TY - JOUR
T1 - Glaucoma in aphakia and pseudophakia in the Chennai Glaucoma Study
AU - Arvind, H.
AU - George, R.
AU - Raju, P.
AU - Ramesh, S. V.
AU - Baskaran, M.
AU - Paul, P. G.
AU - McCarty, C.
AU - Vijaya, Lingam
PY - 2005/6
Y1 - 2005/6
N2 - Aim: To determine the prevalence of glaucoma among aphakes and pseudophakes in a rural population of southern India. Methods: 3924 subjects aged 40 years or above underwent complete ophthalmic examination. Glaucoma in aphakia/pseudophakia was diagnosed using International Society of Geographical and Epidemiological Ophthalmology criteria in aphakic/pseudophakic people. Results: 54 subjects (37 aphakes, 17 pseudophakes) (1.38% of 3924 subjects, 11.2% of 482 aphakes/pseudophakes) had glaucoma in aphakia/pseudophakia. Aphakia, age, intraocular pressure (IOP), pseudoexfoliation, and peripheral anterior synechiae greater than or equal to 180 degrees of the angle were risk factors for glaucoma on univariate analysts. On multivariate analysis, IOP and aphakia were independent risk factors for glaucoma. 39 people (72.22%) with glaucoma had normal IOP at presentation. None of the people with glaucoma were aware of the disease. Blindness in one or both eyes was seen in 12 subjects (10 unilateral and two bilateral) - that is, 22.22% of people with glaucoma in aphakia/pseudophakia. Conclusions: Glaucoma is an important cause of ocular morbidity among aphakes and pseudophakes in this rural population of south India. This glaucoma, responsible for unilateral or bilateral blindness in 22.2% of those affected, was entirely undetected in this study population.
AB - Aim: To determine the prevalence of glaucoma among aphakes and pseudophakes in a rural population of southern India. Methods: 3924 subjects aged 40 years or above underwent complete ophthalmic examination. Glaucoma in aphakia/pseudophakia was diagnosed using International Society of Geographical and Epidemiological Ophthalmology criteria in aphakic/pseudophakic people. Results: 54 subjects (37 aphakes, 17 pseudophakes) (1.38% of 3924 subjects, 11.2% of 482 aphakes/pseudophakes) had glaucoma in aphakia/pseudophakia. Aphakia, age, intraocular pressure (IOP), pseudoexfoliation, and peripheral anterior synechiae greater than or equal to 180 degrees of the angle were risk factors for glaucoma on univariate analysts. On multivariate analysis, IOP and aphakia were independent risk factors for glaucoma. 39 people (72.22%) with glaucoma had normal IOP at presentation. None of the people with glaucoma were aware of the disease. Blindness in one or both eyes was seen in 12 subjects (10 unilateral and two bilateral) - that is, 22.22% of people with glaucoma in aphakia/pseudophakia. Conclusions: Glaucoma is an important cause of ocular morbidity among aphakes and pseudophakes in this rural population of south India. This glaucoma, responsible for unilateral or bilateral blindness in 22.2% of those affected, was entirely undetected in this study population.
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U2 - 10.1136/bjo.2004.056234
DO - 10.1136/bjo.2004.056234
M3 - Article
C2 - 15923505
AN - SCOPUS:20344388793
SN - 0007-1161
VL - 89
SP - 699
EP - 703
JO - British Journal of Ophthalmology
JF - British Journal of Ophthalmology
IS - 6
ER -