Comparison of Newly Diagnosed Ocular Hypertension and Open-Angle Glaucoma: Ocular Variables, Risk Factors, and Disease Severity

Purpose. To describe the distribution of ocular variables, risk factors, and disease severity in newly diagnosed ocular hypertension (OH) or open-angle glaucoma (OAG). Methods. Eligible subjects underwent a complete history and examination. Adjusted odds ratios (ORs) and 95% confidence intervals (...

Full description

Saved in:
Bibliographic Details
Main Authors: Yvonne M. Buys, Paul Harasymowycz, Rania Gaspo, Kenneth Kwok, Cindy M. L. Hutnik, Pierre Blondeau, Catherine M. Birt, Robert L. G. Piemontesi, Lisa F. Gould, Mark R. Lesk, Iqbal K. Ahmed
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2012/757106
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832555928242618368
author Yvonne M. Buys
Paul Harasymowycz
Rania Gaspo
Kenneth Kwok
Cindy M. L. Hutnik
Pierre Blondeau
Catherine M. Birt
Robert L. G. Piemontesi
Lisa F. Gould
Mark R. Lesk
Iqbal K. Ahmed
author_facet Yvonne M. Buys
Paul Harasymowycz
Rania Gaspo
Kenneth Kwok
Cindy M. L. Hutnik
Pierre Blondeau
Catherine M. Birt
Robert L. G. Piemontesi
Lisa F. Gould
Mark R. Lesk
Iqbal K. Ahmed
author_sort Yvonne M. Buys
collection DOAJ
description Purpose. To describe the distribution of ocular variables, risk factors, and disease severity in newly diagnosed ocular hypertension (OH) or open-angle glaucoma (OAG). Methods. Eligible subjects underwent a complete history and examination. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) obtained from multiple logistic regression models were used to compare OAG to OH and advanced to early/moderate OAG. Results. 405 subjects were enrolled: 292 (72.1%) with OAG and 113 (27.9%) with OH. 51.7% had early, 27.1% moderate, and 20.9% advanced OAG. The OR for OAG versus OH was 8.19 (P<0.0001) for disc notch, 5.36 (P<0.0001) for abnormal visual field, 1.45 (P=0.001) for worsening mean deviation, 1.91 (P<0.0001) for increased cupping, 1.03 for increased age (P=0.030), and 0.36 (P=0.010) for smoking. Conclusions. Increased age was a risk for OAG, and smoking decreased the risk of OAG compared to OH. Almost half of the OAG subjects had moderate/advanced disease at diagnosis.
format Article
id doaj-art-7b73e16fd7fb44b5b13edef9c03813a3
institution Kabale University
issn 2090-004X
2090-0058
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-7b73e16fd7fb44b5b13edef9c03813a32025-02-03T05:46:45ZengWileyJournal of Ophthalmology2090-004X2090-00582012-01-01201210.1155/2012/757106757106Comparison of Newly Diagnosed Ocular Hypertension and Open-Angle Glaucoma: Ocular Variables, Risk Factors, and Disease SeverityYvonne M. Buys0Paul Harasymowycz1Rania Gaspo2Kenneth Kwok3Cindy M. L. Hutnik4Pierre Blondeau5Catherine M. Birt6Robert L. G. Piemontesi7Lisa F. Gould8Mark R. Lesk9Iqbal K. Ahmed10Department of Ophthalmology, University of Toronto, 399 Bathurst Street, EW 6-405, Toronto, ON, M5T 2S8, CanadaDepartment of Ophthalmology, University of Montreal, Montréal, QC, H3T 1J4, CanadaMedical Advisor - Oncology, Pfizer Canada Inc., Kirkland, QC, H3C 3J7, CanadaBiostatistics, Pfizer Inc., New York, NY 10017, USAIvey Eye Institute, St. Joseph's Health Care London, London, ON, N6G 1J1, CanadaDepartment of Ophthalmology, University of Sherbrooke, Sherbrooke, QC, J1K 2R1, CanadaDepartment of Ophthalmology, University of Toronto, 399 Bathurst Street, EW 6-405, Toronto, ON, M5T 2S8, CanadaDepartment of Ophthalmology, Naniamo, British Columbia, V9R 5B6, CanadaThe Winnipeg Clinic, Winnipeg, MB, R3C ON2, CanadaDepartment of Ophthalmology, Hopital Maisonneuve-Rosemont, Montréal, QC, H1T 2M4, CanadaDepartment of Ophthalmology, University of Toronto, 399 Bathurst Street, EW 6-405, Toronto, ON, M5T 2S8, CanadaPurpose. To describe the distribution of ocular variables, risk factors, and disease severity in newly diagnosed ocular hypertension (OH) or open-angle glaucoma (OAG). Methods. Eligible subjects underwent a complete history and examination. