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Assessment of Risk Factors for Advanced Open Angle Glaucoma Presentation among Patients Visiting Jimma University Medical Center, Jimma, Ethiopia
Daba, Kumale Tolesa; Gessesse, Girum W/Gebreal; Molla, Jemmal Mohammed; Tsedeke, Asaminew Alemu.
  • Daba, Kumale Tolesa; Department of Ophthalmology, Jimma University. Jimma. ET
  • Gessesse, Girum W/Gebreal; Department of Ophthalmology, Saint Paul's Hospital Millennium Medical College. Saint Paul's. ET
  • Molla, Jemmal Mohammed; Department of Ophthalmology, Jimma University. Jimma. ET
  • Tsedeke, Asaminew Alemu; Department of Ophthalmology, Saint Paul's Hospital Millennium Medical College. Saint Paul's. ET
Ethiopian Journal of Health Sciences ; 32(5): 929-936, 5 September 2022. Tables
Artículo en Inglés | AIM | ID: biblio-1398383
ABSTRACT
Glaucoma is the predominant cause of irreversible blindness, particularly the late presentation. The purpose of this study is to identify the risk factors associated with late presentation in Jimma University Medical Center

METHODS:

A case-control study was done among patients newly diagnosed to have open angle glaucoma (of any type) at Jimma University Medical Center from July 2014 ­ January 2019. Cases were patients/eyes diagnosed to have any type of open angle glaucoma with advanced glaucomatous disc features, whereas controls were patients diagnosed with early and moderate stages of glaucoma.

RESULTS:

There were 205 (116 cases and 89 controls) participants. The mean age of the participants at the time of diagnosis was 58.3±13.4yrs. Family history of blindness, presenting IOP, type of glaucoma and age were independently associated with late presentation. Patients with family history of blindness had late advanced glaucoma five times higher than those with no family history of blindness. The presence of late glaucoma among patients with presenting intra ocular pressure < 30mmHg is lower than those having ≥30mmHg (Adjusted Odds Ratio= 0.136). Primary open-angle glaucoma patients were less likely to present with advanced glaucoma than pseudo exfoliative glaucoma patients (Adjusted Odds Ratio=0.39). The chance of presenting with late glaucoma was increased by 3.4% for every one-year increment of age.

CONCLUSIONS:

Presence of family history of blindness, high presenting intraocular pressure, pseudo exfoliative glaucoma and old age are risk factors for late presentation of glaucoma
Asunto(s)

Texto completo: Disponible Índice: AIM (África) Asunto principal: Glaucoma / Factores de Riesgo / Diagnóstico Tardío / Presentación en Trabajo de Parto Tipo de estudio: Estudio diagnóstico / Estudio de etiología / Estudio observacional / Estudio pronóstico / Factores de riesgo Idioma: Inglés Revista: Ethiopian Journal of Health Sciences Año: 2022 Tipo del documento: Artículo Institución/País de afiliación: Department of Ophthalmology, Jimma University/ET / Department of Ophthalmology, Saint Paul's Hospital Millennium Medical College/ET

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Texto completo: Disponible Índice: AIM (África) Asunto principal: Glaucoma / Factores de Riesgo / Diagnóstico Tardío / Presentación en Trabajo de Parto Tipo de estudio: Estudio diagnóstico / Estudio de etiología / Estudio observacional / Estudio pronóstico / Factores de riesgo Idioma: Inglés Revista: Ethiopian Journal of Health Sciences Año: 2022 Tipo del documento: Artículo Institución/País de afiliación: Department of Ophthalmology, Jimma University/ET / Department of Ophthalmology, Saint Paul's Hospital Millennium Medical College/ET