A STUDY OF PROFILE OF GLAUCOMA IN A PERIPHERAL MEDICAL COLLEGE IN WEST BENGAL
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 42
Abstract
BACKGROUND The complex pattern of migration across India contributing to marked ethnic differences between different regions, the pattern of glaucoma is bound to vary in different regions of India. Apart from an epidemiological survey1 based on rural population in West Bengal, no such clinical study has been carried out in this region of India. This study of 840 glaucoma patients in Malda Medical College in West Bengal is likely to reflect the pattern of glaucoma in this region of West Bengal and helps in making definite approach towards its management. The aim of the study is to evaluate the profile and distribution of various sub-types of glaucoma in a peripheral medical college and hospital in West Bengal. MATERIALS AND METHODS This prospective study was done at Malda Medical College & Hospital, West Bengal from March 2014 to September 2017 (42 months). A total of 840 patients were identified. RESULTS Primary Open Angle Glaucoma (POAG) was found to be the most common sub type comprising of 64% followed by Primary Angle Closure Glaucoma (PACG) which accounted for 19% of total glaucoma patients. Advanced glaucoma was found in 51.8% of POAG and 38.5% of PACG patients respectively. Secondary glaucoma was found in 10.9% of all glaucoma patients. Only 1% patients were found to be suffering from Normal Tension Glaucoma (NTG). Juvenile Open Angle Glaucoma (JOAG) constituted 3% of total glaucoma patients. Developmental glaucoma was found in 1.9% patients. A male predominance was found in all sub types except in developmental glaucoma where 12 out of 16 patients were female. CONCLUSION Primary Open Angle Glaucoma (POAG) was found to be the most common sub type followed by Primary Angle Closure Glaucoma (PACG) which was in contrast to profile found in other parts of India. Also a significantly low number of NTG were noted in this study. Being a hospital based study, asymptomatic and early cases might be missed as people seek attention only after having some symptoms. All these obviate the need for a population based study and glaucoma awareness programme in this region of West Bengal.
Authors and Affiliations
Swati Majumdar, Suman Mukherjee
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