Primary and Secondary Congenital Glaucoma: Baseline Features From a Registry at King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia

Purpose To compare the demographic and clinical distribution of primary and secondary congenital glaucoma from a registry at King Khaled Eye Specialist Hospital. Design Registry-based cohort study. Methods Review of registry data that included new patients with congenital glaucoma seen between 2001...

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Veröffentlicht in:American journal of ophthalmology 2013-05, Vol.155 (5), p.882-889.e1
Hauptverfasser: Alanazi, Farhan F, Song, Jonathan C, Mousa, Ahmed, Morales, Jose, Al Shahwan, Sami, Alodhayb, Sami, Al Jadaan, Ibrahim, Al-Turkmani, Shahira, Edward, Deepak P
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container_end_page 889.e1
container_issue 5
container_start_page 882
container_title American journal of ophthalmology
container_volume 155
creator Alanazi, Farhan F
Song, Jonathan C
Mousa, Ahmed
Morales, Jose
Al Shahwan, Sami
Alodhayb, Sami
Al Jadaan, Ibrahim
Al-Turkmani, Shahira
Edward, Deepak P
description Purpose To compare the demographic and clinical distribution of primary and secondary congenital glaucoma from a registry at King Khaled Eye Specialist Hospital. Design Registry-based cohort study. Methods Review of registry data that included new patients with congenital glaucoma seen between 2001 and 2003 (29 months); analysis of the demographic data and clinical features of primary and secondary congenital glaucoma at presentation. Results A total of 325 eyes of 180 patients were included. Most patients had primary congenital glaucoma (80%). The mean (± SD) age at presentation for primary congenital glaucoma was 3.8 ± 10.7 months and for secondary congenital glaucoma was 4.3 ± 7.9 months. Most primary congenital glaucoma and secondary congenital glaucoma patients had bilateral disease (82.6%; 74.3%). Primary congenital glaucoma was equally distributed by sex but secondary congenital glaucoma was 1.5-fold more common in male patients. A positive family history was elicited in 30%, and almost 60% had a history of consanguinity in both groups. The mean intraocular pressure and corneal diameter were comparable in both groups but the axial length was significantly longer in primary congenital glaucoma and cup-to-disc (C/D) ratio greater in secondary congenital glaucoma. In the primary congenital glaucoma group, corneal haze showed a significant relationship with most clinical parameters. In primary congenital glaucoma, a positive correlation was noted between age at presentation and increasing corneal diameter and axial length but a negative relationship was noted with C/D ratio and corneal haze, whereas for secondary congenital glaucoma only axial length was positively correlated. Conclusion The congenital glaucoma registry provides unique baseline data on primary congenital glaucoma and secondary congenital glaucoma in Saudi Arabia that will enable us to better understand the disease in the Kingdom and region.
doi_str_mv 10.1016/j.ajo.2012.12.006
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Design Registry-based cohort study. Methods Review of registry data that included new patients with congenital glaucoma seen between 2001 and 2003 (29 months); analysis of the demographic data and clinical features of primary and secondary congenital glaucoma at presentation. Results A total of 325 eyes of 180 patients were included. Most patients had primary congenital glaucoma (80%). The mean (± SD) age at presentation for primary congenital glaucoma was 3.8 ± 10.7 months and for secondary congenital glaucoma was 4.3 ± 7.9 months. Most primary congenital glaucoma and secondary congenital glaucoma patients had bilateral disease (82.6%; 74.3%). Primary congenital glaucoma was equally distributed by sex but secondary congenital glaucoma was 1.5-fold more common in male patients. A positive family history was elicited in 30%, and almost 60% had a history of consanguinity in both groups. The mean intraocular pressure and corneal diameter were comparable in both groups but the axial length was significantly longer in primary congenital glaucoma and cup-to-disc (C/D) ratio greater in secondary congenital glaucoma. In the primary congenital glaucoma group, corneal haze showed a significant relationship with most clinical parameters. In primary congenital glaucoma, a positive correlation was noted between age at presentation and increasing corneal diameter and axial length but a negative relationship was noted with C/D ratio and corneal haze, whereas for secondary congenital glaucoma only axial length was positively correlated. Conclusion The congenital glaucoma registry provides unique baseline data on primary congenital glaucoma and secondary congenital glaucoma in Saudi Arabia that will enable us to better understand the disease in the Kingdom and region.