Ocular Hypertension and the Risk of Blindness

    loading  Checking for direct PDF access through Ovid

Abstract

Purpose:

To estimate the risk of blindness in patients with ocular hypertension (OHT) using an appropriate model and current empirical data.

Design:

A Markov model with data from a systematic literature review.

Methods:

A Markov model with 3 health states was built: OHT, primary open-angle glaucoma (POAG), and unilateral blindness. Literature was searched for reports on conversion from OHT to POAG and progression from POAG to blindness, to estimate a range of annual conversion and progression probabilities. The model had a cycle length of 1 year.

Results:

The 15-year risk estimates ranged from 3.1% to 9.4% in untreated, and from 0.9% to 8.6% in treated patients with OHT. The ranges were the result of differences in patient populations, treatments, and outcome definitions in currently available empirical data.

Conclusions:

The best estimates of the 15-year risk of unilateral blindness in patients with OHT, based on the currently available empirical data and an appropriate model, show that the risk is <10%.

Related Topics

    loading  Loading Related Articles