Prevalence of glaucoma in the Australian National Eye Health Survey

Keel, Stuart; Xie, Jing; Foreman, Joshua; Lee, Pei Ying; Alwan, Mostafa; Fahy, Eamonn; Wijngaarden, Peter van; Gaskin, Jennifer C Fan; Ang, Ghee Soon; Crowston, Jonathan G; Taylor, Hugh R.; Dirani, Mohamed

doi:10.1136/bjophthalmol-2017-311786

Cited by 62 publications

(63 citation statements)

References 22 publications

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“…Increasing availability of glaucoma testing and an ageing population is driving a worldwide increase in the burden of glaucoma . This study suggests that the establishment of a collaborative glaucoma clinic in resource‐constrained settings such as Palmerston North, is not only viable long term, but has significantly reduced patient waiting times and improved patient outcomes.…”

Section: Stable Glaucoma Clinic (Sgc) Patient Selectionmentioning

confidence: 88%

Approach to collaborative glaucoma care in New Zealand: An update

Botha

Taylor

Benefield

et al. 2019

Clinical Exper Ophthalmology

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Section: Stable Glaucoma Clinic (Sgc) Patient Selectionmentioning

confidence: 88%

Approach to collaborative glaucoma care in New Zealand: An update

Botha

Taylor

Benefield

et al. 2019

Clinical Exper Ophthalmology

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“…In Australian patients with glaucoma, only 28.0–2.4% self‐reported a known history of glaucoma (Keel et al. ). In Sweden population, the prevalence of undetected glaucoma was 1.23% (Heijl et al.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological variations and trends in health burden of glaucoma worldwide

Wang

et al. 2019

Acta Ophthalmologica

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Purpose: To evaluate the trends and variations in global health burden of glaucoma by year, age and sex, region and socio-economic status, using disability-adjusted life years (DALYs). Method: The DALY numbers, crude DALY rate and age-standardized DALY rate globally and in each country were obtained the GBD 2015 study database. The corresponding human development index (HDI) and gross domestic product (GDP) per capita were obtained from the United Nations and World Bank. Environmental data were obtained from the WHO Global Health Observatory data repository. Results: From 1990 to 2015, the DALY number and age-standardized DALY rate due to glaucoma increased by 122% and 15%, respectively. Both male and female showed similar increasing trend with ageing, with the peak at 60 years old and increasing again since 75 years old. Sex disparities in DALY number were noted, with higher burden among female than male in each age group (all p < 0.001). The health burden of glaucoma was substantial unequal, with Gini coefficient of 0.865 for DALY number, 0.235 for crude DALY rate and 0.254 for age-standardized DALY rate, respectively. The age-standardized DALY was significantly associated with HDI, accounting for 22.2% variance across countries (R 2 = 0.222, p < 0.001). Similarly, the GDP per capita was inversely associated with age-standardized DALY rate but can explain only 10.6% variations in age-standardized DALY rate (R 2 = 0.106, p < 0.001). The agestandardized DALY rate due to glaucoma was positively associated with national levels of ultraviolet radiation and PM 2.5 . Conclusion: The health burden of glaucoma continuously increased in the past 25 years and distributed unequally. Lower socio-economic level, older age, female, higher ambient ultraviolet radiation and higher level of air pollution were significantly associated with higher burden of glaucoma.

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“…Trained retinal graders graded images for diabetic retinopathy (DR) as described in detail elsewhere and age‐related macular degeneration (AMD) according to standard protocols. A diagnosis of glaucoma was ascertained by fellowship‐trained glaucoma specialists as described in detail elsewhere …”

Section: Methodsmentioning

confidence: 99%

Prevalence, associations and characteristics of severe uncorrected refractive error in the Australian National Eye Health Survey

Keel

McGuinness

Foreman

et al. 2019

Clinical Exper Ophthalmology

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Importance: In Australia, nationally representative data of the burden and associations of severe uncorrected refractive error are scarce. Background: To report the prevalence and characteristics of severe uncorrected refractive error in Indigenous and non-Indigenous Australians. Design: Population-based cross-sectional study. Participants: A total of 3098 non-Indigenous Australians aged 50 to 98 and 1738Indigenous Australians aged 40 to 92 living in 30 randomly selected Australian sites were examined. Methods: Severe uncorrected refractive error was defined as an improvement of ≥2 lines on the logMAR chart in one or both eyes in participants with a presenting visual acuity <6/12. Main Outcome Measure: Severe uncorrected refractive error Results: Prevalence of severe uncorrected refractive error was 11.0% (95% confidence interval 9.3-13.0) in non-Indigenous and 14.5% (12.5-16.7) in Indigenous Australians. Eighty-two percent of non-Indigenous and 77% of Indigenous participants had a spherical equivalent refraction between −2.00D and +2.00D. Indigenous Australians who were older (odds ratio [OR] for 70-79 years vs 40-49 years = 3.59), resided in outer regional areas (OR = 1.78) and did not have an eye examination in the previous 2-years (OR = 1.50) were associated with higher odds of severe uncorrected refractive error. Geographical remoteness (OR = .68 for inner regional), male gender (OR = 1.30), older age (OR for 70-79 years vs 50-59 years = 1.51) and failure to have an eye examination in the previous 2-years (OR = 2.06) were associated with severe uncorrected refractive error among non-Indigenous participants. Conclusions and Relevance: Increased public awareness of the importance of regular optometric examinations may be required in groups at high risk of severe uncorrected refractive error. K E Y W O R D Suncorrected refractive error, epidemiology, vision loss

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Prevalence of glaucoma in the Australian National Eye Health Survey

Cited by 62 publications

References 22 publications

Approach to collaborative glaucoma care in New Zealand: An update

Approach to collaborative glaucoma care in New Zealand: An update

Epidemiological variations and trends in health burden of glaucoma worldwide

Prevalence, associations and characteristics of severe uncorrected refractive error in the Australian National Eye Health Survey

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