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/j.ajo.2012.12.006</identifier><identifier>PMID: 23394909</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Age ; Anesthesia ; Child, Preschool ; Eyes &amp; eyesight ; Families &amp; family life ; Female ; Follow-Up Studies ; Glaucoma ; Glaucoma - congenital ; Glaucoma - epidemiology ; Glaucoma - physiopathology ; Hospitals, Special ; Humans ; Incidence ; Infant ; Infant, Newborn ; Intraocular Pressure ; Male ; Ophthalmology ; Patients ; Registries ; Retrospective Studies ; Saudi Arabia - epidemiology ; Standard deviation ; Surgery ; Tonometry, Ocular ; Variables</subject><ispartof>American journal of ophthalmology, 2013-05, Vol.155 (5), p.882-889.e1</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>Copyright © 2013 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited May 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c642t-416ea136cc77ef162ecbf495b8dfb7c859986bce89a5804c051365f76c5147f93</citedby><cites>FETCH-LOGICAL-c642t-416ea136cc77ef162ecbf495b8dfb7c859986bce89a5804c051365f76c5147f93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002939412008604$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23394909$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alanazi, Farhan F</creatorcontrib><creatorcontrib>Song, Jonathan C</creatorcontrib><creatorcontrib>Mousa, Ahmed</creatorcontrib><creatorcontrib>Morales, Jose</creatorcontrib><creatorcontrib>Al Shahwan, Sami</creatorcontrib><creatorcontrib>Alodhayb, Sami</creatorcontrib><creatorcontrib>Al Jadaan, Ibrahim</creatorcontrib><creatorcontrib>Al-Turkmani, Shahira</creatorcontrib><creatorcontrib>Edward, Deepak P</creatorcontrib><title>Primary and Secondary Congenital Glaucoma: Baseline Features From a Registry at King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><description>Purpose To compare the demographic and clinical distribution of primary and secondary congenital glaucoma from a registry at King Khaled Eye Specialist Hospital. Design Registry-based cohort study. Methods Review of registry data that included new patients with congenital glaucoma seen between 2001 and 2003 (29 months); analysis of the demographic data and clinical features of primary and secondary congenital glaucoma at presentation. Results A total of 325 eyes of 180 patients were included. Most patients had primary congenital glaucoma (80%). The mean (± SD) age at presentation for primary congenital glaucoma was 3.8 ± 10.7 months and for secondary congenital glaucoma was 4.3 ± 7.9 months. Most primary congenital glaucoma and secondary congenital glaucoma patients had bilateral disease (82.6%; 74.3%). Primary congenital glaucoma was equally distributed by sex but secondary congenital glaucoma was 1.5-fold more common in male patients. A positive family history was elicited in 30%, and almost 60% had a history of consanguinity in both groups. The mean intraocular pressure and corneal diameter were comparable in both groups but the axial length was significantly longer in primary congenital glaucoma and cup-to-disc (C/D) ratio greater in secondary congenital glaucoma. In the primary congenital glaucoma group, corneal haze showed a significant relationship with most clinical parameters. In primary congenital glaucoma, a positive correlation was noted between age at presentation and increasing corneal diameter and axial length but a negative relationship was noted with C/D ratio and corneal haze, whereas for secondary congenital glaucoma only axial length was positively correlated. 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Design Registry-based cohort study. Methods Review of registry data that included new patients with congenital glaucoma seen between 2001 and 2003 (29 months); analysis of the demographic data and clinical features of primary and secondary congenital glaucoma at presentation. Results A total of 325 eyes of 180 patients were included. Most patients had primary congenital glaucoma (80%). The mean (± SD) age at presentation for primary congenital glaucoma was 3.8 ± 10.7 months and for secondary congenital glaucoma was 4.3 ± 7.9 months. Most primary congenital glaucoma and secondary congenital glaucoma patients had bilateral disease (82.6%; 74.3%). Primary congenital glaucoma was equally distributed by sex but secondary congenital glaucoma was 1.5-fold more common in male patients. A positive family history was elicited in 30%, and almost 60% had a history of consanguinity in both groups. The mean intraocular pressure and corneal diameter were comparable in both groups but the axial length was significantly longer in primary congenital glaucoma and cup-to-disc (C/D) ratio greater in secondary congenital glaucoma. In the primary congenital glaucoma group, corneal haze showed a significant relationship with most clinical parameters. In primary congenital glaucoma, a positive correlation was noted between age at presentation and increasing corneal diameter and axial length but a negative relationship was noted with C/D ratio and corneal haze, whereas for secondary congenital glaucoma only axial length was positively correlated. Conclusion The congenital glaucoma registry provides unique baseline data on primary congenital glaucoma and secondary congenital glaucoma in Saudi Arabia that will enable us to better understand the disease in the Kingdom and region.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23394909</pmid><doi>10.1016/j.ajo.2012.12.006</doi><tpages>8</tpages></addata></record>
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subjects Age
Anesthesia
Child, Preschool
Eyes & eyesight
Families & family life
Female
Follow-Up Studies
Glaucoma
Glaucoma - congenital
Glaucoma - epidemiology
Glaucoma - physiopathology
Hospitals, Special
Humans
Incidence
Infant
Infant, Newborn
Intraocular Pressure
Male
Ophthalmology
Patients
Registries
Retrospective Studies
Saudi Arabia - epidemiology
Standard deviation
Surgery
Tonometry, Ocular
Variables
title Primary and Secondary Congenital Glaucoma: Baseline Features From a Registry at King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
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