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) obtained from multiple logistic regression models were used to compare OAG to OH and advanced to early/moderate OAG. Results. 405 subjects were enrolled: 292 (72.1%) with OAG and 113 (27.9%) with OH. 51.7% had early, 27.1% moderate, and 20.9% advanced OAG. The OR for OAG versus OH was 8.19 (P<0.0001) for disc notch, 5.36 (P<0.0001) for abnormal visual field, 1.45 (P=0.001) for worsening mean deviation, 1.91 (P<0.0001) for increased cupping, 1.03 for increased age (P=0.030), and 0.36 (P=0.010) for smoking. Conclusions. Increased age was a risk for OAG, and smoking decreased the risk of OAG compared to OH. Almost half of the OAG subjects had moderate/advanced disease at diagnosis.http://dx.doi.org/10.1155/2012/757106
spellingShingle Yvonne M. Buys
Paul Harasymowycz
Rania Gaspo
Kenneth Kwok
Cindy M. L. Hutnik
Pierre Blondeau
Catherine M. Birt
Robert L. G. Piemontesi
Lisa F. Gould
Mark R. Lesk
Iqbal K. Ahmed
Comparison of Newly Diagnosed Ocular Hypertension and Open-Angle Glaucoma: Ocular Variables, Risk Factors, and Disease Severity
Journal of Ophthalmology
title Comparison of Newly Diagnosed Ocular Hypertension and Open-Angle Glaucoma: Ocular Variables, Risk Factors, and Disease Severity
title_full Comparison of Newly Diagnosed Ocular Hypertension and Open-Angle Glaucoma: Ocular Variables, Risk Factors, and Disease Severity
title_fullStr Comparison of Newly Diagnosed Ocular Hypertension and Open-Angle Glaucoma: Ocular Variables, Risk Factors, and Disease Severity
title_full_unstemmed Comparison of Newly Diagnosed Ocular Hypertension and Open-Angle Glaucoma: Ocular Variables, Risk Factors, and Disease Severity
title_short Comparison of Newly Diagnosed Ocular Hypertension and Open-Angle Glaucoma: Ocular Variables, Risk Factors, and Disease Severity
title_sort comparison of newly diagnosed ocular hypertension and open angle glaucoma ocular variables risk factors and disease severity
url http://dx.doi.org/10.1155/2012/757106
work_keys_str_mv AT yvonnembuys comparisonofnewlydiagnosedocularhypertensionandopenangleglaucomaocularvariablesriskfactorsanddiseaseseverity
AT paulharasymowycz comparisonofnewlydiagnosedocularhypertensionandopenangleglaucomaocularvariablesriskfactorsanddiseaseseverity
AT raniagaspo comparisonofnewlydiagnosedocularhypertensionandopenangleglaucomaocularvariablesriskfactorsanddiseaseseverity
AT kennethkwok comparisonofnewlydiagnosedocularhypertensionandopenangleglaucomaocularvariablesriskfactorsanddiseaseseverity
AT cindymlhutnik comparisonofnewlydiagnosedocularhypertensionandopenangleglaucomaocularvariablesriskfactorsanddiseaseseverity
AT pierreblondeau comparisonofnewlydiagnosedocularhypertensionandopenangleglaucomaocularvariablesriskfactorsanddiseaseseverity
AT catherinembirt comparisonofnewlydiagnosedocularhypertensionandopenangleglaucomaocularvariablesriskfactorsanddiseaseseverity
AT robertlgpiemontesi comparisonofnewlydiagnosedocularhypertensionandopenangleglaucomaocularvariablesriskfactorsanddiseaseseverity
AT lisafgould comparisonofnewlydiagnosedocularhypertensionandopenangleglaucomaocularvariablesriskfactorsanddiseaseseverity
AT markrlesk comparisonofnewlydiagnosedocularhypertensionandopenangleglaucomaocularvariablesriskfactorsanddiseaseseverity
AT iqbalkahmed comparisonofnewlydiagnosedocularhypertensionandopenangleglaucomaocularvariablesriskfactorsanddiseaseseverity