Dépistage itinérant du glaucome associé à celui de la rétinopathie diabétique en bourgogne

Background:We present the prevalence and determinants of glaucoma among subjects 40 years of age and older in Qatar.Materials and Methods:This community-based survey was held in 2009 at 49 randomly selected clusters. Demographic details and history of glaucoma was collected by the nurses. Ophthalmologists evaluated the optic disc and retina using a digital camera housed in a mobile van. Visual field was tested with an automated perimeter, the intraocular pressure with an applanation tonometer and the angle of the anterior chamber by gonioscopy. A panel of glaucoma experts diagnosed subjects with glaucoma.Results:This survey enrolled 3,149 (97.3%) participants. The age- and sex-adjusted prevalence of glaucoma in the population aged 40 years and older was 1.73% (95% confidence intervals [CI] 1.69-1.77). Accordingly, 5,641 individuals in this age group in Qatar would have glaucoma. Chronological age of 60 years and older (Odds ratio [OR] 11.1) and the presence of myopia (OR 1.78) were predictors of glaucoma. Open-angle glaucoma was diagnosed in 44 (65.7%) individuals with glaucoma. In nine (13.4%) and 15 (20.9%) subjects, angle closure glaucoma and other (post-traumatic, pseudoexfoliation) glaucoma were present. Bilateral blindness (vision <3/60) and severe visual impairment (<6/60) were found in four (6%) and three (4.5%) subjects with glaucoma, respectively. Glaucoma was treated in 36 (54%) subjects.Conclusions:The prevalence of glaucoma among citizens of Qatar aged 40 years and older was 1.71%. Glaucoma was associated with the age of 60 years and older and the presence of myopia.

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“…This was also suggested by Beyanat and colleagues 50. Comprehensive eye examination is recommended for all elderly people.…”

Section: Discussionmentioning

confidence: 88%

Prevalence and determinants of glaucoma in citizens of Qatar aged 40 years or older: A community-based survey

Al-Mansouri

Kanaan

Gamra

et al. 2011

Middle East Afr J Ophthalmol

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“…Global public health policy for preventing visual disabilities due to glaucoma has been proposed by experts to the World Health Organization. [ 25 ] We believe that combined screening for DR and glaucoma should depend on the magnitude of both of these potentially blinding conditions, and it should be implemented at that country/sub-regional level despite global policies. [ 26 ] We found that 15% of diabetics and 15.9% of STDR cases had glaucoma.…”

Section: Discussionmentioning

confidence: 99%

“…Although population based glaucoma screening is not recommended, periodic comprehensive eye assessment of all patients older than 40 years (including diabetics) could be an alternative strategy for early detection of STDR and glaucoma. [ 27 ]…”

Section: Discussionmentioning

confidence: 99%

Magnitude and determinants of glaucoma in type II diabetics: A hospital based cross-sectional study in Maharashtra, India

et al. 2015

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Background:Glaucoma and diabetes have a common pathogenesis. We estimated the magnitude and determinants of glaucoma in adults with type II diabetes who presented to a tertiary level eye center in 2010.Study Type:A cross-sectional survey.Methods:Diabetes was diagnosed by history and measurement of blood sugar levels. Glaucoma was diagnosed by assessing optic disc morphology, visual fields, and intraocular pressure. Data were collected on patient demographics, clinical characteristics of diabetes and ocular status through interviews and measurements. The prevalence of glaucoma in diabetics was estimated, and variables were analyzed for an association to glaucoma. The 95% confidence intervals (CIs) were calculated. Statistical significance was indicated by P < 0.05.Results:The study cohort was comprised of 841 diabetics. The mean age of the cohort was 53.8 ± 10.7 years. There were 320 (38%) females. The prevalence of glaucoma was 15.6% (95% CI: 13.1-18.1). More than 75% of the diabetics had no evidence of diabetic retinopathy (DR). Half of the diabetics with glaucoma had primary open angle glaucoma. The presence of glaucoma was significantly associated to the duration of diabetes (Chi-square = 10.1, degree of freedom = 3, P = 0.001). The presence of DR was not significantly associated to the presence of glaucoma (odds ratio [OR] = 1.4 [95% CI: 0.88-1.2]). The duration of diabetes (adjusted OR = 1.03) was an independent predictor of glaucoma in at least one eye.Conclusions:More than one-sixth of diabetics in this study had glaucoma. Opportunistic screening for glaucoma during DR screening results in an acceptable yield of glaucoma cases.

