Abstract：
To study the clinical and demographic profile of patients less than 40 years of age presenting to glaucoma services including the reasons for referral.
Patients in the age group of 5 to 39 years, visiting the glaucoma clinic, who were either suspected to have glaucoma or who had been newly/previously diagnosed with glaucoma were included in the study. After informed written consent, basic demographic details of the participants including age, gender, education, socioeconomic status, and family history were obtained. A comprehensive ophthalmological evaluation was performed by glaucoma specialists.
The proportion of glaucoma in the study population (n = 384) was found to be 31.25%, and the incidence of glaucoma among new patients was found to be 11.9%. Among all glaucomas (n = 120), 44.2% of patients had secondary glaucomas, 27.5% had primary glaucomas, and 28.3% had congenital glaucomas. Also, 67.3% of all glaucoma patients were males. Newly diagnosed glaucoma patients presented with a mean intraocular pressure (IOP) of 32.9 mmHg and mild-moderate disc damage with a mean cup-disc ratio of 0.65. Nearly one-third of them had a presenting visual acuity worse than 5/60. The most common reason for referral was raised IOP. Univariate and multivariate analysis revealed that the odds of developing glaucoma were less in females (P = 0.04) and in patients with a higher standard of living index (P < 0.001).
One-third of the patients had glaucoma and another one-third were suspects. Secondary glaucomas are more common than primary/congenital glaucomas. A comprehensive eye evaluation is a must, especially in those with predisposing factors.
Patients in the age group of 5 to 39 years, visiting the glaucoma clinic, who were either suspected to have glaucoma or who had been newly/previously diagnosed with glaucoma were included in the study. After informed written consent, basic demographic details of the participants including age, gender, education, socioeconomic status, and family history were obtained. A comprehensive ophthalmological evaluation was performed by glaucoma specialists.
The proportion of glaucoma in the study population (n = 384) was found to be 31.25%, and the incidence of glaucoma among new patients was found to be 11.9%. Among all glaucomas (n = 120), 44.2% of patients had secondary glaucomas, 27.5% had primary glaucomas, and 28.3% had congenital glaucomas. Also, 67.3% of all glaucoma patients were males. Newly diagnosed glaucoma patients presented with a mean intraocular pressure (IOP) of 32.9 mmHg and mild-moderate disc damage with a mean cup-disc ratio of 0.65. Nearly one-third of them had a presenting visual acuity worse than 5/60. The most common reason for referral was raised IOP. Univariate and multivariate analysis revealed that the odds of developing glaucoma were less in females (P = 0.04) and in patients with a higher standard of living index (P < 0.001).
One-third of the patients had glaucoma and another one-third were suspects. Secondary glaucomas are more common than primary/congenital glaucomas. A comprehensive eye evaluation is a must, especially in those with predisposing factors.
摘要：
研究40岁以下接受青光眼服务的患者的临床和人口统计学特征，包括转诊的原因。
年龄在5至39岁的患者，参观青光眼诊所，被怀疑患有青光眼或新/以前诊断为青光眼的患者被纳入研究.在知情书面同意后，参与者的基本人口统计细节，包括年龄，性别,教育,社会经济地位,并获得家族史。青光眼专家进行了全面的眼科评估。
研究人群（n=384）中青光眼的比例为31.25%，新患者中青光眼的发病率为11.9%。在所有青光眼中（n=120），44.2%的患者有继发性青光眼,27.5%患有原发性青光眼，28.3%患有先天性青光眼。此外，所有青光眼患者中67.3%为男性。新诊断的青光眼患者的平均眼压（IOP）为32.9mmHg，轻度-中度椎间盘损伤，平均杯盘比为0.65。其中近三分之一的人的视力低于5/60。转诊的最常见原因是IOP升高。单因素和多因素分析显示，女性（P=0.04）和生活指数较高的患者发生青光眼的几率较低（P<0.001）。
三分之一的患者患有青光眼，另外三分之一是嫌疑犯。继发性青光眼比原发性/先天性青光眼更常见。全面的眼睛评估是必须的，尤其是那些有诱发因素的人。
年龄在5至39岁的患者，
研究人群（n=384）中青光眼的比例为31.25%，
三分之一的患者患有青光眼，另外三分之一是嫌疑犯。
