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Risk Factors for Glaucoma in a Cohort of Patients with Fuchs Heterochromic Iridocyclitis
Jason T Toniolo1,2, Anthony J Hall1,3, Jennifer G Smith4
1a Department of Ophthalmology , Alfred Hospital , Melbourne , Victoria , Australia.
Purpose:
To describe the incidence and risk factors for ocular hypertension and/or glaucoma in patients with Fuchs heterochromic iridocyclitis (FHC).
Methods:
Retrospective analysis of 88 patients with FHC. Kaplan-Meier curves estimated the time to develop cataract and ocular hypertension/glaucoma. Possible prognostic factors were investigated in univariate Kaplan-Meier analyses using the Mantel-Cox logrank test.
Results:
At presentation with FHC, 52% of patients had a cataract and 26% of patients had ocular hypertension/glaucoma. The estimated percentage of patients with a cataract or ocular hypertension/glaucoma by 4 years after presentation was 71% (CI: 58-81%) and 39% (CI: 28-51%), respectively. Patients aged ≥50 years had significantly greater risk of developing glaucoma (p = 0.0065). After adjusting for age-group, having a cataract at presentation was associated with increased risk of glaucoma (p = 0.032).
Conclusions:
Risk factors for development of ocular hypertension/glaucoma were increasing patient age and having a cataract at presentation with FHC.
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