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Br J Ophthalmol 83:369-372 doi:10.1136/bjo.83.3.369
  • Perspective

Should diabetic patients be screened for glaucoma?

Table 1

Studies of association between diabetes mellitus, intraocular pressure, and glaucoma

Author(s) Published Location Method Numbers Ascertainment Association POAG? OR Association IOP? OR
Diabetes POAG
Waiteet al 1935 Massachusetts clinic 2002 clinic 1, 2, 3 no NA NA NA
Palomar 1956 Spain clinic 416 clinic 1 no NA yes lower in DM NA
Armstrong et al 1960 Texas clinic 998 clinic 1, 2, 3 yes 2.9 \ \
Sugar 1964 yes NA
Newell 1965 yes NA
Becker 1966 Washington clinic 304 clinic 1, 2 yes higher in DM NA
Safiret al 1966 New York clinic 107 clinic 1 yes higher in DM NA
Armaly and Baloglou 1967 Lebanon clinic 390 clinic 1 yes lower in DM NA
Bankes 1968 Bedford Community 3072 Urinalysis, GTT 1, 2, 3 no difference
Bouzaset al 1971 Boston clinic 101 clinic 1 no difference
Morgan and Drance 1975 Canada Mixed NS Interview 1, 2, 3 no NA
Leske and Podgor 1983 Framingham Community 2315 GTT 1, 3 no NA yes higher in DM 2.3
Kleinet al 1984 Winsconsin Community 2747 clinic 1 yes 1.84 yes higher in DM NA
David et al 1987 Israel Community 2547 Interview 1, 2 yes higher in DM 1.58
Wilsonet al 1987 Boston clinic 441 Interview 1, 2 yes 1.6
Klein et al 1994 Beaver Dam Community 4926 HbA1c, RBG 1, 2, 3 yes 1.68 yes higher in DM NA
Tielschet al 1994 Baltimore Community 5308 Interview 1, 2, 3 no 1.03 yes higher in DM 1.53
Dielmanset al 1996 Rotterdam Community 4012 GTT 1, 2, 3 yes 3.11 yes higher in DM 0.31 mm Hg
  • Criteria required for diagnosis of POAG: 1 (IOP), 2 (disc changes), 3 (field changes).

  • Field defects not correlated with diabetes.

  • Authors’ calculation from published figures.

  • Children and young type 1 diabetic patients included.

  • No non-diabetic controls.

  • 624 patients excluded because IOP measurement unreliable.

  • Reported glaucoma—not examined by authors.

  • 8.5% Diabetic patients IOP >21 mm Hg cf 4.3% IOP >21 mm Hg controls.

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