A Clinical Study on Glaucoma

ABSTRACT

We retrospectively analyzed on the data of 189 eyes of 362 patients with glaucoma from January 1986 to December 1990 in the Department of ophthalmolgy of Chonnam National University Hospital. The following results were obtained. 1. The prevalence of glaucoma in all patients was about 1.92%. 2. The glaucoma patients consisted of 35.6% of secondary glaucoma, 30.5% of primary open angle glaucoma (POAG) and 26.2% of primary angle closure glaucoma (PACG). Neovascular glaucoma (44.1 %) has the highest prevalence rate in secondary glaucoma. 3. The mean age of the patients with POAG was 52.5 year and PACG was 60.4 year. 4. In POAG, men were larger than women in number, but in PACG, women were larger than men. 5. The age group over 40 years old of POAG and PACG occupied 85.9% and that of secondary glaucoma did 82.2%. The incidence of glaucoma rises with advancing age. 6. There was no significant difference in laterality between left and right eyes. 7. At first visit, arcuate scotoma and paracentral scotoma were common glaucomatous visual field changes. According to above results, most patients with the glaucoma visited our hospital at advanced state, we should make an effort for early detection and education on the glaucoma.