GLAUCOMA IN AFRICAN AMERICANS

    The studies are conclusive and the human impacts are devastating.

    Three major scientific studies over the last decade find that glaucoma is at least three to four times more likely to occur in blacks than whites. And a new study of Medicare claims released in February finds African Americans were only half as likely as whites to undergo surgery for late-stage glaucoma, even though they suffer disproportionately from the disease. Glaucoma is also the leading cause of blindness in African Americans.

    "Glaucoma among blacks is an undetected epidemic. That situation needs to be addressed," said Robert Fechtner, MD, associate professor of ophthalmology at UMDNJ-New Jersey Medical School. "Knowing the risk factors is the key to minimizing its impact."

    Early glaucoma has no physical symptoms. It can only be detected on examination. High risk factors for developing glaucoma include a family history, as well as being African American and over the age of 35. Those at high risk should have a comprehensive eye exam annually; for others an eye exam every two years is recommended.

    Working with the Healthcare Foundation of New Jersey and the Glaucoma Foundation of New York, the Glaucoma Division at NJMS will soon be leading an outreach effort focused on educating African Americans about glaucoma. This will include providing screening to detect glaucoma and information about glaucoma treatment.

    Fechtner said some reasons for the disparities in treatment may include a perceived lack of access to heathcare and inadequate education about the disease.