Presenting features of primary angle-closure glaucoma in patients of mixed ethnic background

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1993

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South African Medical Journal

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The relative frequency with which patients present with acute or chronic angle-closure glaucoma depends on their ethnic background. In order to examine the presenting features and effects of primary angle-closure glaucoma in people of mixed ethnicity, we reviewed all «coloured» patients who presented to Groote Schuur Hospital with this diagnosis during a 5-year period. Of the 92 patients, 33 (36%) presented with acute angle-closure glaucoma and 59 (64%) with chronic angleclosure glaucoma. The level of intra-ocular pressure on presentation correlated well with the number of quadrants of angle closure (correlation coefficient: r=0,73, P<0,001). When individual eyes were assessed, a mean cup/disc ratio of ≥0,8 was present in 35% (65/184) and glaucomatous visual field loss was present in 56,5% (104/184).The relative frequency with which patients present with acute or chronic angle-closure glaucoma depends on their ethnic background. In order to examine the presenting features and effects of primary angle-closure glaucoma in people of mixed ethnicity, we reviewed all «coloured» patients who presented to Groote Schuur Hospital with this diagnosis during a 5-year period. Of the 92 patients, 33 (36%) presented with acute angle-closure glaucoma and 59 (64%) with chronic angleclosure glaucoma. The level of intra-ocular pressure on presentation correlated well with the number of quadrants of angle closure (correlation coefficient: r=0,73, P<0,001). When individual eyes were assessed, a mean cup/disc ratio of ≥0,8 was present in 35% (65/184) and glaucomatous visual field loss was present in 56,5% (104/184).
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