Risk Factors for Glaucoma Suspicion in Healthy Young Asian and Caucasian Americans

Purpose. To determine the prevalence of certain risk factors for glaucoma in a healthy, young population and to compare these risk factors between Asian Americans and Caucasians. Methods. 120 healthy graduate students (mean age 24.8±3.0 years) underwent a comprehensive ophthalmic examination. Regres...

Full description

Saved in:
Bibliographic Details
Main Authors: E. Lauren Doss, Linden Doss, Ying Han, Susan Huang, Travis Porco, Melike Pekmezci, Shan Lin
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2014/726760
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849685285310300160
author E. Lauren Doss
Linden Doss
Ying Han
Susan Huang
Travis Porco
Melike Pekmezci
Shan Lin
author_facet E. Lauren Doss
Linden Doss
Ying Han
Susan Huang
Travis Porco
Melike Pekmezci
Shan Lin
author_sort E. Lauren Doss
collection DOAJ
description Purpose. To determine the prevalence of certain risk factors for glaucoma in a healthy, young population and to compare these risk factors between Asian Americans and Caucasians. Methods. 120 healthy graduate students (mean age 24.8±3.0 years) underwent a comprehensive ophthalmic examination. Regression analyses controlling for age, sex, and refraction, comparing glaucoma risk factors in Asians (n=54) and Caucasians (n=41), were performed. Outcome variables included family history, intraocular pressure (IOP), spherical equivalent, central corneal thickness (CCT), mean deviation (MD) and pattern standard deviation (PSD), and disc and retinal nerve fiber layer (RNFL) parameters. Results. 61% of subjects were female; the mean spherical equivalent was -3.81±3.2 D; and the mean axial length (AL) was 25.1±1.7 mm. Regression analysis showed race affected spherical equivalent (P<0.001), AL (P=0.0073), IOP (P<0.001), and cup to disc area ratio (CDAR) (P=0.012). Family history, CCT, MD, and PSD did not vary between Asians and Caucasians (P>0.05). In this study, we found Asian Americans, compared to Caucasians, had 2.95±0.64 D greater myopia; greater IOP by 2.74±0.62 mmHg; and larger CDAR by 0.12±0.046. Conclusions. In our study population, young, healthy Asian Americans had greater myopia, IOP, and CDAR as compared to Caucasians, suggesting that racial variations can be important when diagnosing glaucoma.
format Article
id doaj-art-c3e10c6ed4124ee3b74df4f50bac1cbb
institution DOAJ
issn 2090-004X
2090-0058
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-c3e10c6ed4124ee3b74df4f50bac1cbb2025-08-20T03:23:12ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/726760726760Risk Factors for Glaucoma Suspicion in Healthy Young Asian and Caucasian AmericansE. Lauren Doss0Linden Doss1Ying Han2Susan Huang3Travis Porco4Melike Pekmezci5Shan Lin6Department of Ophthalmology, University of California, 10 Koret Way, San Francisco, CA 94143-0730, USASchool of Medicine, Loma Linda University, Anderson Street, Loma Linda, CA 92354, USADepartment of Ophthalmology, University of California, 10 Koret Way, San Francisco, CA 94143-0730, USADepartment of Ophthalmology, University of California, 10 Koret Way, San Francisco, CA 94143-0730, USADepartment of Ophthalmology, University of California, 10 Koret Way, San Francisco, CA 94143-0730, USADepartment of Pathology and Laboratory Medicine, University of California, Parnassus Avenue S512, San Francisco, CA 94143, USADepartment of Ophthalmology, University of California, 10 Koret Way, San Francisco, CA 94143-0730, USAPurpose. To determine the prevalence of certain risk factors for glaucoma in a healthy, young population and to compare these risk factors between Asian Americans and Caucasians. Methods. 120 healthy graduate students (mean age 24.8±3.0 years) underwent a comprehensive ophthalmic examination. Regression analyses controlling for age, sex, and refraction, comparing glaucoma risk factors in Asians (n=54) and Caucasians (n=41), were performed. Outcome variables included family history, intraocular pressure (IOP), spherical equivalent, central corneal thickness (CCT), mean deviation (MD) and pattern standard deviation (PSD), and disc and retinal nerve fiber layer (RNFL) parameters. Results. 61% of subjects were female; the mean spherical equivalent was -3.81±3.2 D; and the mean axial length (AL) was 25.1±1.7 mm. Regression analysis showed race affected spherical equivalent (P<0.001), AL (P=0.0073), IOP (P<0.001), and cup to disc area ratio (CDAR) (P=0.012). Family history, CCT, MD, and PSD did not vary between Asians and Caucasians (P>0.05). In this study, we found Asian Americans, compared to Caucasians, had 2.95±0.64 D greater myopia; greater IOP by 2.74±0.62 mmHg; and larger CDAR by 0.12±0.046. Conclusions. In our study population, young, healthy Asian Americans had greater myopia, IOP, and CDAR as compared to Caucasians, suggesting that racial variations can be important when diagnosing glaucoma.http://dx.doi.org/10.1155/2014/726760
spellingShingle E. Lauren Doss
Linden Doss
Ying Han
Susan Huang
Travis Porco
Melike Pekmezci
Shan Lin
Risk Factors for Glaucoma Suspicion in Healthy Young Asian and Caucasian Americans
Journal of Ophthalmology
title Risk Factors for Glaucoma Suspicion in Healthy Young Asian and Caucasian Americans
title_full Risk Factors for Glaucoma Suspicion in Healthy Young Asian and Caucasian Americans
title_fullStr Risk Factors for Glaucoma Suspicion in Healthy Young Asian and Caucasian Americans
title_full_unstemmed Risk Factors for Glaucoma Suspicion in Healthy Young Asian and Caucasian Americans
title_short Risk Factors for Glaucoma Suspicion in Healthy Young Asian and Caucasian Americans
title_sort risk factors for glaucoma suspicion in healthy young asian and caucasian americans
url http://dx.doi.org/10.1155/2014/726760
work_keys_str_mv AT elaurendoss riskfactorsforglaucomasuspicioninhealthyyoungasianandcaucasianamericans
AT lindendoss riskfactorsforglaucomasuspicioninhealthyyoungasianandcaucasianamericans
AT yinghan riskfactorsforglaucomasuspicioninhealthyyoungasianandcaucasianamericans
AT susanhuang riskfactorsforglaucomasuspicioninhealthyyoungasianandcaucasianamericans
AT travisporco riskfactorsforglaucomasuspicioninhealthyyoungasianandcaucasianamericans
AT melikepekmezci riskfactorsforglaucomasuspicioninhealthyyoungasianandcaucasianamericans
AT shanlin riskfactorsforglaucomasuspicioninhealthyyoungasianandcaucasianamericans