The prevalence of glaucoma in the Melbourne Visual Impairment Project

Wensor, Matthew, McCarty, Cathy A., Stanislavsky, Yury L., Livingston, Patricia M. and Taylor, Hugh R. 1998, The prevalence of glaucoma in the Melbourne Visual Impairment Project, Ophthalmology, vol. 105, no. 4, pp. 733-739, doi: 10.1016/S0161-6420(98)94031-3.

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Title The prevalence of glaucoma in the Melbourne Visual Impairment Project
Author(s) Wensor, Matthew
McCarty, Cathy A.
Stanislavsky, Yury L.
Livingston, Patricia M.ORCID iD for Livingston, Patricia M.
Taylor, Hugh R.
Journal name Ophthalmology
Volume number 105
Issue number 4
Start page 733
End page 739
Total pages 7
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 1998-04-01
ISSN 0161-6420
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Summary PURPOSE: The purpose of the study was to determine the prevalence of glaucoma in Melbourne, Australia. METHODS: All subjects were participants in the Melbourne Visual Impairment Project (Melbourne VIP), a population-based prevalence study of eye disease that included residential and nursing home populations. Each participant underwent a standardized eye examination, which included a Humphrey Visual Field test, applanation tonometry, fundus examination including fundal photographs, and a medical history interview. Glaucoma status was determined by a masked assessment and consensus adjudication of visual fields, optic disc photographs, intraocular pressure, and glaucoma history. RESULTS: A total of 3271 persons (83% response rate) participated in the residential Melbourne VIP. The overall prevalence rate of definite primary open-angle glaucoma in the residential population was 1.7% (95% confidence limits = 1.21, 2.21). Of these, 50% had not been diagnosed previously. Only two persons (0.1%) had primary angle-closure glaucoma and six persons (0.2%) had secondary glaucoma. The prevalence of glaucoma increased steadily with age from 0.1% at ages 40 to 49 years to 9.7% in persons aged 80 to 89 years. There was no relationship with gender. The authors examined 403 (90.2% response rate) nursing home residents. The age standardized rate for this component was 2.36% (95% confidence limits = 0, 4.88). CONCLUSION: The rate of glaucoma in Melbourne rises significantly with age. With only half of patients being diagnosed, glaucoma is a major eye health problem and will become increasingly important as the population ages.
Language eng
DOI 10.1016/S0161-6420(98)94031-3
Field of Research 1103 Clinical Sciences
1113 Ophthalmology And Optometry
1117 Public Health And Health Services
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©1998, Elsevier
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