Epidemiological Characteristics of Inpatients Undergoing Surgery for Glaucoma at Tianjin Eye Hospital from 2013 to 2017

Yang, Jin; Qu, Yue; Li, Boai; Zhong, Zhigang; Shi, Liukun; Tian, Xiaofeng; Wang, Rui; Xu, Dan; Liu, Yufeng

doi:10.1155/2021/3628481

Cited by 4 publications

(5 citation statements)

References 35 publications

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“…PACG is more common in Asians than in Africans or Europeans [34] . This study showed that angle-closure glaucoma and secondary glaucoma were the most common types of glaucoma cases at the Eye Hospital of Wenzhou Medical University, which matched the findings of studies conducted in Shanghai [35] , Tianjin [36] , and Beijing [37] . In regard to angleclosure glaucoma, the proportion of internal filtration surgeries increased slightly from 2015 to 2021 to over 70% of patients.…”

Section: Trend Of Glaucoma Internal Filtration Surgeriessupporting

confidence: 83%

Trend of glaucoma internal filtration surgeries in a tertiary hospital in China

Cao¹,

Mao²,

Yin³

et al. 2023

Int J Ophthalmol

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AIM: To evaluate the trend of glaucoma internal filtration surgeries for inpatients between 2015 and 2021 at the Eye Hospital of Wenzhou Medical University. METHODS: A review of the medical records of inpatients who had been diagnosed with glaucoma and received anti-glaucoma surgery between January 1, 2015 and December 31, 2021 was conducted. The glaucoma diagnosis in this study included primary open angle glaucoma, primary angle-closure glaucoma, secondary glaucoma, and paediatric glaucoma. The types of surgeries were categorised as internal filtration, external filtration, and cyclodestruction surgery based on the pathway of aqueous humor outflow. The trend of these glaucoma surgeries in the sample of patients with different types of glaucoma was then analysed. RESULTS: The number of patients hospitalised for glaucoma surgery increased yearly, from 752 in 2015 to 1373 in 2021, at the Eye Hospital of Wenzhou Medical University. Regarding the patients diagnosed with primary open angle glaucoma, internal filtration surgery increased from 27.40% of the sample to 54.40% of the sample, while external filtration surgery decreased from 71.50% to 44.20% between 2015 and 2021. For paediatric glaucoma, internal filtration surgery increased from 37.50% in 2015 to 88.20% in 2021. Whilst different types of surgeries were performed on the sample of patients with secondary glaucoma, the proportion of internal filtration surgery also showed an increase from 18.20% in 2015 to 40.90% in 2021. Meanwhile, internal filtration surgery in the patient sample with primary angle-closure glaucoma already accounted for over 70.00% in 2015, and showed a small increase by 2021. CONCLUSION: As surgical technology and surgical experience continue to elevate and improve, the range of glaucoma surgeries are correspondingly evolving. This study find that internal filtration surgeries accounted for an increasing proportion of treatments in the surgical management of glaucoma between 2015 and 2021.

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Section: Trend Of Glaucoma Internal Filtration Surgeriessupporting

confidence: 83%

Trend of glaucoma internal filtration surgeries in a tertiary hospital in China

Cao¹,

Mao²,

Yin³

et al. 2023

Int J Ophthalmol

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“…Age and glaucoma types differed between both sexes; the most remarkable difference was the much higher rate of the PACD in women than men; these correspond well with the previous reports that the older age and female gender were risk factors for PACD. 12 , 13 Difference in glaucoma types also explains well with the higher rate of patients who were treated with cataract extraction + goniosynechialysis in female group.…”

Section: Discussionmentioning

confidence: 78%

Proportion of Glaucoma Types and Surgeries Among Young, Pre-Old, Old, and Oldest-Old Age Groups or Different Sex Groups

