印度北部一家三级眼科护理中心的儿童青光眼概况。

Profile of Childhood Glaucoma Attending a Tertiary Eye Care Center in Northern India.

作者信息

Dubey Suneeta, Jain Kanika, Pegu Julie, Mukherjee Saptarshi

机构信息

Department of Glaucoma, Dr Shroff's Charity Eye Hospital (SCEH), Delhi, India.

Department of Ophthalmology, Deen Dayal Upadhyay Hospital, Delhi, India.

出版信息

J Curr Glaucoma Pract. 2023 Apr-Jun;17(2):68-74. doi: 10.5005/jp-journals-10078-1400.

DOI:10.5005/jp-journals-10078-1400

PMID:37485466

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10357025/

Abstract

PURPOSE

To ascertain the prevalence and clinical features of the various types of childhood glaucoma at a tertiary eye care hospital in Northern India.

MATERIALS AND METHODS

Retrospective chart review of all children less than 16 years of age with childhood glaucoma who presented from 1 April 2014 to 31 March 2019, who was diagnosed to have any subtype of childhood glaucoma as per Childhood Glaucoma Research Network (CGRN) classification and advised appropriate management.

RESULTS

Out of 405 children with childhood glaucoma, 36% had primary glaucoma, whereas the rest had secondary glaucoma. Primary congenital glaucoma (PCG) was the most common form of primary glaucoma. Glaucoma associated with acquired conditions was the most common cause of secondary glaucoma. Primary glaucoma was mostly bilateral in contrast to secondary glaucoma. The most common age of presentation with primary glaucoma was <1 year of age, and in children with secondary glaucoma was 11-16 years. On presentation, 80% of eyes had intraocular pressure (IOP) of >20 mm Hg and 70% had cupping of >0.7. Eyes with PCG were primarily managed surgically.

CONCLUSION

In our cohort, PCG was the most common primary childhood glaucoma. Traumatic glaucoma was the most common secondary glaucoma. Since childhood glaucoma is an important cause of visual morbidity in children, its timely diagnosis and prompt management are essential to prevent irreversible visual loss.

CLINICAL SIGNIFICANCE

Understanding the disease pattern, their presenting features, and the proportion of different types of childhood glaucoma can help in planning appropriate eye care services, create awareness and better allocate resources to plan appropriate management strategies. Screening programs and counseling of parents should also be strengthened.

HOW TO CITE THIS ARTICLE

Dubey S, Jain K, Pegu J, Profile of Childhood Glaucoma Attending a Tertiary Eye Care Center in Northern India. J Curr Glaucoma Pract 2023;17(2):68-74.

摘要

目的

确定印度北部一家三级眼科护理医院中各类儿童青光眼的患病率及临床特征。

材料与方法

对2014年4月1日至2019年3月31日期间就诊的所有16岁以下儿童青光眼患者进行回顾性病历审查，这些患者根据儿童青光眼研究网络（CGRN）分类被诊断为患有任何亚型的儿童青光眼，并接受了适当的治疗。

结果

在405例儿童青光眼患者中，36%患有原发性青光眼，其余为继发性青光眼。原发性先天性青光眼（PCG）是原发性青光眼中最常见的形式。与后天性疾病相关的青光眼是继发性青光眼最常见的原因。与继发性青光眼相比，原发性青光眼大多为双侧性。原发性青光眼最常见的发病年龄<1岁，继发性青光眼患儿为11 - 16岁。就诊时，80%的患眼眼压（IOP）>20 mmHg，70%有杯盘比>0.7。PCG患眼主要通过手术治疗。