Publication: Clinical analysis of glaucoma in hospital patients
Date
2005
Authors
Journal Title
Journal ISSN
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Publisher
Kathmandu University
Abstract
Objectives: (i) To determine the prevalence and pattern of glaucomas presented to Nepal Eye Hospital for strategic
planning. (ii) To know the most common attributable factors giving rise to secondary glaucoma. (iii) To know the
incidence of Glaucoma blindness. Materials and methods: A retrospective hospital based analysis of medical
records of patients attending Nepal Eye Hospital Glaucoma clinic over a period of 2 years (Jan 2003 - Jan 2005) was
done in order to know the magnitude of the disease and its pattern, for planning purpose to upgrade Glaucoma clinic
services in the hospital. Results: Glaucoma patients comprised of 0.74% (827) of total outpatients (110794). Male
and female ratio was 49.6%:50.4%. Primary Open Angle Glaucoma (POAG) found to be more common (57.3%),
followed by secondary glaucoma (20.8%), Primary Angle Closure Glaucoma (PACG) 19.9% and
Congenital/Juvenile and miscellaneous (2%). Incidence of Glaucoma blindness (Absolute Glaucoma) found to be
2.17%. Almost equal predelection to sex was seen in all types of glaucomas except PACG, Lens induced
Phacomorphic glaucoma and uveitic glaucoma where female outnumbered males. The disease was found to be more
common in age group above 40 years.
Keywords: POAG, PACG, Glaucoma, DM, HTN, CRVO, BRVO