Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.
Clinical Summary of U.S. Preventive Services Task Force Recommendation
|Population||Adults without vision symptoms who are seen in primary care|
Grade: I statement
|Risk Assessment||Important risk factors for open-angle glaucoma are increased intraocular pressure, older age, family history of glaucoma, and African American race.|
|Screening Tests||Diagnosis of glaucoma is usually made on the basis of several tests that, when combined, evaluate the biologic structure and function of the optic nerve and intraocular pressure. Most tests that are available in a primary care setting do not have acceptable accuracy to detect glaucoma.|
|Treatment||The immediate physiologic goal and measure of effect of primary treatment of glaucoma is reduction in intraocular pressure. Treatments that are effective in reducing intraocular pressure include medications, laser therapy, and surgery. However, these treatments have potential harms, and their effectiveness in reducing patient-perceived impairment in vision-related function is uncertain.|
|Balance of Benefits and Harms||Evidence on the accuracy of screening tests, especially in primary care settings, and the benefits of screening or treatment to delay or prevent visual impairment or improve quality of life is inadequate. Therefore, the overall certainty of the evidence is low, and the USPSTF is unable to determine the balance of benefits and harms of screening for glaucoma in asymptomatic adults.|
|Other Relevant USPSTF Recommendations||The USPSTF has also made a recommendation on screening for impaired visual acuity in older adults. This recommendation is available at http://www.uspreventiveservicestaskforce.org/.|
For a summary of the evidence systematically reviewed in making these recommendations, the full recommendation statement, and supporting documents, please go to http://www.uspreventiveservicestaskforce.org.
Disclaimer: Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.
Internet Citation: Clinical Summary: Glaucoma: Screening. U.S. Preventive Services Task Force. October 2014.