scholarly journals Clinico-Social Profile of Patients Presenting with Primary Open Angle Glaucoma – A Retrospective Study from Paschim Midnapore, West Bengal

2021 ◽  
Vol 8 (22) ◽  
pp. 1792-1796
Author(s):  
Sanjib Kumar Purkait ◽  
Avik Dey Sarkar ◽  
Anil Kumar Ghanta ◽  
Sanchari Sarkar

BACKGROUND Glaucoma is the second most leading cause of visual loss in the world. Different socio epidemiological parameters like gender, age, socio-economic status, educational status etc. has been directly linked to occurrence of glaucoma in previous studies. Review of the western literature showed that the risk factors associated with glaucoma were high intra ocular pressure (IOP), low blood pressure, low ocular perfusion pressure, narrow anterior chamber angles, thin corneas, pseudoexfoliation, a low body mass index (BMI), and myopia. We need to evaluate the clinical and epidemiological factors affecting primary open angle glaucoma. METHODS Records of patients with a diagnosis of primary open-angle glaucoma (POAG) were studied. All data, addressing demographics (gender, age and skin colour), socioeconomic status, educational status, emotional status and clinical information concerning risk factors for developing glaucoma (family history of glaucoma, hypertension and diabetes mellitus) and any treatment history (e.g., corticosteroid intake) were noted. Findings from visual acuity examination, refraction, detailed anterior segment examination by slit lamp, fundus examination with 90 D, gonioscopy, applanation tonometry, VF examination by automated perimetry and A-scan USG were also carefully taken into account. RESULTS A total 920 patients were enrolled of which 67.94 % were males and 57.6 % were from urban population. 18.7 % cases had positive family history. Most of the patients came from lower and middle-income group (43.48 % and 48.37 % respectively). Cup-disc ratio of majority of eyes was found to be more than 0.30 (97.29 %). Different grades of disc changes and field changes were noted. Cupdisc ratio asymmetry of more than 0.20 was found in 355 (38.59 %) eyes. Paracentral and / or arcuate scotoma was detected in 585 eyes (31.80 %). CONCLUSIONS Understanding the socio-demography and socio-economy helps in early diagnosis and better assessment of the disease severity in POAG. KEYWORDS Glaucoma, POAG, CDR, Visual Fields

2016 ◽  
Vol 10 (1) ◽  
pp. 129-139 ◽  
Author(s):  
A.G. Actis ◽  
E. Versino ◽  
B. Brogliatti ◽  
T. Rolle

Purpose: Aim of this retrospective, observational study is to describe features of a population sample, affected by primary open angle glaucoma (POAG) in order to evaluate damage progression on the basis of the emerged individual risk factors. Methods: We included 190 caucasian patients (377 eyes), evaluating relationship between individual risk factors (explicative variables) and MD (Mean Deviation) of standard automated perimetry. We also considered the dependent variable NFI (Neural Fiber Index) of GDx scanning laser polarimetry. Progression has been evaluated through a statistic General Linear Model on four follow up steps (mean follow up 79 months). Results: Factors reaching statistical significance, determining a worsening of the MD variable, are: age (P<0.0001), intraocular pressure (IOP) at follow up (P < 0.0001), female gender (P<0.0001), hypertension (P< 0.0001) and familiarity (P = 0.0006). Factors reaching statistical significance, determining a worsening of the NFI variable, are only IOP at follow up (P = 0.0159) and depression (P = 0.0104). Conclusion: Results of this study confirm and enforce data coming from most recent studies: IOP remains the main risk factor for glaucoma assess and progression; age and familiarity are great risk factors as underlined in the last decades; female sex can be an important risk factors as emerged only in the last years; arterial hypertension should always be evaluated in timing of our clinic follow up.


2020 ◽  
Author(s):  
Nirsara Shrestha ◽  
Sangeeta Shrestha ◽  
Deepak Khadka ◽  
Arjun Shrestha ◽  
Barsha Suwal ◽  
...  

Abstract Background Glaucoma is increasing as a significant global health problem being the major cause of irreversible blindness worldwide. Early detection and timely management of glaucoma can decrease the burden of blindness worldwide.Methods This was a retrospective hospital -based study conducted at Glaucoma unit in CHEERS Hospital, Bhaktapur from August 2015 to July 2019. Patients demographic profile, along with a comprehensive examination, reviewed from the records. Collected data included: age, sex, race/ethnicity, intraocular pressure, cup/disc ratio, different types of glaucoma, visual field. Data analysis dome with IBM SPSS version 24 and was presented in mean (±SD), frequency and proportions and chi- square test was applied. P value < 0.05 was considered statistically significant.Results Total of 312 glaucoma cases were reviewed and included in this study. The mean age presentation was 61.89±14.4 years, and maximum number (52.6%) was between ages 60-79 years. The majority of patients were primary open angle glaucoma (173, 55.4%) followed by primary angle closure (92, 29.5%). The association between all types of glaucoma and increasing age was statistically significant (P<0.001). Similarly, the association between all types of glaucoma with positive family history and caste/ ethnicity was statistically significant (P<0.001).Conclusion This study showed primary open angle glaucoma as the most common glaucoma. There was a positive association seen between all types of glaucoma with increasing age (beyond age of 40 years) and family history of glaucoma. Screening programs in population with risk factors and opportunistic eye examinations should be conducted for early detection of glaucoma.Trial registration: retrospective registered


2004 ◽  
Vol 14 (3) ◽  
pp. 211-219 ◽  
Author(s):  
E.F. Erkin ◽  
S. Tarhan ◽  
Ö.R. Kayikçioğlu ◽  
H. Devecı ◽  
C. Güler ◽  
...  

2018 ◽  
pp. 140-145
Author(s):  
E.A. Egorov ◽  
◽  
V.P. Erichev ◽  
A.L. Onishchenko ◽  
S.Yu. Petrov ◽  
...  

2020 ◽  
Vol 26 (3) ◽  
pp. 163-166
Author(s):  
Ioanna Mylona ◽  
Michael Chourdakis ◽  
Kali Makedou ◽  
Ioannis Tsinopoulos

Background: Primary open-angle glaucoma (POAG) has been associated with cardiovascular and dietary risk factors. Aim: This study aimed to determine whether dietary practices correlate with POAG, after controlling for the most important risk factors, namely heredity and cardiovascular risk factors (diabetes mellitus, hypertension and dyslipidaemia). Methods: Two samples of equal sizes ( N = 100) were randomly selected from glaucoma outpatient services with and without POAG. Dietary habits and risk factors for POAG were recorded. Results: Clinical cases can be discerned from controls in 90.5% of all cases, on account of having a familial history of glaucoma, eating less meat per week which is cooked more and with more visible fat and drinking less pure fruit juice. Conclusions: Drinking pure fruit juice, consuming more meat with less visible fat cooked to a lower effect and modest salt consumption during cooking is practical and easy-to-observe dietary advice for any patients at risk or already suffering from POAG.


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