The Missed Glaucoma: A Study on Accidentally Discovered Cases with Juvenile Glaucoma | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 225, Volume 88, Issue 1, July 2022, Pages 3688-3691 PDF (375.66 K) | ||
| DOI: 10.21608/ejhm.2022.250662 | ||
| Author | ||
| Ahmad K. Khalil* | ||
| Glaucoma Unit, Department of Glaucoma and Optic Nerve, Research Institute of Ophthalmology, Giza, Egypt | ||
| Abstract | ||
| Background: The diagnosis of juvenile glaucoma can be missed, as this age group seldom seeks ophthalmological consultation in the lack of ocular symptoms Objective: This study aimed to evaluate incidence of missed/late diagnosed glaucoma in the juvenile age group. Methods: A retrospective case series on 38 cases in the juvenile age group (age 8-45 yeas) who were diagnosed with glaucoma. The incidence of missed/delayed diagnosis of glaucoma in these cases were reported and evaluated. Results: 22 (57.9%) patients presented with advanced glaucoma with a cup/disc (C/D) ratio of 0.8 or more and significant visual field (VF) changes in one or both eyes. 4 (10.5%) of these patients had total glaucomatous optic atrophy in 1 eye at the time of diagnosis. The remaining 14 patients (36.8%) were diagnosed as mild/moderate juvenile glaucoma with C/D ratio less than 0.8 at time of diagnosis. Clinical findings of 7 of these cases are described here. Conclusion: Juvenile glaucoma is an often missed potentially blinding glaucoma. | ||
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