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Longitudinal glaucoma screening for siblings of patients with primary open angle glaucoma: the Nottingham Family Glaucoma Screening Study
  1. V C T Sung1,2,
  2. J M Koppens1,
  3. S A Vernon1,
  4. P Pawson1,
  5. M Rubinstein1,
  6. A J King1,
  7. C L Tattersall1
  1. 1Eye, Ear, Nose and Throat Centre, Queen’s Medical Centre University Hospital NHS Trust, Derby Road, Nottingham NG7 2UH, UK
  2. 2Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hospital NHS Trust, Dudley Road, Birmingham B18 7QU, UK
  1. Correspondence to: MrStephen A Vernon DM, FRCS, FRCOphth, Eye, Ear, Nose and Throat Centre, Queen’s Medical Centre University Hospital NHS Trust, Derby Road, Nottingham NG7 2UH, UK; stephen.vernon{at}qmc.nhs.uk

Abstract

Aims: To assess the prevalence and cumulative incidence of open angle glaucoma (OAG) in a cohort group of siblings of OAG probands.

Methods: Between 1994 and 2003, a group of siblings of OAG probands underwent both initial and follow up standardised ophthalmic examinations. Siblings were classified as “definite glaucoma” (primary OAG (POAG) and normal tension glaucoma (NTG)), “glaucoma suspects” (NTG suspects or ocular hypertension (OHT)), and normal. The prevalence and cumulative incidence of OAG over the follow up interval were calculated.

Results: At the initial study, 271 siblings (mean age 63.6 years; female to male ratio 1.2) from 156 probands were examined. 32 (11.8%) were classified as definite glaucoma and 15 (5.5%) as suspects. In the follow up study, 157 of the 224 “normal” siblings from the initial study were examined (mean interval from initial study 7.0 (SD 1.0) years). 11 (7%) were classified as definite glaucoma and 30 (19.1%) as suspects. There were significant trends of increasing prevalence and incidence of OAG with age and a lifetime risk estimated at approximately 20% by age 70.

Conclusion: Siblings of glaucoma patients have an increased risk of developing glaucoma and the risk increases with age. An effective and repeated screening programme should be considered for this high risk group.

  • IOP, intraocular pressure
  • NTG, normal tension glaucoma
  • OAG, open angle glaucoma
  • OHT, ocular hypertension
  • POAG, primary open angle glaucoma
  • VCDR, vertical cup to disc ratio
  • primary open angle glaucoma
  • siblings
  • IOP, intraocular pressure
  • NTG, normal tension glaucoma
  • OAG, open angle glaucoma
  • OHT, ocular hypertension
  • POAG, primary open angle glaucoma
  • VCDR, vertical cup to disc ratio
  • primary open angle glaucoma
  • siblings
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Footnotes

  • The authors have no competing interest in the instruments used in this study.

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