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Systematic glaucoma screening and diagnostic effectiveness: can early detection improve patient outcomes?

Not Applicable
Completed
Conditions
Glaucoma
Eye - Diseases / disorders of the eye
Public Health - Health promotion/education
Public Health - Health service research
Registration Number
ACTRN12615000307505
Lead Sponsor
Prof Michael Kalloniatis
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
361
Inclusion Criteria

18-80 year, gonioscopically open angles, IOP below 32 in either eye, normal optic disc at initial clinical examination and on stereoscopic photographs as determined by the two independent ophthalmologists with specialty in glaucoma, 2 normal and reliable visual field tests per eye at initial examination as determined by the two independent ophthalmologists with specialty in glaucoma.

Exclusion Criteria

Glaucoma other than primary open angle glaucoma, previous intraocular surgery (other than uncomplicated cataract extraction with posterior chamber lens implantation), and any disases capable of causing visual field loss or optic disc deterioration.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Diagnostic accuracy measured as the proportion of true positive referrals defined as those patients referred as glaucoma suspects or with suggested glaucomatous changes that are confirmed during examination.[five years]
Secondary Outcome Measures
NameTimeMethod
Predictors for earlier diagnosis defined as exam outcomes that show a better correlation with the determined patient glaucoma status than the primary outcome. Multivariate regression models will be applied to identify those exam outcomes that result in the best prediction of the patient disease status at the study end point.[5 years]
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