Tanito¹,

Matsuoka²

2022

OPTH

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Background We report the real-world distribution of glaucoma types and glaucoma surgeries in each age or sex group in our department. Methods The department database of Matsue Red Cross Hospital, a tertiary care hospital, for eyes surgically treated to manage glaucoma between April 2014 and March 2018 was searched. Patient age, sex, disease type, and surgical procedure were collected from the database. The age was stratified by ≤64 years (young), 65–74 years (pre-old), 75–89 years (old), and ≥90 years (oldest-old or super-old). Results In the database, 2036 consecutive surgeries (70.3 ± 14.4 years; 1015 males) were identified. Among all subjects, primary open-angle glaucoma (POAG) (42.7%) was the most frequent identifiable glaucoma type followed by primary angle-closure disease (PACD) (18.8%) and exfoliation glaucoma (17.9%). The glaucoma types differed significantly among the age groups ( P < 0.0001); POAG was the most frequent type of glaucoma in young and pre-old groups, while PACD and exfoliation glaucoma were the most frequent glaucoma types in the oldest-old group. Among all subjects, trabeculotomy or other goniotomy/gonio-bypass surgery (41.7%) was the most frequent glaucoma surgery followed by long-tube shunt (22.1%) and trabeculectomy (16.2%). The glaucoma surgeries performed differed significantly among the age groups ( P < 0.0001). The frequency of trabeculectomy was the highest in the young group (27.8%), trabeculotomy was the highest in the pre-old (42.6%) and old (46.6%) groups, and long tube shunt (41.3%) and cataract extraction + goniosynechialysis (32.6%) were the highest in the oldest-old group. The glaucoma type ( P < 0.0001) and surgeries performed ( P < 0.0001) differed significantly between sex groups; the rates of PACD and cataract extraction + goniosynechialysis were remarkably higher in female than male group. Conclusion The types of glaucoma and required glaucoma surgeries differ among the different age groups and sexes. Primary angle-closure disease and exfoliation glaucoma are the major glaucoma types in the old and oldest-old age groups.

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“…The primary universal cause of persistent blindness is glaucoma (Stein et al, 2021). By 2040, there will likely be 111.8 million glaucoma patients between the ages of 40 and 80 years (Yang et al, 2021). Age, smoking status, African heritage, family history, genetics, hypertension, hypotension (especially lowered nocturnal blood pressure), atherosclerosis, lipid dysregulation, and diabetes are all risk factors for developing glaucoma (Schuster et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…When glaucoma was divided into stages based on severity, the proportion of patients with early stage glaucoma was greater than that of those with middle and late stage glaucoma and there were more patients without diabetes or hypertension at each stage of glaucoma. Diabetes is linked to microvascular damage and possibly impacts the vascular autoregulation of the retina and optic nerve (Yang et al, 2021). One study found that those with diabetes had a higher risk of increasing glaucoma than people without diabetes, but another found no correlation between the prevalence of glaucoma and diabetes (Rim et al, 2018;Grzybowski et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…As we age, the lens ages and thickens and the center shifts forward, which compresses the iris and pushes it forward. This results in a shallow anterior chamber, which narrows or even closes the anterior chamber angle, leading to the acute onset of glaucoma (Yang et al, 2021). Additionally, each decade of aging is correlated with an increase in mean ocular perfusion pressure, intraocular pressure, and corneal thickness (Grzybowski et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

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Age-Based Association of Glaucoma with the Prevalence of Diabetes and Hypertension at a National Hospital in Seoul

Lee¹,

Jang²,

Kim³

2023

American Journal of Biochemistry and Biotechnology

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Glaucoma can have profound consequences on vision. Although diabetes and hypertension have been suggested as risk factors for glaucoma, their relevance in epidemiological studies remains controversial. Accordingly, we investigated whether diabetes and hypertension, as well as factors such as age and sex, affected the risk of glaucoma. From May 30, 2022, to June 24, 2022, 1152 patients were selected from a national hospital (Seoul, Korea) to analyze the association among visual field test results, diabetes, and hypertension. Patients who visited the hospital for glaucoma treatment or those referred for glaucoma were randomly selected. The mean deviation value, obtained from visual field test results, is an index of the overall change in the visual field. Based on the mean deviation value, patients with glaucoma were classified into early-(-6

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Epidemiological Characteristics of Inpatients Undergoing Surgery for Glaucoma at Tianjin Eye Hospital from 2013 to 2017

Cited by 4 publications

References 35 publications

Trend of glaucoma internal filtration surgeries in a tertiary hospital in China

Trend of glaucoma internal filtration surgeries in a tertiary hospital in China

Proportion of Glaucoma Types and Surgeries Among Young, Pre-Old, Old, and Oldest-Old Age Groups or Different Sex Groups

Age-Based Association of Glaucoma with the Prevalence of Diabetes and Hypertension at a National Hospital in Seoul

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