Profile of Childhood Glaucoma at a Tertiary Eye Care Centre in North East India
Purpose: To report the prevalence of various forms of childhood glaucomas visiting our tertiary eye care centre during a year and to describe their clinical features and treatment methods. Methods: This 1-year-long prospective study included all the consecutive children till 16 years of age who pres...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | TNOA Journal of Ophthalmic Science and Research |
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| Online Access: | https://journals.lww.com/10.4103/tjosr.tjosr_97_24 |
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| author | Charu Arora Shahinur Tayab Harsha Bhattacharjee Techi D. Tara Mohammed Sithiq Manjisa Choudhary |
| author_facet | Charu Arora Shahinur Tayab Harsha Bhattacharjee Techi D. Tara Mohammed Sithiq Manjisa Choudhary |
| author_sort | Charu Arora |
| collection | DOAJ |
| description | Purpose:
To report the prevalence of various forms of childhood glaucomas visiting our tertiary eye care centre during a year and to describe their clinical features and treatment methods.
Methods:
This 1-year-long prospective study included all the consecutive children till 16 years of age who presented to us with glaucoma for the first time between 1 March 2022 and 28 February 2023. We used the Childhood Glaucoma Network Classification System for the classification of glaucoma.
Results:
Of the 40 children (80 eyes), secondary childhood glaucoma (SCG) was diagnosed in 76.5% of eyes, while primary childhood glaucoma (PCG) was in 23.5% of eyes. Eleven patients (27.5% eyes) had bilateral involvement. Glaucoma due to acquired ocular conditions was the most common diagnosis (49% of eyes) in the SCG group, followed by glaucoma secondary to non-acquired ocular conditions (21.5%), glaucoma with non-acquired systemic disorder (1.96%), and glaucoma status post cataract surgery (3.92%). In the PCG group, infantile glaucoma was the most common (13.7%), followed by juvenile (5.9%) and late-onset/recognised PCG (3.92%). The mean intra-ocular pressure at presentation was 30.25 mmHg in the PCG group and 36.54 mmHg in the SCG group. The male-to-female ratio was 7:1 in both the PCG and SCG groups. Around 63% of eyes needed surgical intervention (filtration or other); however, only 13.7% underwent surgery. 69% of the eyes received medical treatment only; this group includes the PCG patients who left without undergoing surgery. Around 17.6% of the eyes needed anti-glaucoma medications after surgery. Both glaucoma filtration surgery and vitreo retinal surgery were the most common surgeries (12.5% each) performed overall.
Conclusion:
In our cohort, SCG was found to be the most prevalent sub-type of CG, with better treatment compliance and outcomes in contrast to PCG with poor treatment compliance and outcomes. Sensitisation of the masses to this blinding disease is crucial to bring about desired changes in the existing scenario. |
| format | Article |
| id | doaj-art-1c086d87f6ac4f1d8fa77d62b968bbe6 |
| institution | OA Journals |
| issn | 2589-4528 2589-4536 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | TNOA Journal of Ophthalmic Science and Research |
| spelling | doaj-art-1c086d87f6ac4f1d8fa77d62b968bbe62025-08-20T02:16:55ZengWolters Kluwer Medknow PublicationsTNOA Journal of Ophthalmic Science and Research2589-45282589-45362025-01-01631435010.4103/tjosr.tjosr_97_24Profile of Childhood Glaucoma at a Tertiary Eye Care Centre in North East IndiaCharu AroraShahinur TayabHarsha BhattacharjeeTechi D. TaraMohammed SithiqManjisa ChoudharyPurpose: To report the prevalence of various forms of childhood glaucomas visiting our tertiary eye care centre during a year and to describe their clinical features and treatment methods. Methods: This 1-year-long prospective study included all the consecutive children till 16 years of age who presented to us with glaucoma for the first time between 1 March 2022 and 28 February 2023. We used the Childhood Glaucoma Network Classification System for the classification of glaucoma. Results: Of the 40 children (80 eyes), secondary childhood glaucoma (SCG) was diagnosed in 76.5% of eyes, while primary childhood glaucoma (PCG) was in 23.5% of eyes. Eleven patients (27.5% eyes) had bilateral involvement. Glaucoma due to acquired ocular conditions was the most common diagnosis (49% of eyes) in the SCG group, followed by glaucoma secondary to non-acquired ocular conditions (21.5%), glaucoma with non-acquired systemic disorder (1.96%), and glaucoma status post cataract surgery (3.92%). In the PCG group, infantile glaucoma was the most common (13.7%), followed by juvenile (5.9%) and late-onset/recognised PCG (3.92%). The mean intra-ocular pressure at presentation was 30.25 mmHg in the PCG group and 36.54 mmHg in the SCG group. The male-to-female ratio was 7:1 in both the PCG and SCG groups. Around 63% of eyes needed surgical intervention (filtration or other); however, only 13.7% underwent surgery. 69% of the eyes received medical treatment only; this group includes the PCG patients who left without undergoing surgery. Around 17.6% of the eyes needed anti-glaucoma medications after surgery. Both glaucoma filtration surgery and vitreo retinal surgery were the most common surgeries (12.5% each) performed overall. Conclusion: In our cohort, SCG was found to be the most prevalent sub-type of CG, with better treatment compliance and outcomes in contrast to PCG with poor treatment compliance and outcomes. Sensitisation of the masses to this blinding disease is crucial to bring about desired changes in the existing scenario.https://journals.lww.com/10.4103/tjosr.tjosr_97_24anterior segment dysgenesisbilateral neonatal ectropion uveaechildhood glaucomachildhood glaucoma profilenortheast indiaprimary childhood glaucomasecondary childhood glaucomasteroid-induced childhood glaucomatraumatic childhood glaucoma |
| spellingShingle | Charu Arora Shahinur Tayab Harsha Bhattacharjee Techi D. Tara Mohammed Sithiq Manjisa Choudhary Profile of Childhood Glaucoma at a Tertiary Eye Care Centre in North East India TNOA Journal of Ophthalmic Science and Research anterior segment dysgenesis bilateral neonatal ectropion uveae childhood glaucoma childhood glaucoma profile northeast india primary childhood glaucoma secondary childhood glaucoma steroid-induced childhood glaucoma traumatic childhood glaucoma |
| title | Profile of Childhood Glaucoma at a Tertiary Eye Care Centre in North East India |
| title_full | Profile of Childhood Glaucoma at a Tertiary Eye Care Centre in North East India |
| title_fullStr | Profile of Childhood Glaucoma at a Tertiary Eye Care Centre in North East India |
| title_full_unstemmed | Profile of Childhood Glaucoma at a Tertiary Eye Care Centre in North East India |
| title_short | Profile of Childhood Glaucoma at a Tertiary Eye Care Centre in North East India |
| title_sort | profile of childhood glaucoma at a tertiary eye care centre in north east india |
| topic | anterior segment dysgenesis bilateral neonatal ectropion uveae childhood glaucoma childhood glaucoma profile northeast india primary childhood glaucoma secondary childhood glaucoma steroid-induced childhood glaucoma traumatic childhood glaucoma |
| url | https://journals.lww.com/10.4103/tjosr.tjosr_97_24 |
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