Clinical and epidemiological characteristics of patients with primary closed-angle glaucoma
Keywords:
blindness, glaucoma, visual acuteness, ocular hypertension.Abstract
Introduction: Blindness constitutes a health problem worldwide; its main cause is glaucoma. The patient with this clinical entity has a 3 times higher risk of presenting serious bilateral visual disability.
Objective: To describe some epidemiologic and clinical aspects of patients with primary closed-angle glaucoma.
Method: A descriptive, cross-sectional and prospective study was carried out with 20 people over 40 years with primary closed-angle glaucoma who went to the emergency room of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, from September, 2020 to the same period in 2022.
Results: In the series there was a prevalence of the 60-69 age group (45.0 %) and females (75 %). Half of the patients (50.0 %) presented visual acuteness in the range lower than 0.1 and papillary excavation higher than 0.7.
Conclusions: Primary closed-angle glaucoma is still a health problem; its serious consequences, like the abrupt decrease of vision that can cause irreversible damage to the optic nerve due to the severe ocular hypertension, impose a true challenge for the ophthalmologist in his daily work. The opportune and appropriate treatment of these patients will avoid the deterioration of visual function.
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2. Fernández Argones L, Piloto Díaz I, Díaz Águila Y, Obret Mendive I, Ferrer Guerra MT, Álvarez Cisneros G. Consideraciones terapéuticas en el cierre angular primario. Rev. cuba. oftalmol. 2012[citado 12/07/2023];25. Disponible en: https://revoftalmologia.sld.cu/index.php/oftalmologia/article/view/136/html_85
3. Foster PJ, Buhrmann R, Quigley HA, Johnson GJ. The definition and classification of glaucoma in prevalence surveys. Br J Ophthalmol. 2002;86(2):238-42.
4. Ríos Torres M, Fernández Argones L, Hernández Silva JR, Ramos López M. Oftalmología. Diagnóstico y tratamiento. 2 ed. La Habana: ECIMED; 2018. p .111-4.
5. Leal BC, Medeiros FA, Oliveira BF Telles de, Pinheiro A, Susanna Junior R, Kara Jose N. Fatores associados ao conhecimento de glaucoma numa população de hospital terciário. Rev. Bras. oftalmol. 2001;60(8):556-62.
6. Sihota R, Ghate D, Mohan S, Gupta V, Pandey RM, Dada T. Study of biometric parameters in family members of primary angle closure glaucoma patients. Eye(Lond). 2008;22(4):521-7.
7. Omoti AE, Enock ME. Glaucomatocyclitic crisis in Edo State, Nigeria: report of two cases. Niger J Clin Pract. 2008;11(2):162-5.
8.Phu J, Tong J, Zangerl B, Le JL, Kalloniatis M. Cluster analysis reveals patterns of age-related change in anterior chamber depth for gender and ethnicity: clinical implications. Ophthamic Physiol Opt. 2020;40(5):632-49.
9. Chen HY, Lin CL. Comparison of medical comorbidity between patients with primary angle-clousure glaucoma and a control cohort: a population-based study from Taiwan. BMJ Open. 2019;9(3):e024209.
10. Gil Martínez T, Brazón ME, Cedeño OR, Cáceres A. Variación de la presión intraocular y medidas cuantitativas del segmento anterior pre y postiridotomía en pacientes sospechosos de cierre angular primario. Rev Mex Oftalmol. 2019;93(1):14-8.
11. Qiu L, Yan Y, Wu L. Appositional angle closure and conversion of primary angle closure into glaucoma after laser peripheral iridotomy. Br J Ophthalmol. 2020;104:386-91.
12. Thomas R, George R, Parikh R, Muliyil J, Jacob A. Five year risk of progression of primary angle closure suspects to primary angle closure: a population based study. Br J Ophthalmol. 2003;87(4):450-4.
13. Arcaya Canqui JZ. Hallazgos gonioscopicos del ángulo camerular en pacientes con diabetes mellitus tipo II que acuden al Servicio de Oftalmología por consulta externa del Hospital Cayetano Heredia de mayo del 2022 a abril del año 2023 [tesis]. Lima: Universidad peruana Cayetano Heredia, Facultad de medicina; 2022[citado 12/07/2023 ]. Disponible en: https://repositorio.upch.edu.pe/bitstream/handle/20.500.12866/11627/Hallazgos_ArcayaCanqui_Jeanneth.pdf?sequence=1&isAllowed=y
14. Antonova N, Dersu II, Burstein E, Lyons L, Hou W. The prevalence of diabetes among male glaucoma patients. Pan-American Journal of Ophthalmology. 2020; 2(1):31.
15. Gedde SJ, Chen PP, Muir KW, Wright MM, Li T, Mansberger SL. Primary Angle-Closure Disease, Preferred Practice Pattern®. Ophthalmology. 2021;128(1):30-70.
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