scholarly journals NEW GLAUCOMA CASE DETECTION IN A SCREENING CAMP AT A TERTIARY OPHTHALMOLOGY CENTRE: A CROSSSECTIONAL STUDY

2021 ◽  
pp. 237-239
Author(s):  
S. Srinivasan ◽  
M. Saranya
Keyword(s):  
Adult Population ◽  
Cross Sectional Study ◽  
Applanation Tonometry ◽  
Angle Closure ◽  
Visual Field Defects ◽  
Automated Perimetry ◽  
Slit Lamp ◽  
Cross Sectional ◽  
Glaucoma Screening ◽  
Primary Angle Closure Glaucoma

AIM: To estimate the proportion of incidence of glaucoma cases in a screening camp conducted at a tertiary Ophthalmology centre. BACKGROUND: 1,2 Glaucoma is the second leading cause of blindness in the adult population in India .The diagnosis of glaucoma was based on the presence of at least two of the following criteria:IOP ≥ 21 mmHg,glaucomatous optic disc abnormalities,and glaucomatous visual field defects. MATERIALS AND METHODS: A prospective, cross sectional study was conducted on 100 consecutive individuals aged more than 40 years who came to our hospital Ophthalmology department from 08-March, 2020 to 14-March, 2020. All subjects underwent a comprehensive eye examination including brief history taking, slit lamp examination, applanation tonometry, gonioscopy, pachymetry, dilated fundus examination using slit lamp biomicroscopy with 90D lens and automated perimetry. RESULTS: One hundred individuals including 43 males and 57 females are screened.The screening result found to be positive in 9 (9%) subjects who underwent further diagnostic evaluation which concluded 3 cases of Normotension glaucoma,5 cases of Primary angle closure glaucoma and 1 individual with Secondary Glaucoma. CONCLUSION: Periodical glaucoma screening helps to detect more number of glaucoma cases thereby preventing blindness. Routine glaucoma screening for individuals more than 40 years should be strictly followed by Ophthalmologists in the society

scholarly journals A community based study of scenario of glaucoma in Aligarh, India

2019 ◽  
Vol 6 (9) ◽  
pp. 4098
Author(s):  
Syed Zulfequar Ahmad ◽  
Anees Ahmad ◽  
Najam Khalique ◽  
Yasir Alvi
Keyword(s):  
Open Angle Glaucoma ◽  
Cross Sectional Study ◽  
Applanation Tonometry ◽  
Angle Closure ◽  
Cross Sectional ◽  
Medical College ◽  
Primary Angle Closure Glaucoma ◽  
Study Population ◽  
Eye Examination ◽  
One Year

Background: Glaucoma is the leading cause of irreversible blindness worldwide and is second only to cataracts as the most common cause of blindness overall. In the developing world, the prevalence of glaucoma is expected to rise even more dramatically as the population of adults has doubled within a span of few decades. So this study was done with an objective of finding out the prevalence of glaucoma among adults aged 40 years and above in the field practice area of the Department of Community Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh.Methods: A cross-sectional study was carried out for the duration of one year. A total of 680 persons were interviewed and examined by a trained ophthalmologist for detailed eye examination including visual acuity, refraction and slit-lamp bio-microscopy, intraocular pressure (IOP) by Keeler Pulsair non-contact tonometer confirm by applanation tonometry, gonioscopy, and dilated fundus examination after ruling out the risk of angle closure. Anderson criteria were used to diagnose glaucomatous visual field defect.Results: In our study population, the IOP of the majority of population lied in 11-15 mm Hg with a mean IOP of 13.42±4.09 mmHg. In regard to optic disc examination, a cup to disc ratio of >0.6 was found in 35 eyes. According to the predefined criteria, a total of 31 subjects were diagnosed as glaucoma in either one or both eyes. The overall prevalence of glaucoma was found to be 4.6% (31/680), with the prevalence of primary open angle glaucoma, primary angle closure glaucoma, normotensive glaucoma and secondary glaucoma as 1.3%, 1.2%, 1.2% and 0.9% respectively.Conclusions: The prevalence of glaucoma is quite high in an elder population of Aligarh. This should warrant more intensive activities, focusing not only on early diagnosis and management of glaucoma but also include strengthening preventive ophthalmic care.

scholarly journals Evaluation of spontaneous retinal venous pulsation in primary open-angle and primary angle-closure glaucoma patients

