Glaucoma screening in the Haitian Afro-Caribbean population of South Florida
To evaluate the presence of clinical signs consistent with suspected glaucoma in Haitian Afro-Caribbean individuals residing in South Florida who do not receive regular eye examinations. Retrospective, cross-sectional study. Community health center in the Little Haiti district of Miami, Florida. We...
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| creator | Bokman, Christine L Pasquale, Louis R Parrish, 2nd, Richard K Lee, Richard K |
| description | To evaluate the presence of clinical signs consistent with suspected glaucoma in Haitian Afro-Caribbean individuals residing in South Florida who do not receive regular eye examinations.
Retrospective, cross-sectional study.
Community health center in the Little Haiti district of Miami, Florida.
We reviewed medical records and screening forms from five health screenings between October 2011 to October 2013 of 939 Afro-Caribbean individuals older than 18 years, who were never diagnosed with glaucoma or had an eye examination within the last ten years.
Measurements of distance visual acuity (VA), intraocular eye pressure (IOP), central corneal thickness (CCT), cup-to-disc ratio (CDR), frequency doubling technology (FDT) perimeter visual field (VF).
Proportion of glaucoma suspects, based on IOP greater than or equal to 24 mm Hg or CDR greater than or equal to 0.7 in either eye, and determinants of CDR and IOP.
One hundred ninety-one (25.5%) of 750 patients were identified as glaucoma suspects. Glaucoma suspects were common in both the youngest and oldest age groups (70 years, 25.0%; 95% CI, 21.8-28.2) and higher in men than women less than 70 years; the reverse was true after 70 years. Among all patients, mean IOP was 19.2±4.5 mmHg, mean CDR was 0.37±0.17, and mean CCT was 532±37.1 µm. In multiple linear stepwise regression analysis, determinates of increased CDR included increasing age (P = 0.004), lack of insurance (P = 0.019), and higher IOP (P |
| doi_str_mv | 10.1371/journal.pone.0115942 |
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Retrospective, cross-sectional study.
Community health center in the Little Haiti district of Miami, Florida.
We reviewed medical records and screening forms from five health screenings between October 2011 to October 2013 of 939 Afro-Caribbean individuals older than 18 years, who were never diagnosed with glaucoma or had an eye examination within the last ten years.
Measurements of distance visual acuity (VA), intraocular eye pressure (IOP), central corneal thickness (CCT), cup-to-disc ratio (CDR), frequency doubling technology (FDT) perimeter visual field (VF).
Proportion of glaucoma suspects, based on IOP greater than or equal to 24 mm Hg or CDR greater than or equal to 0.7 in either eye, and determinants of CDR and IOP.
One hundred ninety-one (25.5%) of 750 patients were identified as glaucoma suspects. Glaucoma suspects were common in both the youngest and oldest age groups (<40 years, 20.9%; 95% confidence interval [CI], 17.9-23.9; >70 years, 25.0%; 95% CI, 21.8-28.2) and higher in men than women less than 70 years; the reverse was true after 70 years. Among all patients, mean IOP was 19.2±4.5 mmHg, mean CDR was 0.37±0.17, and mean CCT was 532±37.1 µm. In multiple linear stepwise regression analysis, determinates of increased CDR included increasing age (P = 0.004), lack of insurance (P = 0.019), and higher IOP (P<0.001), while increasing CDR (P<0.001) and thicker CCT (P<0.001) were associated with higher IOP.
This first glaucoma survey in a U.S. Haitian Afro-Caribbean population indicates glaucoma suspect status is high across all age groups, and suggests glaucoma monitoring in people less than 40 years of age is indicated in this population.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0115942</identifier><identifier>PMID: 25549331</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acuity ; Adult ; African Americans ; Age ; Aged ; Aged, 80 and over ; Biology and Life Sciences ; Community ; Confidence intervals ; Cornea ; Diabetes ; Disease control ; Eye ; Eye examinations ; Female ; Florida ; Glaucoma ; Glaucoma - diagnosis ; Glaucoma - epidemiology ; Haiti - ethnology ; Humans ; Male ; Mass Screening ; Medical records ; Medical screening ; Medicine ; Medicine and Health Sciences ; Mercury ; Middle Aged ; Optic nerve ; Patients ; Population ; Regression analysis ; Screening ; Second harmonic generation ; Statistical analysis ; Studies ; Vision Tests ; Visual Acuity ; Visual field ; Visual fields ; Womens health</subject><ispartof>PloS one, 2014-12, Vol.9 (12), p.e115942-e115942</ispartof><rights>2014 Bokman et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Bokman et al 2014 Bokman et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-ef069483643dc098c1af8a0f2529a141308a362e66a2c4bcfffbc24d6b0e43893</citedby><cites>FETCH-LOGICAL-c526t-ef069483643dc098c1af8a0f2529a141308a362e66a2c4bcfffbc24d6b0e43893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4280170/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4280170/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25549331$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Acott, Ted S.</contributor><creatorcontrib>Bokman, Christine L</creatorcontrib><creatorcontrib>Pasquale, Louis R</creatorcontrib><creatorcontrib>Parrish, 2nd, Richard K</creatorcontrib><creatorcontrib>Lee, Richard K</creatorcontrib><title>Glaucoma screening in the Haitian Afro-Caribbean population of South Florida</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To evaluate the presence of clinical signs consistent with suspected glaucoma in Haitian Afro-Caribbean individuals residing in South Florida who do not receive regular eye examinations.
