Objective: To assess the level of awareness about glaucoma and its consequences and to evaluate associated eye health attitudes in a randomly selected general urban and rural population in Switzerland. Methods: A cluster random sample of the Swiss population was interviewed. Five-hundred and two telephone interviews with subjects who were representative of the 35- to 70-year-old population of the German- and French-speaking parts of Switzerland were conducted. Data were collected about their gender, age, educational status and professional situation. Study Type: Cross-sectional survey. Results: In total, 76% (n = 383) of respondents did not have any (or any correct) association with the term ‘glaucoma’. Only 24.7% (n = 123) of the interviewees could describe glaucoma as an eye condition. Awareness of glaucoma was independent of age, gender, educational status, and household income. Associated therapeutic measures were surgery (75%) and medical treatment (57%). Seventy-one percent of all respondents wear eyeglasses, 74% of all females and 67% of males. Conclusion: Awareness and knowledge about glaucoma are relatively low in the average Swiss population across all segments of society. The lack of awareness on this insidious disease has important implications for the uptake of ophthalmic care and may result in avoidable blindness. These data also show that the ophthalmologist is considered by the majority of people to be the primary contact for eye health-related information and sight corrections.

Keywords:
Glaucoma, Primary open-angle glaucoma, Risk factors, Refractive error, Awareness about glaucoma
1.
Resnikoff S, Pascolini D, Etya’ale D, Kocur I, Pararajasegaram R, Pokharel GP, Mariotti SP: Global data on visual impairment in the year 2002. Bull Wld Hlth Org 2004;82:844–851.
2.
Quigley HA: Number of people with glaucoma worldwide. Br J Ophthalmol 1996;80:389–393.
3.
Flammer J: Glaucoma: A Guide for Patients. Seattle, Hogrefe & Huber, 2003.
4.
Tuck MW, Crick RP: The age distribution of primary open angle glaucoma. Ophthalmic Epidemiol 1998;5:173–183.
5.
Livingston PM, Lee SE, De Paola C, Carson CA, Guest CS, Taylor HR: Knowledge of glaucoma, and its relationship to self-care practices, in a population sample. Aust NZ J Ophthalmol 1995;23:37–41.
6.
Zimmerman TJ, Zalta AH: Facilitating patient compliance in glaucoma therapy. Surv Ophthalmol 1983;28(suppl):252–258.
7.
Eke T, Reddy MA, Karwatowski WS: Glaucoma awareness and screening uptake in relatives of people with glaucoma. Eye 1999;13:647–649.
8.
Dandona R, Dandona L, John RK, McCarty CA, Rao GN: Awareness of eye diseases in an urban population in southern India. Bull Wld Hlth Org 2001;79:96–102. Epub 2003, Sep 18.
9.
Livingston PM, McCarty CA, Taylor HR: Knowledge, attitudes, and self care practices associated with age related eye disease in Australia. Br J Ophthalmol 1998;82:780–785.
10.
Pfeiffer N, Krieglstein GK, Wellek S: Knowledge about glaucoma in the unselected population: a German survey. J Glaucoma 2002;11:458–463.
11.
Landers JA, Goldberg I, Graham SL: Factors affecting awareness and knowledge of glaucoma among patients presenting to an urban emergency department. Clin Exp Ophthalmol 2002;30:104–109.
12.
Gasch AT, Wang P, Pasquale LR: Determinants of glaucoma awareness in a general eye clinic. Ophthalmology 2000;107:303–308.
13.
Lau JT, Lee V, Fan D, Lau M, Michon J: Knowledge about cataract, glaucoma, and age related macular degeneration in the Hong Kong Chinese population. Br J Ophthalmol 2002;86:1080–1084.
14.
Pitts-Crick J: Glaucoma Forum. Summer 2003, vol 15, pp 18–22.
15.
Villain M, Nordmann JP, Renard JP, Bron A, Pelen F, Sartral M, Delcourt C: Enquête Française glaucome et hypertonie un jour. Soc Fr Ophtalmol, Paris, 2004.
16.
Sommer A, Tielsch JM, Katz J, Quigley HA, Gottsch JD, Javitt J, Singh K: Relationship between intraocular pressure and primary open angle glaucoma among white and black Americans. The Baltimore Eye Survey. Arch Ophthalmol 1991;109:1090–1095.
17.
Quigley HA, Katz J, Derick RJ, Gilbert D, Sommer A: An evaluation of optic disc and nerve fiber layer examinations in monitoring progression of early glaucoma damage. Ophthalmology 1992;99:19–28.
18.
Heijl A, Leske MC, Bengtsson B, Hyman L, Bengtsson B, Hussein M: Early Manifest Glaucoma Trial Group: reduction of intraocular pressure and glaucoma progression: results from the Early Manifest Glaucoma Trial. Arch Ophthalmol 2002;120:1268–1279.
19.
Klein BE, Klein R, Lee KE: Heritability of risk factors for primary open-angle glaucoma: the Beaver Dam Eye Study. Invest Ophthalmol Vis Sci 2004;45:59–62.
20.
Flammer J, Orgul S, Costa VP, Orzalesi N, Krieglstein GK, Serra LM, Renard JP, Stefansson E: The impact of ocular blood flow in glaucoma. Prog Retin Eye Res 2002; 21:359–393.
© 2006 S. Karger AG, Basel
2006
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