Mistakes in the diagnosis and treatment of primary angle-closure glaucoma: Case report

Vesna Maric,Vujica Markovic,Ivan Marjanovic,Marija Bozic

doi:10.5937/sanamed1602135m

Abstract

Primary angle-closure glaucoma (PACG) is a leading cause of blindness globally. It is a condition that is responsible for nearly half of patients who have a bilateral blindness caused by glaucoma. PACG is highly prevalent in Asian countries, as compared with Primary open-angle glaucoma (POAG), which is reported as the predominant disease among Whites, but prevalence of PACG in Europe has been underestimated previously. Early detection by effective screening and appropriate prophylaxis and treatment may prevent blindness from angle-closure glaucoma. The purpose of this study was to present through the cases of 3 patients with PACG the importance of each phase of glaucoma: diagnosis, treatment and follow-up.

Highlights

There are considerable differences in the prevalence of angle closure among ethnic groups
Primary angle-closure glaucoma (PACG) is highly prevalent in Asian countries, as compared with Primary open-angle glaucoma (POAG), which is reported as the predominant disease among Whites, but prevalence of PACG in Europe has been underestimated previously
PACG is an important cause of visual morbidity in our country and many parts of the world

Summary

Introduction

There are considerable differences in the prevalence of angle closure among ethnic groups. Primary angle-closure glaucoma (PACG) is highly prevalent in Asian countries, compared with Primary open-angle glaucoma (POAG), which is reported predominant disease among Whites [1, 2]. PACG is estimated to affect 26% of people with glaucoma worldwide and is responsible for almost half the number of bilateral blindness caused by glaucoma [5]. It is estimated that 21 million people worldwide will have angle-closure glaucoma in 2020 [6]. The proportion of blindness caused by PACG is greater that than caused by open angle glaucoma, two to five times more, because of the greater estimated morbidity of this disease [6, 7]. Quigley et al estimated that the number of people with bilateral blindness from PACG will be 5.3 million worldwide by 2020 [6]. The purpose of this study was to present through the cases of 3 patients with PACG the importance of each phase of glaucoma: diagnosis, treatment and follow-up

Objectives

Findings

Discussion

Conclusion