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“…En cuanto a los resultados de la toma presión intraocular, nuestra serie presenta un 8,22% de prevalencia de hipertensión ocular, cifras que coinciden con las observadas en la literatura en pacientes diabéticos 14,15 . La telemedicina abre otras posibilidades en la oftalmología como el cribaje de glaucoma.…”

Section: Discussionunclassified

Prevalence of diabetic retinopathy using non-mydriatic retinography

2011

An Sist Sanit Navar

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artículos originales0 Prevalencia de retinopatía diabética mediante cribado con retinógrafo no midriático Prevalence of diabetic retinopathy using non-mydriatic retinography a. gibelalde 1 , M. ruiz-Miguel 1 , J. Mendicute 2 , s. ayerdi 1 , D. Martínez-Zabalegi 1 resuMen objetivo. Estudiar la prevalencia de retinopatía diabética mediante retinógrafo no midriático y valorar su utilidad como método de cribaje en la comarca de Donostialdea. Métodos. Se realizó un estudio prospectivo incluyendo 2.444 pacientes diabéticos derivados por su médico de atención primaria y/o endocrinólogo. Se realizó una retinografía con cámara no midriática en los 45 grados centrales, agudeza visual y tonómetro de no contacto en todos los pacientes. La información se derivó al hospital para ser evaluado por un oftalmólogo especialista en retina. resultados. El 15,02% de los pacientes eran diabéticos en tratamiento dietético, el 62,55% eran diabéticos no insulinodependientes y el 22,43% eran diabéticos insulinodependientes. Observamos una prevalencia de retinopatía diabética del 9,36%. El 5,27% presentó retinopatía diabética no proliferativa (RDNP) leve, el 2,21% RDNP moderada, el 1,67% RDNP severa y el 0,12% RD proliferativa. El 8,22% presentó hipertensión ocular. conclusiones. Se observa una baja prevalencia de RD en los pacientes de nuestra muestra. La utilización de telemedicina con cámara no midriática es un arma importante para el diagnóstico precoz de la retinopatía diabética y puede aplicarse a otras patologías oftalmológicas como el glaucoma. Palabras clave. Telemedicina. Retinopatía diabética. Retinógrafo no midriático. aBstract objectives. To establish the prevalence of diabetic retinopathy (RD) diagnosed after non-mydriatic retinography and to evaluate its utility as a screening test in the area of San Sebastián. Methods. A prospective study including 2,444 diabetic patients sent by their primary attention doctors and/ or their endocrinologists. All patients underwent nonmydriatic retinography in the central 45 degrees; visual acuity was explored, as well as IOP through non-contact tonometry. The retinographies and information obtained were sent to our hospital and were revised by an ophthalmologist from the Retina Department. results. Fifteen point zero two (15.02%) of the patients suffered from diabetes and were under dietary treatment, 62.55% suffered from non-insulin-dependant diabetes, and 22.43% suffered from insulin-dependant diabetes. The prevalence of diabetic retinopathy was 9.36%; 5.27% mild non-proliferative diabetic retinopathy (DR); 2.21% moderate-non-proliferative DR; 1.67 % severe non-proliferative DR; and 0.05% proliferative-diabetic retinopathy. Eight point two two (8.22%) of the sample studied was diagnosed with ocular hypertension. conclusions. We observed a low prevalence of DR in our sample. Use of non-mydriatic retinopathy in telemedicine plays an important role in the early diagnosis of diabetic retinopathy and it can be applied to other ophthalmic diseases.

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Dépistage itinérant du glaucome associé à celui de la rétinopathie diabétique en bourgogne

Cited by 6 publications

References 31 publications

Prevalence and determinants of glaucoma in citizens of Qatar aged 40 years or older: A community-based survey

Prevalence and determinants of glaucoma in citizens of Qatar aged 40 years or older: A community-based survey

Magnitude and determinants of glaucoma in type II diabetics: A hospital based cross-sectional study in Maharashtra, India

Prevalence of diabetic retinopathy using non-mydriatic retinography

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