Retrospective, cross-sectional study.
Community health center in the Little Haiti district of Miami, Florida.
We reviewed medical records and screening forms from five health screenings between October 2011 to October 2013 of 939 Afro-Caribbean individuals older than 18 years, who were never diagnosed with glaucoma or had an eye examination within the last ten years.
Measurements of distance visual acuity (VA), intraocular eye pressure (IOP), central corneal thickness (CCT), cup-to-disc ratio (CDR), frequency doubling technology (FDT) perimeter visual field (VF).
Proportion of glaucoma suspects, based on IOP greater than or equal to 24 mm Hg or CDR greater than or equal to 0.7 in either eye, and determinants of CDR and IOP.
One hundred ninety-one (25.5%) of 750 patients were identified as glaucoma suspects. Glaucoma suspects were common in both the youngest and oldest age groups (<40 years, 20.9%; 95% confidence interval [CI], 17.9-23.9; >70 years, 25.0%; 95% CI, 21.8-28.2) and higher in men than women less than 70 years; the reverse was true after 70 years. Among all patients, mean IOP was 19.2±4.5 mmHg, mean CDR was 0.37±0.17, and mean CCT was 532±37.1 µm. In multiple linear stepwise regression analysis, determinates of increased CDR included increasing age (P = 0.004), lack of insurance (P = 0.019), and higher IOP (P<0.001), while increasing CDR (P<0.001) and thicker CCT (P<0.001) were associated with higher IOP.
This first glaucoma survey in a U.S. Haitian Afro-Caribbean population indicates glaucoma suspect status is high across all age groups, and suggests glaucoma monitoring in people less than 40 years of age is indicated in this population.</description><subject>Acuity</subject><subject>Adult</subject><subject>African Americans</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biology and Life Sciences</subject><subject>Community</subject><subject>Confidence intervals</subject><subject>Cornea</subject><subject>Diabetes</subject><subject>Disease control</subject><subject>Eye</subject><subject>Eye examinations</subject><subject>Female</subject><subject>Florida</subject><subject>Glaucoma</subject><subject>Glaucoma - diagnosis</subject><subject>Glaucoma - epidemiology</subject><subject>Haiti - ethnology</subject><subject>Humans</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Medical records</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Mercury</subject><subject>Middle Aged</subject><subject>Optic nerve</subject><subject>Patients</subject><subject>Population</subject><subject>Regression analysis</subject><subject>Screening</subject><subject>Second harmonic generation</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Vision Tests</subject><subject>Visual Acuity</subject><subject>Visual field</subject><subject>Visual fields</subject><subject>Womens 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One</addtitle><date>2014-12-30</date><risdate>2014</risdate><volume>9</volume><issue>12</issue><spage>e115942</spage><epage>e115942</epage><pages>e115942-e115942</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To evaluate the presence of clinical signs consistent with suspected glaucoma in Haitian Afro-Caribbean individuals residing in South Florida who do not receive regular eye examinations.
Retrospective, cross-sectional study.
Community health center in the Little Haiti district of Miami, Florida.
We reviewed medical records and screening forms from five health screenings between October 2011 to October 2013 of 939 Afro-Caribbean individuals older than 18 years, who were never diagnosed with glaucoma or had an eye examination within the last ten years.
Measurements of distance visual acuity (VA), intraocular eye pressure (IOP), central corneal thickness (CCT), cup-to-disc ratio (CDR), frequency doubling technology (FDT) perimeter visual field (VF).
Proportion of glaucoma suspects, based on IOP greater than or equal to 24 mm Hg or CDR greater than or equal to 0.7 in either eye, and determinants of CDR and IOP.
One hundred ninety-one (25.5%) of 750 patients were identified as glaucoma suspects. Glaucoma suspects were common in both the youngest and oldest age groups (<40 years, 20.9%; 95% confidence interval [CI], 17.9-23.9; >70 years, 25.0%; 95% CI, 21.8-28.2) and higher in men than women less than 70 years; the reverse was true after 70 years. Among all patients, mean IOP was 19.2±4.5 mmHg, mean CDR was 0.37±0.17, and mean CCT was 532±37.1 µm. In multiple linear stepwise regression analysis, determinates of increased CDR included increasing age (P = 0.004), lack of insurance (P = 0.019), and higher IOP (P<0.001), while increasing CDR (P<0.001) and thicker CCT (P<0.001) were associated with higher IOP.
This first glaucoma survey in a U.S. Haitian Afro-Caribbean population indicates glaucoma suspect status is high across all age groups, and suggests glaucoma monitoring in people less than 40 years of age is indicated in this population.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25549331</pmid><doi>10.1371/journal.pone.0115942</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Acuity Adult African Americans Age Aged Aged, 80 and over Biology and Life Sciences Community Confidence intervals Cornea Diabetes Disease control Eye Eye examinations Female Florida Glaucoma Glaucoma - diagnosis Glaucoma - epidemiology Haiti - ethnology Humans Male Mass Screening Medical records Medical screening Medicine Medicine and Health Sciences Mercury Middle Aged Optic nerve Patients Population Regression analysis Screening Second harmonic generation Statistical analysis Studies Vision Tests Visual Acuity Visual field Visual fields Womens health |
| title | Glaucoma screening in the Haitian Afro-Caribbean population of South Florida |
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