Abstract
Purpose To determine the extent of unregistered blind and partial sight visual loss amongst primary open angle glaucoma (POAG) patients in an outpatient clinic.
Methods A 13 year follow-up study was carried out of all patients with POAG attending the outpatient clinics at the Leicester Royal Infirmary during the first 4 months of 1982.
Results Ninety (35%) of 258 patients achieved eligibility for registration and 47 patients (18%) were registered, consisting of 39 who were eligible and 8 who were not. Fifty-seven per cent of eligible patients remained unregistered. Patients with visual loss due to visual acuity loss were much more likely to be registered than patients with either visual field loss (p < 0.001) or mixed visual acuity/ visual field loss (p < 0.001). All categories of eligible patients experienced a delay between eligibility and registration. This delay was much longer for the visual field loss patients (median delay 61.8 months). Patients with untreatable disease were more likely to be registered. The rates of registration are improving.
Conclusion A large proportion of glaucoma patients who are eligible for registration as either blind or partially sighted remain unregistered. Those who are registered often experience prolonged delays before becoming registered.
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References
Bruce I, McKennell A, Walker E . Blind and partially sighted adults in Britain: the RNIB survey. Vol 1. London: HMSO, 1991.
Sorsby A . Blindness and partial sight in England and Wales 1969-1976. Rep Health Soc Subj 129. London: HMSO, 1976.
Graham PA, Wallace J, Welsby E, Grace HJ . Evaluation of postal detection of registerable blindness. Br J Prev Soc Med 1968;22:283–41
Brennan ME, Knox EG . An investigation into the purposes, accuracy and effective uses of the blind register in England. Br J Prev Soc Med 1973;27:154–9
Cullinan TR . The epidemiology of visual disability. Health Services Research Unit Report no. 28. London: HMSO, 1977.
Gibson JM, Rosenthal AR, Lavery J . A study of the prevalence of eye disease in the elderly in an English community. Trans Ophthalmol Soc UK 1985;104:196–203
Robinson R, Deutsch J, Jones HS, et al . Unrecognised and unregistered visual impairment. Br J Ophthalmol 1994;78:736–40
Bunce C, Evans J, Fraser S, Wormald R . BD8 certification of visually impaired people. Br J Ophthalmol 1998;82:72–6
Cox DR, Oakes D . Analysis of survival data. London: Chapman & Hall, 1984:chap 3.
Thompson JR, Du L, Rosenthal AR . Recent trends in the registration of blindness and partial sight in Leicestershire. Br J Ophthalmol 1989;73:95–9
Registration and rehabilitation of the visually handicapped. London: Royal College of Ophthalmologists, 1994.
Evans JR, Wormald RPL . Epidemiological functions of BD8 certification. Eye 1993;7:172–9
Wormald R, Evans J . Registration of blind and partially sighted people. Br J Ophthalmol 1994;78:733–4
Aclimandos WA, Galloway NR . Blindness in the city of Nottingham (1980-1985). Eye 1988;2:431–4
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King, A., Reddy, A., Thompson, J. et al. The rates of blindness and of partial sight registration in glaucoma patients. Eye 14, 613–619 (2000). https://doi.org/10.1038/eye.2000.152
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DOI: https://doi.org/10.1038/eye.2000.152
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