Verification of the effectiveness of visual field testing in general medical checkups, particularly in comparison to non-contact intraocular pressure testing

• WADA Takashi

  Health-Care Center, Jikei University School of Medicine

• NAKANO Tadashi

  Department of Ophthalmology, Jikei University School of Medicine

抄録

 Objectives Glaucomas that do not exhibit any symptoms, such as primary open-angle glaucoma (POAG), are one target of a general medical check (MC). Normal intraocular pressure (IOP) is seen in 92% with POAG. Since glaucoma leads to the visual field loss, we added a visual field test to the examinations performed during a MCs starting in 2001. The purpose of the current study was to investigate potential benefits of visual field tests over standard non-contact IOP measurements commonly used in MCs to detect glaucoma.<br> Methods and Subjects Between April 2010 and March 2011, we screened 6,453 individuals who underwent annual MCs.<br> Results 34 subjects (0.5%) found to have an IOP of 22 mmHg and higher. Among them, 7 subjects (0.1%) had already been previously found to have glaucoma, while another 2 subjects (0.03%) were newly diagnosed with glaucoma. Among the 683 subjects (10.6%) that exhibited visual field test abnormalities, 309 (4.8%) had already been diagnosed with glaucoma. The remaining 374 subjects (5.8%) without any glaucoma diagnosis were followed until March 2012. During the follow-up, 66 subjects (1.0% of the total MC subjects) were newly diagnosed with glaucoma, while 63 subjects (1.0%) had other eye diseases. 48 subjects (27% of the subjects who visited an ophthalmologist) exhibited no abnormalities during follow-up, there is no information from197 subjects who did not visiting an ophthalmologist or undergo any further comprehensive examination.<br> Conclusions This study showed there was a significantly higher percentage of newly diagnosed glaucoma cases when using the visual field test method (1.0%) compared to the non-contact IOP test (0.03%). Our results demonstrate the importance of adding a visual field test to the standard eye examinations used in MCs.

収録刊行物

• 総合健診

  総合健診 41 (4), 513-517, 2014

  一般社団法人 日本総合健診医学会

キーワード

• glaucoma
• intraocular pressure
• visual field test
• general medical checkup

詳細情報

• CRID: 1390001205197321344
• NII論文ID: 130004936240
• DOI: 10.7143/jhep.41.513
• ISSN: 18844103
• ISSN: 13470086
• Web Site: https://www.jstage.jst.go.jp/article/jhep/41/4/41_513/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2015145442
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
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