SEVERITY OF RECENTLY DIAGNOSED PRIMARY GLAUCOMA AT PRESENTATION IN KHYBER PAKHTUNKHWA

Manzoor Ullah; Bakht Danyal Khan; Yousaf Jamal Mahsood

doi:10.46903/gjms/22.4.suppl.1745

SEVERITY OF RECENTLY DIAGNOSED PRIMARY GLAUCOMA AT PRESENTATION IN KHYBER PAKHTUNKHWA

Manzoor Ullah, Bakht Danyal Khan, Yousaf Jamal Mahsood

Abstract

Background: Glaucoma is a progressive optic neuropathy with distinct visual field defects. The aim of this study was to determine the severity at presentation of recently diagnosed primary glaucoma.

Materials & Methods: This observational cross-sectional study was conducted at the Glaucoma clinic of Department of Ophthalmology, Hayatabad Medical Complex, Peshawar from July 2023 to February 2024. After obtaining the ethical approval, patients of primary open angle glaucoma (POAG) and primary angle closure glaucoma (PACG) who were recently diagnosed (i.e. in last six months) were included in this study. All the patients underwent comprehensive ocular examination including intraocular pressure (IOP) measurement, gonioscopy and standard automated perimetry. The severity of glaucoma was determined by using the visual field parameters of Hoddap-Parrish-Anderson criteria. The demographics of both groups were recorded, and severity was determined by analysis through SPSS version 26.

Results: A total 228 eyes of 114 patients or primary glaucoma were included. Of these 114 patients, 57 were included in each group; Primary Open Angle Glaucoma (POAG) in group A and Primary Angle Closure Glaucoma (PACG) in group B. Group A had a mean age of 48.3 ±10.6 years while Group B had a mean age of 50.8 ± 11.9 years. In group A , the glaucoma was mild in 11 (19.3%) patients, moderate in 32 (56.1%) and severe in 14 (24.6%) patients. In group B, the glaucoma was mild in 15 (26.3%) patients, moderate in 33 (57.9%) and severe in 9 (15.8%) patients.

Conclusion: Majority of primary glaucoma patients present with moderate to severe stage of glaucoma at the time of initial diagnosis.

Keywords

Glaucoma; Severity; Primary; Open; Angle; Eye; Blindness; Vision.

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DOI: https://doi.org/10.46903/gjms/22.4.suppl.1745