Abstract
Purpose To analyze the epidemiological characteristics of inpatients who underwent surgery for glaucoma at Tianjin Eye Hospital from 2013 to 2017. Methods All glaucoma inpatients who underwent surgery at Tianjin Eye Hospital from 2013 to 2017 were evaluated. The relationships of age and sex with different types of glaucoma were analyzed. The differences in the prevalence and family history of glaucoma among patients with different systemic diseases were compared. Additionally, the effects of different surgical methods for primary angle-closure glaucoma (PACG) and primary open-angle glaucoma (POAG) were compared. Results A total of 4539 patients with glaucoma were retrospectively analyzed. The most prevalent type was PACG (60.15%), followed by secondary glaucoma (SG, 25.53%), POAG (7.6%), uncontrollable intraocular pressure (IOP) after antiglaucoma surgery (4.71%), mixed glaucoma (MG, 10%), and congenital glaucoma (CG, 0.9%). The main surgical methods were phacoemulsification (phaco), phacotrabeculectomy (phaco-trab), and trabeculectomy (trab). The rate of phaco-trab increased, while that of trab decreased. The proportion of women in the PACG group was higher than those in the POAG and SG groups, and there was a pronounced tendency for family clustering (P < 0.001), while in the POAG and SG groups, the proportions of men and those with diabetes were higher (P < 0.05). Conclusions In Tianjin Eye Hospital from 2013 to 2017, the main type of glaucoma was PACG. Female sex and a family history of glaucoma were risk factors for PACG, while male sex and hyperglycemia were risk factors for POAG and SG. Among the antiglaucoma surgery methods, the proportion of phaco-trab increased, while the proportion of trab decreased.
Highlights
Glaucoma is an irreversible eye disease that causes blindness worldwide
Glaucoma was classified into 6 categories according to etiology and the results of gonioscopy: primary angle-closure glaucoma (PACG), primary open-angle glaucoma (POAG), secondary glaucoma (SG), mixed glaucoma (MG), congenital glaucoma (CG), and uncontrolled intraocular pressure (IOP) after antiglaucoma surgery. e process of data collection and research followed the Declaration of Helsinki and was approved by the ethics committee of Tianjin Eye Hospital
Chi-square tests were used to compare differences in the ratios of different types of glaucoma in different years. e distribution of the number of glaucoma cases of each type per year is shown in Table 1. e results indicated that the difference in the glaucoma composition ratio from 2013 to Trauma glaucoma Neovascular glaucoma Glaucoma after vitretomy
Summary
Glaucoma is an irreversible eye disease that causes blindness worldwide. It is estimated that, by 2040, there will be 111.8 million cases of glaucoma among those who are 40 to 80 years old [1]. Epidemiological data have indicated that glaucoma incidence varies by type, region, race, sex, and age. Domestic studies have shown that the incidence of glaucoma increases with age [5, 6]. Tianjin Eye Hospital is a tertiary grade A specialized hospital with many inpatients and abundant clinical data. Is study retrospectively analyzed the data of inpatients with glaucoma in Tianjin Eye Hospital from 2013 to 2017 and summarized the distributions of glaucoma types, age and sex. E study analyzed the past disease history of these inpatients and the effects of Journal of Ophthalmology different antiglaucoma operations on vision and intraocular pressure (IOP) to clarify the development and occurrence trends of glaucoma in Tianjin and provide data support for the prevention and treatment of glaucoma Tianjin Eye Hospital is a tertiary grade A specialized hospital with many inpatients and abundant clinical data. is study retrospectively analyzed the data of inpatients with glaucoma in Tianjin Eye Hospital from 2013 to 2017 and summarized the distributions of glaucoma types, age and sex. e study analyzed the past disease history of these inpatients and the effects of Journal of Ophthalmology different antiglaucoma operations on vision and intraocular pressure (IOP) to clarify the development and occurrence trends of glaucoma in Tianjin and provide data support for the prevention and treatment of glaucoma
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