2020 ◽  
Vol 2 (1) ◽  
pp. 27-41
Author(s):  
Sylves Patrick ◽  
Chan Hui Tze ◽  
Rasdi Abdul Rashid ◽  
Liza Sharmini Ahmad Tajudin
Keyword(s):  
Cross Sectional Study ◽  
Angle Closure ◽  
Control Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Angle Closure ◽  
Primary Angle Closure Glaucoma ◽  
Venous Pulsation ◽  
Primary Glaucoma

Introduction: Spontaneous retinal venous pulsation (SRVP) is a rhythmic variation in the calibre of one or more retinal veins. The incidence of SRVP was reduced in glaucoma patients. It was also reduced in people with raised intracranial pressure compared to a healthy population. Purpose: The main objective was to report the frequency and rate of SRVP in primary open-angle glaucoma (POAG) and primary angle-closure glaucoma (PACG) patients and to associate these with the severity of glaucoma in Malay patients. Design of study: A comparative cross-sectional study. Materials and methods: A comparative cross-sectional study involving primary glaucoma patients attending the eye clinic at Hospital Universiti Sains Malaysia (HUSM), Kelantan, Malaysia, was performed between December 2015 and June 2017. The main outcomes measured were the presence and rate of SRVP using a confocalscanning laser ophthalmoscope (Spectralis High-Resolution Optical Coherence Tomography Angiography, Heidelberg Engineering GmbH, Heidelberg, Germany). In the presence of SRVP, the rate of SRVP in one minute was counted manually based on the real-time fundus movie recorded using the confocal scanning laser ophthalmoscope. Results: Thirty-eight POAG, 14 PACG, and 51 control group subjects were included. There was a significantly lower incidence of SRVP in primary glaucoma patients than in the control group (p = 0.003). The presence of SRVP was significantly lower in POAG than PACG (p = 0.04). There was no significant difference in the rate ofSRVP between primary glaucoma patients and the control group (p = 0.873) or between the POAG group and PACG group (p = 0.511). There was no association of incidence (p = 0.574) and rate (p = 0.167) of SRVP according to the severity of glaucoma. Systolic blood pressure (95% CI: 0.95–1.00, p = 0.038) and retinal nervefibre layer thickness (95% CI: 1.01–1.09, p = 0.008) showed a significant association with the presence of SRVP. Conclusions: SRVP is a potential predictive factor for detection of primary glaucoma. The role of SRVP in the severity of glaucoma is still unclear. The role of SRVP in PACG patients warrants further studies in the future.

scholarly journals Inflammatory cytokine profiles in eyes with primary angle-closure glaucoma

2018 ◽  
Vol 38 (6) ◽  
Author(s):  
Yayi Wang ◽  
Shida Chen ◽  
Yaoming Liu ◽  
Wenbin Huang ◽  
Xinyi Li ◽  
...  
Keyword(s):  
Inflammatory Cytokines ◽  
Aqueous Humor ◽  
Clinical Information ◽  
Cross Sectional Study ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Cross Sectional ◽  
Primary Angle Closure ◽  
Primary Angle Closure Glaucoma ◽  
Inflammatory Protein

Acute primary angle-closure (APAC) eyes show an early ‘acute inflammatory’ condition, while the inflammation condition has not been fully elucidated in the development of primary angle-closure glaucoma (PACG). To evaluate the roles of inflammatory cytokines in the pathogenesis of PACG, this cross-sectional study involved 40 eyes of 32 PACG patients who required trabeculectomy and 24 eyes of 24 patients who required cataract surgery. The aqueous humor samples were collected at the time of surgery. Fifteen inflammatory cytokines were detected using the multiplex bead immunoassay technique, and the clinical information was recorded for the correlation analysis. Eight of the 15 cytokines were all detectable in both groups, including granulocyte colony-stimulating factor (G-CSF), interleukin (IL)-6, IL-8, monocyte chemotactic protein (MCP)-1, MCP-3, macrophage-derived chemokine (MDC), macrophage inflammatory protein (MIP)-1β, and vascular endothelial growth factor (VEGF). When compared with the cataract patients, the MCP-3, MDC, and VEGF levels were elevated in the PACG patients, while the MCP-1 and MIP-1β levels were decreased. However, the G-CSF, IL-6, and IL-8 levels were similar between the two groups. The MCP-1 concentration was elevated accordingly as the disease progressed in the PACG patients. Our results suggest the PACG eyes retained a ‘mild inflammation’ condition in the aqueous humor, and MCP-1 may play an important role in the progression of this disease.

