Evaluation of screening tests and prevalence of glaucoma: integrated health research program for the Thai elderly.

The purposes of this study were to evaluate the accuracy of glaucoma screening tests and to assess the prevalence of glaucoma in an elderly Thai population over 60 years of age. This was a cross-sectional study. 3706 subjects were recruited from 33 communities in the vicinity of Siriraj Hospital. All received an eye examination from ophthalmologists and general practitioners including visual acuity, Schiotz tonometry and optic disc evaluation in their residential communities. Subjects who were suspected of having glaucoma were re-examined at the Glaucoma Clinic, Siriraj Hospital. They were then classified as having definite glaucoma of a specific type or as not having glaucoma. The overall prevalence of glaucoma was 6.1 per cent (128/2092). The percentages of primary open angle glaucoma, primary angle closure glaucoma, normotension glaucoma and secondary glaucoma were 47.7 per cent, 41.4 per cent, 9.4 per cent, and 1.6 per cent respectively. The sensitivity and specificity of the screening tests performed by ophthalmologists were 100 per cent and 97.2 per cent and those performed by general practitioners were 21.7 per cent and 96.5 per cent.

Optic atrophy due to sequelae of thallotoxicosis: Report of a case.

The authors report a case of optic atrophy due to sequelae of thallotoxicosis in a patient who ingested a rat-poison for suicidal purpose at an estimated dose of 50 mg/kg body weight. The patient’s main symptoms in acute crisis included abdorminal pain and alopecia 14 days after the ingestion. Two months later she developed visual loss. On eye examination, visual acuity finger count was ฝ feet for eyes, optic atrophy and tubular visual field defects was found both eyes. An amount of thallium was found in urine (0.16 microgram/ml), but was negative in serum and pubic hair (21.4 mcg./gm). After prednisolone taken orally 30 mg/day for about 2 months visual acuity improved to 1/60. Both eyes but visual field defect and topic atrophy remain unchanged.