The Prevalence of Glaucoma in Young People

Marx-Gross, Susanne; Laubert‐Reh, Dagmar; Schneider, Astrid; Höhn, René; Mirshahi, Alireza; Münzel, Thomas; Wild, Philipp S.; Beutel, Manfred E.; Blettner, Maria; Pfeiffer, Norbert

doi:10.3238/arztebl.2017.0204

Cited by 20 publications

(11 citation statements)

References 33 publications

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“…A study conducted among school-going children in China also found that the whole globe was the anatomical site responsible for childhood blindness [24]. Evidences showed that glaucoma in children is a rare visual problem [25–28] which is also consistent with the present study’s findings. Though developed countries have tackled the burden of childhood glaucoma with their advanced medical technologies, developing countries are still facing an enormous burden [28].…”

Section: Discussionsupporting

confidence: 92%

Epidemiology of childhood blindness: A community-based study in Bangladesh

Hussain

Ferdoush²,

Mashreky

et al. 2019

PLoS ONE

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This study aimed to investigate the prevalence and causes of childhood blindness in a rural area of Bangladesh. We adopted a cross-sectional quantitative study design for this study, which was performed in three unions (sub-districts) located in Raiganj Upazila of the Sirajganj district in Bangladesh. Using a validated tool, a screening program was conducted at the household level. After initial screening, a team of ophthalmologists confirmed the diagnoses by clinical examinations. The prevalence of childhood blindness was observed to be 6.3 per 10,000 children, whereas the rate of uniocular blindness was 4.8 per 10,000 children. Congenital problems were the major causes of both uniocular and binocular blindness (uniocular blindness: 84% and binocular blindness: 92%). The whole globe was the site responsible for binocular blindness (28.0%, 95% confidence interval [CI]: 13.1, 47.7), whereas the cornea was responsible for uniocular blindness (57.8%, 95% CI: 35.3, 78.1). Childhood blindness is a public health problem in Bangladesh and is highly prevalent, regardless of sex. The major causes of childhood blindness are congenital.

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Section: Discussionsupporting

confidence: 92%

Epidemiology of childhood blindness: A community-based study in Bangladesh

Hussain

Ferdoush²,

Mashreky

et al. 2019

PLoS ONE

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“…Prevalence of juvenile glaucoma based on family history was 0.01% in a recent cohort study. Between the ages of 18 and 40 years, prevalence rate was an order of magnitude higher (0.16%) (10) . Patients with glaucoma were found to make up to 0.4% of female participants and 0.6% of male participants aged 40-49 years in the Egna-Neumarkt Study (11) .…”

Section: Discussionmentioning

confidence: 89%

The Missed Glaucoma: A Study on Accidentally Discovered Cases with Juvenile Glaucoma

Khalil

2022

The Egyptian Journal of Hospital Medicine

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Background:The diagnosis of juvenile glaucoma can be missed, as this age group seldom seeks ophthalmological consultation in the lack of ocular symptoms Objective: This study aimed to evaluate incidence of missed/late diagnosed glaucoma in the juvenile age group. Methods: A retrospective case series on 38 cases in the juvenile age group (age 8-45 yeas) who were diagnosed with glaucoma. The incidence of missed/delayed diagnosis of glaucoma in these cases were reported and evaluated. Results: 22 (57.9%) patients presented with advanced glaucoma with a cup/disc (C/D) ratio of 0.8 or more and significant visual field (VF) changes in one or both eyes. 4 (10.5%) of these patients had total glaucomatous optic atrophy in 1 eye at the time of diagnosis. The remaining 14 patients (36.8%) were diagnosed as mild/moderate juvenile glaucoma with C/D ratio less than 0.8 at time of diagnosis. Clinical findings of 7 of these cases are described here. Conclusion: Juvenile glaucoma is an often missed potentially blinding glaucoma.

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“…One of the most challenging situations faced by glaucoma specialists is the management of the disease during pregnancy. Although the prevalence of glaucoma is not very high in women of childbearing age, the proportion of young adults with glaucoma is increasing [ 8 ]. Considering their longer life expectancy, the management of patients with glaucoma during pregnancy cannot be taken lightly.…”

Section: Discussionmentioning

confidence: 99%

Glaucoma Progression after Delivery in Patients with Open-Angle Glaucoma Who Discontinued Glaucoma Medication during Pregnancy

Seo

Lee

Kim

et al. 2021

JCM

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In this retrospective study, clinical characteristics and glaucoma progression of open-angle glaucoma (OAG) patients who discontinued intraocular pressure (IOP)-lowering medication during pregnancy were investigated. Glaucoma progression was determined using either serial visual field tests or optic disc/retinal nerve fiber layer (RNFL) photographs. Age, number of previous pregnancies, diagnosis, average IOP, IOP fluctuation, visual field mean deviation, pattern standard deviation, and RNFL thickness were examined, and their association with glaucoma progression was determined using linear regression analysis. Among 67 eyes (37 patients), 19 eyes (28.4%) exhibited glaucoma progression 13.95 ± 2.42 months after delivery. The progression group showed significantly higher mean IOP than the nonprogression group in the first, second, and third trimesters (p = 0.02, 0.001, and 0.04, respectively). The average IOP in the second, and third trimesters and IOP fluctuation during the entire pregnancy were significantly associated with glaucoma progression according to a univariate analysis (p = 0.04, 0.031, and 0.026, respectively). In conclusion, IOP elevation during pregnancy is associated with glaucoma progression after delivery in patients who had discontinued medication during pregnancy. Therefore, close monitoring of glaucoma is necessary, particularly if patients discontinue medication during pregnancy, and appropriate intervention should be considered in case of increased IOP.

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The Prevalence of Glaucoma in Young People

Cited by 20 publications

References 33 publications

Epidemiology of childhood blindness: A community-based study in Bangladesh

Epidemiology of childhood blindness: A community-based study in Bangladesh

The Missed Glaucoma: A Study on Accidentally Discovered Cases with Juvenile Glaucoma

Glaucoma Progression after Delivery in Patients with Open-Angle Glaucoma Who Discontinued Glaucoma Medication during Pregnancy

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