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Characteristics of Pediatric Glaucoma in a Latin American Reference Center
Catalina Saavedra1, Hernan A Rios1, Sandra Belalcazar2
1Fundación Oftalmológica Nacional, Bogota, Colombia.
Insights
Pediatric glaucoma (PG) is a diverse condition. This study details clinical and epidemiological features of PG in a Latin American reference center, noting a higher frequency of juvenile open-angle glaucoma than previously reported.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Glaucoma Research
Background:
- Pediatric glaucoma (PG) encompasses a heterogeneous group of ocular disorders.
- Limited large-scale cohort studies exist due to the low incidence of PG.
- Understanding PG characteristics is crucial for effective management.
Purpose of the Study:
- To characterize the clinical and epidemiological profile of pediatric glaucoma patients.
- To analyze treatment patterns and follow-up data in a national ophthalmologic reference center.
- To compare findings with existing global literature on pediatric glaucoma.
Main Methods:
- Retrospective analysis of pediatric glaucoma cases diagnosed between 2005 and 2015.
- Evaluation of clinical findings, glaucoma type, surgical interventions, and visual acuity outcomes.
- Inclusion of 89 patients (145 eyes) in the study cohort.
Main Results:
- Primary PG was the most common type (67.4%), with primary congenital glaucoma (PCG) more prevalent than juvenile open-angle glaucoma (JOAG).
- Surgical intervention was required in 56.6% of eyes, particularly in PCG (88.4%), while JOAG eyes did not necessitate surgery.
- Secondary PG cases showed poorer visual acuity outcomes, with only 17.9% maintaining good vision.
Conclusions:
- The study provides a detailed report on PG characteristics within a Latin American reference center.
- A higher incidence of JOAG was observed compared to previous reports.
- Clinical features of PG in this cohort exhibit variations from established international data, highlighting regional differences.
Aim:
To describe the clinical and epidemiological characteristics of children with pediatric glaucoma (PG) treated in an ophthalmologic national reference center.
Materials And Methods:
A retrospective study of patients diagnosed with PG in a national ophthalmologic reference center was made, between 2005 and 2015. Clinical findings, type of treatment, and the follow-up were evaluated.
Results:
A total of 89 patients (145 eyes) were included. The median age of diagnosis was 2.0 years. The most frequent type of glaucoma was primary PG with 67.4% of affected patients, primary congenital glaucoma (PCG) being more frequent (69 eyes) than juvenile open-angle glaucoma (JOAG 36 eyes). Secondary PG accounted for 32.6% of the cases (40 eyes). At least one surgical procedure was needed in 56.6% of all studied eyes, and 10.7% of eyes had more than two surgical procedures. Even more, eyes with PCG had surgery in 88.4% of cases. On the contrary, eyes with JOAG did not require surgery. In the last assessment, the distribution of cases according visual acuity did not show differences. However, it is important to note that patients with secondary PG maintained a good vision only in 17.9% of cases.
Conclusion:
Pediatric glaucoma is a heterogeneous group of diseases, and due to its low incidence, descriptive reports of large cohorts are not available. This study has a well-detailed report of PG characteristics in a national reference center. The frequency of JOAG in the present study was significantly higher than that reported in other studies. Also, clinical characteristics of all glaucoma described have some differences from data published.
Clinical Significance:
There are few studies that describe characteristics of PG. This study is an important tool to analyze the characteristics of PG in an effort to better know the disease.
How To Cite This Article:
Saavedra C, Rios HA, Belalcazar S, et al. Characteristics of Pediatric Glaucoma in a Latin American Reference Center. J Curr Glaucoma Pract 2020;14(1):10-15.
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