Childhood glaucoma profile in a Southwestern Ethiopia tertiary care center: a retrospective study
Tóm tắt
Childhood glaucoma is a major cause of childhood blindness worldwide. The profile of childhood glaucoma has not been well characterized in sub-Saharan Africa. Thus, this study was designed to describe demographics, clinical features, managements of childhood glaucoma, and improvements in visual acuity (VA) and intraocular pressure (IOP) from baseline to final visit.
This retrospective study included glaucoma patients below 18 years old who were diagnosed between September 2019 to August 2022. Childhood glaucoma diagnosis and classification was made as per the Childhood Glaucoma Research Network Classification (CGRN).
A total of 105 children (181 eyes) were diagnosed with glaucoma. The most common type of childhood glaucoma was primary congenital glaucoma (PCG) constituting (42%,
PCG was the most common type of childhood glaucoma. One of a well-recognized challenge in developing countries, late presentation of patients with PCG, was also observed in our study. Which highlights, the need of increasing access to eye-care service and awareness of childhood glaucoma as a major public health issue. Steroid-induced glaucoma was the most common type of secondary glaucoma; appropriate measures should be taken to prevent this preventable glaucoma.
Từ khóa
Tài liệu tham khảo
Gould DB, John SW. Anterior segment dysgenesis and the developmental glaucomas are complex traits. Hum Mol Genet. 2002;11(10):1185–93.
Thau A, et al. New classification system for pediatric glaucoma: implications for clinical care and a research registry. Curr Opin Ophthalmol. 2018;29(5):385–94.
Weinreb RN, et al. Childhood glaucoma, vol. 9. Kugler Publications; 2013.
Aponte EP, Diehl N, Mohney BG. Mohney, incidence and clinical characteristics of childhood glaucoma: a population-based study. Arch Ophthalmol. 2010;128(4):478–82.
Kong L, et al. An update on progress and the changing epidemiology of causes of childhood blindness worldwide. J AAPOS. 2012;16(6):501–7.
Moore DB, Tomkins O, Ben-Zion I. A review of primary congenital glaucoma in the developing world. Surv Ophthalmol. 2013;58(3):278–85.
Richardson K. Long term functional results infantile glaucoma. Trans Am Acad Ophthalmol Otolaryngol. 1967;71:833–6.
Alodhayb S, et al. Update on pediatric glaucoma. In: Seminars in ophthalmology. Taylor and Francis; 2013.
Day A, et al. The Royal College of Ophthalmologists’ National Ophthalmology Database study of cataract surgery: report 1, visual outcomes and complications. Eye. 2015;29(4):552–60.
Taylor RH, et al. The epidemiology of pediatric glaucoma: the Toronto experience. J AAPOS. 1999;3(5):308–15.
Bouhenni RA, Ricker I, Hertle RW. Prevalence and clinical characteristics of childhood glaucoma at a tertiary care children’s hospital. J Glaucoma. 2019;28(7):655–9.
Hoguet A, et al. A retrospective survey of childhood glaucoma prevalence according to Childhood Glaucoma Research Network classification. Indian J Ophthalmol. 2016;64(2):118.
Lopes NL, Gracitelli CP, Rolim-de-Moura C. Childhood glaucoma profile in a Brazilian tertiary care center using childhood glaucoma research network classification. J Glaucoma. 2021;30(2):129–33.
Papadopoulos M, et al. The British infantile and childhood glaucoma (BIG) eye study. Investig Ophthalmol Vis Sci. 2007;48(9):4100–6.
Mdala S, et al. Profile of primary childhood glaucoma at a child eye health tertiary facility in Malawi. BMC Ophthalmol. 2022;22(1):1–6.
Mokbel TH, et al. Childhood glaucoma profile in Dakahelia, Egypt: a retrospective study. Int J Ophthalmol. 2018;11(4):674.
Mandal AK, Senthil S. Childhood glaucoma surgery in developing countries. In: Surgical management of childhood glaucoma. Springer; 2018. p. 159–71.
Papadopoulos M, et al. International study of childhood glaucoma. Ophthalmol Glaucoma. 2020;3(2):145–57.
Edmunds B, et al. Angle surgery: trabeculotomy. In: Surgical management of childhood glaucoma. 2018. p. 57–78.
Al-Hazmi A, et al. Correlation between surgical success rate and severity of congenital glaucoma. Br J Ophthalmol. 2005;89(4):449–53.
Elder MJ. Combined trabeculotomy-trabeculectomy compared with primary trabeculectomy for congenital glaucoma. Br J Ophthalmol. 1994;78(10):745–8.
Mandal A, Nutheti R. Surgical outcome of primary developmental glaucoma: a single surgeon’s long–term experience from a Tertiary Eye Care Centre in India. Investig Ophthalmol Vis Sci. 2005;46(13):132–132.
Senthil S, et al. Profile of childhood glaucoma at a tertiary center in South India. Indian J Ophthalmol. 2019;67(3):358.