scholarly journals Ocular Causes of Headache in Patients Presenting to a Sub-urban Eye Hospital

2020 ◽  
Author(s):  
Sanket Parajuli ◽  
Ruchi Shrestha ◽  
Senny Chapagain ◽  
Prerana Singh ◽  
Ramesh Shrestha
Keyword(s):  
Cross Sectional Study ◽  
Angle Closure ◽  
Herpes Zoster Ophthalmicus ◽  
Posterior Scleritis ◽  
Cross Sectional ◽  
Common Error ◽  
Medical Practitioners ◽  
Preseptal Cellulitis ◽  
Primary Angle Closure ◽  
Primary Angle Closure Glaucoma

Abstract Background: Headache one of the most frequent complaints for which the patients visit the medical practitioners. The current study was planned to determine the aetiology of headache in patients seen for an ocular examination in ophthalmology outpatient clinics in a sub urban Eye hospital.Methods: This is a cross-sectional study conducted in Reiyukai Eiko Masunaga eye hospital, Banepa, Nepal over a period of 3 months from 1st March 2020 to 1st June 2020. 200 patients with headache with or without ocular pain were enrolled in the study. The patients were assessed for any ocular cause of headache.Results: Of the 200 patients, 115(57.5%) were female and 85(42.5%) were male. The overall mean age was 37.19 years (range: 11-65 years). 69 of 200 patients had refractive error (34.5%).Most common error was astigmatism (69.5%) followed by myopia (17.3%) and hyperopia (13.05%). 58(29%) patients were above the age of 40 years and hence were presbyopic.14% had convergence insufficiency, 4.2% had accommodation insufficiency and 3.5% had fusional insufficiency Various ocular morbidities that were noted were, Corneal ulcer , disciform keratitis, epithelial defect, primary angle closure glaucoma, phacomorphic glaucoma, primary angle closure suspect,Chronic angle closure, ocular hypertension, anterior uveitis , posterior scleritis, optic neuritis, intracranial space occupying lesion indicated by papilledema , acute dacryocystitis, herpes zoster ophthalmicus , preseptal cellulitis and painful internal hordeolumConclusion: A detailed evaluation of patient with headache is necessary to properly identify and treat the cause of headache. The role of ophthalmologist in assessing the patients with headache has been emphasized by this study.

scholarly journals Glaucoma Profile at the Tertiary Ophthalmic Centers in Ankara, Turkey

2021 ◽  
Author(s):  
Atilla Bayer ◽  
Ufuk Elgin ◽  
Oya Tekeli ◽  
Tamer Takmaz ◽  
Ümit Ekşioğlu ◽  
...  
Keyword(s):  
Open Angle Glaucoma ◽  
Cross Sectional Study ◽  
Clinical Findings ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Cross Sectional ◽  
Primary Angle Closure ◽  
Primary Angle Closure Glaucoma ◽  
Predominant Type ◽  
Exfoliative Glaucoma

Abstract Purpose: This study aimed to investigate the demographic and clinical characteristics of the patients with glaucoma, who presented at the tertiary ophthalmology clinics in Ankara, Turkey.Patients and Methods: This cross-sectional study included all of the consecutive glaucoma patients or glaucoma suspects who presented at ten different tertiary ophthalmology clinics in Ankara between March 2015 and May 2015. The demographic characteristics and clinical findings of the patients were evaluated. Glaucoma was diagnosed according to the International Society for Geographical and Epidemiological Ophthalmology Classification. In the patients with binocular glaucoma, only the data of the worse eye was included for statistical analyses. Results: A total of 4604 eyes of 2541 patients fulfilled the inclusion criteria and were classified as having glaucoma. Binocular involvement was present in 2063 (81.2%) patients. Primary open angle glaucoma (POAG) was the most common glaucoma type (38.8%), followed by exfoliative glaucoma (XFG; 26.2%), and primary angle-closure glaucoma (PACG; 7.7%). The distribution of the sexes was significantly different among the diagnosis groups (P < 0.001). The cup/disk ratio was the highest among the patients with secondary angle-closure glaucoma (SACG; P < 0.001). The visual field MD parameter was significantly higher in the patients with SACG and XFG (P < 0.001). Monocular and binocular blindness ratios were 21% and 2.8%, respectively.Conclusions: The predominant type of glaucoma in Turkish clinic patients was found to be POAG, followed by XFG and PACG.

