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Posttraumatic glaucoma in southern China: A ten-year retrospective study
Haijun Gong1,2, Mingkai Lin1
1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Sun Yat-sen University, Guangzhou, China.
European Journal of Ophthalmology
|March 1, 2024
Summary
Posttraumatic glaucoma is more common in males, adults, farmers, and rural patients, often caused by blunt injury. Chemical injury requires longer hospital stays, while open globe injuries incur higher medical costs.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Public Health
Background:
- Posttraumatic glaucoma (PTG) is a significant cause of vision loss following ocular injury.
- Understanding the demographics and risk factors for PTG is crucial for effective prevention and management.
Purpose of the Study:
- To analyze the demographics, clinical presentations, causes, surgical treatments, and hospitalization burden of posttraumatic glaucoma in southern China.
- To identify high-risk populations and injury mechanisms associated with PTG.
Main Methods:
- A retrospective study of 2211 patients with PTG admitted to Zhongshan Ophthalmic Center from 2012 to 2021.
- Data collected included patient demographics, injury type (closed globe injury, open globe injury, chemical injury), surgical modalities, hospitalization duration, and costs.
Main Results:
- Males (83.36%), rural residents (56.17%), and farmers (27.14%) were predominantly affected.
- Blunt objects were the most common cause of external injury (37.82%).
- Chemical injury led to longer hospitalizations, while open globe injuries incurred higher medical expenses.
Conclusions:
- Blunt injury, male gender, adult age, farming occupation, and rural residence are identified as risk factors for PTG.
- Management of chemical-induced glaucoma necessitates extended hospitalization, whereas open globe injuries demand greater medical expenditure.
- Findings emphasize the need for targeted education and long-term surveillance for glaucoma after ocular trauma.
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