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Late presentation is an important risk factor for blindness caused by
advanced glaucoma. On p 639 Fraser et al report on a case control study
based in three English hospital eye departments to determine the risk
factors associated with patients who presented late. After accounting
for family history, time since last visit to an optometrist, and lack
of initial diagnosis by an optometrist, they found that late presenters
were more likely to be socially deprived. Thus socially deprived
patients are at greater risk of going blind from glaucoma.