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

Authors

Nilo Vincent dG. FlorCruz II, MD Department of Ophthalmology and Visual Sciences University of the Philippines-Philippine General Hospital Manila, Philippines Author
Raquel Joaquin-Quino, MD Department of Ophthalmology and Visual Sciences University of the Philippines-Philippine General Hospital Manila, Philippines Author
Paolo Antonio S. Silva, MD Department of Ophthalmology and Visual Sciences University of the Philippines-Philippine General Hospital Manila, Philippines Author
Patricia M. Khu, MD, MS Department of Ophthalmology and Visual Sciences University of the Philippines-Philippine General Hospital Manila, Philippines; Institute of Ophthalmology University of the Philippines-National Institutes of Health Manila, Philippines Author

Keywords:

Primary open-angle glaucoma, Primary angle-closure glaucoma, Lens-induced glaucoma, Epidemiology

Abstract

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.