Glaucoma Profile at the Tertiary Ophthalmic Centers in Ankara, Turkey

Bayer, Atilla; Elgin, Ufuk; Tekeli, Oya; Takmaz, Tamer; Ekşioğlu, Ümit; Yarangümeli, Alper; Mumcuoğlu, Tarkan; Aktaş, Zeynep; Güngör, Sirel Gür; Karakurt, Ahmet; Kemer, Özlem Evren; Akman, Ahmet

doi:10.21203/rs.3.rs-307295/v1

Cited by 2 publications

(1 citation statement)

References 25 publications

(60 reference statements)

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“…19 Few studies were conducted on populations with Middle Eastern descent, which reported a higher prevalence of POAG followed by both PACG and PSXG. 20,21 In the Gulf region, two community-based studies were carried out in Oman and Qatar, which reported POAG as the most prevalent type, followed by PACG. 22,23 Our study revealed that the most common subtype of glaucoma was PACG, and this was in line with two other hospital-based studies that were conducted in Riyadh 7 and Qassim 10 provinces.…”

Section: Discussionmentioning

confidence: 99%

Profile of Newly Referred Glaucoma Patients to the Largest Tertiary Eye Care Hospital in Saudi Arabia

Jomar

Alhomoud

AlObaida

et al. 2023

Preprint

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Purpose: To report the profile of newly referred glaucoma patients to the largest tertiary eye care hospital in Saudi Arabia. Patients and Methods: Medical records of all Saudi nationals who presented with glaucoma to the Glaucoma Clinics at King Khaled Eye Specialist Hospital (KKESH) as a first visit through the Eligibility Department, Screening Clinic or Emergency Department between March 2019 and August 2019 were reviewed. Patients underwent a comprehensive glaucoma workup and a detailed documentation of their demographics, clinical exam findings, type and stage of glaucoma at presentation along with previous and offered management. Upon presentation, the stage of glaucoma was compared between eyes with primary glaucoma including primary open-angle glaucoma (POAG), primary angle-closure glaucoma (PACG) and eyes with Secondary glaucoma. Results: A total of 532 patients newly presented to KKESH during the study period. The median (interquartile [IQR] range) age of the patients was 63 (17) years, 47.9% of the patients were female. The majority of referred cases came from Riyadh (46.6%), Najran (9.8%) and AlQassim (9.4%) provinces. PACG was the most predominant form of glaucoma (30.5%), followed by POAG. Pseudoexfoliation glaucoma (PSXG) and neovascular glaucoma (NVG) were the most common subtypes among secondary glaucoma. Two out of every five eyes presenting with glaucoma (41.5%) had severe disease. Conclusion: In this tertiary setting, PACG was the most commonly encountered glaucoma. A significant proportion of the patients, particularly those with POAG (“the silent thief of sight”) presented with an advanced disease. To limit the irreversible visual loss and socio-economic burden of glaucoma, a large community-based study is required to look into the epidemiology of glaucoma among all Saudi provinces followed by the implementation of a national screening and intervention program.

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Section: Discussionmentioning

confidence: 99%

Profile of Newly Referred Glaucoma Patients to the Largest Tertiary Eye Care Hospital in Saudi Arabia

Jomar

Alhomoud

AlObaida

et al. 2023

Preprint

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Clinical Characteristics and Surgical Outcomes of Turkish Patients With Pediatric Glaucoma Who Underwent Glaucoma Surgery in a University Hospital

Haidar,

Çelik,

Eraslan

2024

J Pediatr Ophthalmol Strabismus

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Purpose: To describe the clinical characteristics and outcomes of a pediatric cohort surgically treated for primary or secondary pediatric glaucoma (PPG/SPG). Methods: A retrospective chart review was conducted of all patients with pediatric glaucoma who had surgery between 2013 and 2021. Relevant demographic and clinical data were cumulated and analyzed. Results: Forty-two eyes of 29 patients (18 girls and 11 boys) were included: 22 (52.4%) primary congenital glaucoma (PCG), 7 (16.7%) juvenile open-angle glaucoma, and 13 (30.9%) SPG. Mean ages at presentation were 2.57 ± 2.87, 131.96 ± 27.71, and 62.09 ± 65.12 months, respectively. In this study, eyes with PCG presented the earliest, with the highest intraocular pressure (IOP) and thickest central corneal thickness (CCT). The mean number of glaucoma surgeries was 1.48 ± 0.71, with 38.1% of the eyes needing two or more glaucoma surgeries; trabeculectomy was the most frequent glaucoma surgery in this cohort. After surgical intervention, the overall mean IOP dropped from 32.25 ± 12.97 to 18.10 ± 9.23 mm Hg ( P < .001). Moreover, the percentage using antiglaucoma medications decreased from 100% to 35.7% at the final visit, as did the number of medications prescribed per eye (2.69 ± 0.92 vs 1.05 ± 1.46, P ≤ .001). Mean best corrected visual acuity (BCVA), in patients who could have their BCVA measured, improved from 0.61 ± 0.61 to 0.53 ± 0.51 logMAR at final follow-up. Conclusions: Surgical intervention was shown to provide a well-controlled IOP, decrease dependance on glaucoma medications, and improve BCVA in both PPG and SPG. Multiple surgical interventions may be necessary in the treatment of some pediatric patients with glaucoma. Prognostically, thicker CCT was significantly associated with worse IOP control, more glaucoma surgeries, and more antiglaucoma medications at the final visit. Initial BCVA correlated significantly with BCVA at final visit. [ J Pediatr Ophthalmol Strabismus . 20XX;X(X):XXX–XXX.]

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Glaucoma Profile at the Tertiary Ophthalmic Centers in Ankara, Turkey

Cited by 2 publications

References 25 publications

Profile of Newly Referred Glaucoma Patients to the Largest Tertiary Eye Care Hospital in Saudi Arabia

Profile of Newly Referred Glaucoma Patients to the Largest Tertiary Eye Care Hospital in Saudi Arabia

Clinical Characteristics and Surgical Outcomes of Turkish Patients With Pediatric Glaucoma Who Underwent Glaucoma Surgery in a University Hospital

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