加纳塔马利的闭角型青光眼比例。

IF 2 4区 医学 Q2 OPHTHALMOLOGY
Journal of Glaucoma Pub Date : 2024-09-01 Epub Date: 2024-04-01 DOI:10.1097/IJG.0000000000002383
Catherine K Liu, Omair Ali, Ian Murdoch, Judith Simon
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引用次数: 0

摘要

目的:青光眼是全球第二大致盲原因。目的:青光眼是全球第二大致盲眼病。在非洲,青光眼已成为一个公共卫生问题,而原发性闭角型青光眼(PACG)却不常被讨论。认识这种疾病非常重要,因为它对视觉发病率有负面影响,而且其治疗方法与原发性开角型青光眼(POAG)不同。加纳塔马利北部社区眼科医院发现了许多 PACG 病例,为此我们调查了首次诊断为青光眼的患者中患有 PACG 的比例:通过电子记录,我们确定了 2021 年 1 月至 2022 年 10 月期间首次诊断为青光眼的 976 名就诊患者。其中,588 人符合明确青光眼亚型诊断的纳入标准:其中 316 人(53.7%)患有 POAG,210 人(35.7%)患有 PACG,62 人(10.5%)患有继发性青光眼。因此,超过三分之一的青光眼患者患有 PACG:这项研究表明,在北加纳的诊所就诊的患者中,约有三分之一患有 PACG。我们的研究表明,在对青光眼患者进行评估时,包括眼底镜检查在内的明确诊断途径非常重要,同时还需要考虑就闭角型青光眼的诊断和管理开展更广泛的培训。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Proportion of Angle Closure Glaucoma in Tamale, Ghana.

Prcis: In the largest clinic-based study to date, our review of 588 patients presenting with glaucoma in Northern Ghana revealed 36% of these had primary angle closure glaucoma (PACG).

Objective: Glaucoma is the second leading cause of blindness worldwide. In Africa, glaucoma is an established public health problem, and PACG is not commonly discussed. Recognizing it is important because of its negative impact on visual morbidity, and also because its treatment is different from primary open angle glaucoma. In response to the observation of many PACG cases at the Northern Community Eye Hospital in Tamale, Ghana, we investigated the proportion of those attending with a first diagnosis of glaucoma who had PACG.

Patients and methods: Using the electronic records, we identified 976 patients who attended with a first diagnosis of glaucoma between January 2021 and October 2022. Of these, 588 met the inclusion criterion of a clear glaucoma subtype diagnosis.

Results: Of these 316 (53.7%) had primary open angle glaucoma, 210 (35.7%) PACG, and 62 (10.5%) secondary glaucoma. Thus, over a third of presenting glaucomas had PACG.

Conclusion: This study highlights that PACG is present in about a third of patients presenting to our clinic in North Ghana. Our study demonstrates the importance of a clear diagnostic pathway including gonioscopy in the assessment of glaucoma patients and the consideration of wider training on angle closure glaucoma diagnosis and management.

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来源期刊
Journal of Glaucoma
Journal of Glaucoma 医学-眼科学
CiteScore
4.20
自引率
10.00%
发文量
330
审稿时长
4-8 weeks
期刊介绍: The Journal of Glaucoma is a peer reviewed journal addressing the spectrum of issues affecting definition, diagnosis, and management of glaucoma and providing a forum for lively and stimulating discussion of clinical, scientific, and socioeconomic factors affecting care of glaucoma patients.
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