@article {1632295, title = {Glaucoma Cascade Screening in a High Risk Afro-Caribbean Haitian Population: A Pilot Study}, journal = {J Glaucoma}, volume = {31}, number = {7}, year = {2022}, month = {2022 Jul 01}, pages = {584-589}, abstract = {PRCIS: Glaucoma cascade screening in first-degree relatives (FDRs) of young Haitian glaucoma patients had high yield for diagnosing manifest and suspected glaucoma in 30.8\% of those screened despite modest participation. PURPOSE: To evaluate the outcomes of glaucoma cascade screening in FDRs (parents, siblings, and offspring) of Haitian juvenile open-angle glaucoma (JOAG) patients. PATIENTS AND METHODS: Consecutive index patients (Haitians with JOAG) were identified, and the number/type of FDRs residing in South Florida were recorded. These FDRs were invited for free glaucoma screening, which included a comprehensive ophthalmic exam, gonioscopy, automated visual field testing and optical coherence tomographic analysis of the retinal nerve fiber layers. FDR characteristics and clinical findings from screening are reported. RESULTS: A total of 77 FDRs were invited, 26 (33.8\%) agreed to undergo screening (18 females, 9 males), which revealed 2 (7.7\%) with manifest glaucoma (mean age 77.5 y; one of whom was previously unaware of his glaucoma diagnosis), 6 (23.1\%) with suspected glaucoma (mean age 29.8{\textpm}18.3 y), and 18 (69.2\%) without manifest or suspected glaucoma (mean age 37.2{\textpm}21.8 y). Siblings of index patients were least likely to participate in cascade glaucoma screening when compared with index patients{\textquoteright} parents or offspring. FDR eyes with manifest glaucoma had significantly worse best-corrected visual acuities, higher intraocular pressures, thinner central corneal thicknesses, and thinner circumferential papillary retinal nerve fiber layer thicknesses than those without glaucoma. CONCLUSION: Glaucoma cascade screening of Haitian JOAG patients{\textquoteright} FDRs revealed that 30.8\% had suspected or manifest glaucoma. Future efforts centered on provider-initiated recruitment and improving public glaucoma awareness and education may increase screening participation.}, keywords = {Adolescent, Adult, Aged, Child, Female, Glaucoma, Glaucoma, Open-Angle, Haiti, Humans, Intraocular Pressure, Male, Middle Aged, Ocular Hypertension, Pilot Projects, Tomography, Optical Coherence, Young Adult}, issn = {1536-481X}, doi = {10.1097/IJG.0000000000001996}, author = {Chang, Ta C and Celestin, Linda and Hodapp, Elizabeth A and Grajewski, Alana L and Junk, Anna and Rothman, Adam L and Duerr, Eric R H and Swaminathan, Swarup S and Gedde, Steven J and Young, Terri L and Wiggs, Janey and Olivier, Mildred M G and Quintanilla, Raquel and Arrieta, Esdras and Savatovsky, Eleonore J and Vanner, Elizabeth A and Parrish, Richard K} }