TABLE 6. Evaluation of Tonometry Screening to Detect Glaucoma in Population Studies


  Ferndale, Wales15 Framingham, USA65 Dalby, Sweden16 Barbados, West Indies21 St. Lucia, West Indies20 Baltimore, USA66 Rotterdam 200023 Blue Mts. Eye Study24 Melbourne VIP, 200026 Proyecto VER27 Aravind Eye Survey, 200328
Age groups 40–74 52–84 55–69 40–84 30+ 40+ 55+ 49–97 40+ 40–90+ 40–90
Persons screened 4090 2433 1511 4631 1667 5308 6281 3654 4744 4774 5150
IOP referral level/definition of high IOP >20 >21 >20.5 >21 >21 >21 >21 >21 >21 >22 >21
Cases detected New: 14 New: 18 New: 13 New: 159 All: 309 All: 143 All: 196 New: 27 55 (def. & prob.) 51 58 52
Sensitivity 50% 50% 38% 74% 63% 63% 47% 11.1% 30% 24% 20% 30%
Specificity 90% * <94% 86% 85% 86% 92% 98.0% 96% 99% 98% 98%
Positive predictive value 2% 5% >5% 17% 24% 29% 2% 2.5% 19% 27% 17% 25%

*Insufficient data.
†Includes secondary and narrow-angle glaucoma.