Extent of asymmetry and unilaterality among juvenile onset primary open angle glaucoma patients

作者: Viney Gupta , Shikha Gupta , Munish Dhawan , Ajay Sharma , Kulwant S Kapoor

DOI: 10.1111/J.1442-9071.2011.02522.X

关键词:

摘要: Background:  Juvenile onset open angle glaucoma (JOAG) due to its rarity is not well characterized. We aimed assess the extent of interocular asymmetry baseline intraocular pressure (IOP), disc morphometry and visual field defects at presentation in patients with primary JOAG. Design:  Retrospective, single-centre, hospital-based study. Participants:  Fifty-two consecutive JOAG who presented glaucomatous optic neuropathy least one eye, without any secondary causes glaucoma. Methods:  Participants were evaluated for clinical features. The parameters measured using scanning laser ophthalmoscopy (Heidelberg Retina Tomograph). Reliable reproducible tests standard 30-2 Humphrey automated perimetry analysed. Main Outcome Measures:  Interocular IOP, vertical cup:disc ratio mean deviation. Results:  Fourteen (27%) had only eye initial presentation; fellow eyes which IOP 21 mmHg. In 20 out 52 (39%) remained perimetrically unaffected. Patients presenting bilateral found be significantly younger (24.4 ± 10.6 years) age compared those unilateral (32 ± 8.2 years) (P = 0.02). Conclusions:  One-fourth present as a 60% these having normal eyes. Primary may considerable small proportion disease.

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