Factors Associated with Blindness in Acute Primary Angle Closure Glaucoma in Banpong Hospital
Keywords:
acute angle closure, blindness, glaucoma, angle closure glaucomaAbstract
Objective: This study aims to find the incidence of blindness in acute primary angle closure glaucoma in Banpong Hospital and identify associated factors of blindness in acute primary angle closure glaucoma.
Methods: In this retrospective study, data were collected from medical records of acute angle closure glaucoma in Banpong Hospital from October 1, 2016 to December 31, 2022. The data were analyzed by using statistical package and presented by frequency, mean, and standard deviation. A chi-square test and binary logistic regression were used to identify factors associated with blindness.
Results: The incidence of blindness in acute primary angle closure glaucoma in Banpong Hospital was 17.2% (5 of 29 patients). The factor associated with blindness was duration from symptoms to treatment. Duration from symptoms to treatment more than 72 hours was 28 times increased rate of blindness. But education level, presenting visual acuity, presenting intraocular pressure (IOP), presenting cup to disc ratio, methods of treatment, and time to control IOP were not associated.
Conclusion: Time from symptoms to treatment is a risk factor associated with blindness in acute primary angle closure glaucoma.
References
Foster A, Resnikoff S. The impact of Vision 2020 on global blindness. Eye (Lond) 2005;19(10): 1133–5. doi: 10.1038/sj.eye.6701973.
GBD 2019 Blindness and Vision Impairment collaborators. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to vision 2020: the right to sight: an analysis for the global burden of disease study. Lancet Glob Health 2021;9(2):114–60. doi: 10.1016/S2214-109X(20)30489-7.
สาขนิตย์ ลีลาประศาสน์. ภาวะต้อหินมุมปิดเฉียบพลันทันยุค. กระบี่เวชสาร 2021;4(2):79–86.
Bourne RRA, Sukudom P, Foster PJ, et al. Prevalence of glaucoma in Thailand: a population based survey in Rom Klao District Bangkok. Br J Ophthalomol 2003;87(9):1069–74. doi: 10.1136/bjo.87.9.1069
เดชาทร อาสนทอง. ความชุกของผู้ป่วยโรคต้อหินในโรงพยาบาลศรีสะเกษเนื่องในวันต้อหินโลก. วารสารการแพทย์โรงพยาบาลศรีสะเกษ สุรินทร์ บุรีรัมย์ 2020;35(3):749–56.
Thongthong K. Prevalence of glaucomatous blindness. Eye SEA 2021;16(2):69–77. doi.org/10.36281/2021020205
Aung T, Friedman DS, Chew PTK, et al. Long-term outcome in Asians after acute primary angle closure. Ophthalmology 2004;111(8),1464–9. doi: 10.1016/j.ophtha.2003.12.061.
Li S, Tang G, Fan SJ, et al. Factors associated with blindness three months following treatment for acute primary angle glaucoma. Br J Ophthalmol 2021;105(4):502–6. doi: 10.1136/bjophthalmol-2020-316259.
Tan AM, Loon SC, Chew PTK. Outcomes following acute primary angle colsure in an Asian population. Clin Exp Ophthalmol 2009;37(5):467–72. doi: 10.1111/j.1442-9071.2009.02060.x.
Andreatta W, Elaroud I, Nightingale P, et al. Long-term outcomes after acute primary angle closure in a White Caucasian population. BMC Ophthalmol 2015;15:108. doi: 10.1186/s12886-015-0100-5.
Yamashita T, Tanaka M, Kii Y, et al. Sex-related differences in axial lenght, anterior chamber depth and lens thickness in Japanese young healthy eyes. IOVS an ARVO J 2012;53(14):3626.
Stone JS, Muir KW, Stinnett SS, et al. Glaucoma blindness at a tertiary eye care center. N C Med J 2015;76(4):211–8. doi: 10.18043/ncm.76.4.211.
Hillman JS. Acute closed-angle glaucoma: an investigation into the effect of delay in treatment. Br J Ophthalmol 1979;63:817–21. doi: 10.1136/bjo.63.12.817.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
