Childhood glaucoma profile in Dakahelia, Egypt: a retrospective study

Abstract

PCG is the most prevalent type of childhood glaucoma, followed by acquired glaucoma especially traumatic hyphema. Combined trabeculotomy-trabeculectomy and Ahmed valve implantation are the most common surgical interventions. CGRN classification is found to provide a consensus skeleton and is recommended to be integrated in our routine ongoing clinical practice.

Classification of Childhood Glaucoma in Patients of a Government Tertiary Hospital in Manila, Philippines using the Childhood Glaucoma Research Network System

“…The male predominance was also noted in populations with high consanguineous births such as in India even in Asian populations in the United Kingdom. 7,9,10 Other single-center studies in the United States also reported a male predominance in childhood glaucoma (Table 5). 12,13 The distribution of JOAG (5.2%) is similar to other reports, having a presentation of <20% in their respective patient populations (Table 5).…”

“…The CGRN Classification system was a tool already used in different regions to describe glaucoma. 9,12 Applying the CGRN system in our patient population provides a way to compare the incidence of childhood glaucoma in other regions.…”

“…7,10,[12][13][14] Other single institution-based studies, had higher recorded numbers of PCG consisting of at least 19% in South India, Dahkelia, Egypt, and Beijing, China. 7,9,10,20 Notably, in a populationbased study in the United Kingdom, Papadoupoulos et al showed a higher prevalence of PCG in patients of South-Asian (Pakistani) descent compared to western populations (2.46 incidence per 1000000). 7 Similar to other studies, there is a male bias in our patient population (63.6%) with a 68.8% male prevalence in primary congenital glaucoma and juvenile open-angle glaucoma and 64.2% male predominance in secondary glaucomas.…”

“…8,[12][13][14] Other Asian populations had lower percentages of glaucoma associated with systemic conditions ranging from 1.9% to 5.8%. 9,10,20 Secondary glaucoma associated with ocular conditions was seen in 16 eyes of 13 (16.3%) patients. Patients were diagnosed below 6 years old in 8 (61.5%) patients, with the most common diagnosis of anterior segment dysgenesis in 25% of the cases.…”

“…7,8 Single institution studies have also documented childhood glaucoma in Shanghai, China, Dahakelia, Egypt, Texas, Canada, USA, and South India. [9][10][11][12][13][14] Recent studies done in Egypt and South India used the CGRN system to classify the patients. 10,12 In the Philippines, two studies have profiled glaucoma patients in a tertiary hospital.…”