0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Use of Multiple Tests Improves Screening for Glaucoma—Reply

Michael V. Boland, MD, PhD1,2,3; David S. Friedman, MD, PhD3,4
[+] Author Affiliations
1Division of Health Sciences Informatics, Johns Hopkins University School of Medicine, Baltimore, Maryland
2Web Editor, JAMA Ophthalmology
3Glaucoma Center of Excellence, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
4Dana Center for Preventive Ophthalmology, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
JAMA Ophthalmol. 2016;134(8):948. doi:10.1001/jamaophthalmol.2016.1552.
Text Size: A A A
Published online

Extract

In Reply We thank Dr Taylor for taking the time to comment on our evaluation of FDT perimetry as the sole means of screening for glaucoma using the National Health and Nutrition Examination Survey population.

We do not have a single, repeatable, easily interpreted test for the presence of glaucoma. To determine whether instruments measuring optic nerve function are effective in diagnosing glaucoma, most studies have relied on a measure of optic nerve structure to serve as the gold standard for diagnosis, and vice versa. We designed our evaluation to be as rigorous as possible given the available data. We did not only rely on the cup-disc ratio determined by the fundus photograph reading center to diagnose glaucoma but instead had 3 glaucoma experts reach consensus based on the overall appearance of the nerve. While some additional data relevant to glaucoma were collected by the National Health and Nutrition Examination Survey, we were limited by the design of the ophthalmic and vision assessment that was performed during those particular phases of the study.

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

August 1, 2016
Hugh R. Taylor, AC, MD, FRANZCO
1Melbourne School of Population and Global Health, University of Melbourne, Carlton, Australia
JAMA Ophthalmol. 2016;134(8):947-948. doi:10.1001/jamaophthalmol.2016.1541.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

109 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Jobs
brightcove.createExperiences();