Screening for glaucoma suspects in a sample of Egyptian population coming for general checkup

disease should be implemented in healthcare systems of populations with risk factors for glaucoma.1 POAG is characterized by glaucomatous optic nerve damage and visual field loss in the presence of an open anterior chamber angle. The disease usually has an adult onset, is usually bilateral, and has no specific symptoms except late when patients start losing their central vision.3 Recently, along with the clinical disc signs of glaucoma, Optical coherence tomography (OCT) imaging of the optic nerve head (retinal nerve fiber layer thickness and ganglion cell complex parameters) as well as central corneal thickness have been introduced as factors which can support or defer our diagnosis of glaucoma.4 A disc with a wide cup to disc ratio but normal retinal nerve fiber layer (RNFL) parameters on OCT is unlikely to be glaucomatous. A patient with a relatively thick cornea may give a false high intraocular pressure (Goldmann) reading, and thus is unlikely to be a suspect. The issue of who to consider a glaucoma suspect and which patient requires follow up is thus of crucial clinical importance. This article reports the results of a study done to screen for glaucoma suspects within a sample population of Egyptians at initial eye screening.