Elsevier

Ophthalmology

Volume 108, Issue 7, July 2001, Pages 1173-1175
Ophthalmology

Letters to the editor
Glaucoma in Southern India

https://doi.org/10.1016/S0161-6420(01)00610-8Get rights and content

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    Hence, there were no normative data for optic disc parameters. The IOP data from APEDS were probably skewed, as reported previously.36 Hence, we used normative data from the CGS to define the 97.5th and 99.5th percentiles for the IOP and vertical C/D ratio.

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    In the absence of appropriate screening tools for ACG, gonioscopy is the gold standard for the diagnosis of angle-closure disease. Unfortunately, gonioscopy is not part of routine clinical evaluation in India.24 The ophthalmic community has to be sensitized regarding the need to perform gonioscopy to minimize the problem of misdiagnosis or underdiagnosis of angle closure.

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    Such retraining is certainly necessary throughout the country, not just in the seven states that benefited from the WB project. More important for long term gain, future generations of ophthalmologists need to be trained in current, modern examination and surgical skills during residency itself.31,38,56,154 Furthermore, recent surveys have documented the actual magnitude and causes of blindness.

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