An unusual case of congenital cytomegalovirus infection with glaucoma and communicating hydrocephalus.
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Biomedical subjects
Publications and source records attributed to O Kosoko.
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Although blacks appear to be at higher risk for blindness from glaucoma, there is little information available on the epidemiology of this disease in this population. Using a cluster sampling technique with systematic allocation of clusters, the authors conducted a national survey of black individuals 30 years of age and older, in St. Lucia. A total of 1679 individuals underwent a screening examination that included visual acuity, intraocular pressure (IOP) measurement, and cup/disc (C/D) evaluation. Every third person had a screening field on the Humphrey field analyzer. Individuals with either elevated IOP, abnormal C/D ratio, or an abnormal screening visual field were referred for a definitive examination and threshold visual fields. A total of 520 people were referred. Identified by stringent criteria for the diagnosis of glaucoma, which required reliable threshold visual fields abnormal by the mirror image method, 147 individuals had glaucoma for a prevalence of 8.8% in the 30 years of age and older population.
Pasteurella multocida is an ubiquitous organism that can be isolated from a variety of animals and birds. It is an infrequent ocular pathogen but can cause infection as a result of injury or animal exposure. This article reports a case of P multocida corneal ulcer following a baseball injury.
We investigated the impact of age and ocular status on the duration of automated threshold and suprathreshold testing of the visual field in a study of 57 eyes with glaucomatous field loss, 58 eyes with ocular hypertension, and 190 eyes of normal controls. It was faster to run a three-zone threshold-related suprathreshold 120-point full-field screening test on younger subjects and normal controls than on older subjects or subjects with early glaucomatous field loss. In contrast, the time required for full quantitative thresholding of 76 points within the central 30 degrees was unaffected by either age or ocular status. Normal individuals required 40% more time to complete the quantitative threshold test than the "full-field" screening test.
Eighty eyes were tested using the computer-driven, automated threshold-related, three-level screening strategy of the Humphrey Field Analyzer. Using Goldmann perimetry as the standard, different statistical algorithms were used in an attempt to differentiate eyes with glaucoma (n = 24) from normal controls (n = 56). Seventeen or more absolute and/or relative defects anywhere in the full field test area identified approximately 95% of the glaucoma eyes and screened out 80% of the control eyes. Retesting these criteria on a second group of 25 glaucomatous and 108 control eyes provided comparable results. The number of stimulus presentations can be substantially reduced, without deterioration in either sensitivity or specificity, by using a two-level strategy and limiting testing to the nasal field.