Comparison of moderate and advanced glaucoma patients in Ghana

Andrew W Francis1, Michael E Gyasi2, Li Deng3, Haiyan Gong11Boston University School of Medicine, Boston, MA, USA; 2Emmanuel Eye Centre, Accra, Ghana; 3The New England College of Optometry, Boston, MA, USAPurpose: To compare moderate and advanced glaucoma patients in Ghana.Methods: A retrospective c...

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Autores principales:	Deng L, Gyasi ME, Francis AW, Gong H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/f0c92656f46c40c9bc6fb6233fbf44bd
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spelling	oai:doaj.org-article:f0c92656f46c40c9bc6fb6233fbf44bd2021-12-02T05:49:23ZComparison of moderate and advanced glaucoma patients in Ghana1177-54671177-5483https://doaj.org/article/f0c92656f46c40c9bc6fb6233fbf44bd2012-02-01T00:00:00Zhttp://www.dovepress.com/comparison-of-moderate-and-advanced-glaucoma-patients-in-ghana-a9346https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Andrew W Francis1, Michael E Gyasi2, Li Deng3, Haiyan Gong11Boston University School of Medicine, Boston, MA, USA; 2Emmanuel Eye Centre, Accra, Ghana; 3The New England College of Optometry, Boston, MA, USAPurpose: To compare moderate and advanced glaucoma patients in Ghana.Methods: A retrospective cross-sectional study of 164 patients with primary open-angle glaucoma (POAG) were separated into moderate and advanced glaucoma groups. Definitions of moderate and advanced POAG were derived from International Geographical and Epidemiologic Ophthalmology criteria and included clinical assessment of optic disc atrophy and Humphrey automated perimetry. Data were collected at the patient&#39;s first visit prior to initiation of therapy. Eligible POAG patients included those &ge;30 years old with reliable Humphrey visual field (HVF) results, no past POAG diagnosis, treatment, or evidence of a secondary cause for glaucoma. Main outcome measures included comparisons of intraocular pressure (IOP), cup-to-disk ratio (CDR), best corrected visual acuity (VA), age, Humphrey mean deviation (MD), and pattern standard deviation (PSD).Results: Of 164 charts reviewed, 90 (54.9%) advanced and 74 (45.1%) moderate POAG patients were compared. Mean age was 59.36 versus 55.53 years, respectively. Significant differences in IOP, CDR, CDR asymmetry, and HVF results were described. IOP &gt; 30 mmHg was associated with CDR &gt;0.7 and MD greater than -12 dB in both eyes.Conclusion: Significant differences were found between IOP, CDR, MD and PSD values. HVF is predictive of pretreated IOP, CDR, and severity of POAG and it is strongly encouraged as part of the standard glaucoma work up in all Ghanaian patients.Keywords: glaucoma, intraocular pressure, GhanaDeng LGyasi MEFrancis AWGong HDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 297-304 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Deng L Gyasi ME Francis AW Gong H Comparison of moderate and advanced glaucoma patients in Ghana
description	Andrew W Francis1, Michael E Gyasi2, Li Deng3, Haiyan Gong11Boston University School of Medicine, Boston, MA, USA; 2Emmanuel Eye Centre, Accra, Ghana; 3The New England College of Optometry, Boston, MA, USAPurpose: To compare moderate and advanced glaucoma patients in Ghana.Methods: A retrospective cross-sectional study of 164 patients with primary open-angle glaucoma (POAG) were separated into moderate and advanced glaucoma groups. Definitions of moderate and advanced POAG were derived from International Geographical and Epidemiologic Ophthalmology criteria and included clinical assessment of optic disc atrophy and Humphrey automated perimetry. Data were collected at the patient&#39;s first visit prior to initiation of therapy. Eligible POAG patients included those &ge;30 years old with reliable Humphrey visual field (HVF) results, no past POAG diagnosis, treatment, or evidence of a secondary cause for glaucoma. Main outcome measures included comparisons of intraocular pressure (IOP), cup-to-disk ratio (CDR), best corrected visual acuity (VA), age, Humphrey mean deviation (MD), and pattern standard deviation (PSD).Results: Of 164 charts reviewed, 90 (54.9%) advanced and 74 (45.1%) moderate POAG patients were compared. Mean age was 59.36 versus 55.53 years, respectively. Significant differences in IOP, CDR, CDR asymmetry, and HVF results were described. IOP &gt; 30 mmHg was associated with CDR &gt;0.7 and MD greater than -12 dB in both eyes.Conclusion: Significant differences were found between IOP, CDR, MD and PSD values. HVF is predictive of pretreated IOP, CDR, and severity of POAG and it is strongly encouraged as part of the standard glaucoma work up in all Ghanaian patients.Keywords: glaucoma, intraocular pressure, Ghana
format	article
author	Deng L Gyasi ME Francis AW Gong H
author_facet	Deng L Gyasi ME Francis AW Gong H
author_sort	Deng L
title	Comparison of moderate and advanced glaucoma patients in Ghana
title_short	Comparison of moderate and advanced glaucoma patients in Ghana
title_full	Comparison of moderate and advanced glaucoma patients in Ghana
title_fullStr	Comparison of moderate and advanced glaucoma patients in Ghana
title_full_unstemmed	Comparison of moderate and advanced glaucoma patients in Ghana
title_sort	comparison of moderate and advanced glaucoma patients in ghana
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/f0c92656f46c40c9bc6fb6233fbf44bd
work_keys_str_mv	AT dengl comparisonofmoderateandadvancedglaucomapatientsinghana AT gyasime comparisonofmoderateandadvancedglaucomapatientsinghana AT francisaw comparisonofmoderateandadvancedglaucomapatientsinghana AT gongh comparisonofmoderateandadvancedglaucomapatientsinghana
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Comparison of moderate and advanced glaucoma patients in Ghana

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