PREVALENCE OF INTRAOCULAR HYPERTENSION AND GLAUCOMA IN AN UNSELECTED FRENCH POPULATION
Author(s)
fleur Levrat, PharmD, OR project leader1, Alain Bron, Pr, ophtalmologist2, Frederique Thomas, MSC, Biostatistician3, Stéphanie Lefebvre, PhD, Biostatistician4, Anne Solesse De Gendre, MD, outcomes research manager41Pfizer France, Paris, France; 2 Hôpital Général, Dijon, Dijon, France; 3 centre IPC, clinical and preventive center, Paris, IdF, France; 4 Pfizer, Paris, IdF, France
OBJECTIVES: In France, the prevalence of primary open angle glaucoma has been estimated at 2% of the population over 40 years old. Given the limited data available, we prompted an epidemiological survey on the prevalence of ocular hypertension and high pressure glaucoma in France. The principal objective of this survey was to evaluate the prevalence of ocular hypertension and high pressure glaucoma in subjects who were volunteers for a health assessment, and to find some risk factors. METHODS: Clinical and laboratory data were collected during the screening program, as well as information on the way of life, and the personal and family medical history. All volunteers were subjected to an intra ocular pressure, IOP recording with an air tonometer. Those with an IOP above 21 mm Hg underwent a FDT (frequence dubling technology) visual field and a non stereoscopic photograph with a digital non mydriatic camera. Among 2797 subjects, 2165 subjects (i.e. 77.4%) agreed to participate. Altogether, 2074 subjects (1384 men and 690 women) were included in the study. RESULTS: Intraocular pressure >21 mmHg was observed in 10.1% of men and 6.4% of women. This prevalence increased with age. Glaucoma was confirmed in 2.2 % of men and in 3.0 % of women. Prevalence of glaucoma in men varied between 0.8% in the youngest subjects and 5.7% in subjects over 60 years, and between 0.6% and 4.7%, respectively in women.Logistic regression demonstrated that few parameters of the health assessment could be linked to intraocular pressure or glaucoma. CONCLUSION: This cross sectional study demonstrated that there is a higher prevalence of ocular hypertension and high pressure glaucoma than reported in currently published data. This study did not reveal any major factors that could be linked to ocular hypertension and glaucoma.
Conference/Value in Health Info
2006-05, ISPOR 2006, Philadelphia, PA
Value in Health, Vol. 9, No.3 (May/June 2006)
Code
PEY1
Topic
Epidemiology & Public Health
Disease
Sensory System Disorders