Annals of Family Medicine
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Systematic Reviews:
Craig Fleming, Evelyn P. Whitlock, Tracy Beil, Barbara Smit, and Russell P. Harris
Screening for Primary Open-Angle Glaucoma in the Primary Care Setting: An Update for the US Preventive Services Task Force
Ann Fam Med 2005; 3: 167-170 [Abstract] [Full text] [PDF]
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Electronic letters published:

[Read Comment] Comment on "Screening for Primary Open-Angle Glaucoma in the Primary Care Setting..."
Dean A. Raffaelli, D.O.   (30 March 2005)

Comment on "Screening for Primary Open-Angle Glaucoma in the Primary Care Setting..." 30 March 2005
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Dean A. Raffaelli, D.O.,
Chicago, USA
Physician, Chicago Osteopathic Family Practice at Michael Reese

Send response to journal:
Re: Comment on "Screening for Primary Open-Angle Glaucoma in the Primary Care Setting..."

The article was enlightening. I have a mainly black patient population of which many have glaucoma. I write for multiple consultations each day for referrals to ophthalmology for screening and treatment of glaucoma. It was my the belief, obviously wrong, that screening and treatment were straight forward. I have also been seeing, at least in my practice, an increase in the numbers of cases being treated with surgery (with its inherent risks) and have been approached by a company to consider in-office screening with a device that they would provide. The value of this review should be to get all of us more involved in the decision making process as it relate to this disease. It has been to easy to simply sign the referrals and consider it out of my scope of treatment. We continue to be, as PCP, the ombudsman between the many worlds that our patients interact with. We ignore it to our and our patients peril.

Competing interests:   None declared


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