Glaucoma Scenario in Kashmir Valley: A Hospital – Based Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Glaucoma is the second most prevalent cause of vision loss worldwide. Prevalence is expected to rise from 60 million people worldwide in 2010 to 80million in 2020. Research has shown that the prevalence of glaucoma varies according to both geographical region & race. Aim: The present study was undertaken to find out the prevalence of glaucoma and its subtypes in a hospital based population in Kashmir valley. Materials and methods: A prospective, observational study of all the patients referred to the glaucoma clinic of the post graduate deptt. of ophthalmology, GMC, Srinagar was undertaken for a period of one year between June 2011-2012. All the patients underwent a comprehensive ocular examination which included:Demographic data ,Detailed history and Comprehensive ocular examination. Slit-lamp was the backbone of our examination. Observations: A total of 40,012 patients attending the ophthalmology OPD of our hospital were screened for glaucoma from june2011 to june2012 out of which 1600 patients were found to have glaucoma , giving an overall prevalence rate of glaucoma as 4% in hospital population. Mean age of patients was 56.8 years at presentation with 86.5% of patients were above 40 years of age.. 67.5% patients were males and rest were females with male: female ratio of 9 : 4 (Fig.2). About two-third (66%) of the patients were from rural areas and 66.5% of the patients were doing unskilled work. 71.4 % patients presented with the decreased visual acuity of <6/18 in at least one eye . About 17.7 % of patients had a visual acuity of PL-ive in at least one eye at presentation. 70% of patients had bilateral and 30% had unilateral involvement. Perimetry showed moderate to advanced field loss in 80% cases. 39.2 % had PEX glaucoma, the commonest glaucoma in our study. 31.1% had PAOG, 7.8 % had angle closure glaucoma.Among other types of glaucoma's NVG constituted 1.6% , steroid induced glaucoma 2.25%,congenital glaucoma 1.5%,traumatic glaucoma 1.25%,JOAG & phacomorphic constituted 1% each, and NTG 0.6% of all the glaucoma's.The ratio of PAOG to PACG was 3.96:1 Conclusion: PEX glaucoma is a rapidly progressing and sight-threatening disease and most common type of glaucoma in our valley, so ophthalmic services in Kashmir valley should focus on detecting PEX glaucoma.
Authors and Affiliations
Dr. Ejaz Akbar Wani, Prof. Manzoor Qadir Keng
Keywords
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- EP ID EP574569
- DOI 10.9790/0853-1804140814.
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