UNASSIGNED: Retrospective chart review of all children less than 16 years of age with childhood glaucoma who presented from 1st April 2014 to 31st March 2019, who was diagnosed to have any subtype of childhood glaucoma as per Childhood Glaucoma Research Network (CGRN) classification and advised appropriate management.
UNASSIGNED: Out of 405 children with childhood glaucoma, 36% had primary glaucoma, whereas the rest had secondary glaucoma. Primary congenital glaucoma (PCG) was the most common form of primary glaucoma. Glaucoma associated with acquired conditions was the most common cause of secondary glaucoma. Primary glaucoma was mostly bilateral in contrast to secondary glaucoma. The most common age of presentation with primary glaucoma was <1 year of age, and in children with secondary glaucoma was 11-16 years. On presentation, 80% of eyes had intraocular pressure (IOP) of >20 mm Hg and 70% had cupping of >0.7. Eyes with PCG were primarily managed surgically.
UNASSIGNED: In our cohort, PCG was the most common primary childhood glaucoma. Traumatic glaucoma was the most common secondary glaucoma. Since childhood glaucoma is an important cause of visual morbidity in children, its timely diagnosis and prompt management are essential to prevent irreversible visual loss.
UNASSIGNED: Understanding the disease pattern, their presenting features, and the proportion of different types of childhood glaucoma can help in planning appropriate eye care services, create awareness and better allocate resources to plan appropriate management strategies. Screening programs and counseling of parents should also be strengthened.
UNASSIGNED: Dubey S, Jain K, Pegu J, et al. Profile of Childhood Glaucoma Attending a Tertiary Eye Care Center in Northern India. J Curr Glaucoma Pract 2023;17(2):68-74.
■回顾性图表回顾了2014年4月1日至2019年3月31日就诊的所有16岁以下儿童青光眼儿童,根据儿童青光眼研究网络(CGRN)分类被诊断患有儿童青光眼的任何亚型,并建议进行适当的治疗。
■在405名患有儿童青光眼的儿童中,36%患有原发性青光眼,其余患者有继发性青光眼。原发性先天性青光眼(PCG)是原发性青光眼的最常见形式。与获得性疾病相关的青光眼是继发性青光眼的最常见原因。与继发性青光眼相反,原发性青光眼主要是双侧的。原发性青光眼最常见的发病年龄为<1岁,继发性青光眼的儿童为11-16岁。在介绍时,80%的眼睛具有>20mmHg的眼内压(IOP),并且70%具有>0.7的拔罐。患有PCG的眼睛主要通过手术管理。
■在我们的队列中,PCG是儿童最常见的原发性青光眼。外伤性青光眼是最常见的继发性青光眼。由于儿童青光眼是儿童视力发病的重要原因,它的及时诊断和及时管理对于防止不可逆转的视力丧失至关重要。
■了解疾病模式,它们的呈现特征,不同类型的儿童青光眼的比例可以帮助规划适当的眼部护理服务,建立意识并更好地分配资源以计划适当的管理策略。还应加强筛查计划和父母的咨询。
■DubeyS,JainK,PeguJ,etal.儿童青光眼的资料,在印度北部的三级眼科护理中心。JCurr青光眼Pract2023;17(2):68-74。