Profile of glaucoma cases seen at a tertiary referral hospital
Nilo Vincent dG. FlorCruz II, MD, Raquel Joaquin-Quino, MD, Paolo Antonio S. Silva, MD, Patricia M. Khu, MD, MS
Objective
To determine the demographic and clinical profile of glaucoma cases seen
at a tertiary government hospital.
Methods
Clinical charts of glaucoma patients seen at the University of the PhilippinesPhilippine General Hospital (UP-PGH) from 2000 to 2002 were reviewed.
Demographic, clinical, and initial-treatment data of all patients were entered
into a standardized data-collection form, statistically analyzed, and compared.
Results
Eight hundred thirty-six patients were included in the study with nearly
equal number of males and females. Primary angle-closure glaucoma (PACG),
primary open-angle glaucoma (POAG), and lens-induced glaucoma were the
three most common types of glaucoma. Most were seen in the late stages of
the disease with loss of vision. Patients with PACG were older, mostly females,
had poorer vision, higher intraocular pressures, and higher percentage of nolight perception. Surgery was the most common initial treatment for PACG
while medical therapy was the most common for POAG.
Conclusion
PACG and POAG were the two most common types of glaucoma seen at
the UP-PGH, a tertiary referral hospital.
Keywords: Primary open-angle glaucoma, Primary angle-closure glaucoma, Lens-induced
glaucoma, Epidemiology