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Gramer, G. ; Weber, Bernhard H. F. ; Gramer, E.

Results of a patient-directed survey on frequency of family history of glaucoma in 2170 patients

Article

Gramer, G., Weber, Bernhard H. F. and Gramer, E. (2014) Results of a patient-directed survey on frequency of family history of glaucoma in 2170 patients. Investigative ophthalmology and visual science 55 (1), pp. 259-264.

DOI to cite this document: 10.5283/epub.35836


Abstract

PURPOSE. To evaluate in different types of glaucoma frequency of family history of glaucoma (FHG), age at diagnosis, glaucoma risk in relatives, and acceptance rate of genetic glaucoma tests. To assess stage of visual field loss (VFL) in relation to FHG. METHODS. Using standardized questions whether an ophthalmologist had found or excluded glaucoma or ocular hypertension (OH), 2170 patients with ...

PURPOSE. To evaluate in different types of glaucoma frequency of family history of glaucoma (FHG), age at diagnosis, glaucoma risk in relatives, and acceptance rate of genetic glaucoma tests. To assess stage of visual field loss (VFL) in relation to FHG. METHODS. Using standardized questions whether an ophthalmologist had found or excluded glaucoma or ocular hypertension (OH), 2170 patients with glaucoma or OH interviewed all their first and second degree relatives. One thousand three hundred thirty-eight patients had POAG, 233 primary angle closure glaucoma (PACG), 148 OH, 153 normal tension glaucoma (NTG), 50 pigmentary glaucoma (PG), and 66 pseudoexfoliation glaucoma (PEX). RESULTS. Frequency of FHG was 40% in POAG, without significant differences compared with NTG (P = 0.08), OH (P = 0.5), PACG (P = 0.4), and PG (P = 0.6). There were significant differences in age at diagnosis between the glaucomas (smallest between group P < 0.0001). Patients with FHG were significantly younger at diagnosis than patients without FHG in all types of glaucoma (all P values <= 0.03), except NTG and PEX. Patients' siblings and mothers had the highest detection probability for glaucoma in POAG and OH. There was no significant relation between stage of VFL and FHG in POAG (P = 0.6). Sixty-eight percent of patients would participate in genetic glaucoma tests. CONCLUSIONS. There is a similarly high genetic disposition in all types of glaucoma. Disease risk was especially high in mothers and siblings. In patients with FHG, knowledge of genetic disposition of the glaucomas may have led to earlier diagnosis. This highlights the need for glaucoma awareness campaigns.



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Details

Item typeArticle
Journal or Publication TitleInvestigative ophthalmology and visual science
PublisherASSOC RESEARCH VISION OPHTHALMOLOGY INC
Place of PublicationROCKVILLE
Volume55
Number of Issue or Book Chapter1
Page Rangepp. 259-264
Date2014
Date of publication07 Jul 2017 09:45
InstitutionsMedicine > Lehrstuhl für Humangenetik
Identification Number
ValueType
24327611PubMed ID
10.1167/iovs.13-13020DOI
KeywordsOPEN-ANGLE GLAUCOMA; NORMAL-TENSION GLAUCOMA; BALTIMORE EYE SURVEY; EXFOLIATION GLAUCOMA; SEQUENCE VARIANTS; PSEUDOEXFOLIATION SYNDROME; PIGMENTARY GLAUCOMA; DISEASE SEVERITY; CANDIDATE GENES; GERMAN PATIENTS; glaucoma; screening; family history of glaucoma; genetic disposition; risk factors
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgPartially
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-358367
Item ID35836

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