Effectiveness of the glaucoma screening in employees of the University Hospital St. Luc, UCL, in Brussels

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Abstract

Purpose

To assess the effectiveness of free glaucoma screening for the employees of University Hospital St. Luc, UCL, Brussels, during the World Glaucoma Week 2013.

Methods

During 1 week, the employees in the university hospital St.Luc, were invited to Glaucoma outpatients' free screening consultation. 320 responded positively. The participants filled before the examination a questionnaire: age, sex, personal ocular trauma or surgery, and familial history was asked. The subjects were examined by an ophthalmologist in training and supervised by an experienced glaucoma consultant if needed (SP). The examination of anterior segment (Van Herick’s, depth, Krukenberg’s spindle, iris transillumination and pseudoexfolliation), the optic disc (size, rim and peripapillary hemorrhages) and the IOP by GAT were performed. Depending of clinical examination, a visual field test was performed. Finally, according to the results, the examiner classified the subjects in ‘Normal’, ‘suspect’ and ‘Glaucoma’ group. A second appointment was scheduled for the patients in the ‘Suspect’ or ‘Glaucoma’ classification.

Results

From the 640 eyes, there were in total 15% in ‘suspect group’ classified. The aspect of their optic disc and a suspect visual field was the main reason for this classification.5% of the total eyes undergone a preventive iridotomy, none of these patients had experienced any ocular symptoms. 3% of all eyes showed glaucoma with structural and functional glaucomatouse damage.

Conclusion

Glaucoma is still not widely known. Even for the employees of a large university hospital white easy access to the care, is screening important. The preventive iridotomy was the best result of this WGW screening.

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