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Abstract #23022 Published in IGR 11-1
Clinical analysis of 118 juvenile open-angle glaucoma cases
Shi H-MInternational Journal of Ophthalmology 2009; 9: 146-148
AIM: To evaluate the clinical appearances, early diagnosis, treatment and prognosis of juvenile open-angle glaucoma (JOAG). METHODS: The clinical retrospective analysis compared gender, age, refraction, intraocular pressure (IOP), angle of anterior, ocular fundus, visual field, family history and treatment was conducted on 118 cases (236 eyes) with JOAG from 1997 to 2007. RESULTS: In all cases, 51 cases (43. 2%) were male and 67 cases (56.8%) were female. The age from 10 to 20 years old in this group were covered 70.3%. Those associated with myopia were 77.1%. Before treatment, the highest IOP of 80 eyes (33.9%) were 10-21mmHg, 52 eyes (22.0%) were 21-25mmHg, 64 eyes (27.1%) were 26-30mmHg, 29 eyes (12.3%) were 31-40mmHg, and 11 eyes (4.7%) were higher than 40mmHg. The results of C/D in 146 eyes (61.9%) were <0.6, 81 eyes (34.3%) were 0.6-0.8, and 9 eyes (3.8%) were more than 0.8. The positive rate of RNFLD was 94.9%. The positive rate of vision field defect was 65.2%. The angle of anterior chamber was open. Thirteen cases (11.0%) had the glaucoma family history. Twenty-eight cases (50 eyes) were treated with operation. The others were treated with remedy. After treatment, IOP were controlled well. However, visual acuity was improved in only 57 eyes (24.2%). CONCLUSION: The onset age of JOAG becomes more and more younger. Myopia is one of the most dangerous factor for JOAG. RNFLD is a highest sensitivity and specific objective basis. With early diagnosis, reasonable treatment, and regular follow-up, the prognosis of JOAG will be better. LA: Chinese
Dr. H.-M. Shi, Department of Ophthalmology, Xiangfan Hospital, Huazhong University of Science and Technology, Wuhan 441021 Hubei Province, China. meirch@163.com
Classification:
9.1.2 Juvenile glaucoma (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)