scholarly journals The Impact of Adherence and Instillation Proficiency of Topical Glaucoma Medications on Intraocular Pressure

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Tesfay Mehari Atey ◽  
Workineh Shibeshi ◽  
Abeba T. Giorgis ◽  
Solomon Weldegebreal Asgedom
Keyword(s):  
Intraocular Pressure ◽  
Cross Sectional Study ◽  
Angle Closure ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Primary Angle Closure ◽  
Primary Angle Closure Glaucoma ◽  
Unit Increase ◽  
The Impact

Background. The possible sequel of poorly controlled intraocular pressure (IOP) includes treatment failure, unnecessary medication use, and economic burden on patients with glaucoma. Objective. To assess the impact of adherence and instillation technique on IOP control. Methods. A cross-sectional study was conducted on 359 glaucoma patients in Menelik II Hospital from June 1 to July 31, 2015. After conducting a Q-Q analysis, multiple binary logistic analyses, linear regression analyses, and two-tailed paired t-test were conducted to compare IOP in the baseline versus current measurements. Results. Intraocular pressure was controlled in 59.6% of the patients and was relatively well controlled during the study period (mean (M) = 17.911 mmHg, standard deviation (S) = 0.323) compared to the baseline (M=20.866 mmHg, S=0.383, t (358) = −6.70, p<0.0001). A unit increase in the administration technique score resulted in a 0.272 mmHg decrease in IOP (p=0.03). Moreover, primary angle-closure glaucoma (adjusted odds ratio (AOR) = 0.347, 95% confidence interval (CI): 0.144–0.836) and two medications (AOR = 1.869, 95% CI: 1.259–9.379) were factors affecting IOP. Conclusion. Good instillation technique of the medications was correlated with a reduction in IOP. Consequently, regular assessment of the instillation technique and IOP should be done for better management of the disease.

scholarly journals Temporomandibular disorders in an adult population in northern Norway: A cross‐sectional study

2021 ◽  
Author(s):  
Elin Hadler‐Olsen ◽  
Elizabeth Thon ◽  
Gro Eirin Holde ◽  
Birgitta Jönsson ◽  
Nils Oscarson ◽  
...  
Keyword(s):  
Temporomandibular Disorders ◽  
Adult Population ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Northern Norway

scholarly journals Obesity, Blood Pressure, and Intraocular Pressure: A Cross-Sectional Study in Italian Children

Obesity Facts ◽  
2021 ◽  
pp. 1-9
Author(s):  
Claudia Pileggi ◽  
Rosa Papadopoli ◽  
Caterina De Sarro ◽  
Carmelo Giuseppe Angelo Nobile ◽  
Maria Pavia
Keyword(s):  
Blood Pressure ◽  
Intraocular Pressure ◽  
School Children ◽  
Adult Population ◽  
Paediatric Population ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Drinking Habits ◽  
Physical Examinations ◽  
Italian Children

<b><i>Introduction:</i></b> Several studies in the adult population have shown that obesity is an independent risk factor for elevated intraocular pressure (IOP), whereas data in the paediatric population are sparse and controversial. The purpose of the present study is to investigate the relationship between body mass index (BMI), blood pressure (BP), and IOP in healthy school children. <b><i>Methods:</i></b> The survey was conducted among a random sample of 8-year-old Italian students. Data were collected on their health status and behaviours related to obesity (physical activity, food and drinking habits, etc.). Physical examinations, conducted at school, included measurements of height, weight, BP, and IOP. <b><i>Results:</i></b> Five hundred and seventy-six subjects were recruited (92.8% response rate); 42.4% were overweight or obese, 58.9% consumed inadequate daily servings of fruit and vegetables, and 87.5% were involved in sedentary activities. Elevated BP/hypertension (HTN) affected 3.6% and high IOP was revealed in 12.5% of the children. In the multivariate analysis, elevated BP/HTN was the only significant determinant of ocular HTN (OR 5.36, 95% CI 1.95–14.73, <i>p</i> = 0.001). <b><i>Conclusions:</i></b> Our results show that high IOP affects 12.5% of 8-year-old school children and appears to be associated with high BP related to a high BMI.

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