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Factors associated with use of glaucoma medications in a population of older people: The Blue Mountains Eye Study.
Aust N Z J Ophthalmol 1999 Jun-Aug; 27(3-4):176-9AN

Abstract

PURPOSE

To examine factors associated with use of glaucoma medications in a population of older people.

METHODS

The Blue Mountains Eye Study examined 3654 people aged 49-97 years. Participants completed an interviewer-administered questionnaire which included information on current medication use. Open-angle glaucoma (OAG) was diagnosed if matching glaucomatous visual field defects and optic disc cupping were present. Ocular hypertension (OH) was diagnosed in subjects without glaucomatous disc and field changes who had an intraocular pressure (IOP) of > or = 22 mmHg in either eye or who had lower IOP levels but reported treatment with glaucoma medication.

RESULTS

Use of glaucoma medication was reported by 3.3% of persons in this population (119/3644), including 44% of OAG and 28% of OH cases. Among newly diagnosed OAG and OH cases, 30% had never visited an ophthalmologist. Factors associated with a previous diagnosis of OAG or OH in a multivariate model included use of one or more general medications (OR 7.5; 95% CI 2.5-22.9), a history of other eye disease (OR 3.4; 95% CI 1.9-6.2) and first-degree family history of glaucoma (OR 3.6; 95% CI 1.8-7.2).

CONCLUSIONS

Glaucoma screening may need to target individuals with OAG risk factors who are less likely to visit a general practitioner or ophthalmologist.

Authors+Show Affiliations

Department of Ophthalmology, University of Sydney, Westmead Hospital, New South Wales, Australia.No affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

10484184

Citation

Hourihan, F, and P Mitchell. "Factors Associated With Use of Glaucoma Medications in a Population of Older People: the Blue Mountains Eye Study." Australian and New Zealand Journal of Ophthalmology, vol. 27, no. 3-4, 1999, pp. 176-9.
Hourihan F, Mitchell P. Factors associated with use of glaucoma medications in a population of older people: The Blue Mountains Eye Study. Aust N Z J Ophthalmol. 1999;27(3-4):176-9.
Hourihan, F., & Mitchell, P. (1999). Factors associated with use of glaucoma medications in a population of older people: The Blue Mountains Eye Study. Australian and New Zealand Journal of Ophthalmology, 27(3-4), pp. 176-9.
Hourihan F, Mitchell P. Factors Associated With Use of Glaucoma Medications in a Population of Older People: the Blue Mountains Eye Study. Aust N Z J Ophthalmol. 1999;27(3-4):176-9. PubMed PMID: 10484184.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors associated with use of glaucoma medications in a population of older people: The Blue Mountains Eye Study. AU - Hourihan,F, AU - Mitchell,P, PY - 1999/9/14/pubmed PY - 1999/9/14/medline PY - 1999/9/14/entrez SP - 176 EP - 9 JF - Australian and New Zealand journal of ophthalmology JO - Aust N Z J Ophthalmol VL - 27 IS - 3-4 N2 - PURPOSE: To examine factors associated with use of glaucoma medications in a population of older people. METHODS: The Blue Mountains Eye Study examined 3654 people aged 49-97 years. Participants completed an interviewer-administered questionnaire which included information on current medication use. Open-angle glaucoma (OAG) was diagnosed if matching glaucomatous visual field defects and optic disc cupping were present. Ocular hypertension (OH) was diagnosed in subjects without glaucomatous disc and field changes who had an intraocular pressure (IOP) of > or = 22 mmHg in either eye or who had lower IOP levels but reported treatment with glaucoma medication. RESULTS: Use of glaucoma medication was reported by 3.3% of persons in this population (119/3644), including 44% of OAG and 28% of OH cases. Among newly diagnosed OAG and OH cases, 30% had never visited an ophthalmologist. Factors associated with a previous diagnosis of OAG or OH in a multivariate model included use of one or more general medications (OR 7.5; 95% CI 2.5-22.9), a history of other eye disease (OR 3.4; 95% CI 1.9-6.2) and first-degree family history of glaucoma (OR 3.6; 95% CI 1.8-7.2). CONCLUSIONS: Glaucoma screening may need to target individuals with OAG risk factors who are less likely to visit a general practitioner or ophthalmologist. SN - 0814-9763 UR - https://www.unboundmedicine.com/medline/citation/10484184/Factors_associated_with_use_of_glaucoma_medications_in_a_population_of_older_people:_The_Blue_Mountains_Eye_Study_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0814-9763&date=1999&volume=27&issue=3-4&spage=176 DB - PRIME DP - Unbound Medicine ER -