Overdiagnosis of open-angle glaucoma in the general population: the Thessaloniki Eye Study.
Title | Overdiagnosis of open-angle glaucoma in the general population: the Thessaloniki Eye Study. |
Publication Type | Journal Article |
Year of Publication | 2018 |
Authors | Founti, P., Coleman A. L., M Wilson R., Yu F., Anastasopoulos E., Harris A., Pappas T., Koskosas A., Kilintzis V., Salonikiou A., Raptou A., & Topouzis F. |
Journal | Acta Ophthalmol |
Volume | 96 |
Issue | 7 |
Pagination | e859-e864 |
Date Published | 2018 Nov |
ISSN | 1755-3768 |
Keywords | Age Distribution, Aged, Aged, 80 and over, Antihypertensive Agents, Cross-Sectional Studies, European Continental Ancestry Group, Female, Glaucoma, Open-Angle, Greece, Humans, Intraocular Pressure, Male, Medical Overuse, Middle Aged, Prevalence, Risk Factors, Sex Distribution, Tonometry, Ocular, Visual Acuity, Visual Fields |
Abstract | PURPOSE: To assess the overdiagnosis of open-angle glaucoma (OAG) and to investigate associated factors.METHODS: This was a cross-sectional, population-based study of an urban Caucasian population in northern Greece. Randomly selected subjects ≥60 years (n = 2554) participated in the Thessaloniki Eye Study. The definition of OAG required the presence of structural and functional damage, irrespective of intraocular pressure (IOP). Non-OAG subjects were classified as overdiagnosed with OAG if they had reported at least one of the following (self-reported glaucoma): (i) prior diagnosis of glaucoma, (ii) prior laser for glaucoma, (iii) prior glaucoma surgery. Factors associated with the overdiagnosis of OAG were investigated using a logistic regression model.RESULTS: Of 57 (2.2%) subjects with self-reported glaucoma, 34 (60%) were overdiagnosed with OAG, corresponding to a prevalence of 1.3% (34/2554). In a logistic regression model among non-OAG subjects, worse visual acuity (VA) (20/200 or worse versus 20/25 or better; odds ratio (OR) = 4.30, 95% Confidence Intervals (CI), 1.13-16.35), family history of glaucoma (OR = 8.69, 95% CI, 2.83-26.67) and history of cataract surgery (OR = 11.50, 95% CI, 3.85-34.36) were statistically significantly associated with the overdiagnosis of OAG. Age, sex, higher IOP, higher vertical cup-to-disc ratio and pseudoexfoliation were not statistically significant.CONCLUSION: The overdiagnosis of OAG was substantial in this elderly, Caucasian population. The overdiagnosis of glaucoma has not been previously addressed in population-based studies and needs to be further explored. |
DOI | 10.1111/aos.13758 |
Alternate Journal | Acta Ophthalmol |
PubMed ID | 30178607 |
Grant List | / / International Glaucoma Association, London, UK / / / UCLA Center for Eye Epidemiology, Los Angeles, CA / / / Health Future Foundation, Creighton University, Omaha, NE / / / Texas Tech University Health Sciences Center, Lubbock, TX / / / Pfizer, Inc, New York, NY / / / Merck and CO, Inc, Whitehouse Station, NJ / / / Pharmacia Hellas, Athens, Greece / |