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KMID : 1813520230120010001
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Journal of the Korean Glaucoma Society
2023 Volume.12 No. 1 p.1 ~ p.6
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Clinical Features of Juvenile Open-Angle Glaucoma
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Park Gi-Seok
Kim Kyung-Nam
Hwang Young-Hoon
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Abstract
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Purpose : This study evaluated the clinical characteristics of juvenile open-angle glaucoma in regional tertiary hospital in Daejeon and Chungnam area of South Korea.
Methods : This retrospective study analyzed 121 patients (242 eyes) who diagnosed with juvenile open-angle glaucoma at the glaucoma clinic of oo university hospital from 2017 to 2022. Sex, age at first diagnosis, intraocular pressure, visual field test results, refractive error, axial length, and management were investigated. Based on the mean deviation of the visual field test, each patient's eyes were divided into better eye and worse eye.
Results: There were 88 males (72.7%) and 33 females (27.3%). The mean age at initial diagnosis was 28.6 ± 8.9 years, and 110 patients (90.9%) were binocular. The most common route of diagnosis was detection by chance during ophthalmic examination (35.5%). In 26.4% of cases, glaucoma was found due to glaucoma-related symptoms such as decreased visual acuity and ocular pain, and 26.4% was found at health promotion examinations. The mean deviation of visual field test was -11.46 ± 9.31 dB for the worse eye and -5.60 ± 6.49 dB for the better eye (p < 0.001). Intraocular pressure was 28.5 ± 10.6 mmHg in the worse eye and 26.9 ± 9.9 mmHg in the better eye, respectively (p = 0.032). Refractive error and axial length were -5.60 ± 3.15 diopters, 26.28 ± 1.50 mm in the worse eye, and -5.61 ± 3.37 diopters, 26.72 ± 4.07 mm in the better eye (p > 0.05). For intraocular pressure management, trabeculectomy was performed in 88 eyes (36.4%) and glaucoma drainage device implantation was performed in three eyes (1.2%).
Conclusions : Patients with juvenile open-angle glaucoma showed myopia, male predominance, and binocularity. In addition, at the time of initial discovery, the visual field defect was severe and surgery was often required to control the intraocular pressure.
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KEYWORD
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Glaucoma, Intraocular pressure, Visual field
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