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Aim: To describe the value and results of family screening of glaucoma patients in the glaucoma clinic of a tertiary center in the Garhwal Himalayan region over a period of one year. Material and Method: 300 patients underwent comprehensive ophthalmic examination and glaucoma examination including IOP measurement by Goldman applanation tonometry, binocular dilated fundoscopy with +90D Volk lens, gonioscopy using the 4 mirror Volk goniolens. Results: 300 persons detected with primary glaucoma whose families were invited to participate in the family screening initiative, there were 114 first degree relatives who attended the screening with a response rate of 32%. The relatives of probands ranged in age from 18 to 89 years with 56.8% being males. 198 were diagnosed as primary angle-closure suspects, 8 as angle-closure,238 as glaucoma suspects and 132 subjects (11.6%) had definite glaucoma. Most affected subjects were in 40-70 years. The angle-closure disease was found more in females. Conclusion: Study also found a higher prevalence of glaucoma in siblings; especially the angle-closure entity. Targeting first degree relatives of persons with primary glaucoma may offer a relatively inexpensive way of detecting glaucoma and in the identification of suspects at risk of glaucoma who may be advocated closer monitoring.

Study of the importance of family screening of glaucoma: identifying the target