucoma optometric practitioners Tonometry Ocular 03 medical and health sciences Elevated intraocular pressure 0302 clinical medicine open‐angle glaucoma Internal medicine medicine Humans referrals In patient Prospective Studies Prospective cohort study Referral and Consultation Intraocular Pressure Aged Sweden business.industry Incidence IOP Original Articles General Medicine Middle Aged medicine.disease eye diseases Ophthalmology 030221 ophthalmology & optometry Female Original Article sense organs Visual Fields business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Acta Ophthalmologica |
| ISSN: | 1755-3768 1755-375X |
| Popis: | Purpose: To evaluate the outcome of referrals for suspected glaucoma based on elevated intraocular pressure (IOP) made by optometric practitioners in Sweden. Methods: This prospective study included 95 individuals referred to the Skane University Hospital Malmo, Sweden, during 2019, by optometric practitioners, based on elevated IOP. Positive outcome was defined as a diagnosis of glaucoma, or a diagnosis of suspected glaucoma. Referral accuracy was analysed. Positive predictive values (PPV) of different hypothetical IOP and age thresholds were calculated. Results: In 34% (95% CI: 24–43%) of the referrals, no eye disease was found. Intraocular pressure (IOP) was the only referral criterion in 77% (73/95). The PPV was 35% (95% CI: 25–45%) for all referrals, 27% (95% CI: 16–38%) for IOP-only referrals and 59% (95% CI: 36–82%) for referrals including additional findings. In IOP-only referrals, no definite diagnosis of glaucoma was made in any patients |
| Databáze: | OpenAIRE |
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