{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T12:09:51Z","timestamp":1783339791125,"version":"3.54.6"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"NHS Research Scotland Career Research Fellowship Grant"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ophthalmic Physiologic Optic"],"published-print":{"date-parts":[[2019,3]]},"abstract":"Abstract<\/jats:title>\n \n Aim<\/jats:title>\n To examine the accuracy of referrals by community optometrists for suspected primary angle closure, including primary angle closure suspects, primary angle closure and primary angle closure glaucoma.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A retrospective review of 769 consecutive patients referred by community optometrists to the glaucoma clinic at a university hospital in Scotland. Ninety\u2010five of 715 eligible subjects (13%) were referred due to suspected angle closure. All subjects had a comprehensive eye examination in the glaucoma clinic, including gonioscopy, with angle closure defined according to the International Society of Geographical and Epidemiological Ophthalmology classification as iridotrabecular contact over at least 270 degrees.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Fifty\u2010nine of 95 subjects referred due to suspected angle closure were confirmed to have an occludable angle, while 36 of 95 (38%) had open angles (positive predictive value\u00a0=\u00a062%). Of 620 patients referred to the glaucoma clinic for reasons other than narrow angles, 601 (97%) had open angles on gonioscopy and 19 (3%) had narrow angles.<\/jats:p>\n \n Using the 620 patients referred with \u2018open angles\u2019 as a control group, sensitivity was estimated as 76% and specificity 94%. Eleven of 95 (12%) patients referred for possible angle closure were discharged at the first visit compared to 156 of 620 (25%) referred to the glaucoma clinic for other reasons (\n p<\/jats:italic>\n \u00a0=\u00a00.003). In a multivariable model, suspect angle closure detected by the optometrist (\n OR<\/jats:styled-content>\n \u00a0=\u00a056.0, 95%\n CI<\/jats:styled-content>\n 35.2\u201389.2,\n p<\/jats:italic>\n \u00a0<\u00a00.001) and female gender (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.9, 95%\n CI<\/jats:styled-content>\n 1.2\u20133.1,\n p<\/jats:italic>\n \u00a0=\u00a00.008) were associated with increased odds of angle closure on gonioscopy.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Community optometrists had good ability to detect eyes at risk of angle closure. There was also greater accuracy of referrals for suspected angle closure than for other glaucoma referrals.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/opo.12601","type":"journal-article","created":{"date-parts":[[2019,1,2]],"date-time":"2019-01-02T02:48:23Z","timestamp":1546397303000},"page":"104-112","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Accuracy of detection of patients with narrow angles by community optometrists in Scotland"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3457-2042","authenticated-orcid":false,"given":"Roxanne","family":"Annoh","sequence":"first","affiliation":[{"name":"Princess Alexandra Eye Pavilion and Department of Ophthalmology University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng Yi","family":"Loo","sequence":"additional","affiliation":[{"name":"Queen's Medical Research Institute University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3260-6501","authenticated-orcid":false,"given":"Brian","family":"Hogan","sequence":"additional","affiliation":[{"name":"Queen's Medical Research Institute University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huai Ling","family":"Tan","sequence":"additional","affiliation":[{"name":"Queen's Medical Research Institute University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling Shan","family":"Tang","sequence":"additional","affiliation":[{"name":"Queen's Medical Research Institute University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J","family":"Tatham","sequence":"additional","affiliation":[{"name":"Princess Alexandra Eye Pavilion and Department of Ophthalmology University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,1]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(00)00385-7"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.3192"},{"key":"e_1_2_7_4_1","first-page":"1","article-title":"The prevalence of primary angle closure glaucoma in adult Asians: a systematic review and meta\u2010analysis","volume":"9","author":"Cheng J\u2010W","year":"2014","journal-title":"PLoS ONE"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2015.124"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6215-12-133"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2004.08.026"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.126.5.686"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e32834372b9"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.86.2.238"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2004.064378"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/opo.12150"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(69)91241-0"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.84.2.186"},{"key":"e_1_2_7_15_1","unstructured":"SIGN.144: Glaucoma Referral and Safe Discharge: A National Clinical Guideline. 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