Outpatient Distribution for Glaucoma Evaluation.

Park, Ka Hee; Lee, So Yeon; Hong, Young Jae

doi:2015.56.3.388

J Korean Ophthalmol Soc > Volume 56(3); 2015 > Article

Original Article

Journal of the Korean Ophthalmological Society 2015;56(3):388-395.
DOI: https://doi.org/10.3341/jkos.2015.56.3.388 Published online March 15, 2015.

Outpatient Distribution for Glaucoma Evaluation.

Ka Hee Park, So Yeon Lee, Young Jae Hong

Nune Eye Hospital, Seoul, Korea. youngjhong@gmail.com

외래에 내원한 녹내장 신환의 분포

박가희⋅이소연⋅홍영재

누네안과병원

Abstract

PURPOSE
To analyze the reasons for glaucoma evaluation and distribution of new patients visiting the glaucoma department. METHODS: In a retrospective study, 330 new patients underwent ocular examination using Goldmann applanation tonometry, gonioscopy, optic disc analysis, optical coherence tomography, and Humphrey perimeter under suspicion of glaucoma for the first time in the Glaucoma Department from January 2013 to December 2013. We analyzed the reasons and their diagnostic outcomes. RESULTS: The reasons for glaucoma evaluation were health screening (103 patients, 32.49%), other symptoms (102 patients, 31.55%), known glaucoma (56 patients, 17.67%), pre-refractive surgery evaluation (31 patients, 9.78%), family history (19 patients, 5.99%), and high myopia (6 patients, 1.89%). The diagnostic outcomes were as follows: glaucoma (139 patients, 43.85%), glaucoma suspect (60 patients, 18.93%), ocular hypertension (9 patients, 2.84%), neither glaucoma nor ocular hypertension (79 patients, 24.92%), normal (30 patients, 9.46%). The percentages of confirmed glaucoma according to the reasons for glaucoma evaluation were as follows: health screening, 26.21%; other symptoms, 40.20%; known glaucoma, 85.71%; pre-refractive surgery evaluation, 58.06%; family history, 15.79% and high myopia, 33.33%. CONCLUSIONS: The reasons for glaucoma evaluation were diverse. Glaucoma was confirmed in 43.85% of the patients and the predicted value of positive test for glaucoma including glaucoma suspect and ocular hypertension was 65.62%.

Key Words: Distribution;Glaucoma;New patients;Reasons