Objectives: Social deprivation as measured by the Index of Multiple Deprivation (IMD) and Townsend scores has been shown to be associated with advanced presentation of primary open angle glaucoma. The aim of this study was to investigate the putative association of social deprivation as a risk factor for Acute Primary Angle Closure (APAC) in a UK urban population.
Methods: Case notes of 139 consecutive patients presenting with APAC at the Birmingham and Midland Eye Centre were examined. Deprivation was scored using the IMD 2004, and the Townsend scores. These score were compared to the West Midlands reference population.
Results: The level of deprivation in patients with APAC was graded according to the IMD quintiles in which quintile 1 represents the highest level of deprivation and quintile 5 represents the lowest level of deprivation. 66.1% of patients (n = 90) were from quintiles 1 or 2 (most deprived), whereas 9% of patients (n=12) came from quintile 5 (least deprived); compared to predicted frequencies of 40% and 20% respectively. Deprivation levels measured by frequency within each IMD quintile were significantly higher in the APAC group compared to the reference population (Chi-square; p< 0.001).
Conclusions: In this population patients presenting with APAC are more likely to come from areas with a high level of social deprivation.