Search tips
Search criteria 


Logo of jrsocmedLink to Publisher's site
J R Soc Med. 1991 September; 84(9): 545–546.
PMCID: PMC1293417

Screening siblings for glaucoma in the UK.


The current practice and ideals of ophthalmologists when alerting and screening siblings at risk of chronic simple glaucoma were assessed by means of a questionnaire. Seventy-nine per cent of Trent Region consultants responded, and of these, 18% do not attempt to alert siblings of glaucoma sufferers. Those who do rely on the probands to alert their siblings and the high street optometrists to screen. Under more favourable conditions, all respondents would advise screening for siblings over 40 years of age. Fifty-nine per cent would then advocate the letter as the optimum method of communication and 78% would prefer that an ophthalmologist screen this high risk group. In a pilot study of a hospital-based screening service, siblings living within a 15 mile radius of the hospital were invited by letter to attend for screening. Ninety per cent attended, of whom 12.5% required treatment and a further 11% careful observation. The cost of detecting a case of treatable disease by this strategy was estimated at 138 pounds.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (400K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Jay B, Paterson G. The genetics of simple glaucoma. Trans Ophthalmol Soc U K. 1970;90:161–171. [PubMed]
  • Rosenthal AR, Perkins ES. Family studies in glaucoma. Br J Ophthalmol. 1985 Sep;69(9):664–667. [PMC free article] [PubMed]
  • Vernon SA, Henry DJ, Cater L, Jones SJ. Screening for glaucoma in the community by non-ophthalmologically trained staff using semi automated equipment. Eye (Lond) 1990;4(Pt 1):89–97. [PubMed]
  • Jones SJ, Vernon SA, Cater L, Henry DJ. Costing a community based screening programme for the detection of glaucoma. Eye (Lond) 1990;4(Pt 1):98–102. [PubMed]
  • Aclimandos WA, Galloway NR. Blindness in the city of Nottingham (1980-1985). Eye (Lond) 1988;2(Pt 4):431–434. [PubMed]
  • MacKean JM, Elkington AR. Alerting close relatives of patients with glaucoma. Br Med J (Clin Res Ed) 1984 Sep 29;289(6448):800–801. [PMC free article] [PubMed]
  • Vernon SA, Henry DJ. Do optometrists screen for glaucoma? Eye (Lond) 1989;3(Pt 6):743–746. [PubMed]
  • Jonas JB, Gusek GC, Naumann GO. Optic disc morphometry in chronic primary open-angle glaucoma. I. Morphometric intrapapillary characteristics. Graefes Arch Clin Exp Ophthalmol. 1988;226(6):522–530. [PubMed]
  • Quigley HA, Brown AE, Morrison JD, Drance SM. The size and shape of the optic disc in normal human eyes. Arch Ophthalmol. 1990 Jan;108(1):51–57. [PubMed]
  • Quigley HA. Examination of the retinal nerve fiber layer in the recognition of early glaucoma damage. Trans Am Ophthalmol Soc. 1986;84:920–966. [PMC free article] [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press